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Types of Organization surgical stomatology HISTORY of SURGICAL STOMATOLOGY AND JAW-FACIAL SURGERY in the World AND ON UKRAINE, THEIR OBJECT And TASK. An.

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Presentation on theme: "Types of Organization surgical stomatology HISTORY of SURGICAL STOMATOLOGY AND JAW-FACIAL SURGERY in the World AND ON UKRAINE, THEIR OBJECT And TASK. An."— Presentation transcript:

1 Types of Organization surgical stomatology HISTORY of SURGICAL STOMATOLOGY AND JAW-FACIAL SURGERY in the World AND ON UKRAINE, THEIR OBJECT And TASK. An INSPECTION AND PREPARATION OF PATIENT IS TO OPERATION. ASEPSIS AND ANTISEPTIKA Surgical stomatology - one of independent clinical disciplines of stomatology, which studies surgical diseases and damages of teeth, organs of cavity of mouth, person, neck, bones of facial skeleton of, which require the complex methods of treatment

2 Surgical stomatology consists of such sections: (etiology, pathogeny, clinic, treatment. ) 1. Inflammatory diseases of teeth, jaws, soft fabrics of person and neck, organs of cavity of mouth, for example: sharp and chronic periodontit, periostitis, osteomielit, abscesses and phlegmons, limfadenit, etc. On frequency they make the basic group of patients which treat oneself in permanent establishment. 1. Inflammatory diseases of teeth, jaws, soft fabrics of person and neck, organs of cavity of mouth, for example: sharp and chronic periodontit, periostitis, osteomielit, abscesses and phlegmons, limfadenit, etc. On frequency they make the basic group of patients which treat oneself in permanent establishment. 2. Traumas of organs of cavity of mouth, bones of facial skeleton of different origin, combined damages. 2. Traumas of organs of cavity of mouth, bones of facial skeleton of different origin, combined damages. 3. Tumours and cancer similar diseases of person, jaws and organs of cavity of mouth, modern methods of their diagnostics and treatment. 3. Tumours and cancer similar diseases of person, jaws and organs of cavity of mouth, modern methods of their diagnostics and treatment. 4. Born and purchased defects and deformations of person and jaws 4. Born and purchased defects and deformations of person and jaws

3 History of development of jaw- facial surgery and surgical stomatology is in Ukraine The department of surgical stomatology, one of the oldest in our country, was organized in 1921 Headed her in 1921-1951рр. the figure of science and technique, professor is deserved. Manufacturer. Participant of four wars, he had large knowledges and enormous scientific experience of travmatologii and recinstraktions surgery of jaw-facial area. In 1937. A manufacturer was select the honoured member of the World scientific association of stomatologies. Numerous scientists of. A manufacturer was successfully protected by dissertations, some of them independently managed departments and dental facial clinics: professors of Lindenbaum,. Pravednikov,. Forest; associate professor. Gutnik, Slutska, The department of surgical stomatology, one of the oldest in our country, was organized in 1921 Headed her in 1921-1951рр. the figure of science and technique, professor is deserved. Manufacturer. Participant of four wars, he had large knowledges and enormous scientific experience of travmatologii and recinstraktions surgery of jaw-facial area. In 1937. A manufacturer was select the honoured member of the World scientific association of stomatologies. Numerous scientists of. A manufacturer was successfully protected by dissertations, some of them independently managed departments and dental facial clinics: professors of Lindenbaum,. Pravednikov,. Forest; associate professor. Gutnik, Slutska, Guretska,. Shneyder, Korobkova, Gubenko, Zaslavskiy, Tarnovskiy and other Guretska,. Shneyder, Korobkova, Gubenko, Zaslavskiy, Tarnovskiy and other

