REPUBLIC OF UZBEKISTAN
MINISTRY OF HIGHER AND SECONDARY EDUCATION
Registration
«Approved»
By Order of Ministry of higher and
№BD-57206-292
secondary education 263”- “__23__”
2008_ год “_23__” __08_
_August 2008 year
CURRICULUM
ON THE SUBJECT
“Hospital dental therapeutics (Oral mucosa pathology)”
AREA OF KNOWLEDGE :700000 «HEALTHCARE»
DIRECTION OF EDUCATION : 5720400 «DENTISTRY»
AREA
OF
KNOWLEDGE :
700000
AREA
EDUCATION
720000
OF
– «HEALTHCARE AND SOCIAL
SERVICE»
DIRECTION OF 5720400
EDUCATION :
– «HEALTHCARE»
- «DENTISTRY»
Tashkent– 2008
Curriculum is approved by Coordinating Council of educational and methodical unit of
Higher and secondary professional education from 2008 year «____» till «_____»-protocol .
Curriculum is designed in Tashkent Medical Academy.
Compliers:
Kh.P. Kamilov
U.Zh. Zhumatov
– Head of Dental therapeutics department, TMA, M.D.,
professor
– Professor of Dental therapeutics department, TMA, M.D.
Reviewers:
O.S. Yuldushhonova
– Professor of child stomatology,TMA, M.D.
– Professor of 1-stomatology department, Tashkent
Institute of Advanced Medical Studies, M.D.
Curriculum was approved on academic council of Tashkent Medical Academy (2008
year «_____» «____»-protocol )
Introduction
This curriculum is compiled on the base of State Educational Standart of the Republic of
Uzbekistan and dentist’s training program. There are determined main objects and goals of the
subject, scope of students’ theoretical knowledge and practical skills, control methods of
students’ knowledge, new pedagogical technologies. General program includes independent and
other diseases related with organs and systems, which cause development of morphologic
elements and appearing of diseases of oral mucous membrane (MMOC). This curriculum has a
purpose to form ability of clinical thinking, which is directed on acquirement of future
profession.
Goals and tasks of curriculum:
The main object of hospital therapeutic stomatology is to form theoretical and practical
knowledge and manual skills about basic dental diseases and its complications, etiologic factors
and pathogenic mechanisms of its development, clinical course, diagnostic methods, treatment
and prevention.
Tasks of education:
- To extend students’ knowledge on positions of pathologic processes on oral mucous
membrane and is clinical course;
- Use professional knowledge in diagnostics of separated nosologic diseases;
- To teach students to diagnose diseases of oral mucous membrane, to carry out differential
diagnostics, methods and criteria of treatment, to teach basics of prevention of these
dideases;
- To teach basics of medical ethics and deontology, which are needed for individual
treatment of patients.
Requirements to knowledge, abilities and skills of students.
During the study of Hospital therapeutic stomatology a bachelor must know and be able
to:
- morphologic elements of lesion at diseases of oral mucous membrane, basic and
additional methods of investigations of patients, influence of local and general factors on oral
mucous membrane. Most common diseases of oral mucous membrane, its diagnostics,
differential diagnostics, treatment. Traumatic lesions of oral mucous membrane. Metabolic
imbalance at different diseases of organs and systems. Diseases of mucous membrane and red
border of lips. Infectious, viral diseases of oral mucous membrane and tactic of dentist at skin
and venereal diseases. To have an idea of precancerous of oral mucous membrane. To carry out
palpations of region lymphatic nodes. Antiseptic clearing of oral mucous membrane, palpation,
cytological and microbiologic methods of investigation, to be able to take material for biopsy
and other investigations, determination and elimination of local etiologic factors, to direct patient
with diseases of oral mucous membrane to specialist for diagnose and treatment. To carry out
anesthetic application of oral mucous membrane, prescription of physic methods of treatment;
- To have skills on elimination of increased sensibility of tooth enamel. To make temporary
splintage at periodontitis. To make filling at non-carious diseases, pathologic dental abrasion,
fluorosis, wedge-shaped defect, atypical cavities. To pose parapulpar posts, restoration of tooth
fractures, restoration of tooth crown with composite materials. To treat pulpitis at one-step, root
canal enlargement by modern technique – Step-back, electrophoresis of gums and root canals.
