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Complex Treatment of Oral Pathology

Study Course Description

Course Description Statuss:Approved
Course Description Version:2.00
Study Course Accepted:12.08.2024 10:23:11
Study Course Information
Course Code:MUSZKK_026LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; Oral MedicineTarget 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, mszkkatrsu[pnkts]lv, +371 67409136
Study Course Planning
Full-Time - Semester No.1
Lectures (count)6Lecture Length (academic hours)2Total Contact Hours of Lectures12
Classes (count)11Class Length (academic hours)4Total Contact Hours of Classes44
Total Contact Hours56
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.TopicType of ImplementationNumberVenue
1Infectious diseases III. Human immunodeficiency syndrome. Etiology, pathogenesis, differential diagnosis, treatment options. Morphological manifestations.Lectures1.00auditorium
2Aetiology of HIV and AIDS, clinical manifestations. Outpatient consultations.Classes1.00clinical base
3Pemphigus 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.Classes1.00clinical base
4Autoimmune diseases. Morphological manifestations.Lectures1.00auditorium
5Isolated lip diseases. Etiology, pathogenesis, differential diagnosis, treatment options.Lectures1.00auditorium
6Diseases 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.Classes1.00clinical base
7Burning mouth syndrome, differential diagnosis, treatment.Lectures1.00auditorium
8Differential diagnosis of primary and secondary burning mouth syndrome. Patient consultations.Classes1.00clinical base
91. 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.Lectures1.00auditorium
10Tongue diseases. Aetiology, pathogenesis, differential diagnosis, treatment options.Lectures1.00auditorium
11Oral manifestations of coeliac disease, Crohn’s disease, ulcerative colitis, reflux. Outpatient consultations.Classes1.00clinical base
12Vascular formations – varicosities, hemangiomas. Outpatient consultations.Classes1.00clinical base
13Dermatitis herpetiforme, linear IgA disease. Inherited epidermolysis bullosa. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Outpatient consultations.Classes1.00clinical base
14Anaemia, thrombocytopenic purpura. Patient consultations.Classes1.00clinical base
15Other hematological disorders. Patient consultations.Classes1.00clinical base
16Differential diagnosis of white and red pathological processes. Fat, cholesterol, bilirubin and other pigmented formation differential diagnosis by color. Patient consultations.Classes1.00clinical base
17Differential diagnosis of ulcerative processes. Condyloma latum, condyloma accuminatum, squamous cell papilloma, verruca vulgaris, focal epithelial hyperplasia; xanthoma verruciforme. Outpatient consultations.Classes1.00clinical 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. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
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:Specifics of oral anatomy, histology and physiology in the context of age and clinical manifestations of diseases. Will be able to recognize the basic principles of diagnosis of oral pathologies and will be able to apply the interpretation of laboratory analyzes 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. Will be able to recognize the manifestations of burning mouth syndrome and will know the differential diagnosis.
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
1Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice. editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough. Springer International Publishing AG, 2019
2The ADA Practical Guide to Soft Tissue Oral Disease. 2nd Edition. Michael A. Kahn DDS, J. Michael Hall DDS, MABMH. 2018, American Dental Association
3Michael, Glick. Burket's Oral Medicine. 12th Edition. 2015. USA: PMPH -USA.
Additional Reading
1R. A. Cawson, E. W Odell. „Cawson's Essentials of Oral Pathology and Oral Medicine.” Elsevier, 9th Edition. 2017
2WHO 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.
3G. Laskaris. Pocket atlas of oral diseases. 3rd Edition. (ProQ) Thieme Medical Publishers, 2019
Other Information Sources
1Journal of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodonty
2Journal of Oral Diseases