oral manifestations of systemic disease

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Concorde Career College
Dental Hygiene Education Program
Course Syllabus
Course:
Total Semester Units:
Total Hours:
Instructor:
DH 228 Oral Pathology
3 credit hours, 4.5 hours of lecture
45 hours
Instructors Dr. James Bright DDS jbright@concorde.edu
Office Hours: During breaks or by appointment
Class Schedule:
Monday Lecture 11:00am-1:30pm (Break 1:30-2:30 pm)
Lecture 2:30pm-4:30pm
Description of the Course: This course provides the student with practical information to aid in the
diagnosis of oral injury and disease. The focus will be on etiology, clinical features, treatment and prognosis.
Textbooks:
Ibsen, Olga A.C.; Phelan, Joan A. Oral Pathology for the Dental Hygienist, 6th Ed. St. Louis: Mosby; 2013.
Prerequisites:
Successful completion of terms I-V Dental Hygiene Program courses.
Websites:
 http://www.dent.ohio-state.edu/oralpath2/
 http://www.mednet.gr/pim/pim.htm
 http://www.uiowa.edu/~oprm/AtlasHome.html
 http://www.dental.mu.edu/oralpath/opgloss.html#gjump
 http://www.library.vcu.edu/tml/oralpathology/
Course Objectives:
Upon successful completion of this course, the student will be able to:
1.
2.
3.
4.
5.
6.
Examine extraoral and intraoral tissues and recognize any deviation from normal.
Identify the pathologic conditions that may occur intraorally or extraorally.
Explain the processes involved in disease formation.
Describe the body systems responsible for defense, adaptation, wound healing and repair.
Identify etiologic factors, signs and symptoms that are associated with disease.
Recognize abnormal oral or health-related conditions that must be called to the attention of the
dentist or those that preclude or alter dental hygiene practice.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 1 of 11
Concorde Career College
Dental Hygiene Education Program
WEEKLY OUTLINE OF CURRICULUM
WEEK
Lecture 1
4.5 hours
6-30-14
Dr. Bright
Lecture 2
4.5 hours
07-07-14
Dr. Bright
Lecture 3
4.5 hours
07-14-14
Dr. Bright
Lecture 4
4.5 hours
07-21-14
Dr. Bright
Lecture 5
4.5 hours
07-28-14
Dr. Bright
Lecture 6
4.5 hours
08-04-14
Dr. Bright
Lecture 7
4.5 hours
08-11-14
UNIT OF INSTRUCTION OR TOPIC
Introduction / Journal Article Guidelines
Diagnosis of Oral Lesions
Inflammation and Repair
Exam 1
Immunity
ASSIGNMENTS
Reading: Chapter 1
Reading: Chapter 2
Reading: Chapter 3
Exam 2
Infectious Diseases
Nonneoplastic Diseases of the Bone
Midterm Review
Reading: Chapter 4 and 8
MIDTERM EXAM
Developmental Disorders
Reading: Chapter 5
Exam 3
Genetics
Reading: Chapter 6
Oral Manifestations of Systemic Disease
Reading: Chapter 9
Journal Article Review Due
Dr. Bright
Lecture 8
4.5 hours
08-18-14
Dr. Bright
Lecture 9
4.5 hours
08-25-14
Dr. Bright
Lecture 10
4.5 hours
09-08-14
Dr. Bright
Exam 4
Neoplasia
Reading: Chapter 7
Diseases Affecting the temporomandibular Joint
Final Review
Reading: Chapter 10
FINAL EXAM
*******Sequence of Unit of Instruction or Topic is Subject to Change as Needed*******
INSTRUCTIONAL UNIT OBJECTIVES:
Upon successful completion of instruction, the student will be able to:
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 2 of 11
Concorde Career College
Dental Hygiene Education Program
Week 1
DIAGNOSIS OF ORAL LESIONS
1. Define a list of vocabulary words associated with general and oral pathology
2. List and define the eight diagnostic categories that contribute to the diagnostic process
3. Name a diagnostic category and give an example of a lesion, anomaly, or condition for which this category
contributes greatly to the diagnosis
4. Describe the clinical appearance of Fordyce’s granules (spots), torus palatines, Mandibular tori, and lingual
varicosities, and identify them on a slide
5. Describe the radiographic picture and historical data (including the age, sex, and race of the patient) that are
relevant to periapical cemental dysplasia (cementoma)
6. Define “variant of normal” and give three examples of such lesions involving the tongue
