Learning objectives
The aim of this Course is to provide the student, who is about to carry out
training activities, an overview of the main diseases of the oral cavity
with particular attention to the etiopathogenesis of each condition. In
addition, the Course would allow the acquisition of the basic diagnostic
and innovative techniques in order to acquire the basics of the proper
diagnostic protocol.
Prerequisites
Knowledge of anatomy, physiology and histopathology of the oral cavity.
Course unit content
To provide knowledge of the physiological para- physiological lesions and
pathological diseases of the soft tissues of the oral cavity, of the teeth,
jaw bones and perioral tissues, both from the clinical and
histopathological point of view. To provide understanding of the
elementary lesions as the basis for the differential diagnosis between the
different disesaes of the oral cavity. To provide basic elements of the
main clinical and histopathological diagnostic procedures. Ability to
perform a rational diagnostic path of oral diseases. To accustom students
to the differential diagnosis of oral diseases with special reference to
their correlation with systemic diseases and drug-related pathologies. To
make early detection of potentially malignant lesions of the oral cavity
and their prevention. To understand how to prescribe and evaluate
radiological and/or laboratory examinations for diagnostic, therapeutic
and prognostic aims. To understand the importance of a correct fill of
patient’s medical record with appropriate medical history and systemic
diseases. To write a proper report of the observed disease. To properly
expose the principal conditions and diseases of the oral cavity also to
non-medical users. To learn how to interact with colleagues. To become
able to use the correct medical evidence in the practice of oral medicine
and pathology.
Full programme
Semiotics of the Oral cranio-oro-maxillofacial district. Medical history,
objective examination, diagnostic tools. Anatomy-histology-embryology
of the oral cavity, the jaw and the cranium. Teeth embryology and
histology. Physiology of dentition. Dental anomalies of number, site,
position. Dental anomalies of structure and shape. Dental malformations.
Dental retention. Dysodontiasis of the 3rd molar. Complications in the
dysodontiasis of the 3rd molar. Abcesses and phlegmons in the
oromaxillofacial district. Osteitis and osteomyelitis of the maxillaries.
Diseases of the maxillary sinus. Cysts of the oromaxillofacial district:
Odontogenous cysts- Dysembryogenetic cysts- Mucosal cysts- Epidermal
cysts- Pseudocysts - Cysts in relation to systemic syndromes and
diseases. Odontogenous tumours of the jaw: Classification- Epidemiology-
Histopathology-Clinical manifestations Non odontogenous tumours of the
jaw: Classification-Epidemiology- Histopathology- Clinical manifestations
Anatomy, histology and physiology of the perioral skin, of the oral
mucosa and of the periodontium. Generalised, localised and drug-induced
increases in gingival volume. Phases and diagnostic protocol of oral
lesions. Clinical examination. Exfoliative cytology. Incisional and
excisional biopsy. Elementary lesions of the oral mucosa. Diagnostic
protocol for diseases of the oral mucosa. Conventional histological
examination. Immunohistochemistry. Direct and indirect
immunofluorescence Vesiculobullous diseases. Ulcerative diseases
Autoimmune diseases Infectious diseases: mycotic-bacterial-viral Oral
candidiasis: microbiological, epidemiological and clinical aspects of oral
infections deriving from Candida spp. Red and white lesions of the oral
cavity HIV infection and acquired immunodeficiency syndrome (AIDS):
correlated oral manifestations Human HerpesVirus-8: Correlation with
oral diseases Oral Premalignant lesions of the oral cavity: Oral lichen
planus- Erythroplakia-Leukoplakia- Initial carcinoma (in situ) Benign
tumours of the oral cavity: Classification-Epidemiology-Histopathology-
Clinical manifestations Malignant tumours of the oral cavity:
Classification- Epidemiology- Histopathology-Clinical manifestations
Anatomy, histology, physiology, and semiotics of the tongue- Congenital
and acquired tongue diseases- The taste function and its alterations
(dysgeusia-ageusia) Anatomy, histology, physiology and semiotics of the
major and minor salivary glands. Inflammatory diseases of the salivary
glands. Degenerative diseases of the salivary glands. Obstructive
diseases of the salivary glands (sialolithiasis). Benign tumours of the
salivary glands. Malignant tumours of the salivary glands. Bibliographic
research in dentistry and oral medicine: the principal database (PubMed,
EMBASE). Narrative and systematic reviews of the medical literature.
Bibliography
Regezi JA, Sciubba J. Patologia orale Dalla diagnosi alla terapia. Terza
edizione (1999) Edizione Italiana a cura di Antonio Carrassi. Antonio
Delfino Editore. Cawson R, Zinnie, Barrett, Wright. Oral Diseases III ed
Mosby (Versione Inglese) Cawson R, Zinnie, Barrett, Wright. Patologia
orale Antonio Delfino editore (Versione Italiana) Gandolfo S, Carrozzo M,
Scully C. Patologia e medicina del cavo orale. UTET Reichart PA,
Philiphsen H. Patologia Orale. Masson Ficarra G. Manuale di Medicina e
Patologia orale. MacGraw-Hill
Teaching methods
Lectures with scientific images and discussion of clinical cases in order to
train students to gain critical skills on the topics and allow to gain an
understanding of the physiological and paraphysiological conditions and
pathological diseases of soft tissue, teeth and jaw bones in order to
develop a correct diagnostic approach and management of different
possible clinical questions that may arise during their working life.
Assessment methods and criteria
Oral exam in order to ensure the quality and level of knowledge and
understanding of the course content and the ability to apply the acquired
knowledge to professional practice. The trial will also evaluate the quality
of student participation during lectures.
Other information
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