The subject "ORAL PATHOLOGY AND MEDICINE II" is one of the compulsory subjects of the Degree in Dentistry. It is part of Module 4 called "PATHOLOGY AND DENTAL THERAPEUTICS", being the continuation of its predecessor "PATHOLOGY AND MOUTH MEDICINE I" which is taught in the 2nd year, during the 2nd four-month period.

The general objective of this subject is for the student to acquire the necessary skills to be able to establish a diagnosis, a prognosis and develop the most appropriate therapies for the main diseases of the oral cavity and the adjacent maxillofacial structures.

It is a subject with an eminent health character, which is fundamental in the development of Odontology as a Health Science and which is aimed at achieving the diagnosis of very important diseases, such as oral cancer, in order to be able to establish their adequate treatment.

The work that will be developed in this subject will allow the student to know the main characteristics of oral and maxillofacial diseases, taking into account their local and systemic repercussions, in order to make an adequate diagnosis of these diseases, carry out their prevention, plan the most appropriate treatment and outline their prognosis.

In order to be able to develop well in the subject of "Oral Pathology and Medicine II" and not have difficulties, it is necessary to have an established knowledge of the following subjects: Oral Pathology and Medicine I, Oral and Maxillofacial Pathology, Physiology, Microbiology and Immunology, and Pharmacology, among others.

The teaching/learning of this subject presents 4 thematic blocks:

A. Oral Mucosal Pathology

B. Salivary Pathology

C. Regional Pathology

D. Bone Pathology



MODULE COMPETENCES

1.- The student must be competent in establishing a diagnosis, a prognosis and in the development of an adequate therapeutic plan in oral soft tissue pathology, bone pathology of the jaws and of the glands and adjoining structures.

For the establishment of the diagnosis and treatment plan, the student must acquire the competence to take and interpret radiographs and other image-based diagnostic procedures relevant to dental practice in order to diagnose and establish the treatment plan.

3.- The student must be competent to identify patients requiring special care, recognising their characteristics and peculiarities.

4.- The student must be competent to indicate and carry out limited procedures of diagnostic techniques, both non-invasive and invasive in soft and hard tissues (biopsies).

5.- Be competent to manage acute infections, including pharmacological prescription and the simple surgical aspects necessary for their treatment.

6.- Be competent in the treatment of the most common oral and maxillofacial hard and soft tissue diseases.

7.- Be competent to collect scientific information corresponding to Pathology and Oral Medicine, analyse it, discuss it and summarise it, in order to express its main contents correctly, both in writing and orally.

8.- Be competent to work as part of a team, tackling cooperative tasks, helping in healthcare tasks, in the collection and analysis of clinical data, in the discussion of diagnoses and cooperation in treatments.

9.- The student must be competent to adopt a favourable attitude towards learning and continuous updating in Pathology and Oral Medicine.



LEARNING OUTCOMES:

. -PBII1. Apply the fundamental knowledge of Oral Pathology and Medicine in the diagnosis, treatment and prevention of the main diseases of the oral and maxillofacial area.

. -PBII2. Use the knowledge acquired in Pathology and Oral Medicine to resolve clinical cases in a coherent manner, make a differential diagnosis and a final diagnosis, establish a therapeutic approach and make a prognosis.

. -PBII3. Work with scientific information corresponding to Pathology and Oral Medicine, in order to analyse, discuss, summarise and express ideas correctly, both in writing and orally.

. -PBII4. Work in a team to tackle cooperative tasks in the context of Oral Medical Pathology: assist in care tasks, collect and analyse clinical data, discuss diagnoses and cooperate in treatments.

. -PBII5. Adopt a favourable attitude towards learning pathology and oral medicine in dentistry as a health science, being proactive, participative and with a spirit of self-improvement in the face of learning difficulties and continuous updating.

I. Introduction:



Topic 1.- Pathology and Oral Medicine. Concept and historical background. Planning. Objectives and Programming.



II. Non neoplastic pathology of the oral mucosa:



Elemental lesions of the oral mucosa.

Traumatic, physical, chemical and medicinal lesions of the oral mucosa.

Topic 4.- Viral stomatitis.

Bacterial stomatitis.

Topic 6.- Mycotic stomatitis.

Oral mucosal diseases I: Aphthous ulcers.

Diseases of the oral mucosa II: Leukoplakia and Erythroplakia.

Immunological based diseases I: Oral lichenoid disease.

Immunological based diseases II: Pemphigus and Pemphigoid. Erythema multiforme. Desquamative gingivitis.

Immune-based diseases III: Lupus erythematosus. Other dermatoses with oral repercussions.



III. Neoplastic pathology of the oral mucosa:



Benign neoplasms of the oral mucosa.

Oral cancer: squamous cell oral carcinoma I.

Oral squamous cell carcinoma II.

Oral squamous cell carcinoma III.

Oral cancer: Other malignant neoplasms.



IV. Salivary pathology:



Functional alterations of the salivary glands.

Sialolithiasis and sialoadenitis.

Salivary cysts and neoplasia. Other sialopathies.

Salivary neoplasms.



V. Regional pathology:



Topic 21.- Pathology of the lips.

Pathology of the jugal region. Pathology of the palate. Pathology of the floor of the mouth.