7. List and describe the clinical characteristics and identify a clinical picture of fissured tongue, median rhomboid
glossitis, geographic tongue, ectopic geographic tongue and hairy tongue
8. Describe the clinical and histologic differences between leukoedema and linea alba
Week 2
INFLAMMATION AND REPAIR
1. Define a list of vocabulary words associated with inflammation and repair
2. List three systemic signs of inflammation
3. Describe the microscopic events that are associated with each of the cardinal signs of inflammation
4. List and describe the microscopic events of the inflammatory process, beginning with injury and ending with
phagocytosis of foreign and necrotic substances
5. List the types of white blood cells that participate in inflammation and describe the function of neutrophils
and monocytes
6. Describe the differences between acute and chronic inflammation
7. Define and contrast hyperplasia and hypertrophy
8. Describe the microscopic events that occur during the repair of a mucosal wound
9. Define and contrast healing by primary intention, healing by secondary intention, and healing by tertiary
intention
10. Describe and contrast attrition, abrasion, and erosion
11. Describe the pattern of erosion seen in bulimia
12. Describe the relationship between bruxism and abrasion
13. Describe the cause, clinical features, and treatment of each of the following: aspirin and phenol burns, electric
burn, traumatic ulcer, frictional keratosis, linea alba, nicotine stomatitis
14. Describe the clinical features, cause (when known) treatment, and histologic appearance of each of the
following: traumatic neuroma, postinflammatory melanosis, solar cheilitis, mucocele, ranula, necrotizing
sialometaplasia, pyogenic granuloma, giant cell granuloma, chronic hyperplastic pulpitis, irritation fibroma
15. Describe the difference between a mucocele and a ranula
16. Define sialolithiasis
17. Describe the difference between acute and chronic sialolithiasis
18. Describe the clinical features, radiographic appearance, and histologic appearance of a periapical abscess, a
periapical granuloma, and a periapical (radicular) cyst
19. Describe and contrast internal and external tooth resorption
Week 3
THE IMMUNE SYSTEM
1. Define a list of vocabulary words associated with the immune system
2. Describe the primary difference between the immune system and the inflammatory system
3. Describe, using the cells involved, the difference between the humoral immune response and the cellmediated immune response
4. Describe the difference between active and passive immunity
5. Give one example of active immunity, and give one example of passive immunity
6. List and describe four types of hypersensitivity reactions, and give an example of each
7. Define autoimmunity, and describe how it results in disease
8. Define immunodeficiency, and describe how it results in disease
9. Describe and contrast the clinical features of each of the three types of aphthous ulcers
10. List three systemic diseases associated with aphthous ulcers
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 3 of 11
Concorde Career College
Dental Hygiene Education Program
11. Describe and compare the clinical features of urticaria, angioedema, contact mucositis, fixed drug eruption,
and erythema multiforme
12. Describe the clinical and histologic features of lichen planus
13. List the triad of systemic signs that compose Reiter’s syndrome, and describe the oral lesions that occur in this
syndrome
14. Describe the oral manifestations of each of the following immune diseases: Sjögren’s syndrome, Lupus
erythematous, Pemphigus vulgaris, Cicatricial pemphigoid, Bechet’s syndrome
15. Describe the clinical features of desquamative gingivitis, and list diseases in which it may occur
16. Describe the components of Behcet’s syndrome
Week 4
INFECTIOUS DISEASES
1. Describe how infection occurs and the factors involved
2. Describe the mechanism that allows opportunistic infection to develop
3. For each of the following infectious diseases, name the organism causing it: list the route or routes of
