Veidlapa Nr. M-3 (8)
Study Course Description
Clinics and Morphology of the Diseases of Skin and Oral Mucosa
Course Code
MUSZKK_025
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
Ingrīda Čēma
Structure Unit Manager
Ilze Akota
Structural Unit
Department of Oral and Maxillofacial Surgery and Oral Medicine
Contacts
Riga, 20 Dzirciema Street, oralpatokat@rsu.lv, +371 67409136
About Study Course
Objective
To provide knowledge of specific skin, perioral tissue and oral mucosa diseases, their causes, pathogenesis, clinical and morphological manifestation, treatment and prevention. To create understanding of the relationship between the changes in oral mucosa and the general state of health.
Preliminary Knowledge
To start study course (or semester) all previous assessments according to Study plan (D1) should be successfully passed.
Knowledge of oral anatomy and localisation names in Latin; normal skin and oral mucosae histology, diagnostic radiology, physiology, pathological morphology, microbiology, pharmacology, the right steps in the investigation of oral cavity, interpretation of laboratory tests (blood, urine, biochemical, immunological tests), knowledge of the correct oral and perioral tissues investigation sequence.
Learning Outcomes
Knowledge
1.Theoretical knowledge of the main types of skin and transmissible diseases, clinical manifestations, differential diagnosis and treatment options will be acquired. Knowledge of the possible types of oral mucosa ulcers, their causes, clinical manifestations, differential diagnosis, types of treatment. Known infectious diseases: bacterial manifestations in the perioral area and oral cavity, causes, clinical manifestations, differential diagnosis, treatment options; Candida albicans, carriers, clinical manifestations, treatment options; the main types of Herpes group viruses, clinical manifestations, treatment options, other virus groups (coxaki, entero, papilloma), clinical manifestations, options of treatment. Knowledge of clinical manifestations of allergic and toxic reactions in facial and oral tissues, treatment options. Observed immunological dysfunctions in oral cavity, causes, clinical manifestations and treatment options. Knowledge of possible precancerous diseases of oral mucosa, clinical manifestations, diagnostic, differential diagnosis and treatment options. Clinical manifestations of lichen ruber plans and lichenoid reactions in oral mucosa, types of diagnostics, differential diagnosis and treatment options. Knowledge of medications used in oral medicine.
Skills
1.Skills to discuss groups of diseases diagnosed in the oral mucosa, their possible causes, prevention measures. Skills to discuss about the groups of medications used in the treatment of oral mucosa diseases, their composition and effects. Skills to describe the visible localization from visual clinical images (from the clinic archive), name the localisation in Latin, characterize and describe the clinical manifestation according to the primary and secondary elements, assess the significance of symptoms, their sequence, recommend the correct diagnostic options and relevant medicines or instrumental treatment.
Competences
1.Recognize pathological changes on the facial skin and recommend appropriate specialist advice for further treatment of this pathology. Recognize and diagnose pathological changes in the oral mucosa of all ages and needs of dental patients, its proper referral to a specialist in cases of life-threatening mucosal diseases. Discuss the aetiology, pathogenesis and treatment of the most common diseases of the oral mucosa. Explain the harmful effects of bacteria, fungi and viruses on the body and preventive measures. Discuss and educate the patient about the possible effects of tobacco and alcohol on the oral mucosa. Educate and motivate dental patients of all ages and needs for oral hygiene.
Assessment
Individual work
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Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
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Study of the clinical pictures of the skin disease and oral mucosa diseases in Atlases of Skin and Oral Pathology in order to identify primary and secondary elements, identify and practice describing the anatomical localisation of the pathology in Latin, understand the clinical expression of a disease. With the aim of training the visual memory and recognition of clinical manifestations of oral mucosa diseases study in e-studies the relevant clinical images and videos, inserted using the archives of the Oral pathology clinic. In addition, to study diseases of the oral mucosa from offered Oral Medicine and Oral Pathology books (relevant Journals) in the context with the respective disease. Completing the attached test tasks.
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Examination
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
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|
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%
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Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
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Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Epidermis, hypodermis, function. Derivatives. Acne vulgaris, acne rosacea, perioral dermatitis.
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-
Lecture
|
Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
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Topics
|
Skin structure, function, skin derivates. Skin diseases associated with fat and epocrine glands.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Auditorium
|
2
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Topics
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Atopic dermatitis, contact dermatitis, allergic dermatitis, seborrheic dermatitis.
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-
Lecture
|
Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
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Topics
|
Eczema and dermatitis. The morphological manifestations.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
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Topics
|
Skin psoriasis, pathogenesis, forms, clinical treatment options and morphological manifestations.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Skin psoriasis. The morphological manifestations.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Bacterial diseases – staphylodermia, erysipelas, parasitic – scabei, pediculosis, fungal diseases of skin, nails and hair.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
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Topics
|
Infectious diseases of skin. The morphological manifestations.
