Course Name: General and Oral Pathology Instructor Name: Jodi Major BS RDH Course Number: DHY 140 Course Department: Dental Hygiene/ STEMM Course Term: Spring 2020 Last Revised by Department: 10-13-19 Total Semester Hour(s) Credit: 2 Total Contact Hours per Semester: Lecture: 30 hours Lab: 0 Clinical: 0 Internship/Practicum: 0 Catalog Description: This course encompasses the fundamental study of abnormal findings in and around the oral cavity, including identification of lesions, developmental disorders, neoplasia, genetics, inflammation, degenerative changes, oral manifestations of diseases and/or conditions. Instruction emphasizes case studies, vocabulary and terminology; along with the comprehensive integration throughout all clinical aspects of the inspection of the oral cavity and surrounding structures. Pre-requisites and/or Co-requisites: DHY-114 Dental Hygiene Anatomical Sciences Textbook(s) Required: Isben& Phelan, Oral Pathology for the Dental Hygienist, 7th ed Saunders. St Loius Optional: Langlasis & Miller, Color Atlas of Oral Disease, Williams & Wilkins, current ed. Access Code: No Required Materials: Textbook, index cards Suggested Materials: Binder, folder Course Fees: None Institutional Outcomes: Critical Thinking: The ability to dissect a multitude of incoming information, sorting the pertinent from the irrelevant, in order to analyze, evaluate, synthesize, or apply the information to a defendable conclusion. Effective Communication: Information, thoughts, feelings, attitudes, or beliefs transferred either verbally or nonverbally through a medium in which the intended meaning is clearly and correctly understood by the recipient with the expectation of feedback. Personal Responsibility: Initiative to consistently meet or exceed stated expectations over time. Department Outcomes: • To promote excellence in instruction and create a safe and nurturing learning environment that facilitates student learning and improves client care through research, guided self-study, online activities and varied clinical instructional opportunities. • To comprehensively prepare students for entry level dental hygiene with core knowledge of dental hygiene sciences, critical thinking skills and clinical skills for individualized delivery of preventative education and oral health care to diverse populations. • To provide effective education in dental hygiene to produce graduates competent to practice within the profession’s ethical and legal framework pertinent to the role of a dental hygienist and who participates in community service and lifelong learning through professional development. • To provide transferable education to allow graduates to continue their education in dental hygiene related fields. Program Outcomes: At the completion of the program the student will: • Function safely in clinical areas as a dental hygienist utilizing critical thinking and their knowledge base. • Become a competent health care provider who performs as an integral member of the dental team rendering oral health care to clients utilizing basic communication skills to meet individual’s needs. • Develop a personal practice philosophy that reflects sensitivity and cultural understanding to their client’s individual needs. • Demonstrate professional manners, attitudes and behaviors. • Assume leadership roles in the promotion of preventative health to meet the needs of the changing needs of the community. • Develop mutually beneficial collaborations with the local community, allied health, dental and dental hygiene professional and serve as a dental health resource for community groups. • Practice self-assessment and personal responsibility. • Utilize critical thinking skills when assessing, planning, implementing and evaluating comprehensive dental hygiene care and programs. • Recognize the value and need for lifelong learning. • Uphold the ethics of the dental hygiene profession. Student Learning Outcomes: • Objectives: Describe the etiology, clinical appearance, and treatment of common oral lesions, growths, and injuries • Describe the clinical appearance, etiology, treatment, prognosis, and oral manifestations of systemic and infectious diseases and genetic disorders. Objectives: Objectives Contents Learning activities/assessment 1. Define key terms. Chapter 1 Introduction Ongoing classroom assessment 2. List and describe the 8 diagnostic categories. Vocabulary Read: Chapter 1 3. Name a diagnostic category and give 1. Clinical appearance example of a lesion, anomaly, or 2. Consistency Answer the chapter review questions condition for which this category 3. Color greatly contributes to the diagnosis. 