transmission of the organism and the oral manifestations of the disease; and describe how the diagnosis is
made: Tuberculosis, Actinomycosis, Syphilis (primary, secondary, tertiary), Verruca vulgaris, Condyloma
acuminatum, and Primary herpetic gingivostomatitis
4. List and describe four forms of oral candidiasis
5. List two examples of opportunistic infections that can occur in the oral cavity
6. Describe the clinical features of herpes labialis
7. Describe the clinical features of intraoral herpes simplex infection, and compare them with the clinical
features of minor aphthous ulcers
8. Describe the clinical characteristics of herpes zoster when it affects the facial area and oral cavity
9. List two oral infectious diseases for which a cytological smear may be helpful to the diagnosis
10. List four diseases associated with the Epstein-Barr virus (Coxsackie virus) that occur in the oral region
11. List and discuss deep fungal infections
12. List four diseases associated with the Epstein-Barr virus
13. List and describe the clinical appearance of five oral manifestations of HIV infection
NONNEOPLASTIC DISEASES OF THE BONE
1. Define dysplasia as it relates to bone diseases and differentiate the term form epithelial dysplasia
2. List the benign fibro-osseous lesions that occur in the jawbones
3. Describe the clinical, radiographic, and microscopic features of periapical cemento-osseous dysplasia, focal
cemento-osseous dysplasia, focal cemento-osseous dysplasia, and florid cemento-osseous dysplasia.
4. Compare and contrast the radiographic appearance, histologic appearance, and treatment of fibrous dysplasia
of the jaws with those of ossifying fibroma of the jaws
5. Describe the histologic appearance of Paget disease of bone and describe its clinical and radiographic
appearance when the maxilla or mandible is involved
6. Describe the cause of osteomalacia and rickets
Week 5
DEVELOPMENT DISORDERS
1. Define a list of vocabulary words associated with development disorders
2. Recognize developmental disorders of the dentition
3. Describe the embryonic development of the face, oral cavity, and teeth
4. Identify clinically, radiographically, or both, a list of developmental anomalies
5. Distinguish between intraosseous cysts and extraosseous cysts
6. Describe the differences between odontogenic and nonodontogenic cysts
7. Name four odontogenic cysts that are intraosseous
8. Name two odontogenic cysts that are extraosseous
9. Name four nonodontogenic cysts that are intraosseous
10. Name four nonodontogenic cysts that are extraosseous
11. List and define three anomalies that affect the number of teeth
12. List and define two anomalies that affect the size of the teeth
13. List and define five anomalies that affect the shape of the teeth
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 4 of 11
Concorde Career College
Dental Hygiene Education Program
14. Identify anomalies affecting tooth eruption
15. Identify the diagnostic process that contributes most significantly to the final diagnosis of each developmental
anomaly discussed
Week 6
GENETICS
1. State the purpose of mitosis
2. State the purpose of meiosis
3. Explain what is meant by gross chromosomal abnormality and give three examples of syndromes that result
from chromosomal abnormalities
4. State the oral manifestations and, if appropriate, the characteristic facies for each of the following:
o Cyclic neutropenia
o Papillon-Lefevre syndrome
o Cherubism
o Chondroectodermal dysplasia (Ellis-van Collins syndrome)
o Mandibulofacial dysostosis (Treacher Collins syndrome)
o Osteogenesis imperfect
o Hereditary hemorrhagic telangiectasia (Osler-Rendu-Parkes Weber syndrome)
o Peutx-Jeghers syndrome
o White spongy nevus (Cannon’s disease)
o Hypohidrotic ectodermal dysplasia
o Hypophosphatasia
o Hypophosphatemic vitamin D-resistant rickets
5. State the oral and facial manifestations, and the type of location associated with each of the following
syndromes:
o Gardner’s syndrome
