ODONTOSTOMATOLOGIC CLINIC (5A-1S) ATT
ODONTOSTOMATOLOGIC CLINIC (1 credits) | INTERNSHIP (3 credits) |
Learning outcomes of the course unit
The aim of the course is to provide students with the major fundamental concepts enabling them to make a correct diagnosis
of pre-cancerous and cancerous lesions of the oral cavity, together with instrumental and laboratory diagnostic
investigative techniques. The Course also aims to provide the fundamental elements for handling odontostomatological
problems (clinical and therapeutic aspects) of patients affected by systemic diseases.
Course contents summary
1. DIAGNOSTIC PROTOCOL FOR PRECANCEROUS LESIONS AND INITIAL CARCINOMA
Biopsy
-incisional (simple - targeted - map)
-excisional
-needle-aspiration
-exfoliative cytology
Immunohistochemical techniques
2. PROGNOSTIC FACTORS OF PRECANCEROUS LESIONS AND ORAL CARCINOMAS
factors linked to the host
factors linked to the tumour
classical risk factors
infectious factors
dietary factors
3. DIAGNOSTIC PROTOCOL FOR PRECANCEROUS LESIONS AND MALIGNANT TUMOURS OF THE ORAL CAVITY
Epidemiology
Screening
TNM
Grading/Staging
Histological, immunological and genetic diagnostic techniques
Tumour markers
4. DIAGNOSTIC PROTOCOL FOR METASTATIC LESIONS
lymph node metastasis
distance metastasis
5. TREATMENT FOR PRECANCEROUS LESIONS AND INITIAL CARCINOMA
Surgical treatment
Medical treatment
Chemoprevention of tumours
6. HEAD-NECK TUMOURS
The prevention of oral carcinomas
Odontostomatological diseases connected with Radiotherapy
Odontostomatological diseases connected with chemotherapy
Odontostomatological diseases connected with surgical treatments
7. TREATMENT PROTOCOL FOR THE RADIO-CHEMO-TREATED ONCOLOGICAL PATIENT
Prevention of odontostomatological diseases
-Epithelial dysplasia
-Lichenoid dysplasia
Medical treatment
Surgical treatment
Dental/prosthetic treatment
8. PAIN IN THE CRANIOFACIAL DISTRICT
Odontogenous pain: diagnosis and treatment
Reversible and irreversible dental pulp diseases
Apical periodontitis
Abscesses and phlegmons
Alveolitis-Osteitis
Pharmacotherapy: NSAIDs and antibiotic treatment
9. BURNING MOUTH SYNDROME
diagnostic protocol
therapeutic orientations
10. XEROSTOMIA
Diagnostic protocol
Correlated odontostomatological diseases
Sjogren's syndrome: differential diagnosis and treatment protocol
11. THE EFFECTS OF DRUGS ON THE ORAL CAVITY
Dental and mucosal pigmentation
-intrinsic
-extrinsic
Gingival hypertrophy/hyperplasia
Oral ulcerations
Effects on the salivary glands
Drug-induced dysvitaminosis
Teratogenic effects in the craniofacial district
12. THE ALLERGIC PATIENT
Diagnostic protocol
Odontostomatological approach
Therapeutic approach
Allergies in odontostomatology: dental prevention
13. THE CARDIOPATHIC PATIENT
The main cardiac diseases
Odontostomatological approach
Correlated stomatological aspects
Pharmacotherapy of the cardiopathic patient
14. PATIENTS WITH HAEMORRAGHIC DISEASES
The main haemorrhagic diseases
Odontostomatological approach
Correlated odontostomatological diseases
Pharmacotherapy in the patient affected by haemorrhagic diseases
15. THE NEPHROPATHIC PATIENT
Overview of renal-dialysis-transplant pathophysiology
Odontostomatological diseases in nephropathy
Clinical odontostomatological and therapeutic approach
Pharmacotherapy in the nephropathic patient
16. THE HEPATOPATHIC PATIENT
Overview of hepatic pathophysiology
Odontostomatological diseases in hepatopathy
Pharmacotherapy in the hepatopathic patient
17. THE DIABETIC PATIENT
The main forms of diabetes mellitus (types 1 and 2)
Odontostomatological approach
Correlated odontostomatological diseases
Pharmacotherapy in the diabetic patient
18. PATIENTS INFECTED WITH HIV
HIV infection
Odontostomatological approach
Correlated odontostomatological diseases
Pharmacotherapy in patients infected with HIV
19. PRE
Recommended readings
BIBLIOGRAPHY:
Scully C., Cawson R.: Il trattamento odontoiatrico del paziente affetto da malattie sistemiche-Antono Delfino Editore
Regezi , Sciubba : Le malattie della mucosa orale-
Ficarra G.: Manuale di medicina e patologia orale- McGraw-Hill