Microsoft Word 342 MDS Coursoutline 0708

1
1
King Saud University College of Dentistry
Dept. of Maxillofacial Surgery Diagnostic
Sciences Division of Oral Maxillofacial
Radiology MDS 342- Oral and Maxillofacial
Radiology Course title Oral Maxillofacial
Radiology II Course No Code 342 MDS Credit
Hours 4 h ( 1h lecture 3h Clinical) Level
Third year _____________________________
_________________________________ 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 tutorials in the second half. The
lectures in the first half will encourage the
student to participate in tutorials of the
second half. Overall learning objectives By
the end of this course students should be able
to 1- Identify all skull and Maxillofacial
radiographic projections, describe the basic
principles of how these views are taken, make a
critical assessment of their quality, be aware
of their indication and limitations ,and know
when to request them clinically. 2- Describe
the advanced imaging modalities, their uses in
the head and neck including CT, MRI, US and
nuclear medicine. 3- Know different types of
infections and their clinical and radiographic
features. 4- Know different types of
Odontogenic and non Odontogenic cysts and to
describe the radiographic appearance of each one.
5- 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. 6- Know different
malignant lesions stressing on the clinical and
radiographic features. Be able to request the
advanced imaging to complete the differential
diagnosis. 7- Know different types of bone
lesions that have jaw manifestations stressing
on the clinical features and radiographic
appearance. 8- Identify and diagnose fractures
of the jaws and facial bones, their clinical
features and different imaging technique used for
diagnosis.
2
2
9- Know the systemic disease and some of
syndromes that can be manifested in the jaws.
10- Know TMJ anatomy, different radiographic
technique used to examine TMJ. To know the
radiographic appearance of the most common
disorders affecting the TMJ. 11- 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. 12- Know salivary gland
anatomy different radiographic technique used to
examine salivary gland. To know the radiographic
appearance of the most common diseases affecting
them. Required textbook Oral Radiology
principles and interpretation 5thedition (2004)
By White and Pharoh Differential Diagnosis
of Oral Lesions (section on bony lesions) By
WOOD. GOAZ Content of the lectures 1-
Advanced imaging modalities ch 13 pp 245
Computed Tomography (CT) definition,
production of CT image, digitization,
functions of the CT system, sections of the
head, direct and reconstructed, indications,
advantages and disadvantages of CT, CT
compared to conventional radiography. Magnetic
Resonance Imaging (MRI) definition, physical
principles, generation of the MR Image,
indications, advantages and disadvantages of
MRI.Nuclear Medicine (Scientegraphy)
Principles, , indications, advantages and
disadvantages. Ultrasonography, principle,
indications. 2-Infections of jaw bones ch 19
pp366 Review of Acute apical periodontitis,
acute dentoalveolat abcess, chronic apical
periodontitis, Periapical granulomas, Radicular
cyst. clinical feature and radiographic
apperance and differential diagnosis of
Sclerosing osteitis, osteomyelitis and
osteoradionecrosis. 3- Odontogenic and
non-odontogenic cysts ch 20 pp384 Defintion,
clinical radiographic features Odntogenic
cyst clinical features, radiographic appearance
and differential diagnosis of Radicular cyst,
residual cyst,Dentigerous cyst, Odontogenic
keratocyst, lateral periodontal cyst.
Non-odontogenic cysts clinical features,
radiographic appearance and differential
diagnosis of nasopalatine duct cyst (incisive
canal cyst), nasolabial cyst (nasoalveolar
cyst). Cyst-like lesions clinical features,
radiographic appearance and differential
diagnosis Of simple bone cyst, developmental
salivary gland defect(Stafne defect)pp598,
Aneurysmal bone cyst pp 462.
3
3 4- Benign Odontogenic tumors ch 21 pp 410
Definition, clinical features, radiographic
features( location, periphery shape, internal
structure, effects on surrounding structures).
Clinical features, radiographic appearance and
differential diagnosis of Ameloblastoma,
Adenomatoid Odontogenic tumor (AOT), Calcifying
Epithelial Odontogenic tumor( CEOT), odontoma,
Ameolblastic fibroodontoma, Ameloblastic
fibroma, Odontogenic Myxoma, Benign
Cementoblastoma, central Odontogenic fibroma.
