HomeMy WebLinkAboutDHY-2071
Bergen Community College/Division of Health Professions
Dental Hygiene Department
Student Course Outline
TERM: Fall
COURSE TITLE: DHY-207HY-001/002
GENERAL AND ORAL PATHOLOGY
2 Credits
1 Lecture hour 2 Lab hours
PREREQUISITES: BIO-209, DHY-200, DHY-2XX, DHY 205, DHY-209, DHY-220
COREQUISITES: DHY 202, DHY204, DHY 206, DHY 219
COURSE DESCRIPTION:
This course will help the dental hygiene student to facilitate the identification and treatment of
oral diseases. The study will focus on understanding the disease process, recognizing deviations
from normal, and identifying oral manifestations of local and systemic origin.
The development of differential diagnosis will be approached from case studies, disease
classifications, descriptions, texts, and slide presentations.
Presented in the course are current theories on etiology and pathogenesis, significance of
genetics, environment, immune responses, and new therapeutic approaches in the treatment of
disease.
Case studies are presented on Moodle, lab, and assigned websites to help students distinguish
between scientific discovery and its technological application.
COURSE OBJECTIVES:
The Dental Hygiene Student will:
1. Identify and describe conditions that show deviations from normal in the oral cavity
and/or adjacent structures.
2
2. Demonstrate accuracy in the use of proper terms to describe lesions of hard and soft
tissues.
3. Demonstrate on written assessments, knowledge of the relationship between oral
disease processes and basic oral health.
4. Apply concepts of the disease process to preventive approaches and treatment
strategies in patient care.
5. Describe the clinical features, radiographic appearance, and management modalities of
specific variants of normal.
6. Utilize previously learned concepts to current data and case studies.
7. Demonstrate through application in the clinical setting, an understanding of deviations
from normative structures.
8. Develop the capability of forming differential diagnosis based on clinical findings and
data collection.
9. Evaluate the need for follow-up monitoring and patient-dentist referral in their clinical
practice.
10. Review questions to test knowledge of each chapter’s material.
11. Prepare for the National Dental Hygiene Board Exam by the practice of answering
multiple-choice review questions supplied by the text.
12. Master problem solving and critical thinking skills that is much needed when working in
the clinical setting.
13. Develop skills in motivating individuals to employ self-examination techniques, and
promoting professional referrals.
14. Assume responsibility for dental hygiene actions and care based on scientific research as
well as accepted standards of care.
Core Competencies (C)
C.1 Apply a professional code of ethics in all endeavors.
C.2 Adhere to state and federal laws, recommendations and regulations in the provision of
dental hygiene care.
C.3 Use critical thinking skills and comprehensive problem-solving to identify oral health care
strategies that promote patient health and wellness
3
C.4 Use evidence-based decision making to evaluate and incorporate emerging treatment
modalities
C.5 Assume responsibility for professional actions and care based in accepted scientific
theories and research as well as the accepted scientific theories, research, and the
accepted standard of care.
C.6 Continuously perform self-assessment for lifelong learning and professional growth
C.8 Promote values of the dental hygiene profession through evidence-based activities,
positive community affiliations, and active involvement in local organizations
C.9 Apply quality assurance mechanisms to ensure continuous commitment to accepted
standards of care
C.10 Communicate effectively with diverse individuals and groups, serving all persons without
discrimination by acknowledging and appreciating diversity from diverse populations
both verbally and in writing.
C. 11 Record accurate, consistent, and complete documentation of oral health services
provided.
C. 12 Facilitate a collaborative approach with all patients when assisting in the development
and presentation of individualized patient care plans that are specialized,
comprehensive, culturally sensitive, and acceptable to all parties involved in care
planning.
C.13 Initiate consultations and collaborations with all relevant health care providers to
facilitate optimal treatments.
Health Promotion and Disease Prevention (HP)
HP.1 Promote the values of oral and general health and wellness to the public and
organizations within and outside the profession.
HP.2 Respect the goals, values, beliefs, and preferences of patients while promoting optimal
oral and general health.
HP.3 Refer patients who may have a physiologic, psychological, and/or social problem for a
comprehensive evaluation.
HP.4 Identify individual and population risk factors and develop strategies that promote
health related quality of life.
4
HP.5 Evaluate factors that can be used to promote patient adherence to disease prevention
or health maintenance strategies.
HP.6 Utilize methods that ensure the health and safety of the patient and the oral health
professional in the delivery of care
Community Involvement (CM)
CM.1 Assess the oral health needs and services of the community and determine action plans
and availability of resources to meet the health needs
CM.2 Provide screening, referral, and educational services that allow patients to access the
resources of the health care system
CM.4 Facilitate patient access to oral health services by influencing individuals or
organizations for the provision of oral health care
CM.7 Advocate for effective oral health care for underserved populations.
