UW School of Dentistry


Clinical Oral Pathology Conference

John Evans

2 Credits / Quarter 13 (Autumn, Fourth Year)

Course Description

Clinical-pathologic conference/seminar stressing clinical findings of various oral lesions through exploration of etiology, pathogenesis, histopathology, and treatment modalities for oral pathology cases drawn from files of the Division of Oral Pathology.

Educational Objectives

The student will gain knowledge in the principles of diagnosing lesions of the oral cavity and supporting bone. The objectives will be for the student to be able to (1) develop a differential diagnosis for an oral lesion based on a clinical history and findings, (2) reach a definitive diagnosis based on the histopathology of the lesion, (3) list the clinical features that formed the basis for their differential diagnosis, (4) describe the important histopathologic features that formulate the basis of their final diagnosis, and (5) list additional diagnostic aids to help in the diagnosis and treatment of a specific oral lesion and, (6) understand the professionalism and ethics of referral of a patient for biopsy and the responsibility for follow-up of that patient.

Course Outline

Lecture on the legal responsibility of dentists in recognizing, diagnosing and treatment of oral disease, the diagnostic technique and principals of biopsy, discussion of two of the 28 assigned cases per session as well as one unknown current case from the Oral Pathology Biopsy Service and review of common oral lesions. The diagnoses and treatments are evidence based. Ethnic/gender variation of disease is discussed where appropriate. A panel discussion with representatives from general practice, Endodontics, Periodontics and Oral and Maxillofacial Surgery discuss criteria and procedures for referral of an oral lesion for biopsy. This discussion includes the professionalism and ethics of referral of a patient for biopsy and the responsibility for follow-up in the patient’s care.

Course Expectations

To successfully meet the requirements of this course, the student must attend class sessions and demonstrate their understanding of developing a differential and final diagnosis by submitting their workup on the assigned cases, and submit a final diagnosis on each in class unknown.

Effective Winter Quarter 2007, completion of on-line course evaluation is a requirement of this course. Failure to comply will result in an “Incomplete” grade being assigned.

Competencies Addressed

  • UWSOD Competency 1: Examine a patient using contemporary diagnostic methods to evaluate the head and neck region and to reach a diagnosis of the patient’s oral and craniofacial health status.
  • UWSOD Competency 3: Formulate a comprehensive treatment plan based on diagnostic findings, then implement treatment in a safe, properly sequenced and timely manner.
  • UWSOD Competency 11: Diagnose and manage hard and soft tissue lesions and diseases of the orofacial complex.
  • UWSOD Competency 14: Manage periodontal diseases.
  • UWSOD Competency 22: Utilize critical thinking in assessing technical and scientific information for use in identifying patient needs and treatments.


  • Syllabus with 28 cases
  • Oral and Maxillofacial Pathology by Neville, Damm, Allen & Bouquot (3rd ed), 2009, Saunders Elsevier.
  • Course Website

*last updated: 2/11/2013