COURSE DESCRIPTION SUBJECT: ORAL SURGICAL PATHOLOGY II ACADEMIC YEAR 2020/2021
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COURSE DESCRIPTION SUBJECT: ORAL SURGICAL PATHOLOGY II COURSE: 3RD SEMESTER: 2ND DEGREE: DENTISTRY MODALITY: ATTENDANCE IS REQUIRED ACADEMIC YEAR 2020/2021 FACULTY OF MEDICINE
Course Description / Academic year 2020-2021
1. COURSE/SUBJECT IDENTIFICATION
1.- COURSE/SUBJECT:
Name: ORAL SURGERY II
Code: b328/ 16307
Year (s) course is taught: 3rd Semester (s) when the course is taught: 2nd
Type: Compulsory ECTS of the course: 6 Hours ECTS: (30)
Language: English Modality: Attendance is required
Degree (s) in which the course is taught: Dentistry
School which the course is taught: Medicine
2.- ORGANIZATION OF THE COURSE:
Department: Dentistry
Area of knowledge: Stomatology
2. LECTURERS OF THE COURSE/SUBJECT
1.-LECTURERS:
Responsible of the Course CONTACT
Name: Ester Jiménez Martínez
Phone (ext): 913724700 ext 4839
Email: ejimenez@ceu.es
Office: Office 204 D Building
Teaching and Research profile Professor, PhD
Research Lines Oral surgery and oral medicine
Lecturer(s) CONTACT
Name: Ignacio De Lucas González
Phone (ext): 913724700 ext 4839
Email: Ignacio.delucasgonzalez@ceu.es
Office: Office 204 D Building
Lecturer(s) CONTACT
Name: Angel Manuel Díaz Lanciego
Phone (ext): 913724700 ext 4839
Email: adlanciego@ceu.es
Office: Office 204 D Building
2Course Description / Academic year 2020-2021
Name: María Robles Rubio
Phone (ext): 913724700 ext 4839
Email: maria.roblesrubio@ceu.es
Office: Office 204 D Building
2.- TUTORIALS:
For any queries students can contact lecturers by e-mail, phone or visiting their office during the
teacher’s tutorial times published on the students’ Virtual Campus.
3. COURSE DESCRIPTION
Oral surgery is a compulsory subject that is taught in 3rd year of dentistry degree, it has 6 ECTS credits
with theorical-practical nature. This subject establishes an important relationship with the subjects of
the previous courses namely regional anatomy, anesthetics, general pathology, etc… . In this subject
students will acquire knowledge of different pathologies, anatomy and its relation with oral surgery.
4. COMPETENCIES
1.- COMPETENCIES
Code Basic and General Competencies
GC.20- Obtain and produce a medical history containing relevant information
20.
GC.21- Knowing to perform a complete oral examination, including the appropriate radiographic tests and
21 exploration, as well as the clinical references.
GC.22- Be able to prepare an initial diagnostic judgement and establish a strategy reasoned diagnosis, being
22 competent in the recognition of the situations that require urgent dental care.
GC.23- Establish the diagnosis, prognosis and adequate therapeutic planning in all areas of clinical dentistry,
23 being competent in the diagnosis, prognosis and elaboration of the dental treatment plan of the
patient requiring care, special patients, including medically compromised patients (sauce as
diabetics, hypertensive, immunosuppressed, anticoagulants, among others) and disable patients.
Code Specific Competencies
SC34.- To know the way to perform the basic treatments of the pathology of the mouth in patients of all
ages. Therapeutic procedures should be based on the concept of minimum invasion and in a global
integrated approach to dental treatment.
3Course Description / Academic year 2020-2021
SC35.1 Diagnose, plan and know how to perform, in general, a treatment multidisciplinary, sequential and
- integrated approach of limited complexity in patients of all ages and conditions.
SC35.2 Diagnose, plan and know how to perform, in general a multidisciplinary treatment, sequential and
- integrated approach of limited complexity in patients with specific care (diabetic, hypertensive,
oncological, transplanted, immunosuppressed, anticoagulated, among others or disabled.