Pathology of the tongue I.

Pathology of the tongue II.

Pathology of the tongue III.

Pathology of the neck.



VI. Bone pathology:



Bone dystrophies.

Osteomyelitis and osteonecrosis.

Cysts of the jaws.

Odontogenic neoplasms.

Other neoplasias of the jaws.

Malformative syndromes with orofacial repercussion.

In this course we will try to use different methodologies:

- Lectures for the acquisition of theoretical and practical competences.

- Seminars for the acquisition of theoretical and practical competences. In Groups with a Tutor Teacher.

- Classroom practice for the acquisition of theoretical and practical competences.

- Clinical practicals for the acquisition of practical competences. Each group of 6 students will have a Tutor Teacher.



Teaching will be face-to-face or distance learning, as determined by the UPV/EHU in its syllabus.

• Continuous Assessment System
• Final Assessment System
• Tools and qualification percentages:
  • Written test to be taken (%): 35
  • Multiple-Choice Test (%): 35
  • Realization of Practical Work (exercises, cases or problems) (%): 20
  • Team projects (problem solving, project design)) (%): 5
  • Exhibition of works, readings ... (%): 5

The general evaluation of the subject is continuous, with evaluation of the theoretical content by means of individual written tests and of the practical content by means of continuous evaluation of the competences acquired in the clinical practicals, in the classroom practicals and in the seminars.

The individual written tests will account for 70% of the total mark for the course. They will consist of:

- Partial written exam (Topics 1 to 16) with 50 multiple-choice questions and 5 short questions.

- Final written exam (Topics 1 to 32) with 100 multiple-choice questions and 10 short questions, including clinical cases.

The exam will be face-to-face or non-face-to-face as determined by the UPV/EHU.

In order to pass the course, a grade of at least 5/10 must be obtained in the theoretical assessment.

The continuous assessment of the clinical practicals, classroom practicals and clinical seminars will constitute 30% of the final grade.

In order to pass the course, a grade of 7/10 in the practical part of the course and an attendance/participation in the practical part of the course of 75% will be required.

Attendance/participation in all the practical content of the course is compulsory.

Students who so request may opt for a single Final Examination, which will be both theoretical and practical, with as many exams as necessary to assess the learning required in the whole of this discipline.

Failure to take the compulsory practical activities must be justified, in all cases, in accordance with the regulations in force at the UPV/EHU.

PLAGIARISM:

Students may not present a copy or imitation of a work carried out by a third party as if it were their own. Students must know and use the rules of citation. The existence of plagiarism may lead to the rejection of the work and consequently, the failure of the subject.

In order to waive the ordinary exam, it will be enough if they do not present themselves for the exam. In addition, students may submit their resignation from the assessment period by writing to the lecturer coordinating the subject no less than 10 calendar days before the start date of the official exam period.

Given that attendance/participation in the seminars, classroom practicals and clinical practicals is compulsory, those students who, despite having attended them and having a positive evaluation, and after taking the final exam, fail the subject in the ordinary exam session, must take a single final theoretical exam consisting of a written test of multiple-choice questions and short questions with clinical case resolution.

In the case of choosing the final exam instead of the continuous assessment, students must take a written exam and all the tests necessary for the evaluation of the acquisition of the practical competences of the subject itself, as reflected in the section of the ordinary call.

In order to waive the extraordinary call, it will be sufficient not to take it.

Written documents (books, articles, practice notebooks, etc.), computer documents (websites, blogs, notes, messages, emails, etc.) and teaching guides.
Clinical practice equipment and materials.

Basic bibliography

-Bagán JV. Medicina y Patología Bucal (2º Ed). Valencia, Medicina Oral S.L., 2021.

-El-Naggar, JR Chan, T Grand, Slootweg, JKC. WHO Classification of Head and Neck Tumors. (1º ed). Lyon, IARC Publications; 2017.

-Greenberg MS, Glick M, Ship JA. Burkets Oral Medicine (11º Ed). Hamilton, BC Decker Inc, 2008.

-Neville BW, Damm DD, Allen CM, Chi AC. Oral and Maxillofacial Pathology (4º Ed), Filadelfia, Elservier, 2015.

-Odell, E. Cawson Fundamentos de Medicina y Patología Oral (9ª Ed.). Barcelona, Elservier, 2018

-Loscalzo J, Fauci A, Kasper D, Hauser S, Longo D. Harrison. Principios de Medicina Interna (21º Ed). Madrid, McGraw-Hill, 2018.

In-depth bibliography

- Databases: Pubmed, Medline
- On-line training activities of the Spanish Society of Oral Medicine (SEMO) and the Iberoamerican Academy of Oral Pathology and Oral Medicine (AIPMB)

Journals

-New England Journal of Medicine
-Medicina Oral
-Patologia Oral
-Cirugía Bucal
-The Lancet
-Journal of Oral Pathology and Medicine
-Oral Oncology
-Haed&Neck
-Journal of Oral and Maxillofacial Surgery
-Oral Surgery
-Oral Medicine
-Oral Pathology
-Oral Radiology and Endodontics
-Archives of Oral Biology

Web addresses

-www.aaom.com
-www.bsom.org.uk
-www.oralpath.com