5- Benign non Odontogenic tumors ch 21 pp 410
Hyperplastic lesion Clinical features,
radiographic appearance and differential
diagnosis of torus palatinus, torus
mandibularis, enostoses, exostoses. Non
Odontogenic tumors clinical features,
radiographic appearance and differential
diagnosis of Neurilemoma( schwannoma), Neuroma,
Neurofibroma, Osteoma, central hemangioma,
arteriovenous defect, osteoblastoma, osteoid
osteoma. 6- Malignant tumors ch 22 pp 458
Radiographic characteristic of malignant
tumors,difference betewn benign and malignant
tuomrs. Clinical features, radiographic
appearance and differential diagnosis of
squamous cell carcinoma, central mucoepidermoid
ca, ameloblastic carcinoma Metastatic CA,
osteosarcoma, , chondrosarcoma, Ewings sarcoma
fibrosarcoma, multiple myloma and leukemia,
Burkitts lymphoma. 7- Bone diseases with jaw
manifestation, ch 23 pp 485 Clinical features,
radiographic appearance and differential
diagnosis offibrous dysplasia, periapical
cemetal dysplasia, ossifying cementifying
fibroma, florid osseous dysplasia,
cementoblastoma, giant cell lesion(cherubism,
central gaint cell gramuloma, osteopetrosis,
pagets disease. 8- Facial fractures ch 28
pp615 Mandibular fractures. Mandibular
condyle fractures. Mid face fractures (Le Fort
I, II, III) Zygomatic fractures 9- Systemic
disease manifested in the jaws ch 24 pp 516
Hormonal hyperparathyroidism, hypoparathyroidism,
hyperpituitarism, hypopituitarism,
hyperthyroidism, hypothyroidism, diabetes
mellitus, Cushings syndrome. Metabolic bone
diseases osteoporosis, Rickets and osteomalacia,
hypophosphatasia, renal osteodystrophy,
hypophosphatemia,osteopetrosis.
4
4
Other systemic diseases Progressive systemic
sclerosis, sickle cell anemia, thalassemia.
10- Maxillary sinus diseases and imaging, ch 26
pp 576 Review of normal development, anatomy,
functions diagnostic imaging. Clinical
features, radiographic appearance and
differential diagnosis of inflammatory changes(
thickened mucous membrane, sinusitis, Empyema,
polyps) Antroliths, mucous retention cyst,
mucocele, Odontogenic cyst, benign neoplasm
osteoma, papilloma,ameloblastoma. Malignant
neoplasms squamous cell carcinoma. Fibrous
dysplasia. 11- Salivary gland diseases and
imaging ch 30 pp 658
Review of anatomy, diagnostic imaging of S.G
intra oral extra oral radiography (Periapical,
occlusal, lateral oblique), sialography, CT, MRI,
ultrasonography Clinical features, radiographic
appearance and differential diagnosis of
obstructive inflammatory disorders
(sialolithiasis, sialadenitis,sialodochitits,
Autoimmune sialadenitis(Sjogrens syndrome),
cystic lesions. Pleomorphic adenoma, warthins
tumor, Mucoepidermoid carcinoma 12-
Temporomandibular joint disorders and imaging ch
25 pp 538 A.Normal Anatomy. B. Imaging
modalities. I. Hard tissue imaging plain
TMJ radiography, panoramic radiography and
automatic double TMJ program, conventional
multilayer tomography, Computed Tomography.
II. Soft tissue imaging MRI, Arthrography.
III. other imaging modalities Scientegraphy and
SPECT. C. Abnormalities of the TMJ 1.
Developmental (bony) condyler hyperplasia
and hypoplasia, coronoid hyperplasia, bifid
condyle. 2. Soft tissue abnormalities Disk
displacement with reduction, Disk displacement
without reduction, disk perforation and
deformities. 3. Remodelling and Arthritic
disorders osteoarthritis, rheumatoid
arthritis, juvenile chronic arthritis. 4.
Trauma Dislocation, fractures, ankylosis. 5.
Tumors benign, and malignant.
5
5
342 MDS Evaluation and Grades
6
6
College of Dentistry Dept. of Maxillofacial
Surgery Diagnostic Sciences Division of Oral
Maxillofacial Radiology MDS 342- Oral and
Maxillofacial Radiology First Half Year
(2006-2007) DUC
Required textbook Oral Radiology principles and
interpretation 5thedition (2004) By White and
Pharoh
7
7
College of Dentistry Dept. of Maxillofacial
Surgery Diagnostic Sciences Division of Oral
Maxillofacial Radiology MDS 342- Oral and
Maxillofacial Radiology Second Half Year
(2006-2007)