Medicine/Oral Pathology (TRANSV)
Main language of instruction: English
Other languages of instruction: Catalan, Spanish
Oral and maxillofacial medicine understood as oral medicine is a multidisciplinary subject of dentistry. It requires constant interaction with other disciplines of the profession and general medicine for diagnosis and treatment of the cases presented.
The field of oral medicine gives the public connotations in general medicine highlighting the coincidence of the medical practitioner in theoretical and practical knowledge and the need for the dentist to understand the medical basis and the impact of systemic diseases or general or genetic syndromes before starting dental treatment, with special attention to the clinic which is manifested in the stomatognathic area.
There are no prerequisites.
Emphasis will be placed on the concepts of disease entity, pathogenesis, and clinical and diagnostic aspects, integrating this vision with other basic training courses in the curriculum, such as pathology, radiology and medical-surgical pathology.
We intend to equip students with the basic information in this area enabling them to run their dental practice with a strong vision of the interrelations between dentistry and medicine at large.
Appropriate preparation of an oral medicine clinical history.
Appropriate running of a physical exploration.
Understanding and correct indication of the various diagnostic methods, mainly biopsy.
Knowledge of the diseases of the oral mucosa and their diagnosis and treatment.
Order and correct interpretation of analytics.
Encouraging students to work in teams.
Encouraging students to continue their education in this area.
Initiating students in making reasoned diagnostic decisions. Systemic effects and effects on other organs.
ORAL MEDICINE AND MAXILOFACIAL
INTRODUCTION
UNIT 1. Anatomy, histology, physiology, embryology, immunology, functions.
UNIT 2. Anatomy, histology, physiology, embryology, immunology, functions.
UNIT 3. Medical history. Oral cavity exploration. Oral and annexes. Semiotics. Symptoms: halitosis, xerostomy.
UNIT 4. Investigations: CBC, radiology, biopsy, pathologic anat., etc.
UNIT 5. Drug use in oral medicine. Master formulae. Ready. Phytotherapy.
MUCOSAL MEDICAL PATHOLOGY
UNIT 1. The history of oral medication in dentistry.
UNIT 2. Variants from normal. Skin lesions and mucous fundamental erythema, papules, etc.
UNIT 3. Physical, mechanical and chemical injuries.
UNIT 4. Bacterial, viral and mycotic infections.
UNIT 5. Bacterial, viral and mycotic infections.
UNIT 6. Recurrent oral aphthous stomatitis.
UNIT 7. Lichen planus.
UNIT 8. Pemphigus, pemphigoid.
UNIT 9. Connective tissue diseases: lupus, scleroderma, dermatomyositis.
UNIT 10. Mesenchymal lesions.
UNIT 11. Epithelial and pigmented lesions.
UNIT 12. Tongue pathology.
UNIT 13. Pathologies of the lips. Cheilitis.
OROFACIAL PAIN
UNIT 1. Semiology orofacial neuromuscular.
UNIT 2. Neurogenic orofacial pain: trigeminal neuralgia, glossopharyngeal.
UNIT 3. Pain of vascular origin.
UNIT 4. Analgesia, drugs, acupuncture, surgery.
GLANDULAR PATHOLOGIES
UNIT 1. Anatomy, histology and physiology of the salivary glands.
UNIT 2. Saliva: role, composition. Saliva as a diagnostic tool.
UNIT 3. Semiology salivary glands. Scanning techniques.
UNIT 4. Pathology of inflammatory salivary gland tumour.
SYSTEMIC ORAL PATHOLOGY
UNIT 1. Oral manifestations of radiotherapy and chemotherapy.
UNIT 2. Collagenosis: lupus, dermatomyositis, scleroderma, myasthenia.
UNIT 3. Disease secondary to drugs. Osteoradionecrosis.
UNIT 4. Oral manifestations of AIDS and immunodepressed transplant patients.
UNIT 5. Digestive diseases: Crohn. / hematologic diseases.
GENETIC DISORDERS
UNIT 1. Deformities of the musculoskeletal system: cherubism, cleidocranial dysplasia, craniofacial dysostosis.
