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HERMAN OSTROW SCHOOL OF DENTISTRY OF USC INSTRUCTIONAL SYLLABUS - CBY 575 Biologic Basis of Oral-Facial Disease _________________________________________________________________________ I. Basic Information Course ID: CBY 575 Course title: Biologic Basis of Oral-Facial Disease Course type: Lecture Program: Advanced Specialties in Endodontics, Periodontics and Prosthodontics Students: ENDO 2018, PERI 2019, PROS 2018 Semester and day/time: Fall 2016, Mondays 9:00-10:00AM, Fridays 8:00-10:00AM Lecture rooms: Mondays, Seminar C – Fridays: Guggenheim Units: 3 Name of Instructor(s): Jorgen Slots o Office: DEN 4306 o Office hours: By appointment o Phone: (213) 740-1091 o Email: [email protected] o Blackboard address, homepage (if relevant): N/A o TA(s)/Volunteers; including contact information and office hours, if relevant: N/A II. Course/Unit Description Cell and molecular biology of oral tissues in disease; emphasis on molecular oral pathology. III. Course/Unit Objectives Upon completion of the course, each student should be able to understand and describe: 1) Major morphological characteristics, biochemical features and taxonomical aspects of human bacteria, viruses, fungi and parasites. 2) Basic principles in microbial molecular biology as it relates to virulence and methods of identification. 3) Basic features of humoral and cellular host immune responses in infectious processes. 4) Major clinical and microbiological features of major nonoral infectious diseases. 5) The antimicrobial spectrum and potential adverse effects of commonly used antimicrobial agents. 6) The major microorganisms in and the microbial ecology of the human oral cavity. 7) The microbiology and immunology of dental caries. 8) The microbiology and immunology of periodontal disease. 9) The microbiology and immunology of endodontic lesions. 10) The microbiology of oral mucosal infections. 11) Transmissible infections in dentistry, infections disease control and Hepatitis B vaccination. IV. Competency Alignment or Advanced Specialty Proficiency This course helps students (USCSD competencies) 8. Perform a comprehensive diagnostic evaluation based upon the application of scientific principles, and current literature, with consultations as appropriate. 13. Provide patient education and preventive procedures to maximize oral health. 14. Recognize periodontal disease, treating uncomplicated conditions, and referring complicated periodontal procedures. 17. Recognize pulpal and periradicular disease, treating uncomplicated conditions and referring complicated endodontic procedures. 22. Recognize and manage pain, hemorrhage, trauma and infection of the orofacial complex. 23. Select and administer or prescribe pharmacological agents in the treatment of dental patients. V. Learning Resources (textbooks, articles, digital resources) Recommended Reading material CONTEMPORARY ORAL MICROBIOLOGY AND IMMUNOLOGY (Slots & Taubman), THE IMMUNE SYSTEM 4th edition (Garland) E-books E-journals. VI. Schedule/Course Calendar Sep 09: Introduction to immunology: cells and tissues of the immune system and immune recognition Learning needs: 1) Moncytes/macrophages ABULHAMAEL 2) T-cells and B-cells ELBWARDY 3) Polymorphonuclear leukocytes WHARTON‐LAKE 4) Antibody classes and production FATH 5) Cellular immunity EL HUSSEINI Sep 12: Inflammation, immunodeficiency, hypersensitivity Learning needs: 1) Complement system MAGAR 2) Immunodeficiency OLSON 3) Hypersensitivity reactions HAGHPARAST Sep 16: Molecular biology I Learning needs: Sep 19: Molecular biology II Learning needs: Sep 23: Major bacterial diseases Learning needs: Sep 26: Major viral diseases I Learning needs: Sep 30: Major viral diseases II Learning needs: 1) Structure of DNA and genetic code HAGHPARAST 2) Transcription and translation PATEL 3) Operon TANDON 4) Restriction endonucleases WADIA 1) Methods of creating recombinant DNA molecules CHOI 2) The polymerase chain reaction FATH 3) Pyrosequencing and illuminasequencing LIM 1) Pathogenic properties of bacteria EL HUSSEINI 2) Respiratory infections SEDLER 3) Sexually transmitted diseases