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					DENT 524: ORAL DIAGNOSIS 4
(1 credit hour : 1 clinical)
Jordan University of Science and Technology
Faculty of Dentistry
Department of Oral Medicine and Surgery
First / Second Semester
Course Syllabus

Course Information
Course Title                          Oral Diagnosis 4
Course Code                           Dent 524
                                      Oral Diagnosis 1, 2 & 3 (Dent 423, Dent 424,
Prerequisites
                                      Dent 523)
Course Website                        e-learning
Course Coordinator                    Dr. Huda Hammad
Office Location                       Dental Teaching Center
Office Phone                          7201000
Office Hours                          To be determined
E-mail                                hmhammad@just.edu.jo
                                      Dr. Huda Hammad, Dr. Rima Safadi, Dr.
Course instructors                    Ashraf Shaweesh, Dr. Reem Azzam, Dr.
                                      Abeer Mikdadi

Course Description
This course is a continuation of Dent 523 521 in which they should discuss more
advanced cases than the previous course.

Text Book
Title                                 Oral Diagnosis, the Clinician’s Guide
Author(s)                             Warren Birnbaum & Stephen Dunne
Publisher                             Wright
Year                                  2000, reprint 2006
Edition                               1st
Book Website
                                      Clinical Oral Diagnosis and Emergency
Other References
                                      Treatment Manual

Assessment Policy
                                      Weighted average for the 2 courses+ final
Assessment Type
                                      exam.
                                      - 40 marks clinical evaluation.
                                      - Each student is to examine at least 2 patients
Midterm Exam (continuous clinical
                                      (average out
assessment)
                                      of 30), and assist in examination of at least one
                                      patient
                                          (average out of10 marks)
                                          - An evaluation form is provided for each student,
                                          where assessment is conducted on every session.
                                          - Student assessment in the full examination cases
                                          (out of 10 for each case) is based on:
                                          1. professionalism, attire and infection control
                                          (1.5/10 marks)
                                          2. history taking (1.5/10 marks)
                                          3. extraoral (1/10 marks)
                                          4. intraoral examination (1.5/10 marks)
                                          5. clinical diagnosis (1.5/10 marks)
                                          6. radiographic diagnosis (1.5/10 marks)
                                          7. treatment planning (1/10 marks)
                                          - Student assessment in the cases in which the
                                          students
                                          assists another student (out of 5 for each case) is
                                          based on
                                          the students answers to
                                          questions regarding

                                          the case, including clinical and
                                          radiographic

                                          diagnosis.
Final Exam                                Online clinical oriented MCQs (60 marks).
                                          Each student is to examine at least 2 patients,
Assignments                               and assist in examination of at least one
                                          patient.
                                          Students are expected to attend all clinics.
Attendance                                Formal excuse is required in case of absence is
                                          required up to 20% of course.
Participation

Course Objectives: The student will
                                          Percentage
be able to:
    1. Take History and obtain
    relevant information from patients.

   2. Examine the head and neck
   and oral cavity efficiently.

   3. examine intraoral soft tissues and
       recognize variations from normal and
       /or pathologic lesions
   4. Chart the dental findings
   using the correct symbols.
   5. Decide which investigation
   methods are needed and
   conduct them efficiently.

   6. Interpret dental radiographs
   for pathological and an
   anatomical findings using
   appropriate radiological terms.

   7. Decide the provisional
   diagnoses based on
   collected information.

   8. Present cases using the
   appropriate medical and
   dental terms in a conclusive manner.

   9. Decide an appropriate
   treatment plan and refer patients
   accordingly.

   10. Understand and apply
   principles of infection control.


Teaching & Learning Methods

One 3-hour clinic/2 weeks. Each student is to examine at least 2 patients,
and assist in examination of at least one patient. After examining the
patient, the student is to present the case to the instructor, who will re-
examine the patient, and discuss the required clinical and radiographic
investigations with the student. After radiographic interpretation before the
instructor, the student is to make a treatment plan, which will also be
discussed by the instructor.
For the assistant role, the student is to answer questions regarding the case,
including clinical and radiographic diagnosis.


