ORAL MEDICINE 2 (DENT 555)

(2 credit hours: 1 theory + 1 clinical)

Jordan University of Science & Technology

Faculty of Dentistry
Department of Oral Medicine & Surgery
First Semester 2016/2017
Course Syllabus

Course Information
Course Title ORAL MEDICINE 2
Course Code Dent 555
Prerequisites Dent 423, Dent 424, Dent 451, Dent 452
Course Website E learning
Dr. Jumanah Karasneh (Course director)
Instructor
Prof. Azmi Darwazeh
Office Location JUST
Office Phone 7201000
Office Hours Tuesday 13 -14 @ Health center
E-mail jumanak@just.edu.jo
Teaching Assistant(s)

Course Description
The course deals with diseases and abnormalities that affect the oral-facial region. The student
will be instructed how to recognize the oral clinical characteristics of the disease, to achieve
diagnosis of the diseases through a systematic approach including full examination and special
tests and discussing the treatment options for each disease. Etiology of these diseases will be
explained and discussed. The manifestation of systemic diseases in the oral cavity will be also
discussed.

Text Book
Title Tyldesleys Oral Medicine
Author(s) Anne Field, Lesley Longman, William R. Tyldesley
Publisher Oxford University Press
Year (July 17, 2003
Edition 5 edition
Book Website Electronic books will be displayed at E learning site
References
Assessment Policy
Assessment Type
First Semester (40 marks) distributed as follows:
Midterm examination Theory: MCQ (online) = 30 marks
Clinical: Clinical cases = 10 marks
Final Exam No Final Exam in this semester
Assignments -
Is checked at each clinical session (seminar)
Attendance Students are referred to the university regulations

Participation -

Course objective Weight

1. Recognize temporomandibular and myofascial pain, establish 9.1%
diagnosis and management
2. Recognize different sources of pain other than 18.2%
dental pain, their typical presentation and
management.
3. Recognize lesions and conditions with malignant 9.1%
potential and to learn how to follow these lesions
up and management options
4. Recognize early signs of malignancy to be aware 9.1%
of during examination and learn investigation that
should be conducted to establish definitive
diagnosis and to know treatment options
5. Recognize abnormal pigmented lesions and learn 18.2%
investigation that should be conducted to
establish definitive diagnosis and to know
treatment options
6. Recognize bony lesions including medication 9.1%
induced osteonecrosis of the jaw and learn
investigation that should be conducted to
establish definitive diagnosis and to know
treatment options
7. Recognize oral manifestations of systemic 18.2%
conditions like nutritional deficiencies, haematinic
disorders and endocrinopathies and referral to
specialist
8. Recognize systemic and local causes of halitosis 9.1 %
and altered taste sensation, methods of
investigation and treatment
Learning Outcomes: Upon successful completion of this course, students will be able to
Related
Reference
Objective(s)
Differentiate between normal, variation of normal
all
and pathologic conditions
Apply skills of history taking, extraoral and
Tyldesleys Oral
all intraoral examination to detect and explore oral
Medicine
and orofacial lesions
Apply the knowledge and principles learned in
Tyldesleys Oral
all oral medicine lectures and clinic instructions,
Medicine
radiology and pathology to clinical situations
Decide which investigations are necessary to
Tyldesleys Oral
all establish a definitive diagnosis and plan the
Medicine
treatment
Understand the principles of management of Tyldesleys Oral
all
patients with oral disorders. Medicine
Assessment and management of disorders of the masticatory
1 Hand out
system
Recognize different types of primary headaches
(neurovascular pain) and vascular pain in the head and neck
2 Hand out
regions. And understand the impact of psychological status on
non-dental pain
Recognize other sources of pain in the orofacial area other
than dental pain including neuropathic pain both episodic and
2 Hand out
continuous. Understand methods of diagnosis and when
referral is needed.
Discuss lesions and conditions with malignant
potential and know the importance of following
up these lesions by clinical examination and Tyldesleys Oral
3
pathological investigations, also student should Medicine
be able to assess the cancer risk for patients,
know when and how to refer some cases.
4 Recognize and discuss early signs of oral cancer, Tyldesleys Oral
different methods of biopsies that can be Medicine
performed and to discuss treatment options for
cancer patient, their expected outcomes and Sid
effects. Also patient should understand the
process of carcinogensis, field of cancerization,
 their clinical implications.
Manage patient with radiotherapy induced Tyldesleys Oral
4
mucositis Medicine
Recognize different causes of changes in color of
mucosa including melanotic pigmentation and
vascular lesion. Determine differential diagnosis.
5 Burkits
Able to determine if causes are systemic or local.
Student should know tests needed to establish
diagnosis and recognize cases that needs referral
Recognize bony lesions and learn investigations
that should be conducted (biochemistry blood
tests and radiographic) to establish definitive Tyldesleys Oral
6 diagnosis and to know treatment options. Also Medicine &
student should be able to recognize MRONJ Hand outs
lesions, determine patients at risk, manage
patients prophylactically and during the lesion
Describe and identify oral manifestations of nutritional
deficiencies and endocrine disturbances. Tyldesleys Oral
7
Describe, identify orofacial manifestations of renal disease Medicine
and renal transplantation
Discuss possible causes of halitosis (oral or systemic) and how Tyldesleys Oral
8
to manage patient with halitosis Medicine
Discuss possible causes of altered taste sensation (dysgusia)
Tyldesleys Oral
8 (central, local, psychogenic) and how to manage patient with
Medicine
dysgusia

Useful Resources
Burkets Oral Medicine 11th edition
Tyldesleys Oral Medicine, 5th edition

Course contents:
Date Lecturer and lecture topic Chapter
(1) 29/9/2016 JK: Introduction
(2) 6/10 JK: Temporomandibular joint disorders Handout
(3) 13/10 JK: Episodic and continuous neuropathic pain Handout
(4) 20/10 JK: Vascular and neurovascular pain Handout
(5) 27/10 JK: Carcinogenesis & potentially malignant lesions and Tyldesley (10)
conditions
(6) 3/11 JK: Oral carcinoma and management of oral cancer Tyldesley (10)
(7) 10/11 AD: Oral pigmentations I Burketts (6)
(8) 17/11 AD: Oral pigmentations II Burketts (6)
(9) 24/11 AD: bone disorders and MRONJ Tyldesley (18)
(10) 1/12 AD: Blood disorders and nutritional deficiencies Tyldesley (15)
(11) 8/12 AD: Endocrine disorders and renal disease Tyldesley (16)
(12) 15/12 AD: Taste disorders and halitosis Tyldesley (17)
 (13) 22/12 Revision
(14) 29/12 PROPOSED EXAMINATION DATE
AD: Professor Azmi Darwazeh
JK: Dr. Jumanah Karasneh

Clinical seminars
Week Seminar topic
1 + 2# +3 Gastrointestinal disease, immunodeficiency and allergic conditions
4+5 + 6 TMJ, myofascial pain, neuropathic pain, neurovascular
7 + 8#+9 Oral cancer and lesions and conditions with malignant potential and
pigmented lesions
10+11 +12 Bone lesions, Blood disorders, nutritional deficiencies
#: Students in session of Sunday 2/10/2016 and 11/11/2016 must fit themselves with
other groups taking the seminar in week 1 or 3 and 7 or 9