o Nevoid basal cell carcinoma syndrome (Gorlin syndrome)
o Multiple endocrine neoplasia-type 2B (Multiples mucosal neuromas, Medullary carcinoma of the
thyroid gland, pheochromacytoma)
o Neurofibromatosis of von Recklinghausen
Week 7
ORAL MANIFESTATIONS OF SYSTEMIC DISEASE
1. Describe the difference between gigantism and acromegaly, and describe the physical characteristics of each
2. State the oral manifestations of hyperthyroidism
3. Describe the difference between primary and secondary hyperparathyroidism
4. Define diabetes mellitus, and describe the oral manifestations
5. Describe the differences between type I and type II diabetes
6. Define Addison's disease, and describe the changes that occur on the skin and oral mucosa in a patient with
Addison's disease
7. Compare and contrast monostotic fibrous dysplasia with polyostotic fibrous dysplasia
8. Compare and contrast the radiographic appearance, histologic appearance, and treatment of fibrous dysplasia
of the jaws with those of ossifying fibroma of the jaws
9. Compare and contrast the three types of polyostotic fibrous dysplasia
10. Describe the histologic appearance of Paget's disease of bone, and describe its clinical and radiographic
appearance when the maxilla or mandible is involved
11. State the cause of osteomalacia and rickets
12. Compare and contrast the cause, laboratory findings, and oral manifestations of each of the following: iron
deficiency anemia, pernicious anemia, folic acid deficiency, and vitamin B 12 deficiency
13. Compare and contrast the definitions and oral manifestations of thalassemia and sickle cell anemia
14. Define celiac sprue
15. Describe the difference between primary and secondary aplastic anemia
16. Explain why platelets may be deficient in polycythemia Vera
17. Describe the oral manifestations of polycythemia
18. Describe the most characteristic oral manifestations of agranulocytosis
19. Describe and contrast acute and chronic leukemia
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 5 of 11
Concorde Career College
Dental Hygiene Education Program
20. State the purpose of each of the following laboratory tests: platelet count, bleeding time, prothrombin time,
partial thromboplastin time
21. List two causes of thrombocytopenic purpura
22. Describe the oral manifestations of thrombocytopenia and nonthrombocytopenic purpura
23. Define hemophilia, and describe its oral manifestations and treatment
Week 8
NEOPLASIA
1. Define a list of vocabulary words associated with neoplasias
2. Explain the difference between a benign tumor and a malignant tumor
3. Define leukoplakia and erythroplakia
4. Define the neoplasm’s listed below
5. Recognize the clinical features of each neoplasm listed below
6. Explain the usual treatment for each neoplasm listed below:
Papilloma
Basal cell carcinoma
Verrucous carcinoma
Pleomorphic adenoma (benign
Squamous cell carcinoma
Lymphangioma
mixed tumor)
Neurofibroma and schwannoma Melanoma
Cementoblastoma
Odontoma
Chondrosarcoma
Osteoma
Lipoma
Calcifying epithelial
Ossifying fibroma
Ameloblastoma
Ameloblastic fibroma
Osteogenic sarcoma
Mucoepidermoid carcinoma
Leukemia
Granular cell tumor (granular cell
myoblastoma)
Cementifying fibroma
Odontogenic tumor
Calcifying odontogenic cyst
Myxoma
Adenomatoid
Rhabdomyosarcoma
Monomorphic adenoma
Multiple myeloma
Lymphoma
Adenoid cystic carcinoma
Congenital epulis
Metastatic jaw tumors
Papillary cystadenoma
Hemangioma
Lymphomatosum
Melanocytic nevi
Week 9
DISEASES AFFECTING THE TEMPOROMANDIBULAR JOINT
1. State two symptoms of a temporomandibular disorder
2. List at least two problems that are suggestive of temporomandibular dysfunction
3. State the function of radiographs in the evaluation of a patient with symptoms suggestive of
temporomandibular dysfunction
4. List and describe the two main categories of treatment of temporomandibular disorders
5. Identify the various modalities use to treat temporomandibular disorders
LEARNING ACTIVITIES:
The following learning activities will be used:
1. Class discussion, participation, and sharing