Patient Care (PC)
Assessment
PC.1 Systematically collect, analyze and record data on the general, oral, psychosocial health
status of a variety of patients using methods consistent with medicolegal principles.
PC.2 Recognize predisposing and etiologic risk factors that require intervention to prevent
disease.
PC.3 Recognize the relationships among systemic disease, medications, and oral health that
impact overall patient care and treatment outcomes
Dental Hygiene Diagnosis
PC.5 Use patient assessment data, diagnostic technologies, and critical decision making skills
to determine dental hygiene diagnosis, a component of dental diagnosis, to reach
conclusions about the patient’s dental hygiene needs
Planning
PC.6 Utilize reflective judgment in developing a comprehensive patient dental hygiene care
plan.
PC.7 Collaborate with the patient and other health professionals as indicated to formulate a
comprehensive dental hygiene care plan that is patient-centered and based on the
best scientific evidence and professional judgment
PC.8 Make referrals to professional colleagues and other health care professionals as
indicated in patient care plan
5
Implementation
PC.10 Provide specialized treatment that includes educational, preventive and therapeutic
services designed to achieve and maintain oral health. Partner with the patient in
achieving oral health goals.
Evaluation
PC.11 Evaluate the effectiveness of the implemented clinical, preventive, and educational
services and modify as needed.
PC.12 Determine the outcomes of dental hygiene interventions using indices, instruments,
examination techniques, and patient/client self-report.
PC.13 Compare actual outcomes to expected outcomes, reevaluating goals, diagnoses, and
services when expected outcomes are not achieved.
Professional Growth and Development (PGD)
PGD.1 Pursue career opportunities within health care, industry, education,
research, and other roles as they evolve for the dental hygienist
PGD.3 Access professional and social networks to pursue professional goals
COURSE TEXTS
Required
❖ Ibsen, Phelan, Oral Pathology for the Dental Hygienist, 7th Edition, W. B.
Saunders Co., St. Louis, Missouri, 2017
❖ Langlais, R., & Miller, C., Color Atlas of Oral Diseases, 5th edition, Wolters Kluwer,
Philadelphia, 2017
Recommended
❖ Wynn, Richard, L., et.al, Drug Information Handbook for Dentistry, 22th edition ,
Lexi Comp, Inc, Hudson, Ohio, 2016-2017
❖ De Long, L. & Burkhart, N. General and Oral Pathology for the Dental Hygienist,
2nd or 3rd edition. Wolters Kluwer/LWW, 2013/2016
❖ Thomson, E., Baumann, D., Schumann, D. Case Studies in Dental Hygiene, 3rd edition,
Prentice Hall, 2013
INSTRUCTIONAL RESOURCES:
B.C.C. Library and Resource Center
6
Dental and Dental Hygiene Journals
Moodleroom and Web based resources
American Journal of Clinical Pathology
American Journal of Physiology
INSTRUCTIONAL METHODOLOGY:
1. This course will be a lecture and lab-type format to the degree that the instructor will
present text information in an organized and systematic presentation of the material.
Use of hybrid format is preferred. Hybrid (partially online) course (indicated by suffix of
“HY”) is a class that meets part of the time in a traditional classroom setting and the
rest of the class work is done online via the Internet. Officially, a partially online hybrid
course replaces at least one meeting time per week with online activities through
Moodle learning platform. The online work is typically completed without the week
before the next in-class meeting, but normally does not require a student to be at their
computer at a specific time of the day.
2. One credit hour lecture is followed by 1 credit hour lab (2 instructional contact hours).
Labs will take place in the classroom or computer lab.
3. Oral Pathology instruction is intended to provide the student with information necessary
to enable him/her to accurately identify variants of normal through knowledge of clinical
characteristics of structures within the oral cavity. Students will become adept at
describing lesions and correlating relevant information concerning their pathogenesis
and treatment.
4. Vocabulary words with proper pronunciation will be explained at each session via
classroom based or podcast lectures.
5. A comprehensive glossary with definitions will be utilized from the start of the semester.
Students are to add additional vocabulary words to these lists acquired from their
weekly reading assignments.
6. Case studies will be presented using proper terminology, illustrative material (slides
etc.), and references. The use of appropriate slides/photographs will be used each lab
session.
7. Differential diagnosis will be employed to each lesion, disease, or condition studied.
8. Moodleroom component and internet resources.
9. Flipped classroom, brainstorming sessions, and small group discussions will be
employed.
7
10. Moodleroom based tests (examinations) as well as three-five question quizzes will be
employed.
