Mount Wachusett Community College Division of Health Sciences Department of Dental Hygiene SYLLABUS FALL, 2010 Course Title: Oral Pathology Course Number: DHY 201 Course Credit: 2 cr. Semester Analysis: 15 weeks of classes Placement: Second year, first semester in Dental Hygiene Curriculum Pre-requisites: DHY 105, DHY 106, DHY 107, DHY 108 Co-requisite: DHY 202, DHY 203, DHY 204, DHY 205, PSY 105 Faculty: Jane Doe Office: 978-630-9419 E-mail: @mwcc.mass.edu Course Description: This course is an introduction to the study of oral and systemic diseases and disorders. The students will learn the principles of pathology in relationship to disease of the head, teeth, soft tissues and supporting structures of the oral cavity. It will familiarize students with the differential identification of normal oral tissues, oral lesions, and due to systemic diseases. The basis of instruction is derived from the paradigm of oral health and its juxtaposition to disease. The content will include the discussion of inflammatory and immunologic processes, developmental disorders, neoplasias, infections and diseases of the blood, bone, immune and endocrine systems. Other common pathology, such as oral cancer, leukoplakia, and nicotine stomatitis are covered in detail. As a supplement to clinical instruction, the course will provide a greater understanding of disease diagnosis, etiology, and pathogenesis. Diseases of the oral tissues and oral environs are presented with clinical features, some histopathology for explanation, course of the disease(s) and treatment modalities. The purpose of this course is to instruct the student in recognition of anomalies and disease through the framework of the healthy patient. The parameters for normal dental health are taught in order to provide the basis for identification of illness and dysfunction. The general education and program competencies for this course that will be met are as follows: MWCC General Education Competencies addressed in this course: 1. Competence in quantitative reasoning and scientific modes of inquiry 2. Competence in written and oral communication in English 3. Competence in information literacy Leveled Program Competencies for Semester III: (*indicates those competencies addressed in this course) The student will: 1. *Communicate effectively and accurately through oral, written and electronic means with guidance in the care of individuals. 2. *Demonstrate the application of theory to practice for complex patients with guidance. 3. *Develop complete plans of care with guidance, which demonstrate understanding of scientific principles for complex patients. 4. *Implement a comprehensive education plan that promotes health and identifies risk behaviors of individuals and groups in the clinic setting with assistance.
5. *Demonstrate the role of the dental hygienist within the legal and ethical realm of practice in caring for patients with complex needs. 6. *Pursue opportunities to enhance one s own learning and demonstrate this in the effective care of patients. Course Objectives: Upon completion of this course in Oral Pathology for the Dental Hygienist, the student will be able to: Understand the basis for studying disease and the promotion of health. 1. Recognize normal tissues in the oral cavity. 2. Describe normal responses of the body to disease and/or injury. 3. Explain the relationship between systemic disease and oral disease. 4. Describe the development disturbances of hard and soft tissues of the oral cavity. 5. Describe diagnostic tools available to the oral pathologist for comprehensive diagnosis of suspicious lesions. 6. Describe the overall prognosis and treatment of pathological conditions discussed in class 7. Accurately describe and identify any lesion discussed in class using appropriate scientific terminology. 8. In a clinical situation, identify lesions from their clinical, histological and radiographic pictures. 9. Apply diagnostic methods/processes to every lesion seen in a clinical situation. 10. Describe the etiology, pathogenesis, clinical, microscopic and radiographic picture of all lesions discussed in class. 11. Recognize clinical pathologic changes in tissues during the oral exam. 12. Demonstrate knowledge of the language of pathology 13. Discuss oral cancer diagnosis, treatment, prevention and health promotion strategies. 14. Apply knowledge gained in this course to dental hygiene practice. 15. Apply knowledge from DHY 103 (Dental Radiology) in order to recognize pathology on radiographs. 16. Describe symptoms of common oral pathology to include oral cysts, tumors, fibromas an dysplasia. 17. Define treatment modalities for common oral pathology. 18. Describe differences between benign and malignant pathology of the oral cavity. 19. Identify environmental and lifestyle factors that contribute to oral pathology. 20. Discuss differences between hyperkeratosis, acanthoses, dysplasia, and carcinoma incite. 21. Describe etiology, symptomology, and treatment of infectious disease of the oral cavity. 22. Measure, describe and record abnormalities of the oral cavity. 23. Describe the eight categories of data that contribute to the diagnostic process. 24. Describe the soft tissue characteristics included in a clinical diagnosis. 25. Identify and describe variations of normal oral anatomy and the benign oral conditions of unknown cause. 26. Discuss the embryonic development of the face, mouth and teeth. 27. Identify and describe developmental abnormalities of the soft tissue and teeth and developmental cysts. 28. Describe vascular, biochemical, and cellular changes in acute and chronic inflammation and in the repair process. 29. Identify and describe the physical and chemical injuries common to the oral tissues. 30. Describe the diseases of the dental pulp and their pathogenesis. 31. Describe the immune response and the diseases that result from a malfunctioning immune system. 32. Identify oral diseases with an immunologic pathogenesis. 33. Identify the effect of autoimmune diseases that result from a malfunctioning immune system. 34. Describe the bacteria, viral, and fungal infectious of the oral cavity and their treatment. 35. Describe the inherited disorders affecting the periodontium, the jawbones, the oral mucosa and the teeth. 36. Discuss gross and molecular chromosomal abnormalities and the clinical syndromes associated with them. 37. Discuss the classification and naming of tumors.
