Oral Medicine & Special Needs Dentistry

This subject has the following teaching availabilities in 2016:

98 contact hours (indicative), 60 non-contact hours (indicative)

Successful completion of all 2nd year DDS subjects.

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It is University policy to take all reasonable steps to minimise the impact of disability upon academic study and reasonable adjustments will be made to enhance a student's participation in the University's programs. Students who feel their disability may impact on meeting the requirements of this subject are encouraged to discuss this matter with a Faculty Student Adviser and the Disability Liaison Unit: http://www.services.unimelb.edu.au/disability/

This subject has the following components: Oral Medicine, Oral Surgery and Special Needs Dentistry.

On completion of this subject, students should be able to:

1. Understand the principles of oral infections not associated with the hard tissues of the mouth; the presentation and diagnosis of chronic and recurring oral mucosal ulcers, including recurrent aphthous stomatitis; the diagnosis and management of gingival swelling and pigmented lesions; the oral manifestation of a range of dermatology conditions; the presentation, diagnosis and treatment of oral mucosal malignancy and potentially malignant lesions; aspects of haematology important to oral mucosal conditions; the oral manifestation of important connective tissue disorders; and the diagnosis and management of patients with chronic oro-facial pain and temporo-mandibular disorder.
2. Comprehend the extractions, the surgical removal of teeth, surgical management of third molars, management of medically compromised patients, the surgical management of unerupted teeth, haemorrhage in a dental setting, as well as medical emergencies.
3. Understand the basis of Special Needs Dentistry including gerodontics and related medical issues with aging, disease and health, developmental disabilities, neurodegenerative disorders, management of endocrine diseases, transplant medicine and dentistry as well as palliative dental care and be able to understand the complexities of managing patients with a range of these issues. They should be able to clearly understand the link between general health and oral health. Students should be comfortable when confronted by special needs patients in both clinical as well as in aged care and Institutionalised settings and have a sound understanding of consent and ethical issues as they pertain to this patient population and know the procedures involved when patients are unable to consent for themselves.
4. Understand the competencies required to prescribe medicines. Health professionals who prescribe need to be equipped with competencies which enable them to make prescribing decisions which maximise the benefits and minimise the risks of using medicines to maintain the health of individuals and the community.

• 1 x 1 hour on-line MCQ test on material covered in oral surgery, end of Block 1 (20%);
• 1 x 15 minute case presentation of an oral medicine case, during Block 1 (20%);
• 1 x 15 minute case presentation on special needs during Block 2 (20%);
• 1 x 1 hour OSCE on oral medicine, oral surgery and special needs at the end of Block 2 (40%).

Hurdle Requirements:

• 75% attendance at Lectures; 100% attendance at Seminars/Tutorials, Pre-Clinical & Clinical Sessions, and Clinical & Case Simulations/Discussions

The reading resources will be provided within the course and form the basis of the LMS web-lecture material

Additional texts include:

Cawson RA, Odell EW, Porter SR 2002 Cawson’s Essentials of Oral Pathology and Oral Medicine, Elsevier Health Sciences

Haveles EB 2000 Delmar’s Dental Drug Reference, Thomson Learning

Marx RE, Stern D 2002 Oral and Maxillofacial Pathology – A Rationale for Diagnosis and Treatment, Quintessence Publishing Co, Inc

Pedlar J, Frame JW 2001 Oral and Maxillofacial Surgery: An Objective-Based Textbook Churchill Livingstone; 2nd Rev Ed.

Peterson LJ (ed) 2008 Contemporary Oral and Maxillofacial Surgery, Mosby, 5th Ed.

Silverman S, Eversole LR, Truelove E 2002 Essentials of Oral Medicine, BC Decker Inc., Hamilton, London

Scully C et al 2007 Special Care in Dentistry - Handbook of Oral Healthcare, Churchill Livingstone, Elsevier

Shahrokah C, Bagheri C 2007 Clinical Review of Oral and Maxillofacial Surgery

This subject is not available as a breadth subject.

Students should:

1. be able to access new knowledge from different sources, analyse and interpret it in a critical manner
2. develop skills in effective communication with teaching staff and peers
3. develop skills in effective transdiscipinary management of patients
4. develop effective organizational skills and time management
5. develop skills of workplace safety
6. be able to identify and address their own learning needs.