Maxillofacial Surgery and Oral Pathology

2019-2020

Course Objective

The student should be competent to:
• Work together with other (dental/medical) specialists in
multidisciplinary teams
• use oral biopsy techniques* (excisional and incisional) of
pathological lesions in children and adolescents
• examine, diagnose and treat* teeth, oral tumours and cysts in the new
born and neonate
• examine, diagnose and treat* oral manifestations of systemic disease
in the soft and hard oral tissues, especially in children with:
1. cardiac disease
2. renal disorders
3. endocrine disorders
4. immunologic disorders
5. bleeding disorders
6. malignant diseases
7. convulsive disorders
8. skeletal disease
9. chromosomal aberrations
• examine, diagnose and treat* bacterial, viral and fungal infections of
the oral mucosa, especially in immunocompromised children
• examine, diagnose and treat* soft tissue lesions and abnormalities
such as frenuloplasty
• examine, diagnose and treat* impacted teeth using surgical techniques
including surgical orthodontic treatment

* treatment should only be performed after consultation and approval of
the maxillofacial surgeon. In principle these treatments are reserved
for the maxillofacial surgeons and should be performed in a
hospital-based setting.

The students should have knowledge of or be familiar with:
• examination, diagnose and treatment of bone lesions, cysts, tumors
and tumor-like lesions in children and adolescents
• multidisciplinary approaches (a.o. indication, timing and application)
in the treatment of cleft palate patients (or other maxillofacial
abnormalities)
• specific aspects of orthodontic treatment in cleft palate patients
• maxillo-facial surgery in children

Course Content

Working on a specialist level, paediatric dentists are considered to be
equipped with all the necessary knowledge that allows them to treat
children with all kinds of diagnoses. Actually, the paediatric dentist
should be some sort of a psychologist, a paediatrician and a surgeon in
one. Of course, this is a utopia but the paediatric dentist should
acquire him/herself basic knowledge of various medical conditions and
disciplines. Especially when it concerns medically compromised children,
the paediatric dentist is just one specialist of a big team of health
care providers that is part of a child’s and his/her parent’s everyday
life. A certain level of basic knowledge upon oral pathology, surgery
and medicine is thus important to cooperate with all these specialists
in the same team, to assess possible dental-medical interactions, to
foresee complications, alert contraindications, etc.

Children that show congenital or acquired defects or abnormalities/
discrepancies of the craniofacial complex are often dependent on an
intensive dental treatment path. However, generally the disorders are so
complex that treatment and counselling extends over various
(para)medical or dental disciplines. These children visit special teams,
in which several disciplines are involved. All health care professionals
work together according to specific guidelines and protocols. Whenever
dental disorders are involved, a paediatric dentist should participate
in such a team. Therefore, paediatric dentists must learn how to
cooperate with these various disciplines and work around the patient as
a team. In order to acquire a profound base of knowledge upon this
subject, the students join the course “craniofacial disorders and cleft
palate” and they have to run an internship in a multidisciplinary
Cleft-Palate-Team within a hospital (see in/externships).

Teaching Methods

Seminars, Self-study

Method of Assessment

Learning assessment
The student needs to pass all components undermentioned
• Overall assessment of assignments during the seminars (grade: Good;
Pass; or Fail)
• Written exam (Case questions) (grade: 1-10)

Grading
• A prerequisite for grade registration (grade 1-10) is successful
completion of the seminar assignments. In case of a fail for one or more
of the seminar assignments and a pass for the written exam, a 5.0 will
be registered and students will need to retake the relevant seminar
assignments.

Literature

• Van Amerongen W, Berendsen W, Martens L, Veerkamp J.
Kindertandheelkunde I. Bohn Stafleu van Loghem; 2001.
• Van Amerongen W, Berendsen W, Martens L, Veerkamp J.
Kindertandheelkunde II. Bohn Stafleu van Loghem; 2004.
• van der Waal I, van der Kwast WAM, van der Wal JE. Pathologie van de
mondholte (latest edition)
• van der Waal I. Mond-en kaakziekten, een atlas voor de dagelijkse
praktijk. Springer media, 2017.
• Reader with selected research papers

General Information

Course Code T_MAXSURPD3
Credits 4 EC
Period Ac. Year (sept)
Course Level 500
Language of Tuition English
Faculty Faculty of Dentistry
Course Coordinator dr. C.C. Bonifacio DDS
Examiner dr. C.C. Bonifacio DDS
Teaching Staff

Practical Information

You need to register for this course yourself