Manifestation of Systemic Diseases in Oral Mucosa

Study Course Description

Course Description Statuss:Approved

Course Description Version:5.00

Study Course Accepted:05.09.2022 12:11:24

Study Course Information
Course Code:		MMK_007		LQF level:		Level 7
Credit Points:		1.00		ECTS:		1.50
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, oralpatokatrsu[pnkts]lv, +371 67409136
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		5	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		10
Classes (count)		4	Class Length (academic hours)		2	Total Contact Hours of Classes		8
Total Contact Hours								18
Study course description
Preliminary Knowledge:
To start study course (or semester) all previous assessments according to Study plan (D1) should be successfully passed. Knowledge of normal oral histology, physiology, anatomy, pathological morphology, basics of diagnostics, diagnostic radiology, pharmacology, dermatology, internal diseases.
Objective:
To give dental students understanding of the expression of other systemic disorders (cardiovascular, respiratory, endocrine, renal) in oral cavity and correct dentist behavior in cases of these diseases, as well as in cases of patients mental, congenital and acquired problems.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Expression of cardiovascular diseases in oral cavity. Dentist's behaviour and action in cases of a cardiovascular patient.			Lectures		1.00	auditorium
2	1. Discussion about the correct dentist's behaviour in cases of: stenocardia, myocardinal infarction, hypertension, congenital heart disease. 2. ARS, sinusitis, bronchial asthma, pneumonia, allergic rhinitis, pulmonary tumours, foreign bodies in pulmonen, sarcoidosis, Vegeners granulomatosis, HOPS.			Classes		1.00	auditorium
3	Expression of endocrine and renal disorders in oral cavity. Dentist's behaviour in cases of these disorders.			Lectures		1.00	auditorium
4	Discussion about the lecture topics: hipersomatotropismus, growth hormone deficiency, hypothyroidism, thyrotoxicosis, hyperparathyroidism, hypoparathyroidism, Cushing's disease, Addison's disease. Diabetes. Hepatitits. Discussion about lecture topics: glomerulonephritis, renal failure, uremic stomatitis.			Classes		1.00	auditorium
5	Expression of respiratory diseases in oral mucosa. HOPS, Sarcoidosis. Vegener's granulomatosis.			Lectures		1.00	auditorium
6	Haematological disorders I. Acute and chronic post-haemorrhagic anemia, iron deficiency anemia, Plummer-Winson syndrome, B12 and folic acid deficiency anemia, sickle cell anemia, haemolytic anemia, aplastic anemia, polycythaemia, leukemia, leucopenia, thrombocytopenia, van Villebrant disease, anticoagulants.			Lectures		1.00	auditorium
7	Haematological diseases II. Leukopenia. Cyclic neutropenia. Leukocytosis. Acute leukemia. Leucosis. Myeloma, Hodgkin's disease. Non-Hodgkin's lymphoma. Burkitt's lymphoma. Thrombocytopenia.			Lectures		1.00	auditorium
8	Discussion (I) about haematological disorders in oral mucosa.			Classes		1.00	auditorium
9	Discussion (II) about expressions of hematological disorders in oral cavity.			Classes		1.00	clinical base
Assessment
Unaided Work:
1) Repeated visual studies of clinical pictures of diseases on facial skin and oral mucosa in Atlases of Skin and Oral Pathology, in order to freely recognise the pathological change. 2) Repeated studies of the suggested clinical material of pathological changes in oral cavity derived from the Oral Pathology Department archive and presented during lectures material. 3) Study of the proposed Oral medicine and pathology literature in relation to the pathological expression.
Assessment Criteria:
1) student active participation in classes; 2) test questions about the lecture topics; 3) the ability to describe the clinical pictures; 4) knowledge of the Latin medical terminology during describing the following pathology and localization; 5) the ability to put the correct diagnosis and recommend the treatment.
Final Examination (Full-Time):		Test
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Manifestations of main cardiovascular and respiratory diseases in the oral mucosa and facial skin. Dentist's action in such cases. Side effects of drugs recommended for the treatment of cardiovascular problems, with possible manifestations in the oral mucosa. Manifestations of endocrine system and kidney disorders in oral mucosa. Dentist's tactic by main manifestations of pathologies of the hematological system in the oral mucosa.
Skills:		To evaluate the situation and make right decision in the case of cardiovascular patient, consulting patients with dental problems. Evaluate a patient with gl. Thyroidoid and gl. Suprarenalis dysfunction, recognize the signs and symptoms of undiagnosed diabetes mellitus, choose appropriate medication in situations of dental problems. To diagnose the symptoms of hematological pathology in the oral mucosa, to assess their severity and to adopt appropriate tactics in case of both illness and dental problem.
Competencies:		Recognize the main organ system manifestations in oral cavity and to choose the correct treatment options in cases of dental problems. Orient and discuss about the main organ system manifestations in the mouth of a dental patient of all ages and needs, if necessary, recommend to the appropriate specialist for further diagnostic measures and treatment.
Bibliography
No.	Reference
Required Reading
1	R. A. Cawson, E. W Odell. „Cawson's Essentials of Oral Pathology and Oral Medicine.” Elsevier, 9th ed. 2017
Additional Reading
1	Michael, Glick. Burket's Oral Medicine. 12th ed. USA: PMPH -USA, 2014
Other Information Sources
1	Journal of Oral Surgery, Oral Medicine, Oral Patology, Oral Radiology
2	Journal of Oral Diseases