Moodleroom Structure
The Moodle structure will provide opportunities for forums, email communication, class
announcements, online journaling and other assignments, group projects and online clinical
reviews.
Recommended Practice
To effective manage this course for successful completion you should do the following:
➢ Read and follow the course syllabus
➢ Read the messages under “ Announcements” on the Home Page (DHY 207)
➢ Follow the course calendar
➢ Complete all of the required readings, assignments and reviews
➢ Participate on the discussion board/forums if applicable.
➢ Use the email communication system for communication with each other and me on a
regular basis
➢ Remind app will be utilized
➢ Actively participate in the group projects
Videotaping, Audio-taping and Social Networking
❖ No videotaping or audio-taping is permissible in the classroom or laboratory without the
written consent of the classroom or laboratory instructor. The exception to this policy is
though the written documentation providing an accommodations necessity from the
Office of Special Services. All lectures are uploaded to Moodle in PowerPoint or PDF
format. Some lectures will be delivered in a podcast manner.
❖ As far as social networking- HIPAA and privacy issues may arise from improper use of
social networking venues- Twitter, YouTube and Facebook are some but not all the
venues. This course will follow the Division of Health professions Social Media Policy
Americans with Disabilities Act
Students who require accommodations in accordance with the Americans with
Disabilities Act (ADA) can request these services from the Office of Specialized
Services. To learn more about how to apply for services, please visit them at:
http://bergen.edu/current-students/student-services-departments/disability-
services-office-of-specialized-services/
EXAMINATION POLICY:
EVALUATION:
Assessments/Tests (4) 75%
Quizzes 5%
Group Project 10%
Clinical Case Study Assignment 5%
Moodleroom Component 5%
(online/drop-box assignment)
8
A cumulative average of 75 must be achieved from the four assessments/tests in Pathology in
order to pass the course.
Quizzes
Quizzes are based on assigned reading material for the week/Module. They will consist of 3-5
questions. Questions might include short statement, or definition, or lesion identification
depending on the material covered. They will be administered at the very beginning of the
lecture/lab.
Oral Pathology Project
There will be a group project this semester. The project will focus on oral pathology topics.
Groups should be identified during the week of ________. All students in the Selected Group
will receive the same grade for the projects. Criteria will be distributed and posted online.
Clinical Case Study Assignment
This assignment is based on student’s clinical experience. Student must select a patient/case
and include the following items:
● The posting should detail a patient/case that student had in clinic presenting with a
Variant of Normal, a Lesion or an anomaly
● Criteria will be distributed and posted online.
Moodleroom Component
● Assignments
➢ Class Assignments will be available during class/online lecture time as a part of group
discussions or brain storming sessions.
➢ Homework Assignments will be available on Wednesday afternoons at 4:00 PM.Students
will have one (1) week for your submission. Assignments range from a simple answer to
a short paragraph or case studies.
➢ Assignments must be submitted to the assignment dropbox by the designated date and
time.
➢ No late assignments will be accepted!
FINAL LETTER GRADES:
Grading is the responsibility and province of the professor. All students in the course will be
graded consistently and fairly, following a review of each assessment.
The grading system reflects the policy established in the dental hygiene program.
A - 92-100
B+ - 89-91
B - 83-88
C+ - 80-82
C - 75-79
F/R - Below 75
9
General Policies and Procedures:
Attendance/Punctuality
* Bergen Community College attendance policy states: “All students are expected to
attend punctually every scheduled meeting of each course in which they are registered.
Attendance and lateness policies and sanctions are to be determined by the instructor
for each section of each course. These will be established in writing on the individual
course outline. Attendance will be kept by the instructor for administrative and
counseling purposes.” (Catalog 2017-2018) http://bergen.smartcatalogiq.com/en/2017-
2018/Catalog/Academic-Matters/Academic-Regulations
Absence of an Instructor
* As noted in the college catalog: Students are expected to wait (20) minutes for a
faculty member to come to class. If at the end of twenty minutes, the faculty member
does not come, the students should sign an attendance sheet which indicates the
course, date, and time. A student should deliver the attendance sheet to the dental
hygiene office. Students cannot be penalized by faculty for not waiting longer than
twenty (20) minutes.
Academic Conduct
* The Dental Hygiene Faculty adheres to the policy statement governing academic
conduct as outlined in the Bergen Community College Catalog.
http://bergen.smartcatalogiq.com/en/2017-2018/Catalog/Student-Life/Judicial-
Affairs/Student-Conduct
* Voice recorders are not permitted in DHY 207.
* Any student who takes/prints an exam from the classroom will receive a zero (0%) for
that exam.
