oralmedicine 452 description aceil

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					                    Jordan University of Science and Technology
                                   Faculty of Dentistry
                     Department of Oral Medicine and Surgery
                              4th year (Second Semester)



Course Title: Oral Medicine

Course Code: Dent 452
Prerequisite:



Course Coordinator:
Name:           Dr. Aceil Al-Khatib
Office Phone: 7278662/288
Office Hours:                 Dental Health Centre
E-mail: aceil@just.edu.jo
Instructors: Drs. Aceil Al-Khatib, Huda Hammad, Jumana Karasneh
             Professor Azmi Darwazeh

Time: Wednesday 9-10
Place: Lecture room 3 and oral medicine clinic


Prerequisite for:

Dent 551

Dent 552

This course provides the basic knowledge required for building a systematic approach to the

management of patients with dental, oral and paraoral conditions.

Course Objectives:

The students are expected to be able to:
1. Perform a thorough examination of oral and perioral tissues
2. Differentiate between normal, variation of normal and pathologic conditions
3. Presents systematically the examination findings to the instructor and discuss the
differential diagnosis
4. Decide which investigations are necessary to establish a definitive diagnosis and plan the
treatment
5. Manage patients with infections, ulcerative conditions, salivary gland disorders and oral
manifestations of nutritional deficiencies and endocrinopathies.

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     6. Apply the knowledge and principles learned in oral medicine lectures and clinic
     instructions, radiology and pathology to clinical situations
     7. Understand and apply principles of infection control

     Learning Outcomes:
     Successful completion of this course should lead to the following learning outcomes:
     Knowledge and Understanding (student should)
1.          Correlate information collected from complaint history, examination, and
    investigations
2.          Become familiar with different therapeutic agents, indications,
    contraindications advantages and side effects
3.          Discuss bacterial infections: acute necrotizing ulcerative gingivitis, syphilis,
    gonorrhea, nonspecific urethritis and tuberculosis) in terms of : clinical features,
    predisposing factors, diagnosis and management
4.          Discuss viral infections of the oral mucosa: herpes simplex, herpes zoster,
    Coxsakie virus, Epstein Barr virus, paramyxovirus, human papilloma virus ; in terms
    of clinical findings, distribution of lesions, diagnosis, prognosis and management
5.          Identify and discuss fungal infections of the oral mucosa ( oral candidosis) in
    terms of : clinical manifestations, predisposing factors, laboratory investigations and
    management.
6.          Familiar with antifungal agents used to treat oral candidosis
7.          Compare candida associated lesions ( angular cheilitis, denture induced
    stomatitis and median rhomboid glossitis ) in terms of : common sites of lesions,
    predisposing factors, diagnosis and management.
8.          Classify chronic mucocutaneous candidosis.
9.          Identify and discuss the clnical forms, predisposing factors, laboratory
    investigations and management of recurrent aphthous stomatitis
10.         Examine salivary glands and assess their function
11.         Discuss the usefulness of : sialometry, scintigraphy, sialograqphy,
    sialochemistry and biopsy in diagnosis of salivary gland disease
12.         Compare and distinguish viral and bacterial sialadenitis, in terms of : etiology,
    clinical manifestations, investigations, diagnosis and management.
13.         Distinguish sialosis, necrotizing sialometaplasia, sarcoidosis, HIV associated
    gland disease; in terms of etiology, clinical manifestations and time course.
14.         Describe the use of ultrasonography and magnetic resonance imaging in terms
    of investigating salivary gland disease
15.         Discuss most common salivary gland tumors.
16.         Define and discuss causes of xerostomia.
17.         Discuss the investigation, oral findings and management of xerostomia.
18.         Define and discuss Sjogren's syndrome in terms of manifestations,
    classification criteria , investigation and management.
19.         Define sialorrhea, discuss its etiology and treatment options.
20.         Compare the oral manifestations associated with : lichen planus, pemphigus
    pemphigoid, dermatitis herpetiformis, linear IgA disease, epidermolysis bullosa,
    erythema multiforme, morphea and mixed connective tissue disease; interms of:
    distinguishing features, investigations, and treatment options.
21.         Describe oral lesions associated with GIT disorders: Coeliac disease, Crohn's
    disease, orofacial granulomatosis and ulcerative colitis
22.         Discuss the management of oral lesions associated with GIT disorders.
23.         Describe and identify oral manifestations of nutritional deficiencies and
    endocrine disturbances.

