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Clinics and Morphology of the Diseases of Skin and Oral Mucosa
Study Course Description
Course Description Statuss:Approved
Course Description Version:2.00
Study Course Accepted:12.08.2024 09:38:12
Study Course Information | |||||||||
Course Code: | MUSZKK_025 | LQF level: | Level 7 | ||||||
Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
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) | 13 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 26 | ||||
Classes (count) | 7 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 14 | ||||
Total Contact Hours | 40 | ||||||||
Full-Time - Semester No.2 | |||||||||
Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
Classes (count) | 10 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 20 | ||||
Total Contact Hours | 20 | ||||||||
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 oral anatomy and localisation names in Latin; normal skin and oral mucosae histology, diagnostic radiology, physiology, pathological morphology, microbiology, pharmacology, the right steps in the investigation of oral cavity, interpretation of laboratory tests (blood, urine, biochemical, immunological tests), knowledge of the correct oral and perioral tissues investigation sequence. | ||||||||
Objective: | To provide knowledge of specific skin, perioral tissue and oral mucosa diseases, their causes, pathogenesis, clinical and morphological manifestation, treatment and prevention. To create understanding of the relationship between the changes in oral mucosa and the general state of health. | ||||||||
Topic Layout (Full-Time) | |||||||||
No. | Topic | Type of Implementation | Number | Venue | |||||
1 | Epidermis, hypodermis, function. Derivatives. Acne vulgaris, acne rosacea, perioral dermatitis. | Classes | 1.00 | auditorium | |||||
2 | Skin structure, function, skin derivates. Skin diseases associated with fat and epocrine glands. | Lectures | 1.00 | auditorium | |||||
3 | Atopic dermatitis, contact dermatitis, allergic dermatitis, seborrheic dermatitis. | Classes | 1.00 | auditorium | |||||
4 | Eczema and dermatitis. The morphological manifestations. | Lectures | 1.00 | auditorium | |||||
5 | Skin psoriasis, pathogenesis, forms, clinical treatment options and morphological manifestations. | Classes | 1.00 | auditorium | |||||
6 | Skin psoriasis. The morphological manifestations. | Lectures | 1.00 | auditorium | |||||
7 | Bacterial diseases – staphylodermia, erysipelas, parasitic – scabei, pediculosis, fungal diseases of skin, nails and hair. | Classes | 1.00 | auditorium | |||||
8 | Infectious diseases of skin. The morphological manifestations. | Lectures | 1.00 | auditorium | |||||
9 | Discussion about most often diagnosed transmissive diseases. Treatment options. | Classes | 1.00 | auditorium | |||||
10 | Transmissive diseases. | Lectures | 1.00 | auditorium | |||||
11 | Mechanical, chemical, thermal, radiation injuries (acute and chronic ulcer, reactive forms – papillary hyperplasia, epulis fissuratum, chemical and thermal burn; traumatic erythema, thermal burns, radiation mucositis). Necrotizing sialometaplasia. | Classes | 2.00 | auditorium | |||||
12 | Traumatic oral lesions. Etiology, pathogenesis, differential diagnosis, treatment options. | Lectures | 1.00 | auditorium | |||||
13 | Infectious diseases I. Bacterial diseases. Morphological manifestations. | Lectures | 1.00 | auditorium | |||||
14 | Discussion about ANUG, Streptoccocal stomatitis, impetigo, syphilis, tuberculosis, differential diagnosis. | Classes | 1.00 | auditorium | |||||
15 | Candida albicans. Denture induced stomatitis. Pseudomembranous and erythematous candida. | Classes | 1.00 | auditorium | |||||
16 | Infectious diseases II. Bacterial diseases. Candida albicans. Morphological expression. | Lectures | 1.00 | auditorium | |||||
17 | Infectious diseases III. Viral diseases. Etiology, pathogenesis, differential diagnosis, treatment options. Morphological expression. | Lectures | 1.00 | auditorium | |||||
18 | Herpes viruses. Primary and secondary gingivostomatitis herpetica, chickenpox, herpes zoster, hand-foot-mouth disease, herpangina, infectious mononucleosis, measles. Other viral diseases. | Classes | 2.00 | auditorium | |||||
19 | Allergic, toxic reactions and immunological dysfunction induced in oral mucosa. Phatogenesis, classification, differential diagnosis, treatment options. Morphological expression. | Lectures | 1.00 | auditorium | |||||
20 | Allergic and toxic reactions. Contact stomatitis. | Classes | 1.00 | auditorium | |||||
21 | Immunological dysfunction in oral cavity. Differential diagnosis of immunological disorders in oral cavity. Morphological expressions. | Lectures | 1.00 | auditorium | |||||
22 | Minor, major, herpetic forme aphtha, Bechet's syndrome, Reiter's syndrome. Erythema multiforme, Steven-Johnson syndrome, toxic epidermal necrolysis. | Classes | 1.00 | auditorium | |||||
23 | Leukoplakia, eryhthroplakia, Bouven's disease, leukoedema, white sponge nevus. Congenital dyskeratosis. Tobacco induced nicotine stomatitis. | Classes | 1.00 | auditorium | |||||
24 | Precancerous diseases. Etiology, pathogenesis, classification, differential diagnosis, treatment options. Morphological manifestations. | Lectures | 1.00 | auditorium | |||||
25 | Lichen ruber planus, lupus erythematosus, lichenoid reaction. Clinical features, treatment, differential diagnosis. | Lectures | 1.00 | auditorium | |||||
26 | Discussion about lichen ruber planus, lupus erythematosus, lichenoid reaction. Clinical features, treatment, differential diagnosis. | Classes | 1.00 | auditorium | |||||
