7. Materials of activation of students are during teaching of lecture.

Tasks are for self-control:

1. On a reception to the doctor a patient appealed with the trauma of nose got during the sporting training. At an inspection the diagnosis of break of bones of nose is set without displacement of wreckages.

How it is necessary to classify this trauma after etiology, taking into account that a patient works as a sporting trainer? (Answer: work accident)

a 2. Worker got a blow a board in the area of supramaxilla during the leadthrough of repair at home in a day off. A diagnosis is set: hammered in the wound of overhead lip. Incomplete dislocation of chisels of supramaxilla.

How to characterize a trauma got under such circumstances? (Answer: domestic trauma)

3. A patient appealed with complaints about pain and dysmasesis as a result of blow in the area of corner of lower jaw on the right, got during a fight, head pain, nausea. A previous diagnosis is set: break of lower jaw.

What additional methods of inspection must be conducted for clarification of diagnosis? (Answer: sciagraphy, consultation of neurologist).

4. To the clinic a patient appealed 25 years with complete dislocation of a 12 tooth. Replantaciya of tooth is rotined a patient, but реплантація of tooth at dislocation is conducted in case that: (Answer: integrity of all of side-holes tooth is stored)

5. To the clinic the patient of 23 appealed with the traumatic break of root 22 teeth. What must be medical tactic of doctor-stomatology? (Answer: delete 22 teeth)

6. To the clinic the patient of 33 appealed with the traumatic complete break of alveolar sprout. Where does the line of break pass? (Answer: the line of break passes through all layer of alveolar sprout)

7. patient, 28 years diagnosed: break of lower jaw in the area of angle from a right outside dental part from displacement. What method of treatment is most appropriate at this break. (Answer: A bimaxillar tire of Tigirshtedta is with hooks)

8. A patient is 20 years delivered in a separation in 6 hours after a trauma. Objectively: violation of bite is due to displacement of wreckages. Teeth are on an overhead and lower jaw, except for 35, stored. On a sciagram: break of lower jaw in the area of corner from both sides, and body of jaw in a projection 35. Wreckages are displaced. What method of treatment (fixings of wreckages) will you give advantage? (Answer: Direct osteosyntesis (mini-plates)).

9. A patient, in 21, got in the clinic of maxillufacial surgery with complaints about wilful pain in the area of corner of lower jaw on the left, was swollen this area, opening of mouth, impossibility to close teeth is limited. From anamnesis it was known that got a trauma days ago, was beaten unknown, did not lose consciousness, for help did not apply, instiled against a stupor 2 months ago. Objectively: a person is asymmetric due to the edema of counter-clockwise masticatory area, that sickly at пальпації, opening of mouth to 1,5 see., the symptom of «loading» is positive in the area of corner of lower jaw on the left, the «symptom of step» takes a place in an area between 37 and by 38 teeth. Put a previous diagnosis?(Answer: Break of corner of lower jaw on the left with displacement in a projection 38.)

10.Patient, 30 years as a result of road adventure got the bilateral break of lower jaw in an area 43, 44 and 33, 34 with displacement of wreckages. The threat of origin of what asphyxia does take a place? (Answer. Dislocation.)

Educational tasks of 3th level (offtype tasks):

1. In a maxillufacial separation from the place of road adventure a patient is delivered with the opened break of body of lower jaw. General state of sick middle degree of weight, in anamnesis loss of consciousness on a few minutes, vomit. A patient grumbles about nausea, general weakness, pain in the area of counter-clockwise half of stomach. Arterial pressure is 100/60 мм. of рт. item, pulse of 100 /min., weak filling. A surgeon-stomatology under the explorer anaesthetizing did the replicon of wreckages and fixed them the tires of Tigershtedta with hooks, whereupon appointed consultation of internist.

Whether there is an error in the actions of doctor:(Answer: in a victim the combined trauma takes a place with the signs of traumatic shock, surgical interferences with such state execute only concerning bleeding or asphyxia. Consultation of surgeon-traumatologist and neurologist is needed).

2. On an ambulatory reception to the surgeon-stomatology a patient appealed with complaints about pain in the area of corner of lower jaw at mastication, head pain, dizziness, nausea. It is found out, that a patient was beaten a day ago, the loss of consciousness took a place on a few minutes. After a clinical and roentgenologic inspection a doctor eliminated the diagnosis of break of lower jaw, appointed the reception of analgin and control review in 3 days.

Find an error in the actions of doctor. Answer: at a present clinical picture consultation of neurologist was needed for the exception of concussion of the head brain).

3. At a review suffering a doctor-stomatology defined the diagnosis of bilateral break of lower jaw in the area of chin with displacement of wreckages, whereupon sent a patient in permanent establishment a sanitary machine, carrying out immobilization of lower jaw by a bandage bandage which presses. During transporting the signs of violation of breathing appeared for a patient.

What type of asphyxia did develop a doctor carried out in a patient and what error?(Answer: bandage which presses contra-indicated at the breaks of lower jaw within the limits of dental row with displacement, as results in additional displacement of wreckages. A dislocation asphyxia developed for this patient.).

4. For a patient 45 years complete dislocation takes a place to a 11 tooth. What method of surgical treatment is applied, if the root-canal of tooth was sealed and after antiseptic treatment returned into place in a small hole. After it a tooth was fixed a metallic wire to the nearby teeth and his immobilization is conducted.(Right answer: replantaion of tooth)

5. On the stage of skilled medicare by a doctor the examined is injured stomatology with the break of alveolar sprout of lower jaw. With the purpose of prophylaxis of раневої infection, what medical measure will be most effective on this stage of grant of medicare?

(Right answer: replicon, fixing and immobilization of alveolar sprout, антибактеріальна therapy)

6. To the policlinic a patient appealed with fresh traumatic complete dislocation 11, 21, 31, 41 teeth. Teeth absent. Define the volume of diagnostic and medical help a patient.

(Right answer: roentgenologic research, aseptic treatment of small holes, subsequent orthopaedic treatment of patient)