Dentistry and Dental Prosthodontics

Activity type

Discipline mediche di rilevanza odontoiatrica

SSD

MED/08

Year

3rd year

Semester

2nd semester

CFU

4

Hours distribution

48 classroom hours

Lecturers

MARA RIMINUCCI
ALESSANDRO CORSI

Activity type

Discipline mediche di rilevanza odontoiatrica

SSD

MED/08

Year

3rd year

Semester

1st semester

CFU

3

Hours distribution

36 classroom hours

Lecturers

ALESSANDRO CORSI
MARA RIMINUCCI

The course of Pathological Anatomy is annual and organized in two consecutive semesters (first semester: Pathologic Anatomy IS; second semester; Pathologic Anatomy IIS).At the end of the course the student must be aware of the main pathological features of the diseases, with particular reference to those of dental and maxillo-facial relevance, and of the etiological and pathogenetic mechanisms underlying their development and their clinical presentation. At the end of the course, the student will be able to establish the role of pathologic anatomy in the appropriate classification of a disease, when and how to request a histological examination and how to interpret the result, to understand the clinical implications of an anatomo-pathological diagnosis, and then to correlate the clinical and pathological features in order to formulate a prognosis and elaborate a specific therapeutic strategy.

The course of Pathological Anatomy is annual and organized in two consecutive semesters (first semester: Pathologic Anatomy IS; second semester; Pathologic Anatomy IIS). At the end of the course the student must be aware of the main anatomical-pathological aspects of the diseases, with particular reference to those pertaining to dentistry and maxillofacial, and of the etiological and pathogenetic mechanisms underlying their development and their clinical presentation. At the end of the course the student will have to, by applying the knowledge acquired with this teaching, be able to establish the role of pathological anatomy in the correct classification of a disease, when and how to request a histological examination and how to interpret the result, to understand the clinical implications of an anatomical-pathological diagnosis, and therefore to correlate the anatomical-pathological aspects with specific clinical pictures in order to formulate a prognosis and develop a specific therapeutic strategy.

In order to understand properly the teaching content and to achieve the learning objectives, at the beginning of the teaching activities the student must possess adequate knowledge of normal Anatomy and Histology, Biology, Genetics, Microbiology, Physiology and General Pathology. Cultural prerequisites: see the site oof the course.

Pathological Anatomy as medical science. The laboratory of Pathological Anatomy. Diagnostic paths and methodologies in Pathological Anatomy. Embryogenesis and macroscopic and microscopic anatomy of the oral cavity. Neoplastic and non-neoplastic pathology of the oral cavity: white lesions blue-red lesions; pigmented lesions; vesiculobullous lesions; verrucous-papillary lesions; ulcerative lesions. Oral carcinoma: carcinogenesis and risk factors, prevention, early diagnosis and clinical and pathological features. Neoplastic and non-neoplastic pathology of the major and minor salivary glands. Odontogenic tumors. Non-odontogenic tumors, cysts and inflammatory pathology of gnathic bones. Metabolic and genetic disorders with involvement of the oro-cranio-facial district. Systemic pathology: pathology of the cardiovascular system (with particular reference to arteriosclerosis and myocardial infarction); pathology of the respiratory system (with particular reference to infectious and vascular diseases, restrictive and obstructive disease and neoplastic pathologies); pathology of the skeleton (neoplastic and non-neoplastic); pathology of hemolymphopoietic tissue (with particular reference to anemias, leukemias, chronic myeloproliferative neoplasms, myelodysplastic syndromes and lymphomas). The teaching program will be carried out with the presentation of numerous clinical cases both in the field of pathology of the oral and cranio-facial district and of pathologies affecting other organs and systems with implications in dentistry. No more than 6 hours, at the beginning of the first semester, will be dedicated to the general aspects of the subject. The rest of the course will be dedicated to discussing the specific topics of the program.

Robbins Basic Pathology. Kumar V, Abbas AK, Aster J. Elsevier, 10th Edition, 2017.
Oral Pathology. Clinical Pathologic Correlations. Regezi J, Sciubba J, Jordan R. Saunders, 7th Edition, 2017.

Scientific articles related to topics included in the program will be recommended for integrative purposes to frontal lessons and adopted texts.

Frontal lessons.

The student is required to attend the educational frontal activities. The frequency is checked by the teachers through signature / updated lists provided by the Academic Office. The certificate of mandatory attendance to the teaching course is required to the student to be admitted at the final test.

The assessment consists of an oral exam with questions related to the course program and takes into account: a) knowledge of the topics covered by the questions; b) adequacy of the answer to each of the questions in relation to the skills that are assumed to have been acquired at the end of the course; c) logic followed to answer the questions; d) use of an appropriate language.

Red lesions of the oral cavity.
Squamous cell carcinoma of the oral cavity.

• Introduction to the course and history of Pathological Anatomy - 2 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Steps in the preparation of a histological slide - 2 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Clinic-pathologic correlation in the lesions of the oral cavity - 2 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Ulcerative lesions of the oral cavity - 3 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Papillary and verrucous lesions of the oral cavity - 3 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• White lesions of the oral cavity - 4 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Red-blue lesions of the oral cavity. - 2 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Pigmented lesions of the oral cavity - 2 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Neoplastic and non-neoplastic lesions of the salivary glands - 6 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Neoplastic and non-neoplastic lesions lesions of the soft tissues most commonly observed in the oral cavity - 5 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Hearth Diseases of hearth, blood vessels and lungs - 5 hours.
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Autopsy: general concepts 
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Vesiculobullous Diseases of the oral cavity 
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Cysta and pseudocysts of the gnathic bones
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Odontogenic tumors 
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Inflammatory disease of the gnathic bones
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Non odontogenic tumors 
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Haematolymphoid system diseases 
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.


• Skeletal diseases 
  • Books: Adopted texts and scientific publications suggested during the frontal lessons.