Download Dent 524 OD 4 2013-1014 updated Jan 2014

DENT 524: ORAL DIAGNOSIS 4
(1 credit hour : 1 clinical session)
Jordan University of Science and Technology
Faculty of Dentistry
Department of Oral Medicine and Surgery
First / Second Semester
Course Syllabus
Course Information
Course Title
Course Code
Prerequisites
Course Website
Course Coordinator
Office Location
Oral Diagnosis 4
Dent 524
Oral Diagnosis 1, 2 & 3 (Dent 423, Dent 424, Dent 523)
e-learning
Dr. Huda Hammad
JUST
Office Phone
7201000 ext.23969
Office Hours
E-mail
Monday 10-12 am
[email protected]
Prof. Dr. Azmi Darwazeh, Dr. Huda Hammad, Dr. Rima Safadi, Dr.
Ashraf Shaweesh, Dr. Reem Azzam, Dr. Dima Badr, Dr. Omar
Negresh, Dr. Ahmad Bdeir, Dr. Basma Qudah, Dr. Abeer Miqdadi
Course instructors
Course Description
This course is a continuation of Dent 523. It is a practical course that teaches students skills
of gathering, recording and evaluating information that contribute to identifying
abnormalities of the head and neck region which relate to the patient's total health. The
purpose of obtaining this information is to establish a diagnosis from which a rational dental
treatment plan can be formulated.
Text Book
Title
Author(s)
Publisher
Year
Edition
Book Website
Other References
Assessment Policy
Assessment Type
Midterm Exam
(continuous clinical
assessment)
Oral Diagnosis, the Clinician’s Guide
Warren Birnbaum & Stephen Dunne
Wright
2000, reprint 2006
1st
Clinical Oral Diagnosis and Emergency Treatment Manual
Weighted average for the 2 courses+ final exam.
- 40 marks clinical evaluation.
- Each student is to examine at least 2 patients (average out
of 40), and assist in examination of at least one patient
for each of the remainder of the sessions, where assessment is
conducted on every session.
Final Exam
Assignments
Attendance
- Student assessment in the full examination cases
(out of 10 for each case) is based on:
1. professionalism, attire and infection control (1.5/10 marks)
2. history taking (1.5/10 marks)
3. extraoral examination (1/10 marks)
4. intraoral examination (1.5/10 marks)
5. clinical diagnosis (1.5/10 marks)
6. radiographic diagnosis (1.5/10 marks)
7. treatment planning (1/10 marks)
At the end of the continuous course, Dent 523-524
Each student is to examine at least 2 patients, and assist in
examination of at least one patient per remainder of attended
sessions.
Students are expected to attend all clinics. Formal excuse is required
in case of absence up to 20% of course.
Participation
Course Objectives: The student will be able to:
1. Take history and obtain relevant information from patients.
Percentage
10%
2. Examine the head and neck in general including the TMJs, masticatory
muscles, cervical lymph nodes, salivary glands, jaws and oral cavity
efficiently.
10%
3. Examine intraoral soft tissues and recognize variations from normal
and /or pathologic lesions.
4. Chart the dental findings using the correct symbols.
10%
5. Decide which investigation methods are needed and conduct them
efficiently.
10%
6. Interpret dental radiographs for pathological and anatomical findings
using appropriate radiological terms.
10%
7. Decide on the provisional diagnoses based on collected information.
10%
8. Present cases using the appropriate medical and dental terms in a
conclusive manner.
10%
9. Decide an appropriate treatment plan and refer patients accordingly.
10%
10. Understand and apply principles of infection control.
Teaching & Learning Methods
10%
10%
One 3-hour clinic/2 weeks. Each student is to examine at least 2 patients, and
assist in examination of at least one patient. After examining the patient, the
student is to present the case to the instructor, who will re-examine the
patient, and discuss the required clinical and radiographic investigations with
the student. After radiographic interpretation before the instructor, the student
is to make a treatment plan, which will also be discussed by the instructor.
For the assistant role, the student is to answer questions regarding the case,
including clinical and radiographic diagnoses.
Learning Outcomes: Upon successful completion of this course, students will be able to
Related Objective(s)
Reference
Ask the proper questions to
Oral Diagnosis, the
1
patients and obtain adequate
Clinician’s Guide
relevant information.
Identify the chief complaint
Oral Diagnosis, the
1
of the patient.
Clinician’s Guide
Take pain history fully (start,
Oral Diagnosis, the
duration, severity, type,
Clinician’s Guide
1
provoking factors, relieving
factors).
Take adequate history of oral lesions Oral Diagnosis, the
1
(when noticed, associated symptoms, Clinician’s Guide
changes, recurrence).
Take relevant medical history
Oral Diagnosis, the
1
using proper medical terms.
Clinician’s Guide
Recognize any changes in
Oral Diagnosis, the
treatment plan or precautions
Clinician’s Guide
1
needed based on the medical
history or medications used
by the patient.
Examine the head and
Oral Diagnosis, the
recognize any abnormality in
Clinician’s Guide
2, 10
the eyes, conjunctiva, ears,
nose, lips, skin and facial
profile.
Describe any lesions in the
Oral Diagnosis, the
head/neck using the
Clinician’s Guide
2
appropriate descriptive
medical terms.
Examine the TMJ for any
Oral Diagnosis, the
tenderness, clicking,
Clinician’s Guide
2, 10
limitation in movement or
deviation of the mandible.
Examine the muscles of
Oral Diagnosis, the
2, 10
mastication (temporalis,
Clinician’s Guide
2, 10
3, 10
3
3
4, 10
4
4, 10
3, 4, 10
4, 10
5, 10
5, 10
5
masseter) for tenderness.
Examine lymph nodes in the
head and neck (occipital, preauricular, post-auricular,
submandibular, submental
and cervical lymph nodes) for
any tenderness, enlargement,
whether they are freely
mobile of fixed to underlying
tissues.
Examine the oral soft tissues
systematically and to
recognize normal anatomic
structures.
Recognize variants of normal.
Recognize any abnormalities
in the oral soft tissues and to
provide a full description of
the findings.
Examine teeth systematically
and to recognize dental caries
(incipient, cavitations,
arrested).
Identify different types of
tooth wear.
Examine teeth for mobility
and tenderness.
Identify dental related
problems like sinus tracks,
gingival swelling and/or
tenderness, gingival
inflammation and facial
swelling.
Perform charting of the dental
findings using the appropriate
symbols.
Make decisions regarding
further investigations needed
like radiographs and vitality
testing.
Conduct pulp testing using
electric pulp testing and
thermal pulp testing using dry
ice (ethyl chloride).
Explain and interpret pulp-
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
testing results.
Describe radiographic
6
findings using proper terms.
Recognize anatomic
6
structures in radiographs.
Recognize pathological
lesions (dental caries,
6
radiopaque and radiolucent
lesions).
Identify major artifacts
6
radiographs and their sources.
Make a clinical diagnosis
based on history, examination
7
and further investigations
used.
Make a treatment plan and to
9
arrange it according to
priorities.
Present the case orally using
appropriate terms in an
8
informative and conclusive
manner.
Identify cases of dental
9
emergency.
Make a decision of the best
emergency treatment that can
be offered to the patient
9
depending on medical history,
clinical and radiographic
findings.
Useful Resources
Any atlases of oral pathology and medicine, printed or online.
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Oral Diagnosis, the
Clinician’s Guide
Course Content
Week
Topics
1
Practical course (no lectures)
Chapter in Textbook &
Handouts
NA
Additional Notes
Attendance: Students must attend 100% of all scheduled clinical sessions. Class
participation is required. Should an absence be necessary, the student should contact the
course instructor by telephone immediately. Work missed can ONLY be made up with an
excused absence.
- Late arrivals beyond half an hour to class are unexcused absences.
- All course make-ups, tests, and so forth, must be completed within 14 days from the date of
the excused absence.
Professionalism




