Ateneo - UPO

Elements of anatomy and histology of the oral cavity. Lining tissues of the oral cavity: masticatory mucosa, specialized mucosa, lining mucosa. Tongue, bones, TMJ, muscles, vessels, cranial nerves of odontostomatological interest. Saliva. Taste. General concepts of odontostomatological semeiotics. Anamnesys, extra and intra oral objective examination, principal instrumental diagnostic investigations. Primary and secondary elementary lesions of the oral cavity, in defect and in excess, pigmented . Morphological-nosographic classification of oral lesions. Oral manifestations of dermatological diseases. Bacterial lesions of the lining tissues of the oral cavity and oral manifestations of bacterial diseases. Mycotic oral lesions. Viral oral lesions. Aphthosis.Primitive and secondary Burning Mouth Syndrome. Pre-malignant (precancerous) oral lesions. Neoplastic oral lesions and oral carcinoma. Oral manifestations of ADR. MRONJ. Gingival overgrouth & Epulides.

Caton JC, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti M. A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification. Journal of Periodontology and Journal of Clinical Periodontology marzo 2018. Lang NP, Bartold PM. Periodontal health. J Clin Periodontol. 2018;45(Suppl 20):S9–S16. Holmstrup P, Plemons J, Meyle J. Non–plaque‐induced gingival diseases. J Clin Periodontol. 2018;45(Suppl 20):S28–S43.. Herrera D, Retamal‐Valdes B, Alonso B, Feres M. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions. J Clin Periodontol. 2018;45(Suppl 20):S78–S94. Cortesi Ardizzone V, Abbinante A (ed). Igienista Dentale: Teoria E Pratica Professionale. Prima edizione. Milano. LSWR srl. 2013. Farronato Giampietro. Odontostomatologia per l’igienista dentali. Piccin Nuova Libraria. Padova 2007. Leigheb G. Testo e Atlante di Dermatologia. Pavia. Edizioni EDIMES1995. Lindhe J, Lang NP. (Ed.). Parodontologia Clinica e Implantologia Orale. VI Edizione. Milano. Edi Ermes S.R.L., 2016.Lo Muzio M, Pelo S. Il carcinoma orale. Manuale di riferimento. Grilli Editore.Montagna F, Ferronato G, Martinelli F. Patologia orale orientata per problemi: diagnosi differenziale e terapia. Ed. Promoass Roma, 2000.Nocini PF, Trevisiol L. Le lesioni mucose del cavo orale: elementi di diagnosi differenziale. Ariesdue srl. 2009. Pindborg JJ. Atlante delle malattie della mucosa orale. Milano. Masson 1995. Valletta g, Bucci E, Matarasso S. Odontostomatologia. Padova. Piccin Nuova Libraria Spa. II ed. 2024.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.

The aim of this module is to introduce the principles underlying the study of oral cavity lining tissue pathologies; to provide the knowledge necessary to understand the various clinical conditions; to equip students with the skills to apply the following knowledge in daily clinical practice in order to identify any lesions.

Having passed all the precedent propaedeutics courses

Lectures; participation in internships; reading articles.

The course is part of the Integrated Course in Principles of Pathology of the oral cavity

Written exam with three open questions. Each paper, upon request, is discussed with the papers authors'.

Elements of anatomy and histology of the oral cavity. Lining tissues: lining mucosa, specialized mucosa, masticatory mucosa. Tongue. Bones, TMJ, muscles, vessels, cranial nerves of odontostomatological interest. Saliva: main functions. Taste. 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. Excess. deficiency and pigmented lesions of the oral cavity. Morphological-nosographic classification of lesions. Oral manifestations of dermatological diseases: Oral Lichen Planus, Pemphigus vulgaris, Mucous membrane pemphigoid, Erythema multiforme, Systemic lupus erithematosus. 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, Actinomycosis, Gonorrhea, Bacterial endocarditis, Meningococcal meningitis, Staphylococcal sepsis, Diphtheria, Typhoid, Angular cheilitis, Micotyc lesions of the oral cavity. 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, Morbillo-virus Paramyxovirus, HIV. Aphthosis Recurrent and aphthous stomatitis. Classification of afthosis based on clinical aspects and complexity of the clinical picture; diagnosis and therapy. Burning mouth syndrome: epidemiology, etiology (primary or idiopathic and secondary), 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. Gingival overgrouth & Epulides. Epidemiology, etiology, clinic, therapy. Neoplastic lesions and Oral cancer. Epidemiology, risk factors, diagnosis; clinical manifestations: signs and symptoms. TNM. Prevention. Therapeutic hints. Adverse Drug Reactions in Dentistry: classification based on mechanism of action and nature. Pharmacovigilance concepts. Adverse event/adverse reaction. Spontaneous reporting. Adverse Drug Reactions of mucosal tissues. Adverse Drug Reactions of dental hard tissues, Adverse Drug Reactions of salivary glands. Adverse Drug Reactions of bone tissues. MRONJ.

The student must be able to recognize the main pathologies affecting the oral cavity and have acquired the ability to apply the acquired knowledge in daily clinical activity with independent judgment.