ADVANCED ORAL and MAXILLOFACIAL RADIOLOGY
Course Director: Prof. Mohamed Ekram
Department of Maxillofacial Surgery and Diagnostic Sciences
Office Phone No. 467-7443
This is a first year comprehensive course in post-graduate dental education. Therefore, the students still remember a good part of their undergraduate basic knowledge about radiation physics, biology, imaging and interpretation.
The main target during this course is to give the students the knowledge in radiology which render them good clinicians, competent in their specialties.
OBJECTIVES OF THE COURSE
When this course is completed, the students should have good knowledge about the following:
- The importance of having good quality radiographs that enable them to establish a proper diagnosis, treatment planning and follow up of cases.
- Which types of radiographic images are indicated for each clinical case in order to obtain the maximum information with the minimal radiation exposure to the patient.
- How to establish a correct differential diagnosis for the most common maxillo-facial lesions.
- How to differentiate benign from malignant lesions in order to avoid the serious sequalae of malignancy.
- How far the recent modalidies in tissue imaging as computed tomography (CT), magnetic resonance imaging (MRI), ultrasonography (US) and scientegraphy could assist in establishing the proper diagnosis for maxillofacial lesions.
- How will be the future of dental radiography with the unlimited advancement of digital imaging in dentistry with its various capabilities in image processing, manipulation and transmission to remote areas for consultation and diagnostic support.
The course will be held in a lecture-seminar format of teaching. The total number of lectures / seminars should be 15 with the assessments included. One lecture/seminar will be given every week according to the following outline.
Two assessments will be held, one following the first eight lectures and one at the end of the course. Both exams will be in the form of multiple choice questions and short answers. In addition, some radiographs will be viewed in combination with historical and clinical findings pertinent to the case for identification or establishing a differential diagnosis. The time allowed for the first exam will be one hour and for the final exam will be two hours.
Midyear exam 20 degrees
Final exam 60 degrees
Writing assignment 20 degrees
The students are required to prepare a writing assignment consisting of one subject pertinent to oral radiology or to their specialities. This assignment should be well carried out and evaluated considering the organization, sequence, figures, and references included.
Oral Radiology. Principles and Interpretation
5th Edition, 2004, White S. & Pharoah M., Publ. Mosby Co. USA
Differential Diagnosis of Oral Lesions
Fifth Edition, 1997, Wood & Goaz, C.V. Mosby Co. Publishers
LECTURE TOPICS AND THEIR OBJECTIVES
1. Introduction & Upgrade I
The outline of the course will be explained to the students considering also the way of evaluation, requirements and additional subjects they would like to add to the outline. Also, their undergraduate knowledge will be up-dated regarding the importance of radiology, imaging principles, films and the dark room techniques.
2. Upgrade II
The student’s undergraduate knowledge will be updated regarding the radiation effects and safety, the answers of some questions for worried patients in addition to the general guidelines for prescribing radiographs.
3. Interpretation of Dental Caries
How to identify the presence of the different types of caries as well as their extent and description and what is false negative and false positive evaluation.
4. Interpretation of Periodontal Disease
How to identify the presence of periodontal disease considering the various types of involvements with their various severities and the most suitable imaging modalities including digital subtraction radiography.
5. Inflammatory Lesions of the Jaws
The student’s will be able to identify the presence of inflammatory lesions, their appearance and the best methods and techniques used to identify them.
6. Advanced Imaging Modalities CT, MRI, US and Scientegraphy
The recent imaging modalities in use now and which assist in the diagnosis of maxillofacial lesions. The use of them sometimes is essential to obtain some information difficult or sometimes impossible to obtain by conventional radiography.
7. Cyst of the Jaws
All cystic conditions which may occur in the maxillofacial region will be discussed, identified and a their differential diagnosis will be discussed.
8. Benign Tumors
Benign lesions which may occur in the maxillofacial region will be discussed, identified and a differential diagnosis will be discussed.
9. Malignant Tumors
Malignant diseases which may occur in the maxillofacial region will be discussed, identified and a differential diagnosis is discussed. The difference between benign and malignant disorders will be stressed in order to render the student capable for establishing an early diagnosis of malignancy to avoid its serious sequaele.
10. Systemic Disease Manifested in Bone
Systemic disorders may have manifestations in the maxillofacial region will be discussed, identified and a differential diagnosis is discussed. Moreover, the early dental signs and symptoms of some systemic diseases will be discussed to render the dentist capable for establishing an early diagnosis of the case.
11. TMJ Disorders and Imaging
The examination of the TMJ, the different imaging modalities and the most common disorders of the TMJ and how they are imaged and diagnosed will be discussed.
12. Digital Radiography
Digital radiography is the new frontier in dental radiology. It is probably the fastest growing area in our discipline. The image can be manipulated, stored, archived, retrieved, printed or transmitted to remote areas for consultation and diagnostic support. The subject will be discussed considering the principles, advantages, disadvantages and the possible future applications of digital radiography
13. Trauma to the Teeth
The identification of various types of trauma to the teeth as fracture, intrusion, extrusion or avulsion will be discussed with the best ways for their imaging.
University of North Carolina at Chapel Hill - Division of Oral and Maxillofacial
Lectures Online and Autotutorials Online by Prof. Axel Ruprecht, University of Iowa College of Dentistry
Learn Digital (Dr. Dale Miles).
American Academy of Oral and Maxillofacial Radiology.
International Association of Dento-Maxillofacial Radiology
The Visible Human Project.
- Oral Radiographic Differential Diagnosis (ORAD II)