SC Specifically, the dentist should be competent in establishing a diagnosis, of a prognosis and the
SC35.3 development of an adequate treatment planning, and so particularly in orofacial pain, temporo-
- mandibular disorders, bruxism and other parafunctional habits; dental and periapical pathology; oral
trauma; periodontal and peri-implant tissues; bone pathology of the jaws, soft orofacial tissues
adjacent glands, partially and complete edentulous patients.
SC36.1 For the establishment of the diagnosis and treatment plan dentist should know how to take and
- interpret x-rays and other procedures based on the image, relevant to the dental practice.
SC36.2 For the establishment of the diagnosis and treatment plan dentist should perform diagnostic models,
- assemble and take interocclusal references.
SC36.3 For the establishment of such diagnosis and treatment plan, the dentist must know how to determine
- and identify the patient's aesthetic requirements and the possibilities of satisfying his or her
concerns.
SC36.4 For the establishment of such diagnosis and treatment plan the dentist must identify the patient that
- requires special care, recognizing its characteristics and peculiarities
SC36.5 For the establishment of such diagnosis and treatment plan the dentist must know how to assess the
- motor and sensory function of the mouth, jaws and adjacent tissues.
SC36.6 For the establishment of such diagnosis and treatment plan the dentist must know how to perform
- limited procedures of invasive diagnostic techniques in soft tissues (biopsies).
SC37.1 To establish an adequate treatment the dentist must be competent in the knowledge of the
- appropriate prescription of drugs, knowing their contraindications, interactions, systemic effects and
non desirable effects on other organs.
SC37.2 To establish an adequate treatment the dentist must be competent to know how to simulate
- locoregional anesthesia techniques, in phantoms and objects intended to simulate the performance of
the anesthetic technique.
SC37.3 For the establishment of an adequate treatment the dentist must be competent to know how to
- prepare and isolate the surgical area.
SC37.5 To establish an adequate treatment the dentist must be competent in knowing how to identify and
- attend any dental emergency.
SC37.8 To establish an adequate treatment the dentist must be competent in the knowledge on how to
- perform simple surgical procedures: extraction of erupted permanent and temporary teeth, fractured
or retained roots and uncomplicated surgical removal of unerupted teeth and simple pre-prosthetic
procedures, on phantoms and models designed for that purpose.
2.- LEARNING OUTCOMES:
Code Learning outcomes
To know the different aspects of the anamnesis and exploration techniques oriented to the
accomplishment of a correct diagnosis and therapeutic planning in Oral Surgery.
To know the concept, epidemiology, etiopathogenesis and anatomo-clinical characteristics of
neuromuscular diseases, oral mucosa, salivary glands and maxillary bones susceptible of being
medically treated.
Justifying indication of the different diagnostic techniques in such diseases.
Perform the diagnosis and differential diagnosis, and establish the prognosis of such processes.
Plan the medical treatment of the analyzed nosological entities and know the evolution of them
4Course Description / Academic year 2020-2021
5. LEARNING ACTIVITIES
1.- DISTRIBUTION OF STUDENTS` ASSIGNMENT:
Total hours of the course 180
Code Name On-campus
hours
5516 Theorical classes 45
5516 Practical classes 57
TOTAL Presence Hours 102
Code Name Not on-
campus hours
5516 Self student work x78
2.- DESCRIPTION OF LEARNING ACTIVITIES:
Activity Definition
The teacher will present certain aspects of introduction to the different theoretical parts
AF1 of the subject, as well as the integration of them, according to the program of the
Lecture subject. Supporting materials will be used (documents that will be distributed in class
and digitized that will be accesible through the virtual campus).
The teacher explains the subjects corresponding to the program. Seminars will be
given following the program of the subject, developing the knowledge acquired in the
AF2 lectures, with the active participation of the students. Supporting materials will be used
Seminar (documents that will be distributed in class and digitized that will be accesible through
the virtual campus).
