KING SAUD UNIVERSITY College of Dentistry Dept of Maxillofacial Surgery & Diagnostic Sciences Division of Oral Medicine/Diagnosis Course Number and Name: 242 MDS – Oral Diagnosis I 2 Credit hours (Lecture = 1, Clinic = 1) Course description and objectives: The course is two credit hours. The purpose of this course is to expose the dental student to basic general knowledge related to learn how to communicate with the patients and interview them. The student will gain knowledge of normal extra oral and intra oral structures, assessment of general appraisal and mental status and know common signs and symptoms of diseases. It is designed to provide a guide to know appropriate way to perform clinical examination, understand and assess the patient’s problem. The course will also introduce some medical and dental terminology. The first lecture will deal with history taking & interviewing of the patient. Subsequently, clinical examination along with normal structures, investigations & treatment plan. At the same time, student will practice clinically those steps. Specific Educational Objectives: The main goal of this course is to learn how to approach, take history & examine the patient in the proper way and form a treatment plan. By the end of the semester student should be able to: 1. Communicate with the patient correctly & properly and fill the patient’s file. 2. Be able to take general and oral health history and ask the appropriate questions as suggested by the signs & symptoms. 3. Perform extra-oral systematically. and intra-oral examination thoroughly and 4. Order or do the diagnostic procedures suggested by the history or examination. 5. Recognize any abnormality in oral and perioral tissues and describe them. 6. Recognize the need for medical or land dental referral or consultation. 7. Develop appropriate treatment plant for patient. Recommended Readings: 1. Principles of Oral Diagnosis: Gary C. Coleman, John F. Nelson: 1 st Ed (1993). 2. Oral Diagnosis, Oral Medicine & Treatment Planning: Steven L. Bricker, Robert P. Langlais, Craig S. Miller, 2nd Ed (2002) Examinations & Grading: First Assessment 2nd Assessment Clinical assessment Clinical assessment Unscheduled quizzes Discussion & attendance Final Exam 15 points 15 points 10 points [Clinical practice on fellow student] 10 points [Clinical practice on patients] 5 points 5 points 40 points To obtain a passing grade, the student must have a final cumulative score of 60%. Clinical Evaluation: Simulated and actual clinical situations will be implemented in this course. The student must be able to perform the clinical aspect of the course [such as clinical examination of the patient]. Students will be assessed in all clinical assignment through discussion and clinical competency. These assessments will also include knowledge level and attitude. KING SAUD UNIVERSITY College of Dentistry Dept of Maxillofacial Surgery & Diagnostic Sciences Division of Oral Medicine/Diagnosis 242 MDS – ORAL DIAGNOSIS I LECTURE SCHEDULE MUC Dr Asmaa Faden Dr A. Moberiek Dr. M. AlShawaf Dr S. El-Haddad Prof. M. Hamam Dr N. Khawaja Course Director: Contributors: 1429-1430 [2008-2009] Date Week 10-02-1429 17-02-2008 1 17-02-1429 24-02-2008 24-02-1429 02-03-2008 2 3 01-03-1429 09-03-2008 4 08-03-1429 16-03-2008 5 15-03-1429 23-03-2008 6 22-03-1429 30-03-2008 7 Sunday: 8:00-8:45 a.m. Lecture Subject Introduction to the course Infection Control Objectives, transmission & precaution: personal, patients, clinical stages of sterilization & aseptic storage. Departmental guidelines. Diagnostic Methods Diagnostic method: collection of information, evaluation of information, diagnostic decisions, and reassessment. Types of clinical examination. Patient History Importance, diagnostic interview: methods of questioning & effective interviewing. Health questions, specific components of the patient’s history. Methods of Clinical Examination General methods of physical examination: visual, palpation auscultation, smell, probing & function evaluation. Application of examination techniques in dentistry. Clinical Signs of Diseases Skin signs: primary & secondary lesions, hair scalp, hands & fingers Physical Assessment Responsibilities and objectives: Heart diseases. Pulmonary diseases. GIT diseases. Endocrine diseases. Genitourinary diseases.CNS diseases. Connective tissue diseases. First Continuous Assessment [Tentative Schedule] Extra-oral Examination General patient assessment: identification, mental status, habitus, head & facial form, posture and abnormal movements. Vital signs. Examination of specific extra-oral structures in the head and neck area Intra-oral Examination Topographic anatomy. Examination of the oral soft tissues techniques