2. Journal article reviews, research
3. In class case study exercises
TEACHING METHODS:
The following teaching methods will be used:
1. Lecture and discussion
2. Class discussion and participation
METHODS OF EVALUATION:
The following methods of assessment and evaluation will be used:
1. Examinations which may include slides, short answer, matching, true and false, fill in the blanks, multiple
choice and short essay. Written exams are listed on the class schedule. The written final is comprehensive.
2. Class project
It is required that the student, upon completion of this course will demonstrate and describe the principles of Oral
Pathology with a score of 75% or better. This will include written exams, class work, projects, and presentations. It
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 6 of 11
Concorde Career College
Dental Hygiene Education Program
will also include demonstration of acceptable levels of safety and competency when working with patients and
classmates. It will be necessary for the student to demonstrate skills in cooperation, critical thinking, and effective
problem solving.
The overall course grade will be determined by combined test scores, projects, class work, and presentations. In
addition, the student will be evaluated on her/his ability to demonstrate ethical, attitudinal and behavioral
attributes necessary to perform the duties of a dental hygienist. Some examples are:
1.
2.
3.
4.
5.
6.
Willingness to accept suggestions for improvement
Good personal grooming and hygiene
Maintaining a neat and clean work area
Ability to work alone and in a group setting
Honesty in ALL interactions
Using sound judgments in all situations
Letter
Grade
A
Percentage %
Description
90-100
Exceptionally Competent
B
C
80-89
75-79
Highly competent
Fully Competent
D*
70-74
Partially Competent
F*
69 or less
Not Competent
*Must be repeated for credit
To pass this course, the student must maintain a minimum overall average of 75% and professional behavior
must be satisfactory.
Assignment
Exams
Oral Pathology Report
Midterm
Final
Total Possible
Percentage (%)
30
20
25
25
100%
Assignments:
Each assignment must be submitted on or before the stated due date. Late work is not accepted and missed
assignments will be recorded in the grade book as a zero.
A. Exams – 30% (total of 4)
There will be four tests based on the information presented during lectures.
B. Midterm – 25%
There will be one midterm based on the information presented during lectures.
C. Final – 25%
There will be one comprehensive final based on the information presented during lectures.
D. Oral Pathology Report – 20% (*Minimum of 75% to pass)
Purpose: The purpose of this project is three-fold. First, it is designed to get you into the library to increase your
experience looking up journal articles. Second, it is to encourage you to enhance knowledge on evidence based
research articles on oral lesions/conditions of interest. Third, it is designed to emphasize the importance of staying
abreast of recent dental journal articles and evidenced based dentistry.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 7 of 11
Concorde Career College
Dental Hygiene Education Program
1. Choose an oral pathology lesion/condition of interest:
a. Try to choose a lesion that will likely be seen on clinic or in private practice setting
b. Or choose something a family member or friend has experienced
2.
Do research on the topic:
a. Include at least 2 different current source journal articles. Reference the sources within the body of
the report in the order of appearance in the body of text (i.e., ...herpes simplex found on the lip. 1)
b. List sources again in a reference section at the end of the paper in the order they appeared in your
text.
3.
Format a 5 page report:
Font type: Times Roman
Font size: 12 pt
Spacing: Double-spaced
Page numbers: Bottom center of page
Justification: Left - NO FULL JUSTIFICATION
4.
The report should include the following:
a. Create a cover sheet (does not count toward required pages) that includes:

