Universitat Internacional de Catalunya
Craniomandibular Disorders and Orofacial Pain
Other languages of instruction: Catalan, English
Teaching staff
Prof. Responsible:
Dra. Natalia Felipe / Dr. Jordi Tomàs
Wednesday from 9 am to 2 pm (It is recommended to request an appointment via e-mail: nfelipe@uic.es / jtomas@uic.es)
Introduction
Craniomandibular pain and dysfunction have a very significant prevalence in the general population. It is very common to consult patients with dysfunctional symptoms in different areas of dentistry and other medical specialties, hence the need to be able to diagnose the signs and symptoms quickly as dentists to guide our patients on what therapeutic measures perform. Dysfunction of the masticatory system is a broad subject, in which students must progressively acquire a set of theoretical concepts, sufficient practical skill and experience to be able to diagnose and treat. Currently, the concept of dysfunction of the masticatory system, in the area of knowledge of Dentistry, is integrated within the general context of the patient as a functional unit, which requires a comprehensive approach and treatment.
Pre-course requirements
Knowledge of anatomy of the stomatognathic system and neurophysiology of craniofacial pain.
Objectives
- To train undergraduate students to acquire advanced, theoretical and practical knowledge, in relation to the diagnosis of dysfunctional pathology of the masticatory system.
- Obtain sufficient knowledge for the different types of dysfunctional treatment.
- Encourage the search for information on the subject.
Competences/Learning outcomes of the degree programme
• Perform non-surgical treatment of temporomandibular disorders and orofacial pain
• Identify and correct oral habits that may cause or exacerbate bad occlusions
• Assess the motor and sensory function of the mouth, jaws and appendages
• Know the morphology and function of the stomatognathic apparatus, including appropriate contents of specific embryology, anatomy, histology and physiology
• Diagnose, plan and carry out, 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 should be competent in establishing a diagnosis, a prognosis and the development of adequate therapeutic planning, and particularly in orofacial pain, temporomandibular disorders, bruxism and other parafunctional habits; dental and periapical pathology; oral trauma; periodontal and peri-implant tissue pathology; bone pathology of the jaws, buccal soft tissues and adnexal glands; states of partial or total edentation and in the planning of the rehabilitative treatment by means of dentosupported and mucosupported prosthesis, or by means of dental implants, malpositions and / or dental malocclusions and of other anatomical or functional alterations of the face or of the stomatognathic system and of the possible orthodontic, orthopedic, or surgical corrections
• Carry out diagnostic models, assemble them and take interocclusal records
Learning outcomes of the subject
• Understand and describe the embryological origin of the head and neck structures
• Know the structure and function of the head and neck support and movement systems. Skull and face bones. Muscles of the head: muscles of facial expression, chewing, supra and infrahyoid. Neck muscles
• Know the structure and function of the temporomandibular joint
• Know the distribution of the vascularization of the head and neck
• Know the distribution of cranial pairs and their clinical examination
• Solve clinical problems based on deductions made with basic knowledge of head and neck anatomy and physiology
• Identify by means of imaging techniques, structures of the different topographic regions of the head and neck
• Know the general use of dental materials and instruments
• Know the techniques for controlling anxiety
• Know the pharmacological treatment of pain
• Differentiate pain according to its location
• Differentiate pain according to its origin
• Differentiate pain according to its duration
• Differentiate pain according to the characteristic of the pain
• Know and recognize the etiology of malocclusions
• Know how to make a correct clinical history of the patient
• Know how to make a correct oral and functional examination of the patient
• Know how to make a correct physical examination of the patient
Syllabus
Introduction to DCM and DO
Screening of patients with DCM
Clinical History (anamnesis and exploration)
Craniomandibular muscle scan
Craniomandibular muscle disorders
ATM scan
ATM disorders
Orofacial pain: neuropathic
Orofacial pain: neurovascular
Rheumatology
psychology
Neuro-occlusal rehabilitation
Physiotherapy
Oral medicine
Bioenergetic dentistry
Multidisciplinary seminars
Diagnosis and treatment Bruxism
Occlusion pathology
Rehabilitation of patients with severe wear
Waxing and dental anatomy
Dental photography
Pharmacology
Radiodiagnosis
Teaching and learning activities
In blended
Master classes
Preclinical practice seminars
Image test analysis seminars.
Clinical case seminars.
Theoretical and practical test.
· Methodology and training activities (Totally online mode)
Master classes
Preclinical practice seminars
Image test analysis seminars.
Clinical case seminars.
Theoretical and practical test.
Evaluation systems and criteria
In blended
The final evaluation will be as follows:
Theoretical test:
The evaluation will include all the theoretical concepts taught throughout the semester of the subject. It will consist of 50 multiple choice test questions. Each correct answer will add a point. Incorrect answers will be deducted 0.20 points from the final score. A minimum score of 25 points must be obtained to pass the test. The theoretical test will represent 60% of the total mark of the subject.
Practical test:
The practical part will be carried out according to the daily evaluation of the student attending to the acquisition of knowledge, ability and attitude (including punctuality), and to a practical test. Attendance at internships is MANDATORY. Unjustified absence from two practical sessions will imply the suspension of the subject. The practical test will represent 40% of the total mark of the subject.
It will be necessary to obtain a total score (theoretical test + practical test) of 5/10 to pass the course. It will also be necessary to pass the two exams (practical and theoretical) individually to pass the course.
Exceptionally, the possibility of taking an oral exam of the subject will be assessed with the subject's teaching staff and academic secretary if the individual situation requires it in particular.
Bibliography and resources
Okeson JP. Treatment of occlusion and temporomandibular conditions. 7th Ed. Elsevier, 2013.
Headache classification committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013; 33: 629-808.
De Leeuw R, Klasser GD. ed. Orofacial Pain Guidelines for Assessment, Diagnosis and Management of the American Academy of Orofacial Pain. 5th Ed. Quintessence, 2013.
Lavigne G. Sleep medicine for dentists. 1st ed. Quintessence books, 2009
Rodríguez Flores JM. Oral sleep medicine in children and adults. 1st ed. Quintessence, 2014
Chokroverty S. Medicine of sleep disorders. 3rd ed. Elsevier, 2011
Reading and analysis of current and classical literature