Academic tutorial Academic tutorials will be conducted aimed at knowledge acquisition skills, learning
skills acquisition competence and knowledge communication competence. If the
instructions of the work carried out are the student and also, a student's request, all
the difficulties that may arise in the learning process will be addressed.
- The practical classes will be developed in the laboratory for 4 days in
AF4 sessions of 3 hours per day,
Practice - Once the corresponding Practice Schedule has been assigned, no change
will be allowed except for justified cause.
6. ASSESMENT OF LEARNING
1.- CLASS ATTENDANCE:
5Course Description / Academic year 2020-2021
• In order to be eligible for examination by continuous assessment students must attend at
least 75% of scheduled class time (attendance sheets will be used). As students may be
absent 25% of the classes, no attenuating circumstances will be accepted for absences.
• 100% attendance at practical classes is required.
2.- ASSESMENT SYSTEM AND CRITERIA:
ORDINARY EXAMINATION (continuous assessment)
Code Name Percentage
Attendance to theoretical classes and seminars (> 75%) 1%
Practical activity (laboratory, workshop, final practical exam) 10%
Theoretical exam 89%
FINAL RESULTS FOR THE COURSE 100%
RE-TAKE EXAM/EXTRAORDINARY EXAMINATION
Code Name Percentage
Practical activity (laboratory, workshop, final practical exam) 12%
Theoretical exam 88%
FINAL RESULTS FOR THE COURSE 100%
3.- DESCRIPTION OF ASSESSMENT CRITERIA:
Assessment criteria Definition
Ordinary This call will be both practical and theoretical. The overcoming of each part separately,
examination test and short questions, having to obtain a grade of at least 5 in the test, considering
that for every 3 wrong answers one correct answer will be deducted, and a score of 5
on each short questions.
Extraordinary exam The student who does not passed the subject in the ordinary exam, must submit to the
final examination of the extraordinary exam with the whole subject. In the qualification
of the extraordinary exam, the percentages established in the ordinary will not applied,
and will be the one of the extraordinary, theoretical and practical examination, the
overcoming of each part separately, test and short questions, obtaining a grade of at
least 5 in the test, considering that for every 3 wrong answers one correct answer will
be deducted, and 5 on each short questions, as well as those that must be examined of
the practical, taking into account that the minimum require score must be greater or
equal to five points out of ten.
6Course Description / Academic year 2020-2021
7. COURSE PROGRAMME
1.- COURSE PROGRAMME:
THEORETICAL:
PART I Dental impaction
Unit 1: Dental impaction. Concept. Incidence, prevalence of impacted teeth. Epidemiology. Factors that
influence dental impaction: Local factors: embryological, mechanical factors. General factors:
Physiological delay of the eruption. Pathological delay of the eruption.
Unit 2: Third molar pathology. Concept. Importance and frequency of pathological phenomena during the
evolution and eruption of the third molar. Anatomo-embryological considerations. Anatomical factors
involved in relation to the third molar. Clinical phenomenology: infections, sinusitis, abscesses, lymph
node involvement.
Unit 3: Lower third molar pathology. Diagnostic methods to plan the extraction of the third molar included.
Interpretation of clinical and radiographic signs prior to extraction surgery. Therapeutic approach.
Surgical technique. Complications.
Unit 4: Impacted canines. Pathogenesis. Clinical manifestations. Radiological diagnosis Therapeutic
possibilities. Surgical protocol of extraction: design of incisions and technique depending on the
location. Peroperative and postoperative complications.
Unit 5: Other impacted teeth. Radiological diagnosis and computerized axial tomography (CAT). Surgical-
orthodontic treatment of impacted teeth. Surgical-orthodontic techniques of buccal, palatal and lingual
retention. Tooth body mobilization.
Part II Oral and maxillofacial infections
Unit 6: Reimplantation and dental transplant. Indications and contraindications. Repair and healing
process of the dental socket. Ligamentous healing. Prevention of complications. Prognosis.
Unit 7: Odontogenic infections. Concept. Generalities. Ethiopathogenesis: causative factors. Dental,
peridental, non-dental origen. Factors involved in the spread of infection. Local and general factors.