Title of the paper

Course name and number

Date

Your Name
b. Introduction that includes a general description of lesion/condition and frequency of occurrence (and
whether any one sector of the population is more likely to have this lesion)
c. Body of the report should include the following diagnostic information:

Common location

Histological appearance

Radiographic appearance

Special diagnostic tests

Clinical presentation

Differential Diagnosis

Prognosis
c. Review latest research, drug therapies, and/or treatments
d. End the report with the role of the dental hygienist

Dental treatment modifications and additional associated dental or medical complications
e. Pictures, charts and/or tables are NOT necessary, but may be included
f. References (does not count toward required pages)
 Use National Library of Medicine (NLM) format. For details:
http://www.nlm.nih.gov/bsd/uniform_requirements.html
 References are numbered in the order they appear in your report, not alphabetically.
 Example within the body of the paper: Dental caries has decreased significantly in the past 30
years.1 Notice no space between punctuation and the numbered reference
 Example for references page:
1. Skaar DS, O’Connor H, Luepker, MD. Dental procedures and risk of experiencing a second
vascular event in a Medicare population. JADA. 2012;143(11):1190-1198.
g. Please staple copies of articles and reference materials used to write your paper.
h. Please see rubric for grading guidelines
** Remember that this report is worth 20% of your grade. Only reports of high quality and professional
presentation will receive full credit. **
Program Core Competencies Completed Within This Course:
I.
II.
III.
Professional Growth and Development: 2
Health Promotion and Disease Prevention: 6
Patient Care: 8, 9, 10
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 8 of 11
Concorde Career College
Dental Hygiene Education Program
PROGRAM POLICIES:
Professional Development
Dental hygienists are professionals and must conduct themselves in an ethical and professional manner at all
times. Arriving on time (both at the beginning of class and after breaks), being prepared for class, listening in class
and respectively honoring the teacher and/or a classmates when they are speaking, dressing appropriately by
following the uniform requirement, and keeping food and drink out of the classroom are all examples of
professional conduct. Please refer to the clinic manual for further examples of professional and unprofessional
conduct/behavior.
Scholastic Honesty
It is assumed that all students are enrolled in class to learn; therefore, cheating is not an acceptable practice.
Dishonesty of any type in a course, including cheating on examinations or plagiarizing materials, can result in a
grade of “F” and may be cause for suspension and/or termination. Plagiarism includes passing off or attempting to
pass off the ideas or writing of another person as one’s own.
Students are not allowed to copy another student’s work. Collaboration on assignments is prohibited unless
explicitly permitted by the instructor. When collaboration is permitted, students must acknowledge all
collaboration and its extent in all submitted work.
Students are prohibited from operating any type of audio or video recording device in a classroom, laboratory, or
clinical setting without prior expressed permission from the Campus President or Academic Dean. Prohibited items
include, but are not limited to; video cameras, telephones with audio or video recording capability, computers,
electronic tablets, or watches with audio or video recording capability. This is not an all-inclusive list. Violations of
this policy may lead to disciplinary actions up to and including dismissal from school.
Attendance Policy
Regular and punctual attendance at all scheduled classes is expected of all students and is a key to successful
program completion. When a student enrolls, he or she accepts the responsibility of attending all classes and
completing all class work assigned by the instructor. Beginning with the first class period, instructors will report
absences at each class meeting and this information is entered in the student’s permanent record.
Students may not miss in excess of 10% of scheduled class hours per Term. If, at the end of a Term, a student has
missed in excess of 10% of scheduled class hours, he or she will be placed on attendance probation beginning with
the next Term. Clinical hours missed count toward the 10%. During any Term, three clinical absences are the
maximum number allowed. Should the student exceed three clinical absences in any Term, he or she may be
subject to withdrawal from the program. Students need to notify the clinic and/or instructor in advance by phone
or email and carbon copy (CC) the Program Director if they are going to be absent from the clinic or classroom.
While on attendance probation, students may not miss in excess of 10% of the scheduled class hours in the Term.
Any student on probation who misses in excess of 10% of scheduled class hours has violated the Terms of
probation and will be withdrawn from the program immediately upon determination of the violation, but no later
than the end of that Term. A dental hygiene student may only be on attendance probation one time during the
entire program. Should the student be absent in excess of 10% of scheduled class hours in any future Term, the
student will be withdrawn from the program. Any student who is absent for more than 10% of the scheduled class
hours, in the final Term of the Dental Hygiene program, will be withdrawn from the program. Should that student
apply for readmission and be accepted, he or she will be required to repeat all final Term course work. If the
student on attendance probation does not exceed the 10% absence during the Term, he or she will be removed
from probation at the end of the Term. Any student terminated for violating the attendance policy may apply for
readmission once he or she has met the conditions of the readmission policy. All clinical objectives must be
satisfied before a final grade may be given for a course. Each student is directly responsible to the individual
instructor and/or Program Director and the Academic Dean for absences. Any student who misses 10 consecutive
scheduled class days and does not return on the 11th day will be withdrawn, regardless of his or her attendance
status.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 9 of 11
Concorde Career College
Dental Hygiene Education Program
If a student must be absent for reasons of sickness or family emergencies, notifying the instructor in advance by
phone or email and CC the program director is required. The student may be required to complete a missed
assignment, which will be determined by the instructor. Absences without instructor or clinic notification will be
subject to a write-up for the student. Quizzes may not be made up – see the policy for Missed Quizzes and
Examinations/Tests.