4. Size Vocabulary cards 4. Describe histological and radiographic 5. Texture appearance of cementomas. ( include the age, sex, and race of the patient) Radiographic terms 5. State all of the diagnostic categories 1. coalescence that can contribute to the diagnosis: tori, 2. diffuse squamous cell carcinoma, linea alba, 3. multiocular erythema migrans, leukoplakia, 4. Radiolucent nutrional deficiencies, angular cheilitis, 5. Radiopaque and necrotizing ulcerative gingivitis. additional words 6. List, describe and identify clinically and Diagnosis on a photograph the variants of normal a. Clinical 7. List, describe and identify clinically and b. Radiographic on a photograph characteristics of c. Histological conditions of the tongue. d. Laboratory e. Microscopic f. Surgical g. Therapeutic h. Differential Variants of normal Benign conditions with unique features Objectives Contents Learning activities/assessment 1. Define key terms Chapter 2 Inflammation and Repair Ongoing classroom assessment 2. Describe the differences between acute and chronic inflammation. Vocabulary Read: Chapter 2 3. Identify and list the major local and Injury and Innate Defense systemic signs of inflammation Inflammation Answer the chapter review questions 4. Describe microscopic events associated a. acute with each of the major clinical signs of b. chronic Vocabulary cards inflammation. c. Clinical signs, local and systemic 5. List the white blood cells that are involved d. Microscopic events in the inflammatory response and describe how e. Cells involved each is involved. f. Biochemical Mediators 6. List and describe the biochemical g. Systemic clinical signs mediators involved. Chronic Inflammation 7. List,describe 4 major systemic clinical Antiinflammatory therapy signs of inflammation. Reactive Tissue Response to Injury 8. Discuss chronic inflammation and a) hyperplasia antiinflammatory therapy b) hypertrophy 9. Compare and contrast the concepts of c) atrophy regeneration and repair. Tissue Repair 10. Describe the microscopic events that occur a) Microscopic Events During Repair during repair in the oral cavity and in bone. b) Types of Repair 11. Describe the clinical features, the cause c) factors that impair healing when known, histological and/or radiographic appearances, and treatment in detail of injuries Injuries to the teeth and oral soft tissues a. teeth b. soft tissues Reactive Connective Tissue Hyperplasia Inflammatory Periapical Lesions Objectives Contents Learning activities/assessment 1. Define key terms Chapter 3 Immunity And Immunologic Oral Ongoing classroom assessment 2. Differentiate between the immune response Lesions and inflammation Vocabulary Read: Chapter 3 3. List and describe the 3 main types of lymphocytes, origins and purpose. Immune response and Antigens Answer the chapter review questions 4. List and describe macrophages, and a. cells involved dendritic cells origins and purpose. Vocabulary cards 5. Desribe cytokines & what their role is. Divisions of Immune response 6. Differentiate between humoral and cell a. humoral mediated responses and their cells. b. cell-mediated 7. Differentiate between passive and active immune response and list examples of Types of Immunity each. Immunopathology 8. List and describe hypersensitivity reactions Hypersensitivity and give examples of each a. Type I 9. Describe how autoimmunity & b. Type II immunodeficiency results in disease. c. Type II 10. Compare and contrast the three types of d. Type IV aphthous ulcers and systemic disease e. Drugs associated with aphthous ulcers. Autoimmune Diseases 11. Describe and compare the clinical features of urticaria, angioedema, contact mucositis, Oral Immunologic Lesions and Diseases fixed drug eruption and erythemia multiforme. Autoimmune Diseases with Oral 12. Describe clinical features of Erythema Manifestations multiforme & Steven-Johnson Sydrome. 13. Describe the clinical and histological features of lichen planus. Immunodeficiency 14. Describe the triad of systemic signs of Reiter syndrome, including oral lesions. 15. Name the two cells that histologically characterize Langerhans cells disease and describe the 3 different forms including names traditionally associated with these conditions. 16. Describe oral manifestations of the following: Sjogrens syndrome, lupus erythemaous (LE), pemphigus vulgaris, cicatricial 17. pemphigoid and Behcets syndrome 18. Describe clinical features of desquamative gingivitis and three diseases in which it may occur. 19. Describe the components of Behcet syndrome. 20. Describe & list examples of primary & secondary immunodeficiency. Objectives Contents Learning activities/assessment 1. Differentiate between the inflammatory and immune Chapter 4 Infectious Diseases Ongoing classroom assessment response to infection. 2. Describe factors that allow opportunistic infections to Vocabulary Read: Chapter 4 develop and list 2 examples that