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-
Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Auditorium
|
2
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Topics
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Discussion about most often diagnosed transmissive diseases. Treatment options.
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Transmissive diseases.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Auditorium
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2
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Topics
|
Mechanical, chemical, thermal, radiation injuries (acute and chronic ulcer, reactive forms – papillary hyperplasia, epulis fissuratum, chemical and thermal burn; traumatic erythema, thermal burns, radiation mucositis). Necrotizing sialometaplasia.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Mechanical, chemical, thermal, radiation injuries (acute and chronic ulcer, reactive forms – papillary hyperplasia, epulis fissuratum, chemical and thermal burn; traumatic erythema, thermal burns, radiation mucositis). Necrotizing sialometaplasia.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Traumatic oral lesions. Etiology, pathogenesis, differential diagnosis, treatment options.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Infectious diseases I. Bacterial diseases. Morphological manifestations.
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-
Lecture
|
Modality
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Location
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Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Infectious diseases II. Bacterial diseases. Candida albicans. Morphological expression.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Infectious diseases III. Viral diseases. Etiology, pathogenesis, differential diagnosis, treatment options. Morphological expression.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Allergic, toxic reactions and immunological dysfunction induced in oral mucosa. Phatogenesis, classification, differential diagnosis, treatment options. Morphological expression.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Immunological dysfunction in oral cavity. Differential diagnosis of immunological disorders in oral cavity. Morphological expressions.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Precancerous diseases. Etiology, pathogenesis, classification, differential diagnosis, treatment options. Morphological manifestations.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Lichen ruber planus, lupus erythematosus, lichenoid reaction. Clinical features, treatment, differential diagnosis.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
40 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Discussion about ANUG, Streptoccocal stomatitis, impetigo, syphilis, tuberculosis, differential diagnosis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Candida albicans. Denture induced stomatitis. Pseudomembranous and erythematous candida.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Herpes viruses. Primary and secondary gingivostomatitis herpetica, chickenpox, herpes zoster, hand-foot-mouth disease, herpangina, infectious mononucleosis, measles. Other viral diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Herpes viruses. Primary and secondary gingivostomatitis herpetica, chickenpox, herpes zoster, hand-foot-mouth disease, herpangina, infectious mononucleosis, measles. Other viral diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Allergic and toxic reactions. Contact stomatitis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Minor, major, herpetic forme aphtha, Bechet's syndrome, Reiter's syndrome. Erythema multiforme, Steven-Johnson syndrome, toxic epidermal necrolysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Leukoplakia, eryhthroplakia, Bouven's disease, leukoedema, white sponge nevus. Congenital dyskeratosis. Tobacco induced nicotine stomatitis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Discussion about lichen ruber planus, lupus erythematosus, lichenoid reaction. Clinical features, treatment, differential diagnosis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Discussion about medications used in oral medicine.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Visual analysis of photos from clinic's archive. Groups of diseases.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
20 Academic Hours
Final Examination:
Exam (Oral)
Bibliography
Required Reading
1.
C. Scully. „Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment.” Churcill Livingstone, Elsevier, 3nd ed. 2013 (2025.gadā akceptējams izdevums)
2.
Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice; editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough; Springer International Publishing AG, 2019
3.
Premalignant Conditions of the Oral Cavity - Head and Neck Cancer Clinics. Peter A. Brennan (editor), Tom Aldridge (editor), Raghav C. Dwivedi (editor). 1st ed. 2019
4.
Vīksna L., Sidhoma E., Bantauska D. Dermatoloģijas pamati. Medicīnas apgāds, Rīga, 2021
5.
Ārvalstu studentiem/For international students
6.
C. Scully. „Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment.” Churcill Livingstone, Elsevier, 3nd ed. 2013 (2025.gadā akceptējams izdevums)
7.
Contemporary Oral Medicine : A Comprehensive Approach to Clinical Practice; editors - Camile S. Farah, Ramesh Balasubramaniam, Michael J. McCullough; Springer International Publishing AG, 2019
Additional Reading
1.
R. A. Cawson, E. W Odell. „Cawson's Essentials of Oral Pathology and Oral Medicine.” Elsevier, 9th ed. 2017
2.
EAOM Handbook. 1st ed. A collection of brief reviews based on sound scientific data, prepared by EAOM members. Editors Scully Crispian (Eastman Dental Institute UCL), Lodi Giovanni (University of Milan)
3.
Michael, Glick. Burket's Oral Medicine. 12th ed. USA: PMPH -USA, 2014
Other Information Sources
1.
Journal of Oral Surgery, Oral Medicine, Oral Patology, Oral Radiology and Endodonty.