50 Oral Lesions – Selective
Course Director: Dr. Dolphine Oda
Quarter/Yr of Program: Summer, Autumn / 4
This course is designed to focus on a few specific diseases that are either common or very important to recognize as dentists. The course will focus on early recognition and appropriate management and treatment of each of these conditions. The students will be taught to sort through and explicate criteria that can be used as a standard of care for each of the common and important oral diseases. The ultimate goal is to optimize patient care and minimize misdiagnosis and mismanagement through focused knowledge. Students will review five clinical photographs/radiographs and their respective histologies and formulate a differential diagnosis and final diagnosis based upon the presented histology.
Upon completion of this course, the students will be able to:
- Identify most common and important oral epithelial, soft tissue and bony lesions
- Learn about the guidelines for managing oral soft tissue and bony lesions
- Be familiar with the latest diagnostic tests in oral cancer
- Learn about what lesions to biopsy and when
- Learn about what lesions to observe and why and how often
- Formulate an applied differential diagnosis
- Discuss treatment and clinical presentation of each disease
- Discuss complications of diseases when applicable
This course utilizes the basic science literature of oral diseases to interpret clinical and histological changes. It is designed to encourage the dental students to utilize applied clinical criteria to reach a decision on whether or not to biopsy and where to biopsy. This course will give the student a solid standard of care criteria for each of the covered diseases. This course will also expose students to the current literature of clinical management and treatment of oral diseases.
This course approaches the study of oral pathology in a typical clinical setting in which patients with various diseases are discussed clinically and histologically. One hour of weekly contact time is dedicated to discussing an average of five to ten cases. The cases are derived from the Oral Pathology Biopsy Service. Each case has a clinical/radiographic photograph and a corresponding glass slide representing the biopsy material from the area. During class students will be called on to formulate a clinical differential diagnosis; answer questions on clinical management; express opinion on whether or not to biopsy. If yes, students must decide on incisional or excisional biopsy and the site of biopsy, based on the histology. Students will discuss treatment and further clinical management; if the students decide to observe, they will have to discuss criteria that helped them reach that decision, as well as potential complications.
The recommended textbook for this course is:
Third edition of Oral& Maxillofacial Pathology by Neville, Damm, Allen & Bouquot, 2009. This book is to be used as a reference while studying; to gain additional information about a disease; to observe additional photomicrographs and radiographs of pathologic entities; and to clarify points, which may not be clear.
Date last updated: 2017-06-21