King saud university college of dentistry



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KING SAUD UNIVERSITY

COLLEGE OF DENTISTRY
وصف مقرر دراسي

Course File
Course title: Oral & Maxillofacial Radiology II

Course No & Code: 342 MDS

Credit Hours: 2 h (1h lecture & 1h Clinical)

Level: Third year

______________________________________________________________

Course Code: 342 MDS

رقم المقرر ورمزه: ٣٤٢ راس

Course Name: Oral & Maxillofacial Radiology II

اسم المقرر: أشعة الفمو الوجه والفكين-٢

Credits: 2 Hours (1 hour lecture and 1 hour clinic)

عدد الساعات: ساعات: 1 ساعة محاضرة و 1 ساعة عيادة

Prerequisite: 241 MDS Physics of Diagnostic Radiology

المتطلب السابق: ٢٤١ راس فيزياء أشعة الفم التشخيصية

هذا المقرر يعطي الطالب معلومات متقدمة عن علم أشعة الفم. كذلك يتعلم الطالب كيف يأخذ أشعة الفم بأنواعها. كذلك يتعلم الطالب التفرقة بين الأمراض من خلال قرائة الأشعة.

This is the second course of oral radiology which is comprehensive course in radiographic interpretation and differential diagnosis of developmental, pathological lesions and fractures of the jaws and associated structures.

The course is covered by the lectures in the first half of the year and practical and tutorials in the second half.

The lectures in the first half will encourage the student to present and participate in case discussion sessions in the second half.

Overall learning objectives:



By the end of this course students should be able to:

  1. Know different types of inflammatory lesions of jaws and their clinical and radiographic features.

  2. Know different types of odontogenic and non odontogenic cysts and to describe the radiographic appearance of each one.

  3. Know the most common benign odontogenic and non odontogenic tumors. Know the most characteristic radiographic features of benign lesions. Know the clinical and radiographic appearance of each one.

  4. Know different malignant lesions, stressing on the clinical and radiographic features. Be able to refer patients for advanced imaging to complete the differential diagnosis of tumors.

  5. Know different types of bone diseases that have jaw manifestations, stressing on the clinical features and radiographic appearance.

  6. Be familiar with soft tissue calcifications seen on oral and maxillofacial radiographs.

  7. Identify and diagnose fractures of the jaws and facial bones, their clinical features and different imaging technique used for diagnosis.

  8. Know the systemic disease and some of syndromes that can be manifested in the jaws.

  9. Know TMJ anatomy, different radiographic technique used to examine TMJ. To know the radiographic appearance of the most common disorders affecting the TMJ.

  10. Know maxillary sinus anatomy, different radiographic technique used to examine sinus. To knows the radiographic appearance of the most common diseases affecting the maxillary sinus.

  11. Know salivary gland anatomy different radiographic technique used to examine salivary gland. To know the radiographic appearance of the most common diseases affecting them.


Content of the Lectures:

Chapters and pages from Oral Radiology principles and Interpretation, 6th edition unless otherwise specified.

1- Sectional Anatomy (Ch. 2, Textbook: Fundamentals of Sectional Anatomy, an imaging approach, By Denise L. Lazo 2005)

Sectional bony anatomy of the axial, coronal and sagittal of the oral and maxillofacial structures.


2- Inflammatory lesions of Jaws (Ch. 20, pp325)

Review of: Acute apical periodontitis, acute dentoalveolar abcess, chronic apical periodontitis, Periapical granulomas, Radicular cyst. Clinical feature and radiographic appearance and differential diagnosis of Sclerosing osteitis, osteomyelitis and osteoradionecrosis.


3- Odontogenic and Non-odontogenic Cysts (Ch. 21, pp343)

Definition, general clinical and radiographic features.


Odontogenic cyst: clinical features, radiographic appearance and differential diagnosis of radicular cyst, residual cyst, dentigerous cyst.

Non-odontogenic cysts: clinical features, radiographic appearance and differential diagnosis of nasopalatine duct cyst (incisive canal cyst).

Cyst-like lesions: clinical features, radiographic appearance and differential diagnosis of: simple bone cyst, developmental salivary gland defect (Stafne defect) pp574. Aneurysmal bone cyst pp445.

4- Benign Odontogenic Tumors: (Ch. 22, pp )


Definition, clinical features, radiographic features (location, periphery and shape, internal structure, effects on surrounding structures).

Clinical features, radiographic appearance and differential diagnosis of: Ameloblastoma, Adenomatoid Odontogenic Tumor (AOT), Odontoma, and Odontogenic Myxoma, and odontogenic keratocyst.