If a student is scheduled for a board examination in the last Term, then the day they are absent for that
examination will not be included in the percentage missed calculation, if the examination is approved by
the program director, but arrangements must be made according to the syllabus policy for any missed
assignments/tests and the student must provide proof that the examination was taken on that day.
Each uninformed absence or tardy will be recorded as a reduction in points for the professionalism grade
outlined in the professionalism portion of the syllabus, and will count toward your percentage of missed
class hours.
A student will be required to attend mandatory tutoring if he or she misses more than 20% of the DH227
Board Review class in Term 7, and this tutoring may postpone graduation.
Missed Quizzes and Examinations/Tests
If a quiz is missed, it cannot be made up and you will receive a zero (0) for that quiz grade.
If an examination/test including mid-term or final is missed, it can be made up only if the instructor is advised in
advance of the class and must be made up within five (5) days from the first day the student returns to class to
take a missed examination/test.
The student must initiate the request to reschedule on the first day of return. It is the student’s responsibility to
schedule time outside of regularly scheduled class hours with the instructor to take a missed examination/test.
Please Note: If an examination/test is not rescheduled on the day of return or if you are absent on the
rescheduled time, you will receive a zero (0). The format for a missed examination/test may be different from that
used for the class examination/test.
Examination/Test Taking
On examination/test days, quizzes, midterms and finals, students will be seated in assigned seats. All backpacks,
purses, and any other belongings will be placed in the front of the classroom until after the examination. Students
must be in their seats at the time the instructor distributes the first quiz paper in order to take the quiz.
Mandatory Tutoring
Tutoring can be arranged for any student who demonstrates academic need or requests additional help. If a test
score below 75% is received on the Midterm, mandatory tutoring will be scheduled and must be completed within
the following week.
Course Completion
Dental Hygiene students must earn a “C” (75%) or better in each course in the program and maintain a minimum
cumulative grade point average of 2.0 for all course work attempted.
To satisfactorily complete a course with a clinical component, the student must earn a “C” (75%) or better in both
the didactic and clinical components of the course independently in order to successfully complete the course and
move forward in the program.
Should terminated students choose to reapply, they must meet the current catalog readmission requirements for
the program.
Office Hours
Instructors will be available to meet with students by appointment. In respect to all instructors and curriculum
confidentiality, students are not allowed in the faculty office.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 10 of 11
Concorde Career College
Dental Hygiene Education Program
Front Office
As in most dental offices, the front office is a very important part of the clinic. For this reason, no more than two
(2) students are allowed in the front office area at a time. Although the clinic phone number may be given to
family members in case of an emergency, personal calls may not be made from the clinic phone. Patients may be
confirmed from the front office phone.
Grades of Incomplete
The policy for a grade of incomplete is found in the college catalog.
Cell Phone Use
Students may not use cell phones in the hallways or classrooms. Cell phones should be used in the student lounge
or outside the building only.
Eating and Smoking
Students are welcome to pause, relax, and eat and drink in the student lounge. Smoking is not allowed in the
building. If students wish to smoke, they may do so outside the building in designated areas. Smoking is strictly
prohibited in all areas of the school, including all hallways, restroom facilities, and the reception area. No food or
beverages are allowed in laboratories. No food or beverages are allowed in classroom except bottled water with a
top.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DHYG2360 Oral Pathology
Page 11 of 11
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