Faculty Dr A Faden Dr A. Moberiek Dr A Faden Dr. M. AlShawaf Prof. M. Hamam Dr El-Haddad Dr Faden Dr Khawaja Dr Faden Date Week 29-03-1429 06-04-2008 8 14-04-1429 20-04-2008 9 21-04-1429 27-04-2008 10 Subject 13-05-1429 18-05-2008 13 20-05-1429 25-05-2008 14 Examination of Teeth Techniques, identifying dental diseases & their examination, record findings. SEMESTER BREAK [09-04-2008] Examination of Periodontium Topographic anatomy. examination technique, inflammatory condition of supportive tissue: overview of gingivitis and periodontitis: classification and types. Examination of Occlusion & Edentulous Mouth Developing occlusion, facial form analysis, mixed dentition analysis Angle’s classification, adult occlusion, occlusal wear trauma, bruxism. Second Continuous Assessment [Tentative Schedule] Radiographic Examination Selection criteria. Commonly used radiographs. Film evaluation & interpretation. Radiographic appearance dental diseases Supplementary Examination Routine hematology screening [CBC]. Homeostasis and coagulation. Blood chemistry & electrolytes. Biopsy: types and specimen handling Treatment Plan Format of treatment plan, factors that influence treatment plan alternative and tentative treatment plan, prognosis determination Revision 15 FINAL EXAMINATION 28-04-1429 04-05-2008 06-05-1429 11-05-2008 11 12 Faculty Dr AlShawaf Dr El-Haddad Dr Khawaja Prof. Hamam Dr A. Moberiek Dr Faden 1st Continuous Assessment: Week 6 2nd Continuous Assessment: Week 10 Final Examination: Date to be determined by the College Administration. Updated 2008/ A. Faden KING SAUD UNIVERSITY College of Dentistry Dept of Maxillofacial Surgery & Diagnostic Sciences Division of Oral Medicine/Diagnosis 242 MDS – ORAL DIAGNOSIS I Clinical Activities - 2008 MUC Course Director: Dr Asmaa Faden Dr A. Moberiek Contributors: Dr. M. AlShawaf Dr S. El-Haddad Dr H. Waily Dr N. AlSeif 1429-1430 [2008-2009] Sunday: 9:00-11:30 a.m. Week Clinical Activity Reading Assignment 1 Introduction, orientation, discussion of clinical rules & instructions and issuing students’ files Clinic Manual Demonstration on dental unit care & handling 1 Discussion of infection control protocol Infection control Objectives, transmission and precaution: personal & patients procedural manual 2 Discussion of record system of the college Primary & regular care: Definition, procedures, eligibility & priorities, Clinic Manual file content 3 Practice case history & determination of vital signs Diagnostic procedure, collection of information, health Clinic Manual questionnaires, patient interview, dental history, consultation, taking vital signs: blood pressure, pulse, temperature & breathing rate 4 Extra-oral examination Physical examination, methods of examination, general assessment Clinic Manual of the patient, facial form, exam of extra-oral structures: skin, ears, eyes, neck, lymph nodes, nails & hands 5 Practice intra-oral soft tissue examination Examination of soft tissues: lips buccal mucosa, palate and Clinic Manual oropharynx, tongue, floor of the mouth, normal appearance landmarks and normal variations 6 Practice examination of teeth & dental charting Types of teeth examination, initial teeth examination radiographic exam, and common dental diseases: caries types & examination, Clinic Manual dental mal-development, congenital conditions, discoloration. Pulp examination & charting dental conditions 7 Practice periodontal examination Topographical anatomy, characteristics of normal gingival, probing, Clinic Manual mobility periodontal index 7 Practice examination of occlusion & partially edentulous mouth Examination of occlusion, Angle’s classification, ideal occlusion characteristics & teeth relationship: open bite, edge-to-edge, cross Clinic Manual bite, examination of edentulous & partially edentulous mouth, diagnostic casts. Week 8 9 10 11 12 13 14 Clinical Activity Practice radiographic examination & supplementary examination Criteria of commonly requested radiographs, interpretation of radiographic appearance of dental disease & charting radiographic findings. Routine hematology screening (CBC). Hemostasis & coagulation. Blood chemistry & electrolytes. Biopsy: types & specimen handling Practice treatment planning Building treatment plan, listing & identifying problems, curative & corrective treatment & priorities in treatment plan. Format of treatment plan, factors influencing treatment plan alternative & tentative treatment plan, prognosis determination Patient examination Demonstration of all steps of examination of dental patient Patient examination Patient examination Patient examination Patient examination Updated 2008/ A. Faden Reading Assignment Clinic Manual Clinic Manual See case sample