5- Benign Non Odontogenic Tumors (Ch. 22, pp 410)

Hyperplastic lesion (pp 367):

Clinical features, radiographic appearance and differential diagnosis of torus palatinus, torus mandibularis, enostosis, idiopathic osteosclerosis, exostoses.



Non Odontogenic Tumors: clinical features, radiographic appearance and differential diagnosis of Traumatic Neuroma and Osteoma.

6- Malignant Tumors (Ch. 23, pp 405)


Radiographic characteristic of malignant tumors, difference between benign and malignant tumors. Clinical features, radiographic appearance and differential diagnosis of: squamous cell carcinoma, metastatic carcinoma, osteosarcoma,
7- Bone diseases with Jaw Manifestations (Ch. 24, pp 428)

Clinical features, radiographic appearance and differential diagnosis of: fibrous dysplasia, periapical cemetal dysplasia, ossifying cementifying fibroma, florid osseous dysplasia, cementoblastoma, giant cell lesion (cherubism, central giant cell gramuloma), osteopetrosis, Paget’s disease.


8- Soft Tissue Calcifications (Ch. 28, pp 526)

General clinical and radiographic features and calcification. Dystrophic Calcification: calcified lymph nodes, dystrophic calcification in the tonsils and calcified blood vessels (carotid arteriosclerosis). Idiopathic Calcification: Salivary Sialolith, and Phleboliths. Metastatic Calcification. Heterotopic Calcification: Ossification of the stylohyoid ligament and myostitis ossificans.


9-Trauma to the Facial structures (Ch 29 pp 548)

Introduction and general radiographic signs of fracture.

Clinical and radiographic appearance of :

Mandibular fractures.

Mandibular condyle fractures.

Mid face fractures (Le Fort I, II, III).

Zygomatic complex fractures.
10- Systemic Disease Manifested in the Jaws (Ch 25, pp 454)

Hormonal: hyperparathyroidism, hypoparathyroidism, hyperthyroidism, hypothyroidism, diabetes mellitus.

Metabolic Bone Diseases: osteoporosis, rickets and osteomalacia, osteopetrosis.

Other Systemic Diseases: sickle cell anemia and thalassemia.
11- Maxillary Sinus Diseases and Imaging (Ch. 27, pp 506)

Review of normal development, anatomy, functions and diagnostic imaging.

Clinical features, radiographic appearance and differential diagnosis of inflammatory changes (thickened mucous membrane, sinusitis, empyema and polyps). Antroliths, Mucous retention cyst, mucocele, odontogenic cyst and benign neoplasm.

Malignant neoplasms: squamous cell carcinoma.
12- Salivary Gland Diseases and Imaging (Ch. 31, pp 678)

Review of anatomy, diagnostic imaging: intraoral and extraoral radiography (Periapical, occlusal, lateral oblique), sialography, CT and MRI.

Clinical features, radiographic appearance and differential diagnosis of obstructive and inflammatory disorders (sialolithiasis, sialadenitis, sialodochitits, autoimmune sialadenitis (Sjogren’s syndrome).

Radiographic appearance of benign and malignant tumors of salivary gland.


13- Temporomandibular Joint Disorders and Imaging (Ch. 26, pp 473)

A. Normal Anatomy

B. Imaging modalities.

I. Hard tissue imaging: Panoramic radiography and automatic double TMJ program, conventional tomography, Computed Tomography and CBCT.

II. Soft tissue imaging: MRI

C. Abnormalities of the TMJ

1. Developmental (bony): condylar hyperplasia and hypoplasia, coronoid hyperplasia, bifid condyle.

2. Soft tissue abnormalities: Disk displacement with reduction, Disk displacement without reduction, disk perforation and deformities.

3. Remodeling and Arthritic disorders: osteoarthritis, rheumatoid arthritis,

4. Trauma: Dislocation, fractures, ankylosis.

342 MDS Evaluation and Grades


First semester

CAT (Lect 1-6)

Written

20

Final exam

Written

40

Second semester

Clinical Requirements

15

Case Presentations

15

Final Exam

Final practical Exam

Slides

10

Total

100

Beyond the above full mark, there will be 5 bonus grades are awarded to assigned projects and homework.
Clinical Requirements:

  • One case of 20CMS radiographic taking only.

  • Reports writing for 2 assigned 20CMS cases.

  • One panoramic radiographic taking only.

  • Reports writing one assigned panoramic case.

  • Bonus assignment projects and homework are available upon student request (5 grades).

