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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 firstname.lastname@example.org 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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