Jordan University of Science and Technology
Faculty of Dentistry
Department of Oral Medicine and Surgery
4th year (Second Semester)
Course Title: Oral Medicine
Course Code: Dent 452
Prerequisite:
Course Coordinator:
Name:
Dr. Aceil Al-Khatib
Office Phone: 7278662/288
Office Hours:
Dental Health Centre
E-mail: aceil@just.edu.jo
Instructors: Drs. Aceil Al-Khatib, Huda Hammad, Jumana Karasneh
Professor Azmi Darwazeh
Time: Wednesday 9-10
Place: Lecture room 3 and oral medicine clinic
Prerequisite for:
Dent 551
Dent 552
This course provides the basic knowledge required for building a systematic approach to the
management of patients with dental, oral and paraoral conditions.
Course Objectives:
The students are expected to be able to:
1. Perform a thorough examination of oral and perioral tissues
2. Differentiate between normal, variation of normal and pathologic conditions
3. Presents systematically the examination findings to the instructor and discuss the
differential diagnosis
4. Decide which investigations are necessary to establish a definitive diagnosis and plan the
treatment
5. Manage patients with infections, ulcerative conditions, salivary gland disorders and oral
manifestations of nutritional deficiencies and endocrinopathies.
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6. Apply the knowledge and principles learned in oral medicine lectures and clinic
instructions, radiology and pathology to clinical situations
7. Understand and apply principles of infection control
Learning Outcomes:
Successful completion of this course should lead to the following learning outcomes:
Knowledge and Understanding (student should)
1.
Correlate information collected from complaint history, examination, and
investigations
2.
Become familiar with different therapeutic agents, indications,
contraindications advantages and side effects
3.
Discuss bacterial infections: acute necrotizing ulcerative gingivitis, syphilis,
gonorrhea, nonspecific urethritis and tuberculosis) in terms of : clinical features,
predisposing factors, diagnosis and management
4.
Discuss viral infections of the oral mucosa: herpes simplex, herpes zoster,
Coxsakie virus, Epstein Barr virus, paramyxovirus, human papilloma virus ; in terms
of clinical findings, distribution of lesions, diagnosis, prognosis and management
5.
Identify and discuss fungal infections of the oral mucosa ( oral candidosis) in
terms of : clinical manifestations, predisposing factors, laboratory investigations and
management.
6.
Familiar with antifungal agents used to treat oral candidosis
7.
Compare candida associated lesions ( angular cheilitis, denture induced
stomatitis and median rhomboid glossitis ) in terms of : common sites of lesions,
predisposing factors, diagnosis and management.
8.
Classify chronic mucocutaneous candidosis.
9.
Identify and discuss the clnical forms, predisposing factors, laboratory
investigations and management of recurrent aphthous stomatitis
10.
Examine salivary glands and assess their function
11.
Discuss the usefulness of : sialometry, scintigraphy, sialograqphy,
sialochemistry and biopsy in diagnosis of salivary gland disease
12.
Compare and distinguish viral and bacterial sialadenitis, in terms of : etiology,
clinical manifestations, investigations, diagnosis and management.
13.
Distinguish sialosis, necrotizing sialometaplasia, sarcoidosis, HIV associated
gland disease; in terms of etiology, clinical manifestations and time course.
14.
Describe the use of ultrasonography and magnetic resonance imaging in terms
of investigating salivary gland disease
15.
Discuss most common salivary gland tumors.
16.
Define and discuss causes of xerostomia.
17.
Discuss the investigation, oral findings and management of xerostomia.
18.
Define and discuss Sjogren's syndrome in terms of manifestations,
classification criteria , investigation and management.
19.
Define sialorrhea, discuss its etiology and treatment options.
20.
Compare the oral manifestations associated with : lichen planus, pemphigus
pemphigoid, dermatitis herpetiformis, linear IgA disease, epidermolysis bullosa,
erythema multiforme, morphea and mixed connective tissue disease; interms of:
distinguishing features, investigations, and treatment options.
21.
Describe oral lesions associated with GIT disorders: Coeliac disease, Crohn's
disease, orofacial granulomatosis and ulcerative colitis
22.
Discuss the management of oral lesions associated with GIT disorders.
23.
Describe and identify oral manifestations of nutritional deficiencies and
endocrine disturbances.
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24.
Describe, identify orofacial manifestations of renal disease and renal
transplantation.
Skills (intellectual, and manual)
Successful completion of this course, the student should gain the following skills.
1.
2.
3.
4.
5.
Ability to obtain detailed patient history
Ability to perform proper extra-oral and intra-oral examination
Ability to present cases to and discuss them with clinical instructors
Ability to discuss the differential diagnosis of patient's complaint
Ability to correlate clinical features with radiographic and laboratory
findings
6.
Ability to recommend a plan of treatment and discuss options with
patients
Teaching methods:
Duration: 16? weeks, (40 contact hours in total)
 Lectures: 16? hours, 2 hour per week ( including I-hour midterm exam)
 clinical : one 3hours clinic/week
 Laboratory: none
Modes of assessment:
1.
A midterm examination of MCQ questions (20 points). The clinic
evaluation (20 points ).
2.
Final exam of MCQ. ( 60 points )
Performance in the clinic is evaluated by objective evaluation and attendance . The evaluation
is based on:
1.
The student's professional conduct
2.
Examination of the patient
3.
Adequate infection control
4.
Treatment plan
5.
Presentation
6.
Knowledge and discussion
Any of the following may result in deduction of points from the clinic evaluation:
1.
Violations of asepsis and universal precautions
2.
Poor professional conduct
3.
Poor patient management
4.
Unsatisfactory attendance record
Attendance policy:
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Students are expected to attend more than 90% of lectures and clinics.
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Course Content & Weight:
Theory
No.
of
Lecture title
Material covered
lectures
3
Methods of investigations and
principles of treatment
Bacterial infections of the oral
mucosa
Viral infections
4
Fungal infections of the oral
mucosa
1
2
5
6
7
Fungal infections of the oral
mucosa
Recurrent aphthous ulcerations
Salivary gland diseases
8
Salivary gland diseases
9
Diseases of the skin
10
Diseases of the GIT
11
12
Laboratory investigations, systemic and
topical treatments
ANUG, syphilis, gonorrhea,
tuberculosis, nonspecific urethritis
Herpes viruses, oral manifestation of
HIV infection
Oral candidosis, clinical forms, species
involved, predisposing factors, chronic
mucocutaneous candidosis
Assessment of patients, treatments
Predisposing factors, clinical forms ,
investigations and treatment modalities
Viral and bacterial sialadenitis, sialosis,
assessment of function
Xerostomia, causes diagnosis and
management
Vesiculoulcerative diseases: oral lesions:
diagnosis and management
Oral manifestations , diagnosis and
management
Red blood cell disorders, white blood
cells and platelet disorders: oral
manifestations
Oral manifestations of endocrinopathies
Blood and nutrition
Endocrine disturbances
Feedback:
Concerns or complaints should be expressed in the first instance to the course instructor. If no
resolution is forthcoming then the issue should be brought to the attention of the Department
Chair and if still unresolved to the Dean. Questions about the material covered in the lecture,
notes on the content of the course, its teaching and assessment methods can be also sent by email.
References and Supporting Material:
Lecture notes and handouts
Required Textbook
Tyldeley and Field. Oral Medicine.Fifth edition
Recommended Textbook
Greenberg and Glick. Burkitt's Oral Medicine, Diagnosis and Management. Tenth edition
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