MORENO‐ALEMAN 4) Skin infections ALSATIAN 1) Viral pathogenesis and host defense ABULHAMAEL 2) Laboratory identification of viruses OLSON 3) Control of viral infections/antiviral agents MAGAR 4) Childhood viral diseases TANDON 1) Hepatitis viruses FATH 2) HIV ALBABTAIN 3) Herpesviruses HAGHPARAST Oct 03: Major mycotic/parasitic diseases Learning needs: 1) Respiratory viruses ALSATIAN 2) Mycosis caused by yeasts SEDLER 3) Major parasitic diseases WHARTON‐LAKE 4) Antiseptics ELBWARDY Oct 07: Antibiotics Learning needs: 1) Factors in antibiotic selection MORENO‐ALEMAN 2) The penicillins/cephalosporins WADIA 3) The tetracyclines HE 4) Antibiotics against anaerobic infections CHOI 5) The macrolides, the quinolones EL HUSSEINI Oct 10: Introduction to oral microbiology I Learning needs: 1) Oral microbial ecology TANDON 2) Methods to diagnose oral bacteria ALBABTAIN 3) Oral gram-positive cocci JEONG Oct 14: Introduction to oral microbiology II Learning needs: 1) Oral gram-positive rods MORENO‐ALEMAN 2) Non-pigmented oral gram-negative rods ELBWARDY 3) Black-pigmented oral gram-negative rods MAGAR 4) Spirochetes WHARTON‐LAKE Oct 17: Microbiology of periodontal disease I Learning needs: 1) Microbiology of acute and chronic gingivitis SEDLER 2) Microbiology of juvenile/aggressive periodontitis EL HUSSEINI 3) Microbiology of chronic (adult) periodontitis WADIA Oct 21: Microbiology of periodontal disease II Lecture/Catching up Oct 24: Microbiology of dental caries Learning needs: 1) Relationship between mutans streptococci and dental caries CANESSA 2) Relationship between lactobacilli, actinomyces and other bacteria and dental caries ALSATIAN 3) Monitoring the cariogenic flora in clinical practice LIM Oct 28: Microbiology of endodontic infections I Learning needs: 1) Endodontic bacterial sampling FATH 2) Pulpitis microbiota ABULHAMAEL 3) Microbiota with necrotic pulps HAGHPARAST 4) Cellular infiltrate, cytokines and chemokines in endodontal diseases CHOI Oct 31: MIDTERM I Nov 04: MIDTERM II Nov 07: Microbiology of endodontic infections II Lecture/Catching up Nov 11: Various microbiological topics Lecture/Catching up Nov 14: Microbiology of oral mucosal and submucosal infections Learning needs: 1) Superinfections CANESSA 2) Systemic manifestations of oral infections MAGAR 3) Stomatitis HE Nov 18: Introduction to oral immunology Learning needs: 1) Development and general features of oral immune system PATEL 2) Innate immunity in the oral cavity OLSON 3) Secretory antibodies LIM 4) Gingival crevice fluid environment WADIA Nov 21: Immunology of periodontal diseases and transplantation immunology Learning needs: 1) Humoral immunity in periodontitis SEDLER 2) Cellular immunity in periodontitis EL HUSSEINI 3) Transplantation of teeth and bone CANESSA Nov 24: THANKSGIVING Nov 28: Immunology of dental caries/pulpal immunobiology Learning needs: 1) Role of antibodies in dental caries JEONG 2) Immunization approaches against dental caries HE 3) Pulpal response to infection ABULHAMAEL 4) Periapical response to infection CHOI Dec 02: Transmissible infections in dentistry, infectious disease control, vaccination of dental personnel Learning needs: 1) Transmissible viral infections ALBABTAIN 2) Transmissible bacterial infections WHARTON‐LAKE 3) Disinfection and sterilization in the dental office CANESSA 4) Guidelines for vaccination of dental personnel PATEL Dec 05: Endocarditis prophylaxis Learning needs: 1) Oral causes of endocarditis JEONG 2) Guidelines for endocarditis prophylaxis in dentistry – current recommendations and trends TANDON Dec 09: FINAL EXAMINATION VII. Course/Unit Requirements and Grading/Evaluation POLICIES: 1. Each resident is responsible for reading and having a detailed knowledge of each learning need before coming to class. All residents must prepare for a discussion in the class of each learning need. 2. Residents will be identified to produce a PowerPoint presentation pertaining to the learning needs of the week. Residents’ presentations must be e-mailed to each course participant and the course director no later than Wednesday preceding each Friday session and Thursday preceding each Monday session. Residents must also prepare for an oral presentation for the class. 