Enlargement of obliterated root canals, drug clearing of oral cavity and gums.
To have idea of tooth depophoresis, galvanization, diathermy, laser treatment.
Relation to other disciplines:
Hospital therapeutic stomatology is clinical subject. This subject is taught to 5 year students of
stomatology faculty during 9-10 terms. Teaching this subject is based on students’ knowledge of
anatomy, histology, biochemistry, pathologic anatomy, normal and pathologic physiology,
internal diseases, surgical dentistry, prosthetic dentistry, child stomatology, phthisiology, skinvenereal diseases, microbiology, and physiotherapy and requires necessary knowledge and skills
on these subjects.
Place in the health system
Hospital therapeutic stomatology in the health care system holds a special place, because
the prevalence of dental disease among population is significant; clinical symptoms,
complications, treatment and prevention of these diseases are variable which has a significant
impact on morbidity of the population. In Uzbekistan different periodontal disease, non-carious
disease and other dental conditions are wide spread that require knowledge of the correct
diagnosis, which is important to select the correct treatment and prevention of complications of
chronic diseases.
Modern information and educational technologies, and used for the study of the subject.
For the study of Hospital therapeutic stomatology it is important to use modern and
advanced pedagogic techniques. Use of textbooks, manuals and guidelines, texts of lectures,
handouts, software, the electronic materials and video systems is stipulated for the program.
During lectures and workshops the modern educational technology will be used.
Main part
Features of the structure of the mucous membrane of the mouth. Classification of Diseases.
Methods of examination of patients with diseases of the oral mucosa.
The pathological processes occurring in the MMOC. The morphological elements of the lesion.
Mechanical injury of the oral mucosa. Clinic. Diagnosis. Treatment.
Physical injuries of the oral mucosa. Clinic. Diagnosis. Treatment.
Chemical injuries of the oral mucosa. Clinic. Diagnosis. Treatment.
Leukoplakia. Clinic. Diagnosis. Treatment.
The manifestations of viral infections in the oral cavity (simple and shingles,
herpangina). Clinic. Diagnosis and differential diagnostics. Acute respiratory viral
infections. Clinic. Diagnosis. Treatment, prevention.
AIDS. Manifestation in the oral cavity. The clinic, treatment.
Necrotizing ulcerative Vincent gingivostomatitis. The clinic, diagnosis, differential diagnosis
and treatment.
Tuberculosis. Manifestation in the oral cavity.
The manifestation of sexually transmitted diseases in the mouth. Syphilis. The primary,
secondary, tertiary and congenital syphilis. Gonorrhea. Tactics of a dentist.
Candidiasis. Manifestation in the oral cavity. Clinic. Diagnosis. Treatment.
Allergic diseases. Anaphylactic shock. The etiology and pathogenesis.
Erythema multiform. Clinic. Diagnosis. Treatment.
Chronic recurrent thrush. Clinic. Diagnosis. Treatment.
Changes in the mucous membranes of the mouth under exogenous intoxication. Changes in the
mucous membranes of the oral cavity under various occupational hazards.
Changes in the mucous membranes of the mouth during Hypo and beriberi.
Changes of MMOC under endocrine diseases. Changing the MMOC under diabetes.
Changes in the mucous membranes of the mouth under gastrointestinal diseases.
Changes in the mucous membranes of the mouth under cardiovascular diseases.
Changes in the oral mucosa under diseases of the blood and blood-forming organs.
Changes
in
the
oral
mucosa
under
diseases
of
the
nervous
system. Clinic. Diagnosis. Treatment.
Glossalgia. Clinic. Diagnosis. Treatment.
