Ateneo - UPO

The course aims to allow the learning of the clinical characteristics of the main infectious, inflammatory and neoplastic diseases affecting the oral cavity, of the related semeiotics and of instrumental investigation useful for diagnosis, with a special focus on radiological methods applied to odontostomatology.

Dermatologia e malattie sessualmente trasmissibili - M. Pippione et al - Minerva Medica
Atlante di Dermatologia Clinica – T.B. Fitzpatrick, R.A. Johnson, K Wolff, M. K. Polano, D. Saavedra – Ed. Piccin
Manuale di Dermatologia Medica e Chirurgica – T. Cainelli, A. Giannetti, A. Rebora – Mc Graw Hill Education
Core Curriculum Dermatologia – A. Rebora, S. Veraldi – Mc Graw Hill Education
Pindborg JJ. Atlante delle malattie della mucosa orale. Milano. Masson 1995.
Valletta g, Bucci E, Matarasso S. Odontostomatologia. Padova. Piccin Nuova Libraria Spa. 1997.
Van dr Wall I, Pindborg JJ. Malattie della lingua. Milano. Scienza e tecnica dentistica edizioni internazionali srl. 1987
Wilkins E.M. (Ed.). La Pratica Clinica dell’igienista Dentale. XII Edition. Padova. Piccin Nuova Libraria S.P.A., 2020.
Welch L. Anamnesi personale odontoiatra e medica; pag. 154-174
Johnson LB. Esame extra-orale ed intraorale; pag. 187- 203.
Diagnostica per immagini in odontostomatologia – Radiologia e TC. Sitzmann F. UTET
Principi di Microbiologia Medica" Guido Antonelli, Massimo Clementi, Gianni Pozzi
Microbiologia medica". Patrick R. Murray, Ken S. Rosenthal, Michael A. Pfaller, Di Francesco, P.

The course aims to provide the basic skills necessary for the recognition, management and prevention of the main pathologies involving the oral cavity, with particular attention to the clinical, histopathological, radiological aspects and methods of preventing the transmission of infectious diseases.
It also aims to provide the bases and applications of the main radiological techniques, in general and in the dental field.

Basic knowledge of the anatomy and histology of the oral cavity and basic knowledge of biology, physiology and microbiology are essential.

The lessons of the course will take place in frontal mode, with the help of extensive iconography. Particular attention will be paid to the aspects of differential diagnostics of the various pathologies.

The skills acquired through lectures can be extended by clinical experiences.
Students with physical disabilities, Learning Disabilities or Special Education Needs can request specific services and tools via the Staff Sviluppo e Coordinamento Carriere e Servizi alle Studentesse e agli Studenti, consulting the University webpage: https://www.uniupo.it/en/services/services-students-physical-or-learning-disabilities Students with disabilities, learning disabilities or special education needs, once they have contacted the University Staff, can refer to the tutor in charge of the course to define the examination modalities, concerning academic aspects.

At the end of each module of the integrated course, a written or oral exam will be carried out on the topics covered by the individual teachers during the course.

Dermatology module:
Skin anatomy and histology;
Primary and secondary elementary lesions of the skin;
Dermatological semeiotics;
Parasitic, bacterial, viral and fungal dermatitis;
Inflammatory dermatitis: lichen;
Autoimmune bullous dermatosis;
Benign melanocytic lesions of the skin and melanocytic neoplasms;
Benign and malignant epithelial tumors; precancerosis.

Diagnostic Imaging and Radiotherapy Module:
Basic principles of Traditional Radiology;
Basic principles of Axial Tomography;
Applied radiological techniques: RX, Indoral film, OPT, CT and Dentascan;
RX and CT anatomy;
Pathology: Caries, Periodontitis, Mandibular-maxillary infections, Cysts, Paranasal sinuses, TMJ, Salivary Glands, Tumor and non-tumor osteopathies, Disasters, Trauma, Foreign bodies and Calcifications, Implants.

Infectious Diseases Module:
Oral microbiota;
Fungi;
Caries;
Periodontal disease;
HIV;
Viral hepatitis;
HPV;
Herpesvirus.

Oral pathology module:
Elements of anatomy and histology of the oral cavity.
Lining tissues: lining mucosa, specialized mucosa, masticatory mucosa.
Tongue. Bones, muscles, vessels, cranial nerves of odontostomatological interest.
Saliva: main functions.
General concepts of odontostomatological semeiotics.
Anamnesis: family, physiological, remote pathological, proximate pathological, pharmacological.
Extra and intra oral objective examination.
Specialist semiotic techniques
- complementary tests: culture swab, cytological examination by scraping; diascopy; fluorescence; chemoluminescence; vital staining; biopsy;
- instrumental and specialist tests: diagnostic imaging tests; blood tests; sialometry; halitometry
- radiographic examination.
Primary and secondary elementary lesions
Defective injuries.
Pigmented lesions of the oral cavity.
Excess injuries.
Morphological-nosographic classification of diseases based on lesions.
Oral manifestations of dermatological diseases
Lichen Ruber Planus, Pemphigus vulgaris, Mucous membrane pemphigoid, Erythema multiforme, Systemic lupus ethymatosus.
Bacterial lesions of the lining tissues of the oral cavity and oral manifestations of bacterial diseases.
Ulcer-necrotizing stomatitis, Scarlet fever, Syphilis, Tuberculosis, Mycobacterial stomatitis, Leprosy, Actinomycosis, Gonorrhea, Bacterial endocarditis,
Meningococcal meningitis, Staphylococcal sepsis, Diphtheria, Typhoid,
Angular cheilitis
Fungal lesions of the oral cavity.
Superficial mycoses: candidiasis, geotrichosis.
Deep mycoses: aspergillosis, cryptococcosis, histoplasmosis, phycomycosis.
Viral lesions of the oral cavity.
Herpes viruses: HSV-1, HSV-2, Varicella Zooster Virus, Cytomegalovirus, Epstein Barr Virus
Papilloma virus
Coxachie virus: herpangina, hand-mouth-foot disease
Morbillvirus
Paramyxovirus
HIV.
Aphthosis
Recurrent aphthous stomatitis.
Classification of canker sores based on clinical aspects.
Classification of canker sores based on the complexity of the clinical picture
Diagnosis. Therapy.
Burning mouth syndrome: Epidemiology, etiology, etiopathogenesis, symptoms, location. Classification. Diagnosis. Therapy
Potentially malignant (precancerous) oral lesions
leukoplakia (inhomogeneous, warty proliferative)
erythroplakia, erythroleukoplakia,
Oral lichen planus (atrophic, erosive),
Oral submucous fibrosis
Nicotinic stomatitis
Actinic cheilitis
Epulides. Epidemiology, etiology, clinic, therapy
Oral cancer. Epidemiology, risk factors, diagnosis, sites, clinical manifestations: signs and symptoms. TNM. Prevention. Therapeutic hints.

At the end of the course the student is expected to have acquired: i) the basic skills necessary for the recognition, management and prevention of the main infective, infiammatory or neoplastic diseases involving the oral cavity; ii) the knowledge to indicate the main methods of diagnostic assessment; iii) to be a able to identify and direct patients for whom level II specialist care is necessary.