UNIT 2. S. of Teacher Collins, S. Pierre Robin, S. de Hollermann - Streiff, osteopetrosis, osteogenesis imperfecta.
S. Albright , S. Ellis - van Creveld. syndrome, S. Prader Willi, S. Cornelia de Lange, S. Cry of cat,
S. Patau, S. Edward
UNIT 3. Other abnormalities with oral involvement: S. Marfan, neurofibromatosis, S. fragile X chromosome.
Epidermolysis bullosa, mucopolysaccharidosis. Bourneville’s disease.
1. Lectures
Lectures providing knowledge and skills in schematic form and with a wealth of supporting graphic material. The classes will run for two hours. A slot (15 minutes) is dedicated to questions, clarification or extension of concepts.
2. Seminars
Seminars will be given to expand on given topics, placing stress on active student involvement.
Case method
A clinical situation is described that is used as an aid for reviewing and evaluating the student’s knowledge.
3. Project
A written project will be submitted which complements the theory classes and is based on the topics covered in class. The topics will correspond to the syllabus of the course delivered in Word and printed on the date indicated. It shall be presented in Arial 10 font, with a maximum of 10 pages without taking into account the bibliography and index. There shall be a minimum of 10 literature entries. It must be carried out in groups of 6 students.
The composition of the groups should be sent to mribera@csc.uic.es before student names for groups and accepted topics have been posted on the Web.
April. Student presentations
Students will prepare group presentations. Questions will be asked in class with an aim to consolidating knowledge and improving both general and oral presentation skills.
The project topics will be presented in class with the aid of a PowerPoint presentation with a duration of 10 minutes (maximum) by one of the group members following a timetable to be published.
The evaluation will be conducted as follows:
Theoretical final exam: 70%. There will be a midterm exam exempting the student from the covered material if passed and only valid for the 1st examination sitting.
Training / Seminar: 25%.
Assignment: 5%.
The theoretical final examination shall consist of 40 multiple choice questions (5 options) with a single correct answer. The practical examination shall consist of 10 multiple choice questions (5 options) and a single correct answer. A wrong answer will deduct 0.20 points from the mark.
Attendance of training sessions is mandatory (attendance will be taken). Two absences will lead to a failing mark in the practical component; students with two absences will not be allowed to sit the practical exam.
The written work will be evaluated on the basis of: presentation, structuring, thematic content and literature and its presentation and defence at a scientific meeting to be announced in advance.
The overall grade to pass is 6.
Scully C.
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Bagan / Ceballos / Bermejo / Aguirre / Peñarrocha
Medicina oral
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Bermejo
Medicina bucal vol. I y vol. II
Ed. Sintesis SA, 2000
Laskaris
Pocket Atlas of Oral Diseases
Ed. Thieme, 1998
Bascones / Llanes
Medicina bucal vol I y vol. II
Ed. Avances Médico Dentales, 2ª edición 1996
Wood / Goaz
Diagnóstico diferencial de las lesiones orales y maxilofaciales
Ed. Hardcourt Brace, 1998
Ceballos / Bullon /Gandara / Chimenos / Blanco / Martinez / Garcia
Medicina Bucal práctica
Ed. Danu SL., 2000
Bascones / Manso
Dolor orofacial
Ed. Avances Médico Dentales, 2ª edición 1997
Fonseca
Oral and Maxillofacial Surgery, vol. 1,4,5,6
Ed. Saunders. 2000
Marx / Stern
Oral and Maxillofacial Pathology
Ed. Quintessence. 2003
Myers / Suen
Cancer of the Head and Neck
Ed. Saunders, 3ª edición, 1996
Langlais / Langland / Nortjé
Diagnostic Imaging of the Jaws
Ed. Williams & Wilkins, 1995
Gorlin / Cohen / Levin
Syndromes of the Head and Neck
Ed. Oxford, 1990
Pilch
Head and Neck Surgical Pathology
Ed. Lippincott Williams & Wilkins, 2001
Barnes / Eveson / Reichart / Sidransky
Pathology and Genetics of Head and Neck Tumors. Classification of Tumors
IARC Press, 2005