4 A department of surgical stomatology of the Ternopil state medical university is the name of Gorbachevskogo A department of surgical stomatology of the Ternopil state medical university is the name of Gorbachevskogo In obedience to a decision state akademik of commission of Department of education and science of Ukraine vid April, 1З, 2004, In obedience to a decision state akademik of commission of Department of education and science of Ukraine vid April, 1З, 2004, protocol 50, and by the order of rector protocol 50, and by the order of rector 325 from August, 26, 2004 on the Ternopil'skiy state medical academy the name of Gorbachevskogo, openly stomatology faculty. 325 from August, 26, 2004 on the Ternopil'skiy state medical academy the name of Gorbachevskogo, openly stomatology faculty. April, 1З, 2004, April, 1З, 2004, protocol 50, and by the order of rector 325 vid August, 26, 2004 on the Ternopil'skiy state medical academy the name of. Gorbachevskogo, openly stomatology faculty. protocol 50, and by the order of rector 325 vid August, 26, 2004 on the Ternopil'skiy state medical academy the name of. Gorbachevskogo, openly stomatology faculty.

5 Inspection sick with surgical pathology of face area is the complex of researches, which are conducted for the exposure of individual features of patient with the purpose of establishment of diagnosis and finding of rational treatment, looking after motion of disease, determination of prognosis. Inspection sick with surgical pathology of face area is the complex of researches, which are conducted for the exposure of individual features of patient with the purpose of establishment of diagnosis and finding of rational treatment, looking after motion of disease, determination of prognosis.

6 If a patient grumbles about pain, at first it follows to set: - possible reason of its origin (independent or appears after an action those or other irritants, at swallowing, talk, related to the reception squeak or by motion of jaw, language, dependency upon position sick); - possible reason of its origin (independent or appears after an action those or other irritants, at swallowing, talk, related to the reception squeak or by motion of jaw, language, dependency upon position sick); - character (sharp or dull, burning, cutting, such which tears pulls); - character (sharp or dull, burning, cutting, such which tears pulls); - intensity (strong, middle, weak); - intensity (strong, middle, weak); - duration (permanent or napadopodibna); - duration (permanent or napadopodibna); - localization (poured out or local, presence of irradiation in tu or other area); - localization (poured out or local, presence of irradiation in tu or other area); - time of day (nightly or daily pains, seasonality, etc.). - time of day (nightly or daily pains, seasonality, etc.).

7 Inspection sick begin from a general review and determination of his state. A doctor carries out a review in surgical gloves and uses the followings instruments (that are in a sterile tray): 1. Spatula - for taking of lips, cheeks, language, at the review of cavity of mouth; 1. Spatula - for taking of lips, cheeks, language, at the review of cavity of mouth; 2. Pincers are stomatology or anatomic - for determination of degree of mobility of teeth and perkusions; 2. Pincers are stomatology or anatomic - for determination of degree of mobility of teeth and perkusions; 3. Stomatology mirror - for the review of teeth, back surface of language, lingya area and sky of oral cavity 3. Stomatology mirror - for the review of teeth, back surface of language, lingya area and sky of oral cavity 4. Dental probe - for determination of depth of dents- gingival pockets and defects of tooth, conduct percusion of teeth the handle of probe; 4. Dental probe - for determination of depth of dents- gingival pockets and defects of tooth, conduct percusion of teeth the handle of probe;

8 Method of palpation back and neck limfovuzliv of subjaws a doctor inclines a chairman sick one hand downward, and by other hand, consistently, feels them three fingers. limfovuzli is felt in tomu position an index finger. Cheeks, nose and lips, bimanual must be palpaton under limfovuzli of jaws - by the fingers of one hand from the side of cavity of mouth, and other - outwardly. Parotid lymphatic knots pal'pechon two-three fingers in the projection of branch of lower jaw or in after to the jaw area of area, and also bimanual - on the cutting edge of parotid glands. At feeling of understern lymphatic knots (located in large and small nadklyuchichnikh pits) a doctor becomes behind patient and feels them three fingers, concluded on a collar-bone. back and neck limfovuzliv of subjaws a doctor inclines a chairman sick one hand downward, and by other hand, consistently, feels them three fingers. limfovuzli is felt in tomu position an index finger. Cheeks, nose and lips, bimanual must be palpaton under limfovuzli of jaws - by the fingers of one hand from the side of cavity of mouth, and other - outwardly. Parotid lymphatic knots pal'pechon two-three fingers in the projection of branch of lower jaw or in after to the jaw area of area, and also bimanual - on the cutting edge of parotid glands. At feeling of understern lymphatic knots (located in large and small nadklyuchichnikh pits) a doctor becomes behind patient and feels them three fingers, concluded on a collar-bone.

