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Complex Treatment of Oral Pathology
Study Course Description
Course Description Statuss:Approved
Course Description Version:8.00
Study Course Accepted:05.09.2022 12:09:22
| Study Course Information | |||||||||
| Course Code: | MMK_004 | LQF level: | Level 7 | ||||||
| Credit Points: | 3.00 | ECTS: | 4.50 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Ingrīda Čēma | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Oral and Maxillofacial Surgery and Oral Medicine | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 20 Dzirciema Street, oralpatokat rsu[pnkts]lv, +371 67409136 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 6 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 12 | ||||
| Classes (count) | 11 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 44 | ||||
| Total Contact Hours | 56 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | At the beginning of the study course (or semester of the study course), all tests provided for in the corresponding curriculum (D1 form) of the previous study semesters must be successfully completed. Normal histology, physiology, anatomy, pathological morphology, microbiology, diagnosis, diagnostic radiology, pharmacology of the oral mucosa; knowledge of aetiological factors of diseases of the oral mucosa, manifestations of internal diseases in the oral mucosa. | ||||||||
| Objective: | To promote the application of students’ theoretical knowledge in practice, to freely orient in the basic elements of disease manifestations in the oral mucosa. Under the supervision of teaching staff, to perform an examination of the patient’s skin, perioral tissues and oral cavity, clinical diagnosis of pathological tissues, to recommend specific laboratory examinations. To perform an adequate differential diagnosis, make a final diagnosis and recommend appropriate treatment and prevention of the disease based on one’s knowledge. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Infectious diseases III. Human immunodeficiency syndrome. Etiology, pathogenesis, differential diagnosis, treatment options. Morphological manifestations. | Lectures | 1.00 | auditorium | |||||
| 2 | Aetiology of HIV and AIDS, clinical manifestations. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| 3 | Pemphigus vulgaris, pemphigoideus cicatricalis, pemphigoideus bullosa, pyostomatitis vegetans. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Dermatitis herpetiforme, linear IgA disease. Inherited epidermolysis bullosa. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Outpatient consultations. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| 4 | Autoimmune diseases. Morphological manifestations. | Lectures | 1.00 | auditorium | |||||
| 5 | Isolated lip diseases. Etiology, pathogenesis, differential diagnosis, treatment options. | Lectures | 1.00 | auditorium | |||||
| 6 | Diseases of the tongue – geographic and fissured tongue, rhomboid glossitis. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Lip diseases – actinic cheilitis, granular and granulomatous cheilitis. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| 7 | Burning mouth syndrome, differential diagnosis, treatment. | Lectures | 1.00 | auditorium | |||||
| 8 | Differential diagnosis of primary and secondary burning mouth syndrome. Patient consultations. | Classes | 1.00 | clinical base | |||||
| 9 | 1. Erosive-ulcerative diseases. 2. Diseases with manifestations of white basic elements. 3. Diseases with manifestations of red basic elements. 4. Bluish, brown, black, yellow changes in the oral cavity and perioral tissues. 5. Diseases with verrucous papillary form of growth. 6. Vesicobullous diseases. | Lectures | 1.00 | auditorium | |||||
| 10 | Tongue diseases. Aetiology, pathogenesis, differential diagnosis, treatment options. | Lectures | 1.00 | auditorium | |||||
| 11 | Oral manifestations of coeliac disease, Crohn’s disease, ulcerative colitis, reflux. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| 12 | Vascular formations – varicosities, hemangiomas. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| 13 | Dermatitis herpetiforme, linear IgA disease. Inherited epidermolysis bullosa. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| 14 | Anaemia, thrombocytopenic purpura. Patient consultations. | Classes | 1.00 | clinical base | |||||
| 15 | Other hematological disorders. Patient consultations. | Classes | 1.00 | clinical base | |||||
| 16 | Differential diagnosis of white and red pathological processes. Fat, cholesterol, bilirubin and other pigmented formation differential diagnosis by color. Patient consultations. | Classes | 1.00 | clinical base | |||||