38. Describe the clinical presentation, treatment, and prognosis of epithelial, odontogenic, and salivary gland tumors and other tumors associated with the oral cavity. 39. Describe the endocrine, blood, bleeding, and bone disorders that manifest in the oral cavity. Learning Experiences: Through the utilization of lectures, discussions, and multimedia such as slides, tapes, radiographs, CDs, and case study documentation, the student will be educated in the principles of pathology as they relate to the head, neck and oral structures. Each week the student will be presented with an outline that will match the scheduled topic outline that was submitted with the second year curriculum coursework. Teaching Methods: Lecture, Power Point presentations, videotapes, slide series, handouts, individual and group projects, case presentations, textbook assignments, discussions and examinations. Methods of Evaluation: Grades on assignments and exams must average 77 or above. The evaluation process is also based on the student s attendance, completion of assignments, successfully passing examinations and applying scientific knowledge acquired in the classroom to the clinical setting when encompassing a patient who may present with oral pathology. Evaluation Methods: Photograph on Clinical Patient 5% Quizzes 25% (Total of 5 quizzes @ 5% each) Case presentation 10% Exam 10% Midterm Exam 25% Final 25% Assignments: Selected readings Quizzes Case Presentation Slide Series from Instructor Exam Midterm CD-Rom with text Attendance and Makeup Policy: Attendance is expected at all lectures. Absence may adversely affect the class participation/attendance portion of the final grade. Individual conversations are very distracting and disrespectful to the instructor and classmates. Please be respectful of this or students talking among themselves will be asked to leave the classroom. Tardiness on quiz/exam days will decrease the time allowed for the quiz/exam. All quizzes and exams will be given in three parts. It is imperative that we begin at 8:00 a.m. No additional time will be given for tardiness. Students are responsible for all class materials and activities regardless of absence. All work and oral presentations are due on date assigned and any missed exam or quiz must be made up prior to the next class meeting. In the event of an absence, please notify Zulma at (978) 630-9413. Required Text: Isben, O. (2004) Oral Pathology for the Dental Hygienist. Philadelphia: W.B. Saunders. Reference Texts: Regezi, J; Sciubba, J.; and Jordan, R. (2003) Oral Pathology: Clinical Pathologic Correlations. 4 th Edition. Missouri: W.B. Saunders. Miller (115) General and Oral Pathology for the Dental Hygienist. St. Lewis, MI: Mosby Publishing Co. Murray (2004) Prevention of Oral Disease. New York: Oxford University Press. Soames, J. (1998) Oral Pathology. New York: Oxford University Press
Week # Date 1 9/13 2 9/20 3 9/27 4 10/4 5 10/11 6 10/18 7 10/25 8 11/1 9 11/8 10 11/15 11 11/2 12 11/29 13 12/6 14 12/13 Lecture Topic/Activity Course overview, review syllabus. Introduction to Pathology, Terminology, General Principles (Vocabulary, Variants of Normal, Clinical appearance of lesion, color, consistency, size, surface texture of lesion, etc.) Preliminary Diagnosis of Lesions (Diagnosis, clinical, radiographic, historical, laboratory, microscopic, surgical, therapeutic, differential, Benign vs. Malignant pathology) Inflammation and Repair Immunity and the Immune System, oral diseases of immune origin, Autoimmune disease, et.al EXAM Infectious Diseases: viral, bacterial, fungal; oral manifestations, HIV HOLIDAY Quiz 1 Developmental Disorders Quiz 2 Genetics MIDTERM Begin Neoplasia Neoplasia (Continued) Quiz 3 Non-neoplastic diseases Case presentations due Oral and Written Completer Oral Presentations Quiz 4 Oral manifestations of systemic diseases Oral manifestations of systemic diseases (continued) Disease affecting the Temporomandibular Joint Role of the Dental Hygienist in Recognition, referral, Treatment of oral lesions intra/extra oral exams, variants from normal Benign lesions of unknown cause Referral for further evaluaton Quiz 5 FINALS WEEK DECEMBER 17-22 (Subject to Revision) Reading Assignment Ibsen and Phelan, Chapter 1 CD-Rom Slide Series Ibsen and Phelan, Chapter 1,2 Ibsen and Phelan, Chapter 3 CD-Rom Ibsen and Phelan, Chapter 4 NO CLASS!! Ibsen and Phelan, Chapter 5 Slide Series and CD-Rom Ibsen and Phelan, Chapter 6 Ibsen and Phelan, Chapter 7 Ibsen and Phelan, Chapter 8 Ibsen and Phelan, Chapter 9 Ibsen and Phelan, Chapter 9 & 10 CD-Roma and Slide Series