| CODE | DNS4035 | ||||||||||||||||||||
| TITLE | Oral Medicine, Surgery, Pathology and Radiology 2 | ||||||||||||||||||||
| UM LEVEL | 04 - Years 4, 5 in Modular UG or PG Cert Course | ||||||||||||||||||||
| MQF LEVEL | 6 | ||||||||||||||||||||
| ECTS CREDITS | 9 | ||||||||||||||||||||
| DEPARTMENT | Dental Surgery | ||||||||||||||||||||
| DESCRIPTION | This study-unit is designed to deliver further knowledge in Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology. It consists of formal lectures, tutorials and sessions with patients in the clinical setting. This study-unit covers tumours and fibro-osseous lesions, mucosal lesions, conditions affecting the maxillary sinus and temporomandibular joint, oral radiology techniques including extra-oral imaging, and oral surgical techniques for the management of impacted and fractured teeth, and maxillary sinus. Students will be expected to keep a logbook of procedures and visits to the pathology laboratory and Oral Surgery department. These shall include: - 10 complete medical histories, extraoral and intraoral examination and diagnostic tests (when necessary) of oral medicine patients; - 40 extractions; - 2 visits to pathology; - 2 general anesthesia sessions. Study-unit Aims: This study-unit will allow the student to: • Be able to diagnose and manage systemic disorders that manifest themselves in the oral cavity; • Have a knowledge of the radiographic manifestations of conditions that effect the jaws; • Be proficient in the principles and techniques of minor oral surgical procedures. Learning Outcomes: 1. Knowledge & Understanding By the end of the study-unit the student will be able to: A. Cysts of the jaws and head and neck region • Classify cysts of the jaws; • Describe current views on their pathogenesis; • Explain their clinical, radiological and histopathological features; • Discuss the principles of management and expected behaviour. B. Odontogenic tumours and fibro-osseous lesions • Discuss odontogenic tumours, fibro-osseous lesions and of other bone tumours; • Classify odontogenic tumours and of fibro-osseous lesions; • Discuss current views on their pathogenesis; • Outline their clinical, radiological and histopathological features; • Discuss the principles of management and expected behaviour; • Describe the more common bone tumours that occur in the jaws. C. Lesions of the oral mucosa • Discuss the more common lesions that occur in the oral mucosa; • Describe the clinical presentations of oral mucosal diseases and the investigations required to reach a diagnosis; • Explain the principles of pathology, immunology and microbiology relevant to oral mucosal disease; • Discuss the management of oral mucosal lesions including when to refer; • Describe the pathology of malignancy and the principles of cancer therapy relevant to oral malignancy. D. Oral Radiology • Explain the principles and practice of interpretation; • List the guidelines on making a radiological differential diagnosis; • Report on films- methods and conventions; • Describe the following fundamentals of radiological anatomy: - Teeth and periodontium; - Describe Jaws and facial bones; - Soft tissue shadows and air spaces; • Pathology: - Define fundamental terms; - Describe radiological terms; - Explain developmental abnormalities; - Explain cysts of the jaws; - Discuss differential diagnosis of radiolucent lesions; - Describe tumours of the jaws; - Describe fibro-osseous lesions; - Discuss diseases of the paranasal sinuses. E. Oral Surgery • Describe basic principles of oral surgery, including flap design and elevation, biopsies (excisional and incisional); • Discuss the management of odontogenic infections; • Explain the management of complicated extractions and impacted teeth; • Explain the surgical management of periapical pathology; • Discuss the principles of surgical orthodontics; • Explain the surgical management of odontogenic cysts; • Discuss the management of oro-facial pain; • Describe the management of maxillary sinus disorders; • Describe the management of Temporomandibular joint disorders. • Explain the basic principles of sedation as a tool for the for dental procedures. F. Pharmacotherapy • Describe the different therapies available for the treatment of oral mucosal lesions; • Discuss the different pharmacological therapies used in surgical procedures; • Describe the interactions of the different pharmacological therapies used in the dental procedures. 2. Skills By the end of the study-unit the student will be able to: • Take a history from patients; • Recognise signs and symptoms of disease; • Explain the pathology behind disease processes affecting the head and neck; • Manage these conditions in the clinical setting and refer when necessary; • Identify disorders of the oral mucosa, including malignant and potentially malignant lesions; • Manage at a primary care level disorders of the oral mucosa, including malignant and potentially malignant lesions; • Use the different pharmacotherapies to manage the common disorders of the oral mucosa and surgical procedures in a clinical setting. Main Text/s and any supplementary readings: - Essentials of Oral Pathology and Oral Medicine. Roderick A. Cawson, Edward Odell, Stephen R. Porter. 7th edition 2002 ISBN: 0443071063. - Oral Pathology. J V Soames, J C Southam. 4th edition 2005. ISBN: 0198527942. - Oral Pathology: Clinical Pathologic Correlations. Joseph A. Regezi, James J. Sciubba, and Richard C. K. Jordan. 5th edition 2005. ISBN: 1416045708. - Essentials of Dental Radiography and Radiology. E. Whaites. 4th edition. Churchill Livingstone. ISBN: 0443-07027-x. - Principles of radiological physics. R. Wilkes. Churchill Livingstone. ISBN: 0-443-03780-9. - Nuclear safety and radiation protection. Regulations 2003. LN 44 of 2003. Supplement Government Gazette No. 17, 347 dated 28th January 2003. - Oral Radiology: Principles and Interpretation. White and Pharaoh. 5th Edition. Mosby. ISBN: 0-323-02001-1. - Oral and Maxillofacial Surgery: An Objective-Based Textbook. Jonathan Pedlar BDS PhD FDSRCS(Eng), John W. Frame PhD MSc BDS FDSRCS(Eng & Ed). Churchill Livingstone; 2 edition. ISBN-13: 978-0443100734. - Oral Medicine and Pathology at a Glance. Crispian Scully , Oslei Paes de Almeida , Jose Bagan , Pedro Diz Dios, Adalberto Mosqueda Taylor. Wiley-Blackwell. ISBN-13: 978-1405199858. - Oral and maxillofacial surgery. Peterson. |
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| RULES/CONDITIONS | Before TAKING THIS UNIT YOU MUST PASS DNS3107 | ||||||||||||||||||||
| ADDITIONAL NOTES | A pass in this study-unit is required before registering for DNS4135. In order for students to be awarded an overall pass in the study-unit, they need to satisfy the following conditions: • obtain a mark of at least 45% in the Written Examination; • obtain a mark of at least 45% in the Objective Structured Clinical Examination; and • obtain an overall pass in the Clinical Assessment and the Yearly Clinical Performance*. * The Yearly Clinical Performance mark is an average of all the clinical work completed throughout the year. Attendance to scheduled sessions, inclusive of lectures/tutorials, practical, laboratory and clinical components is compulsory. Students who do not attend at least 90% of the scheduled sessions will not be allowed to sit for any of the assessment components mentioned below. |
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| STUDY-UNIT TYPE | Indep Study, Lect, Onl Sessions, Prac & Tut | ||||||||||||||||||||
| METHOD OF ASSESSMENT |
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| LECTURER/S | Maria Luisa Gainza-Cirauqui Adam Bartolo Joanna Basic Nicolas Bezzina Dougall Nicholas Busuttil Rebecca Schembri Higgans Timothy Vella Briffa |
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The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints. Units not attracting a sufficient number of registrations may be withdrawn without notice. It should be noted that all the information in the description above applies to study-units available during the academic year 2025/6. It may be subject to change in subsequent years. |
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