Bacteriology.
Unit 8: Cellulitis and abscesses of dental origin. Factors involved in odontogenic infection. Anatomical
reminder of the cervicofacial cellular spaces: buccal fold space, lip-menton region, upper labial region,
canine space, genial region, palatine region, sublingual region, suprahyoid region, masseteric region,
temporal region, pterygomandibular region, zygomatic region, parotid region .
Unit 9: Classification of cellulitis. Acute circumscribed serous cellulite (phlegmon), suppurated acute
circumscribed (abscess), diffuse acute, disseminated forms and chronic cellulite. Clinical presentation
and topographic approach.
Unit 10: Treatment of cellulitis. Medical treatment (etiological and symptomatic): Antibiotherapy
(penicillin, cephalosporin, macrolides, metronidazole, quinolones). Symptomatic treatment of
odontogenic infections (inflammation and pain). Surgical treatment: anesthesia, incisions, debridement,
drainage. Treatment of specific infectious processes: pulpitis, periodontitis, alveolitis, pericoronaritis.
Unit 11: Periapical and root surgery. Concept. Indications. Contraindications and limitations. Surgical
technique: anesthesia, incision design, apicectomy and periapical curettage, hemostasis, retrograde
cavity preparation, fillers, suture. Complications of Root surgery: hemisections and root amputations.
Unit 12: Infections of the jaws: alveolitis, periostitis, osteitis, osteomyelitis. Anatomical considerations,
local and general etiological factors. Histopathological mechanisms: Phase of rarefaction, necrosis and
condensation. Clinical forms. Diagnosis. Treatment.
Unit 13: Infections of the jaws. Osteoradionecrosis: concept, ethiopathogenesis, treatment and
prophylaxis. Osteonecrosis due to bisphosphonates. Management in oral surgery.
7Course Description / Academic year 2020-2021
Unit 14: Odontogenic sinusitis. Anatomical reminder of the maxillary sinus. Pathogenesis .Clinical forms:
acute, chronic maxillary sinus, maxillary sinus empyema. Sinus lift Techniques and filling materials.
Part III Pre-prosthesis surgery
Unit 15: Surgery-prosthesis relationship. Ethiology of bone resorption. Anatomical changes in the
toothless patient with bone and soft tissues. Soft tissue surgical techniques: bridle, scar flanges, buccal
groove hyperplasia, fibrous hyperplasia of the palate tuberosity, muscle insertions, vestibuloplasty.
Complications.
Unit 16: Surgical techniques on hard tissues: exodontics, alveoloplasty, alveolar regeneration. Acute
protrusions and ridges, tori exeresis, maxillary tuberosity, deepening of the dental nerve, tuberoplasty
and zygomaticplasties. Biomaterials in preprosthetic surgery. Complications.
Unit 17: Osseointegrated implants. Osseointegration. Tooth-implant histological differences. Types of
implants. Treatment of implant surfaces. Surgical protocol for implant placement: patient selection,
clinical assessment, radiological examination, assessment of bone quality and quantity, implant
placement (single implant, rehabilitation with 2 or more implants), osteointegration times in the maxilla
and mandible. Implants of immediate and deferred loading.
Unit 18: Laser in oral surgery. Indications. Advantages and disadvantages.
Part IV Cysts and tumors of the jaws
Unit 19: Tumors and tumoral conditions of the jaws. Development of buco-maxillary structures. General
concept of anaplasia, hyperplasia and dysplasia. Tumors and tumoral conditions: generalities and
classifications. Diagnosis in oral cancer surgery.
Unit 20: Cysts of the jaws: generalities. Classification. Odontogenic inflammatory cysts. Odontogenic
epithelial cysts: root cysts, paradental cyst. Pathogenesis. Clinical manifestations, diagnosis, treatment
and surgical technique.
Unit 21: Cyst of the jaws. Developmental odontogenic epithelial cysts: dentigerous cyst, eruption, lateral
and primary periodontal cyst. Gingival cyst, glandular odontogenic cyst. Odontogenic keratocysts
(primary cyst).