Pemphigus. Clinic. Diagnosis. Treatment.
Pemphigoid. Clinic. Diagnosis. Treatment. Planus. Clinic. Diagnosis. Treatment.
Lesions of the oral mucosa with lupus.
Malformations of the tongue. Clinic. Diagnosis. Treatment.
Cheilitis (exfoliate, actinic, metereologic, glandular). Clinic. Diagnosis. Treatment.
Cheilitis
(eczematous,
contact,
atopic,
chronic
cracked
lips,
makroheylit). Clinic. Diagnosis. Treatment.
Obligate precancerous lesions of the mucous membranes of the mouth and lips red
border. Facultative pre-cancerous lesions of the oral mucosa and the vermilion border.
Facultative pre-cancerous lesions of the oral mucosa and the vermilion border.
Galvanizing. Technique and methods of electroplating. Iontophoresis. Pulse current. Pulse
shapes and characteristics.
Variable high-frequency currents. Diathermocoagulation. Darsonvalization.
Light therapy. Water therapy. Paraffin therapy for diseases of the maxillofacial region. The use
of physical agents for the diagnosis of disease (caries, pulpitis and periodontitis).
The use of physical agents for the treatment of periodontal disease and MMOC. Ultrasound in
the dental practice.
Guidelines and recommendations on the organization of workshops
At the workshops students see the patients, fill out a questionnaire for dental patient,
give out recipes, analyze roentgenogram, give referrals, discuss treated cases.
RECOMMENDED practical training.
1. Features of the structure of the mucous membrane of the mouth. Classification of
Diseases.
2. Methods of examination of patients with diseases of the oral mucosa.
3. The pathological processes occurring in the MMOC. The morphological elements of the
lesion.
4. Mechanical injury of the oral mucosa. Clinic. Diagnosis. Treatment.
5. Physical injuries of the oral mucosa. Clinic. Diagnosis. Treatment.
6. Chemical injuries of the oral mucosa. Clinic. Diagnosis. Treatment.
7. Leukoplakia. Clinic. Diagnosis. Treatment.
8. The manifestations of viral infections in the oral cavity (simple and shingles,
herpangina). Clinic. Diagnosis and differential diagnostics. Acute respiratory viral
infections. Clinic. Diagnosis. Treatment, prevention.
9. AIDS. Manifestation in the oral cavity. The clinic, treatment.
10.Necrotizing ulcerative Vincent
gingivostomatitis. The
clinic,
diagnosis,
differential diagnosis and treatment.
11.Tuberculosis. Manifestation in the oral cavity.
12.The manifestation of sexually transmitted diseases in the mouth. Syphilis. The primary,
secondary, tertiary and congenital syphilis. Gonorrhea. Tactics of a dentist.
13.Candidiasis. Manifestation in the oral cavity. Clinic. Diagnosis. Treatment.
14.Allergic diseases. Anaphylactic shock. The etiology and pathogenesis.
15.Erythema multiform. Clinic. Diagnosis. Treatment.
16.Chronic recurrent thrush. Clinic. Diagnosis. Treatment.
17.Changes in the mucous membranes of the mouth under exogenous intoxication. Changes
in the mucous membranes of the oral cavity under various occupational hazards.
18.Changes in the mucous membranes of the mouth during Hypo and beriberi.
19.Changes of MMOC under endocrine diseases. Changing the MMOC under diabetes.
20.Changes in the mucous membranes of the mouth under gastrointestinal diseases.
21.Changes in the mucous membranes of the mouth under cardiovascular diseases.
22.Changes in the oral mucosa under diseases of the blood and blood-forming organs.
23.Changes in the
oral
mucosa
under
diseases
of
the
nervous
system. Clinic. Diagnosis. Treatment.
24.Glossalgia. Clinic. Diagnosis. Treatment.
25.Pemphigus. Clinic. Diagnosis. Treatment.
26.Pemphigoid. Clinic. Diagnosis. Treatment. Planus. Clinic. Diagnosis. Treatment.