Learning Outcomes: Upon successful completion of this course, students will be able to
Related
                                      Reference
Objective(s)
               To ask the
               proper
1
               questions to
               the patients
        and obtain
        adequate
        relevant
        information.
        Identify the
        chief
1
        complaint of
        the patient.
        Take pain
        history fully
        (start, duration,
        severity, type,
1
        provoking
        factors,
        relieving
        factors).
        Take adequate history
        of oral lesions (when
1       noticed, associated
        symptoms, changes,
        recurrence).
        Take relevant
        medical history
1
        using proper
        medical terms.
        Recognize any
        changes in
        treatment plan
        or precautions
        needed based
1
        on the medical
        history or
        medications
        used by the
        patient.
        Examine the
        head and to
        recognize any
        abnormality in
2, 10   the eyes,
        conjunctiva,
        ears, nose, lips,
        skin and facial
        profile.
        Describe any
2
        lesions in the
        head/neck
        using the
        appropriate
        descriptive
        medical terms.
        Examine the
        TMJ for any
        tenderness,
        clicking,
2, 10
        limitation in
        movement or
        deviation of
        the mandible.
        Examine the
        muscles of
        mastication
2, 10
        (temporalis,
        masseter) for
        tenderness.
        Examine
        lymph nodes in
        the head and
        neck (occipital,
        pre-auricular,
        post-auricular,
        submandibular,
        submental and
2, 10   cervical lymph
        nodes) for any
        tenderness,
        enlargement,
        whether they
        are freely
        mobile of fixed
        to underlying
        tissues.
        Examine the
        oral soft tissue
        systematically
        and to
3, 10
        recognize
        normal
        anatomic
        structures.
        Recognize
3
        variants of
           normal.
           Recognize any
           abnormality in
           the oral soft
3          tissues and to
           provide a full
           description of
           the findings.
           Examine teeth
           systematically
           and to
           recognize
4, 10
           dental caries
           (incipient,
           cavitations,
           arrested).
           Identify
4          different types
           of tooth wear.
           Examine teeth
4, 10      for mobility
           and tenderness.
           Identify dental
           related
           problems like
           sinus tracks,
           gingival
3, 4, 10   swelling and/or
           tenderness,
           gingival
           inflammation
           and facial
           swelling.
           Perform
           charting of the
           dental finding
4, 10
           using the
           appropriate
           symbols.
           Make
           decisions
           regarding
5, 10      further
           investigations
           needed like
           radiographs
        and vitality
        testing.
        Conduct pulp
        testing using
        electric pulp
        testing and
5, 10
        thermal pulp
        testing using
        dry ice [ethyl
        chloride].
        Explain and
5       interpret pulp-
        testing results.
        Describe
        radiographic
6
        findings using
        proper terms.
        Recognize
        anatomic
6
        structures in
        radiographs.
        Recognize
        pathological
        lesions (dental
6       caries,
        radiopaque and
        radiolucent
        lesions).
        Identify major
        artifacts
6       radiographs
        and their
        sources.
        Make a clinical
        diagnosis
        based on
        history,
7
        examination
        and further
        investigations
        used.
        Make a
        treatment plan
9       and to arrange
        it according to
        priorities.
                  Present the
                  case orally
                  using
                  appropriate
8
                  terms in an
                  informative
                  and conclusive
                  manner.
                  Identify cases
9                 of dental
                  emergency.
                  Make a
                  decision of the
                  best
                  emergency
                  treatment the
                  can be offered
9                 to the patient
                  depending on
                  medical
                  history,
                  clinical and
                  radiographic
                  findings.
Useful Resources
Any atlases of oral pathology and medicine, printed or online.

Course Content
Week           Topics                       Chapter in Textbook & Handouts
1

Additional Notes
Attendance: Students must attend 100% of all scheduled classes and labs. Class
participation is required. Should an absence be necessary, student should contact the
course instructor by telephone immediately. Work missed can ONLY be made up with an
excused absence.
 - Late arrivals beyond half an hour to class are unexcused absences
- All course make-ups, test, and so forth, must be completed within 14 days from the date
of the excused absence.
Professionalism         Gross violations of the formal codes are governed by University
                           laws, which delineate the procedures to determine whether a
                           violation of the code of ethics occurred and, if so, what remedies
                           should be imposed.
                        We encourage students to abide with the more sensitive
                           approach to this by allowing the practice of a high Morality (or
                           proper behavior), which defines right and wrong by the society,
                     philosophy, religion, and individual conscience.
                    Students and their instructors often make ethical choices
                     reflexively/ But ethically sensitive situations, where time,
                     emotions and marks are pressured, it becomes all too easy to be
                     blind-sided by temptation/ The best antidote to ethical lapses is
                     to commit in advance to a set of ethical principles - your
                     personal ethical code that follows or grows to it.
                    Any difficulty or concern during the course should be passed
                     directly to the course coordinator.
Makeup Exams        It is applicable when an acceptable and valid excuse is presented
                     at the applicable time
Drop Dat            N/A
Cheating            It is unethical and illegal by any means
                    JUST regulations will be applicable
Attendance          It is mandatory for all lectures
Absenteeism         To receive course credit, a student should attend a minimum of
                     90% of the contact hours of the class.
                    Students who are absent for the lecture must contact the course
                     coordinator prior to the class.
                    If absent from lectures, then the course coordinator will refer to
                     related guidelines set by the university.
                    Any student who is absent on a test day, will have to
                     demonstrate an acceptable medical or social statement
                     explaining the illness or personal crisis as instructed by their
                     faculty.
                    Individual instructors may accommodate by arrangements for a
                     make-up test only when a written request is sent to and approved
                     by the Dean.

Students with       Any student who feels that s/he may need accommodation for
Special needs        any type of disability is encouraged to contact the course
                     coordinator who will be happy to help in any way.
                    Accommodations to the course plan can be tailored to the needs
                     of specific individuals after consultations with the dean.
Participation       All students are highly encouraged to participate in the classes.
Individual          The course coordinator is always available to talk with the
conferencing         student when problems arise.
and                 If you have any problems that require the attention of an
consultations        instructor, do not wait until the problem is insurmountable.
                    If a student must talk with the course coordinator after office
                     hours, an appointment can be made for that time.
                    Do not allow tension to build-up to unsolvable proportions.
Course changes      Information contained in this course outline is correct at the time
                     of publication.
                    Content of the courses is revised on an ongoing basis to ensure
    relevance to changing educational, employment needs.
   The course coordinator reserves the right to add or delete
    material from courses and will endeavor to provide notice of
    changes to students as soon as possible.
   The timetable may also be revised accommodating to holidays
    and unexpected off days.

				
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