Unit 22: Cysts of the jaws. Non-odontogenic epithelial cysts: nasopalatin duct cyst, nasoalveolar cyst,
globulomaxillary cyst, medial alveolar cyst, palatine and mandibular cyst, ciliated surgical maxillary cyst.
Non-epithelial cysts: solitary bone cyst, aneurysmal bone cyst, Stafne idiopathic cavity.
Unit 23: Benign odontogenic tumors. Tumours of the odontogenic epithelium with mature fibrous stroma
without odontogenic ectomesenchyme. Tumours of the odontogenic epithelium with ectomesenchyme
with or without formation of hard dental tissues. Tumours with mesenchyme and odontogenic
ectomesenchyme with or without odontogenic epithelium. Concept. Pathogenesis Pathological anatomy.
Clinical manifestations. Diagnosis and treatment.
Unit 24: Benign tumours of the jaws. Generalities. Classification: osteogenic tumors, chondrogenic
tumours, fibrous connective tumours, neurogenic tumours, vascular tumours, childhood
neuroectodermal melanotic tumours, ectopic inclusions tumours.
Unit 25: Hyperplasias and benign tumours of the oral soft tissues. Traumatic-inflammatory hyperplasias,
cysts of the salivary glands, disembrioplasias, neoplasms.
PRACTICAL WORK PROGRAMME:
- Practice 1: Maxillary dental anatomy.
- Practice 2: Mandibular dental anatomy.
- Practice 3: Preparation of extraction models in plaster.
- Practice 4: Surgical maxillary instruments for exodontia.
- Practice 5: Surgical mandibular instruments for exodontia.
- Practice 6: Surgical exodontia. Bone removal. Tooth sectioning. Roots extraction.
- Practice 7: Impacted canines surgical exodontia.
- Practice 8: Impacted third molar surgical exodontia.
8Course Description / Academic year 2020-2021
- Practice 9: Periapical surgery. Apex removal.
- Practice 10: Incisions (on mattress).
- Practice 11: Suture (on mattress)
- Practice 12: Suture (on chicken flesh)
8. RECOMMENDED READING
1.- ESSENTIAL BIBLIOGRAPHY:
Cirugía Bucal. Patología y Técnica. Donado. 4ª. Edición. Madrid.
Contemporary Oral and maxilofacial surgery. James Hupp, Edward Ellis, Myron Tucker. 6th edition.
2.- ADDITIONAL BIBLIOGRAPHY:
Essentials of dental radiography and radiology. Whaites and Drage. 5th edition.
Handbook of local anesthesia. Stanley F. Malamed. Elsevier.
Handbook of radiographic and positioning technique. Bontrager y Lampignano.
4.- WEB RESOURCES :
Medline
Pubmed
Primal Atlas
9. ATTITUDE IN THE CLASSROOM
1.- REGULATIONS
Failures in Academic Integrity (absence of citation of sources, plagiarism of work or improper
use / prohibited of information during examinations), as well as sign on the attendance sheet by
a non-classmate, will imply the loss of continuous assessment, without prejudice to being
penalized according to the University regulations.
The use of electronic devices during classes, both theoretical and practical, is not permitted.
Likewise, it is restricted the use of the documentation provided by the teacher through the virtual
campus (presentations, questions, exercises, seminars, practice books, etc.) to the preparation
of the subject.
The teachers reserve the right to use the measures contained in the current legislation on
Intellectual Property, in cases where an unauthorized use and / or disclosure of such material
is detected.
9Course Description / Academic year 2020-2021
10. EXCEPTIONAL MEASURES
Should an exceptional situation occur which prevents continuing with face-to-face teaching
under the conditions previously established to this end, the University will take appropriate
decisions and adopt the necessary measures to guarantee the acquisition of skills and
attainment of learning outcomes as established in this Course Unit Guide. This will be done in
accordance with the teaching coordination mechanisms included in the Internal Quality
Assurance System of each degree.
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