The Oral Medicine staff actively contributes to all of the residency training programs sponsored by NPDS with didactic and clinical instruction. The following are descriptions of the oral medicine courses available to all NPDS residents.
NPDS 227 Advanced Oral Diagnosis
Lectures and clinicopathological conferences designed to examine the skills essential for the collection of diagnostic data in a systematic and logical fashion. Special emphasis will be placed on (1) eliciting medical and dental histories, with a review of the organ systems, (2) physical diagnoses and head and neck examination, (3) laboratory studies, (4) indications for and limitations of radiographic evaluations, (5) medical consultations, and (6) special considerations for the geriatric patient. The resident will learn to synthesize the data obtained and, consequently, establish a diagnosis for the patient’s chief complaint, determine the significance of preexisting medical conditions, discover concomitant disease, and formulate a treatment plan based on an accurate determination of the patient’s physical and emotional capacity to tolerate dental care.
NPDS 228 Pharmacotherapeutics in Clinical Dentistry
Lectures and clinicopathological conferences designed to present the pharmacokinetics and pharmacodynamics of major drug groups, with particular reference to clinical dentistry. Topics of discussion will include (1) pharmacokinetics (absorption, distribution, biotransformation, and excretion) of drugs, (2) sedative and hypnotic agents, (3) minor tranquilizers and centrally acting muscle relaxants, (4) peripherally and centrally-acting analgesics, (5) local anesthetics, (6) antimicrobials, and (7) therapeutic agents recommended for management of common oral diseases. Further emphasis will be placed on the geriatric patient and the potential interaction of drugs with medications prescribed by other health professionals. Participants will be prepared to prescribe for maximum benefit and to recognize the clinical ramifications of concomitant drug therapy.
NPDS 231 Systemic Disease in Clinical Dentistry
This course is a comprehensive presentation of the dental management of medically compromised patients. The medical and/or pharmacologic management of systemic disease is discussed, and the basis for modification of dental therapy is highlighted. The resident will acquire knowledge essential for assessing a patient’s ability to undergo dental care based on the recorded medical history and the correlation of significant clinical, laboratory, and radiographic findings. Clinicopathological conferences are designed to review the normal physiology of organ systems, incidence of significant variation, and the pathophysiology of disease states of special interest to the dentist. Emphasis will be directed towards the management of the adult and geriatric patient.
NPDS 284 Oral Medicine/Clinical Oral Diagnosis
Clinical practice designed to reinforce diagnostic and patient management skills. Special emphasis will be placed on (1) eliciting a complete medical and dental history, (2) physical examination, (3) radiographic interpretation, (4) ordering appropriate laboratory studies, (5) performing diagnostic tests, (6) synthesizing a differential diagnosis, and (7) developing an effective treatment plan. The resident will develop an appreciation for the relationship between clinical presentation and microscopic appearance and gain experience in the dental management of patients with serious and complex medical problems.
NPDS 327 Clinical Oral Diagnosis/Oral Medicine II
Advanced clinical practice designed to facilitate the implementation of principles and the establishment of skills essential in oral diagnosis, oral medicine, and treatment planning. The residents will acquire experience in supervising the Oral Diagnosis Clinic, provide clinical instruction to general practice residents, and provide guidance for the appropriate dental management of patients with systemic diseases.
NPDS 360 Seminar, Oral Medicine
Seminars and clinicopathological conferences for residents in specialties other than oral medicine are designed to discuss advanced principles in the diagnosis and management of medically compromised patients. A practical, case-study approach is used to emphasize important principles of comprehensive care required in both general and specialty dental practice.