Makeup Exams

Drop Date
Cheating





Attendance
Absenteeism




Students with
Special needs


Participation
Individual
conferencing and
consultations



Gross violations of the formal codes are governed by University
laws, which delineate the procedures to determine whether a
violation of the code of ethics occurred and, if so, what remedies
should be imposed.
We encourage students to abide by the more sensitive approach
to this by allowing the practice of a high Morality (or proper
behavior), which defines right and wrong by the society,
philosophy, religion, and individual conscience.
Students and their instructors often make ethical choices
reflexively. But in ethically sensitive situations, where time,
emotions and marks cause pressures, it becomes all too easy to
be blind-sided by temptation. The best antidote to ethical lapses
is to commit in advance to a set of ethical principles - your
personal ethical code that follows or grows to it.
Any difficulty or concern during the course should be passed
directly to the course coordinator.
It is applicable when an acceptable and valid excuse is presented
at the applicable time.
N/A
It is unethical and illegal by any means.
JUST regulations will be applicable.
It is mandatory for all sessions.
To receive course credit, a student should attend a minimum of
90% of the contact hours of the class.
Students who are absent for the clinic must contact the course
coordinator prior to the class.
If case of absence from sessions, the course coordinator will
refer to related guidelines set by the university.
Any student who is absent on a test day will have to demonstrate
an acceptable medical or social statement explaining the illness
or personal crisis as instructed by their faculty.
Individual instructors may accommodate arrangements for a
make-up test only when a written request is sent to and approved
by the Dean.
Any student who feels that s/he may need accommodation for
any type of disability is encouraged to contact the course
coordinator who will be happy to help in any way.
Accommodations to the course plan can be tailored to the needs
of specific individuals after consultations with the Dean.
All students are highly encouraged to participate in the classes.
The course coordinator is always available to talk with the
students when problems arise.
If you have any problems that require the attention of an
instructor, do not wait until the problem is insurmountable.

Course changes





If a student must talk with the course coordinator after office
hours, an appointment can be made for that time.
Do not allow tension to build-up to unsolvable proportions.
Information contained in this course outline are correct at the
time of publication.
Content of the courses is revised on an ongoing basis to ensure
relevance to changing educational and employment needs.
The course coordinator reserves the right to add or delete
material from courses and will endeavor to provide notice of
changes to students as soon as possible.
The timetable may also be revised to accommodate holidays and
unexpected off days.