9 The inspection of cavity of mouth consists in determination of opening of mouth, review of pre- wall and actually cavity of mouth In a norm, opening of mouth must be approximately 5 see or on three transversal II, III, IV fingers of entered between central chisels. Determine freely it, whether there is not a crunch in joining, as a change of lower jaw aside. Inflammatory processes with bringing in of masticatory muscles do opening of mouth difficult and sickly. There is inflammatory kontraktura of jaws de bene esse parted on 3 degrees: In a norm, opening of mouth must be approximately 5 see or on three transversal II, III, IV fingers of entered between central chisels. Determine freely it, whether there is not a crunch in joining, as a change of lower jaw aside. Inflammatory processes with bringing in of masticatory muscles do opening of mouth difficult and sickly. There is inflammatory kontraktura of jaws de bene esse parted on 3 degrees: I a degree is small limitation of opening of mouth; I a degree is small limitation of opening of mouth; II degree - a mouth is opened on 1 see; II degree - a mouth is opened on 1 see; III degree - jaws are densely taken, the independent opening of mouth is impossible a patient. III degree - jaws are densely taken, the independent opening of mouth is impossible a patient.

10 computer tomografiya - the new, notinvasiv method of diagnostics on principle, that allows vizualizatoini interrelation of separate organs of fabrics in a norm and at the different pathological states. He is based on the use of principle of mathematical design of x-ray photography image with a subsequent construction by COMPUTER, according to information received horizontal cuts of parts of human body on the screen of display. the new, notinvasiv method of diagnostics on principle, that allows vizualizatoini interrelation of separate organs of fabrics in a norm and at the different pathological states. He is based on the use of principle of mathematical design of x-ray photography image with a subsequent construction by COMPUTER, according to information received horizontal cuts of parts of human body on the screen of display.

11 An asepsis is a complex of measures, entering on warning of entering of microorganisms in a wound, organs and fabrics of patient in the process of any medical manipulations.

12 An asepsis in surgical stomatology includes for itself: preparation of cabinet; preparation of cabinet; special treatment of hands of surgeon; special treatment of hands of surgeon; disinfection of the operating field; sterilization of instruments of stomatologies; sterilization of bandaging material and linen; sterilization of stitch material; sterilization of fabrics and matters which enter a patient in fabrics; disinfection of the operating field; sterilization of instruments of stomatologies; sterilization of bandaging material and linen; sterilization of stitch material; sterilization of fabrics and matters which enter a patient in fabrics; an observance of the special receptions is during medical manipulations in surgical stomatology, which warn the air way of passing to the infection; an observance of the special receptions is during medical manipulations in surgical stomatology, which warn the air way of passing to the infection; organization of work of personnel in relation to realization of the special hygienical and organizational measures in a surgical cabinet. organization of work of personnel in relation to realization of the special hygienical and organizational measures in a surgical cabinet.

13 An asepsis consists of two basic moments: disinfections and sterilizations. Disinfection is a complex of receptions and methods, directed on complete, partial or selective elimination potentially of pathogenic for a man microorganisms on the objects of external environment with the purpose of break of ways of transmission of exciters of infectious diseases vid the sources of infection to the receptive people. The necessity of conducting of disinfection of all objects is dictated possibility of transference of infections patients in the hidden form in default of information about such features in their state of health and way of life. Disinfection is a complex of receptions and methods, directed on complete, partial or selective elimination potentially of pathogenic for a man microorganisms on the objects of external environment with the purpose of break of ways of transmission of exciters of infectious diseases vid the sources of infection to the receptive people. The necessity of conducting of disinfection of all objects is dictated possibility of transference of infections patients in the hidden form in default of information about such features in their state of health and way of life. Sterilization is a process of complete elimination of microorganisms, including their forms of spores, by application of chemical and physical methods of influencing. Sterilization is a process of complete elimination of microorganisms, including their forms of spores, by application of chemical and physical methods of influencing.

