Wednesday from 10 a.m. to 2 p.m. It is advisable to request an appointment. Subject in general: Dr. Jordi Tomàs jtomas@uic.es
Introduction
Craniomandibular dysfunction (DCM) and orofacial pain (OD) are very prevalent in the general population since these syndromes encompass a large number of pathologies of the craniomandibular and cervico-scapular area (it can be said that practically 100% of the population will ever suffer an OD in life).
Within the DCM and the DO, craniomandibular / cervical and temporomandibular joint (TMJ) muscular pathologies, orofacial neuropathies / neuralgia (mainly trigeminal neuralgia), and primary headaches (migraine, tension headache, trigeminal cephalalgia) are included as the most relevant tables. autonomic).
Pre-course requirements
No prerequisite is necessary
Objectives
These objectives are divided into three main groups:
1. Cognitive:
1. Define the concept of craniomandibular dysfunction and orofacial pain and establish its objectives
2. To know the etiology, etiopathogenesis and clinical of temporomandibular and orofacial pathologies, in their different variants
3. Make an adequate clinical history in order to achieve a correct diagnosis.
4. To know the prognosis of treatment according to each joint, muscular, neuropathic or neurovascular pathology.
5. Expose the different types of treatment.
6. Enunciate the different complementary tests that are indispensable for making a diagnosis.
7. Know how to use the different interocclusal recording materials.
2. Sensitive and motor:
1. Correctly perform interocclusal record taking
2. Properly plan multidisciplinary treatment
3. Know how to correctly explore the musculature and the temporomandibular joint.
4. Correctly perform the exploration of the cranial nerve nerves
5. Know how to correctly interpret CT, MRI and any other complementary test.
6. Develop all types of oral orthoses (Michigan type splint, mandibular advance for joint treatment and apneas and hypopneas).
7. Establish a correct circuit with other specialties (orthodontics, prosthodontics, surgery, etc.) and professions (neurology, physiotherapy, psychology, otolaryngology, rheumatology).
8. Evaluation of the patient's body position and its repercussion at the orofacial level.
9. Analyze the patient's occlusal dental status through gnathological and functional vision.
3. Affective:
1. Develop the ability to exhibit in public.
2. Develop the ability to write scientific papers in the field of craniomandibular dysfunction and orofacial pain.
3. Develop a concern for research and deepening knowledge.
Competences/Learning outcomes of the degree programme
• 20 - Obtain and elaborate a clinical history that contains all the relevant information
• 28 - Acquire clinical experience under proper supervision
• 37 - Perform the necessary radiographs in dental practice, interpret the images obtained and know other diagnostic imaging techniques that have relevance
• 38 - Know the procedures and clinical and laboratory diagnostic tests, know their reliability and diagnostic validity and be competent in interpreting their results
• 39 - Recognize normality and oral pathology, as well as the evaluation of semiological data
• 40 - Identify the main reason for consultation and the history of the current disease. Perform a general clinical history of the patient and a clinical record that faithfully reflects the patient's records
• 42 - Handle, discriminate and select the appropriate materials and instruments in dentistry
• 43 - Know the dental biomaterials: their handling, properties, indications, allergies, bio-compatibility, toxicity and waste disposal and environmental impact
• 44 - Know and use the basic equipment and instrumentation for dental practice
• 65 - Diagnose, plan and perform, in general, a multidisciplinary, sequential and integrated treatment of limited complexity in patients of all ages and conditions and in patients with special needs (diabetic, hypertensive, oncological, transplanted, immunocompromised, anticoagulated, among others) or disabled. Specifically, the dentist must be competent in the establishment of a diagnosis, a prognosis and the development of adequate therapeutic planning, and particularly in orofacial pain, temporo-mandibular disorders, bruxism and other parafunctional habits; dental and periapical pathology; bucco-dental trauma; Periodontal pathology and peri-implant tissues; bone pathology of the jaws, buccal soft tissues and attached glands; stages of partial or total edentation and in the planning of their rehabilitation treatment through dento and mucosal-supported prostheses, or through dental implants, malpositions and / or dental malocclusions and other anatomical or functional alterations of the face or stomatognathic system and their possible corrections orthodontic, orthopedic or surgical
• 66 - Take and interpret radiographs and other procedures based on the image, relevant in dental practice
• 67 - Carry out diagnostic models, assemble them and take inter-occlusal registers
• 68 - Determine and identify the aesthetic requirements of the patient and the possibilities of satisfying their concerns
• 72 - Appropriate prescription of drugs, knowing their contraindications, interactions, systemic effects and repercussions on other organs
• 73 - Apply crazy-regional anesthesia techniques
• 76 - Identify and attend to any dental emergency
• 81 - Evaluate and treat the patient with caries or other non-carious dental pathology and be able to use all materials aimed at restoring the shape, function and aesthetics of the tooth in patients of all ages
Learning outcomes of the subject
• - Differentiate the pain according to its location
• - Differentiate pain according to its origin
• - Differentiate pain according to its duration
• - Differentiate pain according to the characteristic of pain
• - Make an adequate clinical history.
• - Properly plan multidisciplinary treatment
• - Identify the psychological component of a patient with craniomandibular dysfunction and orofacial pain.
• - Treat patients with joint and muscle pathology through physiotherapy, pharmacology, intraarticular infiltrations.
• - Properly elaborate each of the known oral orthoses and their precise adjustment.
• - Know the different patterns of mastication relationships with the patient's occlusal factors. –
Syllabus
Topic 1: Gnatological vs. functional occlusion.
Topic 2: Assembly in articulator and interocclusal registers.
Topic 3. Selective carving, fixed prosthesis or orthodontics.
Topic 4: Muscular pathology.
Topic 5: Articular pathology.
Topic 6: Physiotherapy.
Topic 7: Treatment with oral orthoses
Topic 8: Orofacial pain: neuropathic pain.
Topic 9: Orofacial pain: neurovascular pain.
Topic 10: Psychology of the patient with craniomandibular dysfunction and orofacial pain.
Topic 11: Oral sleep medicine.
Topic 12: Surgical techniques in ATM.
Topic 13: Laboratory techniques.
Topic 14: Prognosis of treatment and elaboration of clinical cases.
Teaching and learning activities
In person
1. Cognitive area: The theoretical concepts of the subject will be transmitted through lectures and guided lectures. Seminars will be held to help students interpret the available data, in order to properly perform the diagnosis and treatment planning.
2. Sensory and motor area: Laboratory practices will be carried out (assembly in articulator, interocclusal record taking, oral orthosis elaboration, selective carving).
3. Affective area: Students can perform non-directed readings, attend non-compulsory conferences, maintain contact with professors and researchers, and, where appropriate, perform monographic work, alone or as a team, in order to acquire the appropriate motivation to maintain and expand knowledge, work as a team and collaborate in the advancement of dentistry in general and endodontics in particular.
Evaluation systems and criteria
In person
Theory: Final exam with multiple choice questions and / or short questions. In special circumstances, and upon approval by the faculty and academic secretariat, the student may request an oral examination before a court of two or more professors. Once the class is started, entry to the classroom will not be accepted.
Bibliography and resources
Okeson J. Treatment of occlusion and temporomandibular conditions. 6th ed. The sevier mosby 2008
Ricard F. Treaty of cranial osteopathy. 1st ed. Panamericana 1990
Maglione H. Craniomandibular dysfunction. 1st ed. Amolca 2008
Solnit A, Curnutte D. Occlusal correction. 1st ed. Quintessence 1988
Bascones A, masno F. Orofacial pain. Diagnosis and treatment. 1st ed. Advances 1997