3. Class attendance is mandatory. 4. Grades will be based on • class participation (10%), • participant write-up and presentation (25%), • two midterm examinations (15% for each, take-home essay tests, to be submitted by email to the course director at the day of the midterm), • and final examination (35%, written essay test in class covering 3 topics selected from the entire set of topics of the course). 5. Minimum satisfactory achievement is 67% positive score. 6. Make-up exams are allowed only in the case of illness or acts of God; the course director must be notified prior to the hour of the exam. 7. Residents who fail the course may repeat the final exam. Residents who fail the make-up exam must repeat the entire course. 8. The University policy regarding academic dishonesty is adhered to. VIII. Board Preparation This course/unit prepares students for Dental Specialist Board exams to achieve diplomat status. Academic and Professional Conduct: Should there be any suspicion of academic, professional or ethical dishonesty, students are referred to the Ostrow Student Professional Performance Evaluation Committee (SPPEC). The review process can be found in the Code of Ethics and Behavioral Guidelines on the School intranet. Plagiarism – presenting someone else’s ideas as your own, either verbatim or recast in your own words – is a serious academic offense with serious consequences. Please familiarize yourself with the discussion of plagiarism in SCampus in Section 11, Behavior Violating University Standards https://scampus.usc.edu/1100-behavior-violating-university-standards-andappropriate-sanctions/. Other forms of academic dishonesty are equally unacceptable. See additional information in SCampus and university policies on scientific misconduct, http://policy.usc.edu/scientific-misconduct/. Discrimination, sexual assault, and harassment are not tolerated by the university. You are encouraged to report any incidents to the Office of Equity and Diversity http://equity.usc.edu/ or to the Department of Public Safety http://capsnet.usc.edu/department/department-publicsafety/online-forms/contact-us. This is important for the safety whole USC community. Another member of the university community – such as a friend, classmate, advisor, or faculty member – can help initiate the report, or can initiate the report on behalf of another person. The Center for Women and Men http://www.usc.edu/student-affairs/cwm/ provides 24/7 confidential support, and the sexual assault resource center webpage [email protected] describes reporting options and other resources. Support Systems: A number of USC’s schools provide support for students who need help with scholarly writing. Check with your advisor or program staff to find out more. Students whose primary language is not English should check with the American Language Institute http://dornsife.usc.edu/ali , which sponsors courses and workshops specifically for international graduate students. The Office of Disability Services and Programs http://sait.usc.edu/academicsupport/centerprograms/dsp/home_index.html provides certification for students with disabilities and helps arrange the relevant accommodations. Any student requesting academic accommodations based on a disability is required to register with Disability Services and Programs (DSP) each trimester. A letter of verification for approved accommodations can be obtained from DSP. Please be sure the letter is delivered to DSP as early in the trimester as possible. DSP is located in STU 301 and is open 8:30 a.m.–5:00 p.m., Monday through Friday. The phone number for DSP is (213) 740-0776. If an officially declared emergency makes travel to campus infeasible, USC Emergency Information http://emergency.usc.edu/ will provide safety and other updates, including ways in which instruction will be continued by means of blackboard, teleconferencing, case library, intranet, email listserv, and other technology. Ostrow students should also access the Ostrow School of Dentistry Intranet for additional specific information in the event of an emergency.