27.Lesions of the oral mucosa with lupus.
28.Malformations of the tongue. Clinic. Diagnosis. Treatment.
29.Cheilitis (exfoliate, actinic, metereologic, glandular). Clinic. Diagnosis. Treatment.
30.Cheilitis
(eczematous,
contact,
atopic,
chronic
cracked
lips,
makroheylit). Clinic. Diagnosis. Treatment.
31.Obligate precancerous lesions of the mucous membranes of the mouth and lips red
border. Facultative pre-cancerous lesions of the oral mucosa and the vermilion border.
32.Facultative pre-cancerous lesions of the oral mucosa and the vermilion border.
33.Galvanizing. Technique and methods of electroplating. Iontophoresis.
34. Pulse current. Pulse shapes and characteristics.
35.Variable high-frequency currents. Diathermocoagulation. Darsonvalization.
36.Light therapy. Water therapy. Paraffin therapy for diseases of the maxillofacial region.
37. The use of physical agents for the diagnosis of disease (caries, pulpitis and
periodontitis).
38.The use of physical agents for the treatment of periodontal disease and
MMOC. Ultrasound in the dental practice.
Teaching staff of the department is developing guidelines and recommendations to organize
practical training. According to the recommendations, the students strengthen theoretical
knowledge acquired in lectures by solving situational problems. Additionally, using textbooks,
manuals, guidelines, handouts, scientific articles and abstracts students enrich their knowledge,
strengthen skills and solve problems.
The forms of organization of independent work of students.
Organization of independent work of students is carried out taking into account the
characteristics of the subject being studied. In this regard the following forms of independent
work of students are suggested:


working with certain sections of the textbook and workbook;
the assimilation of the lecture material with the help of a handout;






the use of automatic , training and controlling systems;
the use of literature to explore the topics;
learning new techniques, instruments s, processes and technology;
deep study of sections and topics used in carrying out the research work of the student;
practical work based on an interactive and problem-solving learning;
remote training.
RECOMMENDED independent work of students:
Number
TOPIC
1.
Traumatic lesions of MMOC caused by physical factors. Prevention.
2.
Drugs causing chemical injury of MMOC. The concentration of these
drugs. Prevention.
3.
Prevention of leukoplakia. Clinical examination.
4.
The epidemiology of viral diseases. Prevention. Clinical examination.
5.
Foot and mouth disease. Epidemiology. Ways of introduction of the pathogen into the
body. Research methods.
6.
The epidemiology of AIDS. Route of infection. Sterilization of dental instruments.
7.
Pathogens
of
necrotizing
Vincent
stomatitis. Laboratory
methods
of
testing. Prevention.
8.
The epidemiology of tuberculosis. Route of infection. Research methods. Prevention.
9.
Manifestation of venereal diseases. The epidemiology of sexually transmitted diseases.
Research methods. Prevention.
10.
The manifestation of candidiasis in the oral cavity. Research methods. Current drugs
for treatment. Prevention.
11.
Allergy manifestation in the oral cavity. Prevention.
12.
The drugs causing an allergic condition in the mouth. Prevention.
13.
Erythema multiform. Diagnostic methods. Prevention. Clinical examination.
14.
Chronic
recurrent
aphthous
stomatitis. Epidemiology. Prevention. Clinical
examination.
15.
Industrial enterprises in Uzbekistan, causing exogenous intoxication.
16.
Peculiarities of agriculture, contributing to exogenous intoxication of the
population. Prevention. Clinical examination.
17.
Occupational diseases of workers in industry and agriculture. Prevention. Clinical
examination.
18.
The development of hypo-and avitaminosis. The value of vitamins in the life of the
organism. Prevention.
19.
Diagnosis of endocrine diseases. Prevention. Clinical examination.
20.
The sugar content in the blood and urine. Prevention. Clinical examination.
21.
Interconnection
pathologies
oral
diseases
of
the
gastrointestinal
tract. Prevention. Clinical examination.