Required Textbook:

  1. Oral Radiology principles and Interpretation, 6th edition (2009) By: White and Pharoah.

  2. Fundamentals of Sectional Anatomy, An Imaging Approach, By Denise L. Lazo. 2005, (Only Chapter 2).

Useful Web Links:

  • Oral Radiographic Differential Diagnosis (ORAD II): http://www.orad.org/index.html

  • Marcilan Maxillofacial Radiology: http://www.marcilan.com

KING SAUD UNIVERSITY

COLLEGE OF DENTISTRY

342 MDS

Clinical Oral and Maxillofacial Radiology –II

Lecture Sequence (1st Semester)

Week

Topic


Lecturer

Date

1

Introduction


Sectional Anatomy of the Oral & Maxillofacial Structures

M Khader


13-10-1432

11-9-2011



2

Inflammation of Jaw Bones

M Khader


20-10-1432

18-9-2011



3

Odontogenic and non-odontogenic cysts

R Sadhan


27-10-1432

25-9-2011



4

Benign Odontogenic Tumors

M Khader


4-11-1432

2-10-2011



5

Benign Non- odontogenic Tumors

M Khader


11-11-1432

9-10-2011



6

Malignant Tumors

H Marzouk

18-11-1432

16-10-2011



7

Soft Tissue Calcification

H Marzouk

25-11-1432

23-10-2011



8

Hajj Vacation

9

Continuous Assessment

17-12-1432

13-11-2011

10

Bone Diseases with Jaw Manifestations

H Marzouk

24-12-1432

20-11-2011



11

Trauma to the Facial Structures

M Khader


2-1-1433

27-11-2011



12

Systemic Diseases Manifested in the Jaws

H Marzouk

9-1-1433

4-12-2011



13

Temporomandibular Imaging & Joint Disorders

M Khader


16-1-1433

11-12-2011



14

Salivary Glands Imaging & Disorders

M Khader


23-1-1433

18-12-2012



15

Maxillary Sinus imaging & Disorder

M Khader


30-1-1433

25-12-2012






Final Examination





KING SAUD UNIVERSITY

COLLEGE OF DENTISTRY

342 MDS Clinical Oral and Maxillofacial Radiology –II

Clinic Sequence (2nd Semester)

Student will be divided into four groups: A, B, C and D.

Week


Group A

Group B

Group C

Group D

Date

1

Panoramic Report Demonstration (Dr. H Marzouk)

8.3.1433

31.1.2012



2

Introduction to Radiological Differential Diagnosis & Case Presentation:

Detailed Description of a Jaw Lesion (Dr. R. Al Sadhan)



15.3.1433

7.2.2012


3

Clinic 1

Case Presentation 1

Assigned Case Reporting

22.3.1433

14.2.2012



4

Assigned Case Reporting

Clinic 1

Case Presentation 1

Assigned Case Reporting

29.3.1433

21.2.2012



5

Assigned Case Reporting

Clinic 1

Case Presentation 1

6.4.1433

28.2.2012



6

Case Presentation 1

Assigned Case Reporting

Clinic 1

13.4.1433

6.3.2012


7

Clinic 2

Case Presentation 2

Assigned Case Reporting

20.4.1433

13.3.2012



8

Assigned Case Reporting

Clinic 2

Case Presentation 2

Assigned Case Reporting

27.4.1433

20.3.2012



Mid 2nd Semester Break

9

Assigned Case Reporting

Clinic 2

Case Presentation 2

11.5.1433

3.4.2012


10

Case Presentation 2

Assigned Case Reporting

Clinic 2

18.5.1433

10.4.2012



11

Makeup Clinical Session

Assigned Case Reporting

25.5.1433

17.4.2012



12

Assigned Case Reporting

Makeup Clinical Session

3.6.1433

24.4.2012



13

Makeup Clinical Session

Assigned Case Reporting

10.6.1433

1.5.2012


14

Assigned Case Reporting

Makeup Clinical Session

17.6.1433

8.5.2012


15

Makeup Clinical Session

Assigned Case Reporting

24.6.1433

15.5.2012



Final Practical Examination

1.7.1433

22.5.2012




- Clinic: OMF Radiology Clinic (Requirements: One 20 CMS cases done on patients and 1 Panoramic radiograph taken on a patient)

- Assigned Case Reporting: Basic Sinces Lab (Room 45). Requirements: report writing of two assigned 20 CMS cases and one assigned panoramic case.

- Case Presentation: Class room (Rm 11 GA) case presentation and discussion.

- Bonus assignment projects and homework are available upon student request.

This course file was approved by the Oral Medicine & Diagnostic Sciences 6th department meeting for the academic year 2009-2010 held on Sunday March 9th, 2010. Last update was approved by the Oral medicine and Diagnostic Sciences 6th department meeting for the academic year 2010-2011 held on Sunday Feb10th, 2011.





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