* Cheating, plagiarism and unethical behavior will not be tolerated. Any student who has
demonstrated any of the above behaviors will be disciplined according to college
procedures.
http://bergen.smartcatalogiq.com/en/2017-2018/Catalog/Academic-Matters/Academic-
Regulations/Plagiarism
http://bergen.smartcatalogiq.com/en/2017-2018/Catalog/Student-Life/Judicial-
Affairs/Academic-Dishonesty
* Cell phones (on) are prohibited in class.
* Food/drinks are not permitted in classrooms. Water bottles only.
10
LECTURE OUTLINE ( Subject to Change)
D- DeLong/Burkhart, I-Ibsen/Phelan
L-Langlais/Miller/Nield-Gehring, M- Moodle, T- Thompson
Week Lecture Lab Reading
Assignment
1
▪ Introduction to
Preliminary Diagnosis of
Oral Lesions
▪ Systemic/Oral
Implications
▪ Diagnostic Process
▪ Variants of Normal
▪ Case Study
I-1, D-1
L-1-2
M-Module 1
2
Inflammation & Repair:
▪ Clinical Signs of
Inflammation
Inflammation & Repair:
▪ Acute and Chronic
Inflammation
▪ Regeneration and Repair
▪ Case Study
I-2, p32-46
D-3
L- Relevant Slides
M- Module 2
T
3
Inflammation & Repair:
▪ Injuries to Teeth
▪ Injuries to Oral Soft
Tissues
Inflammation & Repair
▪ Reactive Connective
Tissue Hyperplasia
▪ Inflammatory Periapical
Lesions
▪ Case Study
I-2, p 46-77
L-Relevant Slides
M-Module 2
4
Test #1
Immunity:
▪ Hypersensitivity
▪ Oral Disease with
Immunologic
Pathogenesis
I-3, D-4
L- Relevant Slides
M- Module 3
T
5
Infectious Diseases:
▪ Bacterial
Infectious Diseases:
▪ Viral/Fungal
▪ AIDS
▪ Case Study
I-4, D-22
L-11 and Relevant
Slides
M-Module 4
T
6
Developmental Disorders:
▪ Embryonic Development
▪ Developmental Cysts
Developmental Disorders:
▪ Soft Tissues
Abnormalities
▪ Case Study
I-5: p. 148-162
D-6
L- 4 and Relevant
Slides
M-Module 5
11
7
Test #2
Developments Disorders:
▪ Developmental
Abnormalities of Teeth
▪ Case Study
I-5: p. 162-185
D-6
L-4 and Relevant
Slides
W- Module 5
8
Genetics:
▪ Normal Cell Division
▪ Genes and Chromosomes
Genetics:
▪ Inherited Disorders
o Gingiva and
periodontium
o Jawbone and
faces
o Oral mucosa
o Teeth
▪ Case Study
I-6, D-6
L- Relevant Slides
M-Module 6
T
9
Neoplasia:
▪ Classification of Soft
Tumors
▪ Epithelial Tumors:
o Squamous
epithelium
▪ Epithelial Tumors
▪ Salivary Gland Tumors
▪ Odontogenic Tumors
▪ Case Study
I -7:p.218-237
D-5
L- 12 p.231 and
Relevant Slides
M-Module 7
10
Neoplasia
▪ Tumors of Soft Tissue
o Nerve
o Muscle
▪ Tumors of Bone and
cartilage
Neoplasia
▪ Tumors of Blood Forming
Tissues
▪ Metastatic
I-7: p.237-257
D-5
L- Relevant Slides
M-Module 7
11
Test # 3
Non-neoplastic Disease of Bone
Orofacial Pain and
Temporomandibular Disorders
▪ Anatomy of T.M.J.
▪ Types of T.M.J. Disorders
Tumors
I-8 and 10
D- Relevant
Diseases
references
L- Relevant Slides
M-Module 8
12
Oral Manifestations of Systemic
Diseases:
▪ Endocrine Disorders
▪ Blood Disorders
Oral Manifestations of Systemic
Diseases:
▪ Drugs and the Oral
Cavity
▪ Chemotherapy
I-9, D-7-10
L-Relevant Slides
M- Module 9
12
14
PROJECT Presentations
CLINICAL CASE STUDY
Interdisciplinary Workshop
15
Test # 4
Interdisciplinary presentation:
Guest Speaker (Complementary
and Alternative Medicine)
N/A
13
Bergen Community College
Division of Health Professions
Dental Hygiene Department
Student Acknowledgement
I, ________________________________ have read and understood the
syllabus for course DHY207 – General and Oral Pathology and agree to abide
by the protocols and requirements set forth in this syllabus, Student
Handbook, Clinic Manual and the Bergen Community College Catalog.
____________________________ _____________________
Student Signature/Date Faculty Signature/Date