Universitat Internacional de Catalunya
In Craniomandibular Disorders and Orofacial Pain in Clinical Practice
Other languages of instruction: Catalan, English,
Teaching staff
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 sleep neurophysiology.
Objectives
- To train undergraduate students to acquire advanced knowledge and practical skills, in relation to the diagnosis of temporomandibular, postural, occlusal and sleep-associated disorders (snoring, apnea, hypoapnea).
- Obtain sufficient knowledge for the different types of treatments (physiotherapy, oral orthoses, selective cuts, occlusal analysis, pharmacogenetics, oral sleep medicine, self-care).
- 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
- Diagnosis and treatment of temporomandibular pathology, neuropathic pain, neurovascular, postural analysis.
- Physiotherapy treatment based on manual therapy, trigger point debridement, dry puncture, ultrasound application and TENS.
- Cognitive-behavioral treatment, use of tools such as biofeedback or Jacobson relaxation techniques.
- Multidisciplinary treatment with interaction with prosthodontics, orthodontics, surgery, pediatric dentistry, etc.
- Making and adjusting all types of oral orthoses, made in a conventional or digital way.
- Neuromuscular deprogramming, and occlusal analysis.
- Carrying out selective cuts and occlusal adaptation.
- Treatment of oral sleep pathology through oral sleep hygiene, mandibular advancement devices, CPAP control, referral to ORL for surgical cases.
- Surgical treatment of TMJ with infiltration of PRFC, corticosteroids, arthrocentesis and assistance in cases of arthroscopy.
- Rehabilitation of cases of severe wear and tear due to non-carious lesions.
- Treatment of sleep and wakefulness bruxism.
- Analysis and diagnosis of lesions of the oral cavity.
- Treatment of neuropathic and neurovascular pain through pharmacogenetic study.
Syllabus
Carrying out internships on patients at the University Dental Clinic under the supervision of the master's degree teaching staff.
Teaching and learning activities
In person
Practices on patients in CUO
Preclinical practice seminars
Image test analysis seminars.
Clinical case seminars.
Evaluation systems and criteria
In person
Continuous evaluation with respect to clinical criteria, manual skills, interaction with the patient, faculty and auxiliary staff of CUO.
Continuous evaluation of the different preclinical seminars (X-ray, clinical cases, physiotherapy, occlusion, oral sleep medicine).
Presentation of 5 final clinical cases before a court outside the master's degree for 30 '.
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.