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24.           Describe, identify orofacial manifestations of renal disease and renal
      transplantation.

      Skills (intellectual, and manual)
      Successful completion of this course, the student should gain the following skills.
1.                 Ability to obtain detailed patient history
2.                 Ability to perform proper extra-oral and intra-oral examination
3.                 Ability to present cases to and discuss them with clinical instructors
4.                 Ability to discuss the differential diagnosis of patient's complaint
5.                 Ability to correlate clinical features with radiographic and laboratory
      findings
6.                 Ability to recommend a plan of treatment and discuss options with
      patients

      Teaching methods:
Duration: 16? weeks, (40 contact hours in total)
 Lectures: 16? hours, 2 hour per week ( including I-hour midterm exam)
 clinical : one 3hours clinic/week
 Laboratory: none


      Modes of assessment:
      1.       A midterm examination of MCQ questions (20 points). The clinic
      evaluation (20 points ).
      2.       Final exam of MCQ. ( 60 points )
      Performance in the clinic is evaluated by objective evaluation and attendance . The evaluation
      is based on:
1.         The student's professional conduct
2.         Examination of the patient
3.         Adequate infection control
4.         Treatment plan
5.         Presentation
6.         Knowledge and discussion


      Any of the following may result in deduction of points from the clinic evaluation:
1.         Violations of asepsis and universal precautions
2.         Poor professional conduct
3.         Poor patient management
4.         Unsatisfactory attendance record


      Attendance policy:
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Students are expected to attend more than 90% of lectures and clinics.




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Course Content & Weight:
Theory
            No.    of      Lecture title                      Material covered
            lectures
            1            Methods of investigations and        Laboratory investigations, systemic and
                         principles of treatment              topical treatments
            2            Bacterial infections of the oral     ANUG, syphilis, gonorrhea,
                         mucosa                               tuberculosis, nonspecific urethritis
            3            Viral infections                     Herpes viruses, oral manifestation of
                                                              HIV infection
                         Fungal infections of the oral        Oral candidosis, clinical forms, species
            4            mucosa                               involved, predisposing factors, chronic
                                                              mucocutaneous candidosis
            5            Fungal infections of the oral        Assessment of patients, treatments
                         mucosa
            6            Recurrent aphthous ulcerations       Predisposing factors, clinical forms ,
                                                              investigations and treatment modalities
                         Salivary gland diseases              Viral and bacterial sialadenitis, sialosis,
            7                                                 assessment of function

            8            Salivary gland diseases              Xerostomia, causes diagnosis and
                                                              management
            9            Diseases of the skin                 Vesiculoulcerative diseases: oral lesions:
                                                              diagnosis and management
            10           Diseases of the GIT                  Oral manifestations , diagnosis and
                                                              management
                         Blood and nutrition                  Red blood cell disorders, white blood
            11                                                cells and platelet disorders: oral
                                                              manifestations
            12           Endocrine disturbances               Oral manifestations of endocrinopathies


Feedback:
   Concerns or complaints should be expressed in the first instance to the course instructor. If no
   resolution is forthcoming then the issue should be brought to the attention of the Department
   Chair and if still unresolved to the Dean. Questions about the material covered in the lecture,
   notes on the content of the course, its teaching and assessment methods can be also sent by e-
   mail.
   References and Supporting Material:
   Lecture notes and handouts

   Required Textbook
   Tyldeley and Field. Oral Medicine.Fifth edition

   Recommended Textbook
   Greenberg and Glick. Burkitt's Oral Medicine, Diagnosis and Management. Tenth edition




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