Veidlapa Nr. M-3 (8)
Study Course Description

Complex Treatment of Oral Pathology

Main Study Course Information

Course Code
MUSZKK_026
Branch of Science
Clinical medicine; Dentistry
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Oral and Maxillofacial Surgery and Oral Medicine
Contacts

Riga, 20 Dzirciema Street, mszkk@rsu.lv, +371 67409136

About Study Course

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.

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.

Learning Outcomes

Knowledge

1.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

1.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.

Competences

1.1. 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.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual 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.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
At the study course student’s performance is evaluated in cumulative assessment. Total final grade is formed from the fulfilment of the following criteria with an appropriate proportion: 1. Class attendance - 15% 2. Attitude and communication to patients, staff and colleagues (classmates) - 20% 3. Performance in practical class and seminars - 15% 4. Course final exam - 50%

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Infectious diseases III. Human immunodeficiency syndrome. Etiology, pathogenesis, differential diagnosis, treatment options. Morphological manifestations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Aetiology of HIV and AIDS, clinical manifestations. Outpatient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Pemphigus 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.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Autoimmune diseases. Morphological manifestations.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Isolated lip diseases. Etiology, pathogenesis, differential diagnosis, treatment options.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases 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.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Burning mouth syndrome, differential diagnosis, treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Differential diagnosis of primary and secondary burning mouth syndrome. Patient consultations.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

1. 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.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Tongue diseases. Aetiology, pathogenesis, differential diagnosis, treatment options.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Oral manifestations of coeliac disease, Crohn’s disease, ulcerative colitis, reflux. Outpatient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Vascular formations – varicosities, hemangiomas. Outpatient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Dermatitis herpetiforme, linear IgA disease. Inherited epidermolysis bullosa. Clinical and morphological manifestations of diseases, treatment, differential diagnosis. Outpatient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Anaemia, thrombocytopenic purpura. Patient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Other hematological disorders. Patient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Differential diagnosis of white and red pathological processes. Fat, cholesterol, bilirubin and other pigmented formation differential diagnosis by color. Patient consultations.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Differential diagnosis of ulcerative processes. Condyloma latum, condyloma accuminatum, squamous cell papilloma, verruca vulgaris, focal epithelial hyperplasia; xanthoma verruciforme. Outpatient consultations.
Total ECTS (Creditpoints):
3.00
Contact hours:
56 Academic Hours
Final Examination:
Exam (Oral)

Bibliography

Required Reading

1.

Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice. editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough. Springer International Publishing AG, 2019

2.

The ADA Practical Guide to Soft Tissue Oral Disease. 2nd Edition. Michael A. Kahn DDS, J. Michael Hall DDS, MABMH. 2018, American Dental Association

3.

Michael, Glick. Burket's Oral Medicine. 12th Edition. 2015. USA: PMPH -USA.

Additional Reading

1.

R. A. Cawson, E. W Odell. „Cawson's Essentials of Oral Pathology and Oral Medicine.” Elsevier, 9th Edition. 2017

2.

WHO 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.

3.

G. Laskaris. Pocket atlas of oral diseases. 3rd Edition. (ProQ) Thieme Medical Publishers, 2019

Other Information Sources

1.

Journal of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodonty

2.

Journal of Oral Diseases