Peculiarities of treating patients with diseases of the cardiovascular system.
Premedication. Prevention.
Change of blood in leukemia, change in blood agranulocytosis, eritremii.
Peculiarities of examination and treatment of patients with diseases of the nervous
system. Prevention. Physical methods of treatment.
Common diseases that contribute to the development of glossalgia. Physical methods
of treatment.
Peculiarities of cytology research in pemphigus. Prevention. Clinical examination.
Peculiarities of cytology research in pemphigoid. Particular manifestations in the oral
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
cavity. Prevention.
The relationship of planus with diseases of the endocrine system. Acute and chronic.
Distinct diseases of a tongue. Plasma-cell cheilitis. Epidemiology. Prevention.
Facultative precancerous diseases of MMOC and red border, methods of
research. Diagnostic Features. Tactics of a dentist.
Medical products for root canal electrophoresis.
Apparatus for electrophoresis.
Apparatus for electroanesthesia.
Indications and contraindications for thermocoagulation of pulp.
Indications and contraindications for darsonvalizm.
Indications and contraindications for therapy by light and paraffin.
The mechanism of action of laser beams in the tissues of the body.
The mechanism of the vitalometer.
The impact of high temperature on body tissues.
The impact of ultrasound on tissue.
Information and methodological support
Study of this subject requires the use of modern information and communication
technologies.
- All subjects of lectures are presented in the form of presentations;
- Interactive teaching methods such as brainstorming, black box, web, and other group
learning technologies are supposed to be used during practical training
References
Main:
1. Bohr EV et al. Preventive dentistry: Tutorial - M, 1989.
2. Bohr EV Danilevsky NF Atlas of diseases of the oral mucosa. - Moscow
"Medicine" in 1991. - 320.
3. Kamilov JP, Ibragimova MH, DW Mirahmedova “Deaseses of MMOC”, 2005.
4.
Bohr EV, Maksimovskiy YM Preventive dentistry. Moscow. "Medicine" in
1998.
Additional:
5. Banchenko GV Maximov Y M . Tongue - the "mirror" of the body. M. Business
Center "Dentistry" in 2000.(Library Department)
6. Bohr EV "Oral Biology", Moscow, 2001. (Electronic)
7. Barer
GM Preventive
dentistry. Part
3. Diseases
of
the
oral
mucosa. Moscow. "GEOTAR Media» 2005.(Electronic)
8. Danilevsky NF, Leontiev VK et al. Diseases of the mucous membranes of the
mouth and lips. Moscow "Dentistry", 2001. (Library Department)
9. Leus PA, Goregliad AA, Chudakov IO Diseases of the teeth and
mouth. Minsk. "Higher School" in 1998.(Electronic)
10. George
Laskaris. Treatment
of
diseases
of
the
oral
mucosa. Moscow. MIA. 2006. (Library Department)
11. Pachishin
M.
Got
I.,
MACH
Z. Emergencies
in
dental
practice. Lions. GalDent. 2004. (Electronic)
12. Dmitrieva
LA Preventive
dentistry. Moscow. "MEDpress-Inform"
2003. (Library Department)
13. Tsvetkov, LA, SD Arutyunov and other diseases of the oral
mucosa. Moscow. "MEDpress-inform." 2006.(Library Department)
14. Anisimov, IV, Nedosenko VB, LM Lomiashvili Diseases of the mucous
membranes of the mouth and lips. Clinic.Diagnosis. Moscow. "MEDI
Publishing» 2005. (Library Department)
15. Stephen T.Sonis. Secrets of dentistry. 2002. (Library Department)
16. Troshin VD, Zhulev EN Pain syndromes in the practice of the dentist. Nizhny
Novgorod "NGMA." 2002.(Electronic)
Web-resources:
17. www. medlibrary. ru
18. www. medline. ru
19. www. cohrane.com
20. www. zdorove.ru
21. www. med.ru
22. www. stom.ru
23. www. stomatologya.ru