27 | Discussion about medications used in oral medicine. | Classes | 1.00 | auditorium | |||||
28 | Visual analysis of photos from clinic's archive. Groups of diseases. | Classes | 1.00 | auditorium | |||||
Assessment | |||||||||
Unaided Work: | Study of the clinical pictures of the skin disease and oral mucosa diseases in Atlases of Skin and Oral Pathology in order to identify primary and secondary elements, identify and practice describing the anatomical localisation of the pathology in Latin, understand the clinical expression of a disease. With the aim of training the visual memory and recognition of clinical manifestations of oral mucosa diseases study in e-studies the relevant clinical images and videos, inserted using the archives of the Oral pathology clinic. In addition, to study diseases of the oral mucosa from offered Oral Medicine and Oral Pathology books (relevant Journals) in the context with the respective disease. Completing the attached test tasks. | ||||||||
Assessment Criteria: | After the course, a cumulative grade will be determined as follows: 1)Student performance in classes and seminars, comprising 15% of the total grade. 2)Class attendance, comprising 15% of the total grade. 3)Communication with colleagues and patients, comprising 20% of the total evaluation. 4)Final examination, comprising 50% of the total grade. | ||||||||
Final Examination (Full-Time): | Exam (Oral) | ||||||||
Final Examination (Part-Time): | |||||||||
Learning Outcomes | |||||||||
Knowledge: | Theoretical knowledge of the main types of skin and transmissible diseases, clinical manifestations, differential diagnosis and treatment options will be acquired. Knowledge of the possible types of oral mucosa ulcers, their causes, clinical manifestations, differential diagnosis, types of treatment. Known infectious diseases: bacterial manifestations in the perioral area and oral cavity, causes, clinical manifestations, differential diagnosis, treatment options; Candida albicans, carriers, clinical manifestations, treatment options; the main types of Herpes group viruses, clinical manifestations, treatment options, other virus groups (coxaki, entero, papilloma), clinical manifestations, options of treatment. Knowledge of clinical manifestations of allergic and toxic reactions in facial and oral tissues, treatment options. Observed immunological dysfunctions in oral cavity, causes, clinical manifestations and treatment options. Knowledge of possible precancerous diseases of oral mucosa, clinical manifestations, diagnostic, differential diagnosis and treatment options. Clinical manifestations of lichen ruber plans and lichenoid reactions in oral mucosa, types of diagnostics, differential diagnosis and treatment options. Knowledge of medications used in oral medicine. | ||||||||
Skills: | Skills to discuss groups of diseases diagnosed in the oral mucosa, their possible causes, prevention measures. Skills to discuss about the groups of medications used in the treatment of oral mucosa diseases, their composition and effects. Skills to describe the visible localization from visual clinical images (from the clinic archive), name the localisation in Latin, characterize and describe the clinical manifestation according to the primary and secondary elements, assess the significance of symptoms, their sequence, recommend the correct diagnostic options and relevant medicines or instrumental treatment. | ||||||||
Competencies: | Recognize pathological changes on the facial skin and recommend appropriate specialist advice for further treatment of this pathology. Recognize and diagnose pathological changes in the oral mucosa of all ages and needs of dental patients, its proper referral to a specialist in cases of life-threatening mucosal diseases. Discuss the aetiology, pathogenesis and treatment of the most common diseases of the oral mucosa. Explain the harmful effects of bacteria, fungi and viruses on the body and preventive measures. Discuss and educate the patient about the possible effects of tobacco and alcohol on the oral mucosa. Educate and motivate dental patients of all ages and needs for oral hygiene. | ||||||||
Bibliography | |||||||||
No. | Reference | ||||||||
Required Reading | |||||||||
1 | C. Scully. „Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment.” Churcill Livingstone, Elsevier, 3nd ed. 2013 (2024.gadā akceptējams izdevums) | ||||||||
2 | Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice; editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough; Springer International Publishing AG, 2019 | ||||||||
3 | Premalignant Conditions of the Oral Cavity - Head and Neck Cancer Clinics. Peter A. Brennan (editor), Tom Aldridge (editor), Raghav C. Dwivedi (editor). 1st ed. 2019 | ||||||||
4 | Vīksna L., Sidhoma E., Bantauska D. Dermatoloģijas pamati. Medicīnas apgāds, Rīga, 2021 | ||||||||
5 | Ārvalstu studentiem/For international students | ||||||||
6 | C. Scully. „Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment.” Churcill Livingstone, Elsevier, 3nd ed. 2013 (2024.gadā akceptējams izdevums) | ||||||||
7 | Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice; editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough; Springer International Publishing AG, 2019 | ||||||||
Additional Reading | |||||||||
1 | R. A. Cawson, E. W Odell. „Cawson's Essentials of Oral Pathology and Oral Medicine.” Elsevier, 9th ed. 2017 | ||||||||
2 | EAOM Handbook. 1st ed. A collection of brief reviews based on sound scientific data, prepared by EAOM members. Editors Scully Crispian (Eastman Dental Institute UCL), Lodi Giovanni (University of Milan) | ||||||||
3 | 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 and Endodonty. |