14 A stomatology help behaves to one of popylar types of medicare. In the structure of general the dideses populations of our country of illness of cavity of mouth and teeth take third seat. Thus in 99 % cases patients is establishments of ambulatory policlinics. In the structure of diseases which require hospitalization (about 1% patients), leading seat is taken by odontogenni inflammatory diseases and traumasAmbulatory stomatology help appears an urban population in specialized hospital and in the cabinets of stomatologies and separations of teritorial and medical establishments of departments.. In the structure of general the dideses populations of our country of illness of cavity of mouth and teeth take third seat. Thus in 99 % cases patients is establishments of ambulatory policlinics. In the structure of diseases which require hospitalization (about 1% patients), leading seat is taken by odontogenni inflammatory diseases and traumasAmbulatory stomatology help appears an urban population in specialized hospital and in the cabinets of stomatologies and separations of teritorial and medical establishments of departments.

15 To them belong: 1) policlinics of stomatologies (for adults and children); 1) policlinics of stomatologies (for adults and children); 2) separations (cabinets) of stomatologies in territorial hospital, at mediko-sanitarnikh parts 2) separations (cabinets) of stomatologies in territorial hospital, at mediko-sanitarnikh parts 3) cabinets of stomatologies are in hospitals, dispensaries, at schools and preschool establishments, in the higher and middle special educational establishments. 3) cabinets of stomatologies are in hospitals, dispensaries, at schools and preschool establishments, in the higher and middle special educational establishments.

16 During organization of work of establishments of stomatologies in towns not obkhidno to connect the known principles of centralization and detsentrali-zatsii in giving stomatology assistance a population. At the centralized form, adopting a population is conducted bezpose-redne in stomatology or to the policlinic in the stomatology separation (cabinet) of territorial policlinic of jaw-faci he policlinics of stomatologies differentiate: 1. After the level of service: republican, regional, city, district. 1. After the level of service: republican, regional, city, district. 2. On subordination: territorial, departments. 2. On subordination: territorial, departments. 3. On the source of financing: budgetary, self- supporting. 3. On the source of financing: budgetary, self- supporting. 4. On categories: in dependence on power, that the number of visits in a change 4. On categories: in dependence on power, that the number of visits in a change

17 For the best organization and planning of stomatology helping at every level of management of health a guard from a number dentistre-stomatologies of ditch the most experimental doctor- stomatolog

18 The structure of poli-klinik of stomatologies is traditionally formed contains the followings subsections: 1) register office; 1) register office; 2) separation: therapeutic stomatology, surgical sto- matologii, to orthopaedic stomatology 2) separation: therapeutic stomatology, surgical sto- matologii, to orthopaedic stomatology child's stomatology; child's stomatology; 3) cabinet of primary review; 3) cabinet of primary review; 4) cabinet of the first stomatology aid; 4) cabinet of the first stomatology aid; 5) cabinet of physiotherapy; 5) cabinet of physiotherapy; 6) cabinet of rentgenodiagnostiki. 6) cabinet of rentgenodiagnostiki. In addition in a policlinic can be organized viddi-lennya and. cabinets on a grant strictly specialized stomatology gy which executes the functions of main specialist on stomatologii is selected.al area

19 Methods of pal'patsion

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21 Lymphatic nodes

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23 Submandibular nodes

24 Submental nodes

25 Palpation of limphatic nodes behind uper jaw

26 Substernalis nodes

27 Circulation of limphatic blood on the facial arena


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