| 17 | Differential diagnosis of ulcerative processes. Condyloma latum, condyloma accuminatum, squamous cell papilloma, verruca vulgaris, focal epithelial hyperplasia; xanthoma verruciforme. Outpatient consultations. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | 1. To study the literature (books, magazines) offered in Oral Medicine and Pathology in connection with the manifestation of the relevant pathology in order to learn about diseases of the oral mucosa. 2. To practice writing down the anatomical localisation in Latin, understand the clinical manifestation of the disease. 3. To view the relevant clinical images and watch the films posted in e-studies through the archive of the Oral Pathology Clinic for the purpose of training visual memory and recognition of clinical manifestations. 4. To complete the tests offered in e-studies. | ||||||||
| Assessment Criteria: | 1) Active participation in the practical classes; quality of oral answers during each class; 2) Ability to communicate with the patient, to take the vital and medical history; 3) Correct extraoral and intraoral examination of the patient; 4) Correct description of the pathology in outpatient records using the Latin terminology of the diseases learned; 5) Knowledge test in the form of questions on autoimmune, immunological dysfunctions, precancerous diseases, ulcers, white and red manifestations of the oral mucosa; 6) Ability to discuss possible differential diagnosis; 7) Formulation of a treatment plan. The final exam makes up 100% of the final assessment. | ||||||||
| Final Examination (Full-Time): | Exam (Oral) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Specifics of oral anatomy, histology and physiology in the context of age and clinical manifestations of diseases. Basic principles of diagnosis of oral pathologies and interpretation of laboratory test results in the context of the relevant disease. Medicines used in the treatment of diseases of the oral mucosa, composition and action thereof. The main types of manifestations of diseases of the oral mucosa, aetiological factors of diseases of the oral mucosa, morphological specifics. Possible manifestations of internal diseases in the oral mucosa. Infection routes, diagnostic indicators, clinical manifestations of certain illnesses such as HIV/AIDS in the oral cavity; manifestations of autoimmune disease in the oral cavity, diagnostic and treatment options; lip and tongue diseases, modes of acquisition, clinical manifestations, diagnostic and treatment options, preventive measures. Manifestation and differential diagnosis of burning mouth syndrome. | ||||||||
| Skills: | Will practically know how to correctly examine the perioral and oral tissues sequentially manually and instrumentally, to assess to which group of diseases of the oral mucosa the visible pathological changes belong. Will know how to correctly and sequentially palpate the lymph nodes in the area of the cheek, paratoid, parotid, submaxillary and neck. Will be able to interpret the patient’s clinical extraoral and intraoral pathological signs or symptoms during the differential diagnosis, determine accurate differential diagnosis and the final diagnosis after the clinical information has been obtained and the clinical examination has been performed, accurately describe the pathological lesions of the soft tissues of the mouth morphologically, according to their characteristic localisation and colour; recommend an adequate treatment plan, control options and preventive measures for the specific disease. | ||||||||
| Competencies: | 1. To diagnose pathological changes in the mucous membrane of the oral cavity, make clinical judgements by interpreting and correlating the obtained clinical, laboratory and other diagnostic examination data, make decisions and plan further actions to determine the differential or final diagnosis for dental patients of all ages and needs. 2. To diagnose pain in the area of the face and oral cavity, carry out differential diagnosis thereof, start treatment or recommend consulting with a specialist in the relevant field. 3. To advise patients about non-life-threatening diseases and disorders of the oral mucosa, nature and severity thereof, providing the patient with treatment options and realistic expected results. 4. To apply preventive methods to prevent diseases of the oral mucosa, contributing to maintaining the health of the oral cavity. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice. editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough. Springer International Publishing AG, 2019 | ||||||||
| 2 | The ADA Practical Guide to Soft Tissue Oral Disease. 2nd Edition. Michael A. Kahn DDS, J. Michael Hall DDS, MABMH. 2018, American Dental Association | ||||||||
| 3 | Michael, Glick. Burket's Oral Medicine. 12th Edition. 2015. USA: PMPH -USA. | ||||||||
| Additional Reading | |||||||||
| 1 | R. A. Cawson, E. W Odell. „Cawson's Essentials of Oral Pathology and Oral Medicine.” Elsevier, 9th Edition. 2017 | ||||||||
| 2 | WHO Classification of Head and Neck Tumours. WHO/IARC Classification of Tumours. 4th Edition, 2017, Volume 9 Edited by El-Naggar AK, Chan JKC, Grandis JR, et.al. | ||||||||
| 3 | G. Laskaris. Pocket atlas of oral diseases. 3rd Edition. (ProQ) Thieme Medical Publishers, 2019 | ||||||||
| Other Information Sources | |||||||||
| 1 | Journal of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodonty | ||||||||
| 2 | Journal of Oral Diseases | ||||||||
