Universitat Internacional de Catalunya
Masticatory System Dysfunction
Other languages of instruction: Catalan, English
Teaching staff
Prof. Responsable: Dra. Natalia Felipe / Dr. Jordi Tomàs
Horarios de atención: Miércoles de 9 a 14 horas (Se recomienda pedir cita previa vía e-mail: nfelipe@uic.es / jtomas@uic.es )
Introduction
The dysfunction of the masticatory system and orofacial pain are very prevalent in the general population as these syndromes encompass a large number of pathologies (it can be said that practically 100% of the population will suffer from orofacial pain at some point during their life). This diversity of pathologies makes the differential diagnosis of orofacial pain extremely difficult, causing frequent frustration both in patients and in professionals dedicated to the treatment of these diseases. The dysfunction of the masticatory system is a broad subject, in which students have to progressively acquire a set of theoretical concepts, sufficient practical skill and experience to be able to diagnose and effectively treat clinical pictures of craniomandibular dysfunction and orofacial pain. Currently, the concept of dysfunction of the masticatory is integrated within the general context of the patient as a functional unit, which requires an integral treatment approach.
Pre-course requirements
Knowledge about anatomy of the stomatognathic system and neurophysiology of craniofacial pain
Objectives
-To teach dental students in order to achieve the basic, theoretical and practical knowledge in relation to the diagnosis of craneomandibular dysfunction and orofacial pain.
-To teach dental students the current knowledge about the different types of therapies for the treatment of craniomandibular dysfunction and orofacial pain.
-To promote among students the search of information regarding this subject.
Competences/Learning outcomes of the degree programme
- 33 - Knowing the morphology and function of the stomatognathic apparatus, including material on embriology, anatomy, histology and specific physiology
- 65 - Diagnosing, planning and undertaking, at a general level, multidisciplinary, sequential and integrated treatment of limited complexity for patients of all ages and conditions and patients with special needs (diabetes, hypertension, oncological diseases, transplants, immune-depression, anti-clotting, etc.) or disabilities. Specifically the dentist should be competent in establishing a diagnosis, a prognosis and developing a suitable treatment plan, particularly in terms of orofacial pain, temporo-mandibular disorders, bruxism and other parafunctions; dental and periapical pathology; oral and dental trauma; periodontal and peri-implanted tissue pathologies; pathology of the mandibular bone, of soft oral tissue and annex glands; states of partial or total edentation and planning rehabilitation treatment via dento-muco supported prostheses, or dental impants, dental malpositions or malocculusions and other anatomical or functional alterations of the face or the stomatognathic system and their potential orthodontic, orthopaedic or surgical corrections
- 67 - Creating diagnostic models, setting them up and taking inter-occlusal registrations
- 70 - Evaluating motor and sensory oral, mandibular and annex function
- 88 - To undertake non-surgical treatment for temporo-mandibular disorders and oro-facial pain
- 90 - To identify and correct oral habits that are susceptible to causing or exacerbating malocclusions
Learning outcomes of the subject
- 1.14 - Understand and describe the embryological origin of the structures of head and neck
- 1.15 - Know the structure and function of support and movement of the head and neck systems. Bones of the skull and face. Head Musculature: muscles of facial expression, masticatory, supra and infrahyoid. Neck muscles
- 1.16 - Know the structure and function of the temporomandibular joint
- 1.17 - Know the distribution of vascularization of the head and neck
- 1.18 - Know the distribution of cranial nerves and clinical examination
- 1.19 - Solve clinical problems from deductions made from the basic knowledge of anatomy and physiology of the head and neck
- 1.20 - Identify using image techniques, structures of different topographical regions of the head and neck
- 2.13 - Know the general handling of materials and dental instruments
- 3.18 - Learn the techniques of anxiety control
- 3.19 - Know the pharmacological treatment of pain
- 4.031 - Differentiate pain according to location
- 4.032 - Differentiate pain according to origin
- 4.033 - Differentiate pain according to duration
- 4.034 - Differentiate pain according to the characteristic of the pain
- 4.116 - Know and recognize the etiology of malocclusions
- 4.117 - Know how to make a proper patient history
- 4.118 - Know how to make a proper oral and practical examination of the patient
- 4.119 - Know how to make a correct facial examination of the patient
Syllabus
|
8 set |
THEORY |
Introduction to DCM and DO |
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Medical history physical examination |
M1/M2-M3 |
|
|
15 set |
THEORY |
Medical history physical examination |
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Medical history physical examination | M2/M1-M3
|
|
|
22 set |
THEORY |
Muscular disorders
|
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Medical history physical examination / Articulator + DN
|
M3/M1-M2
|
|
|
29 set |
THEORY |
TMJ disorders
|
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Registers and articulator / Articulator + DN
|
M1/M2-M3
|
|
|
6 oct |
THEORY |
Occlusal splints |
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Registers and articulator / Occlusal splint (making)
|
M2/M1-M3
|
|
|
13 oct |
THEORY |
Complementary diagnostic explorations |
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Registers and articulator / Occlusal splint (making)
|
M3/M1-M2
|
|
|
20 oct |
THEORY |
Occlusion |
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Neuro deprogrammer / Muscular clinical cases
|
M1/M2-M3
|
|
|
27 oct |
THEORY |
Dental wear and occlusal trauma |
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Neuro deprogrammer / Muscular clinical cases
|
M2/M1-M3
|
|
|
3 nov |
THEORY |
Neurophatic pain |
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Neuro deprogrammer / Articular clinical cases
|
M3/M2-M3
|
|
|
10 nov |
THEORY |
Neurovascular pain
|
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Occlusal splint and adjustment / Articular clinical cases
|
M1/M2-M3
|
|
|
17 nov |
THEORY
|
Pharmacologic therapy and selfcare |
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Occlusal splint and adjustment / RX interpretation |
M2/M1-M3
|
|
|
24 nov |
THEORY |
Oral Sleep medicine part I |
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Occlusal splint and adjustment / RX interpretation
|
M3/M1-M2
|
|
|
31 nov |
THEORY |
Oral Sleep medicine part II |
Dra. Felipe |
|
PRACTICE (LAB/SEM) |
Recovery practice + selective grinding/ Rehab dental severe wear | M1/M2-M3
|
|
|
15 des |
THEORY |
Habits at TTM |
Dr. Tomàs |
|
PRACTICE (LAB/SEM) |
Recovery practice + selective grinding/ Rehab dental severe wear
|
M2/M1-M3 |
Teaching and learning activities
In blended
Lectures.
Seminars of preclinical practices (craniomandibular examination, ...).
Seminars of analysis of tests by the image.
Clinical Case Seminars.
Theoretical and practical exam.
Evaluation systems and criteria
In blended
Contents
The final evaluation will be as follows:
Theoretical test:
The test will contain all the theoretical concepts taught throughout the whole semester. It will consist of 50 multiple-choice test questions. Every correct answer will be a point. The incorrect answers will subtract 0.20 points from the final score. To pass the test a minimum score of 25 points must be obtained. The theoretical test will represent 60% of the total grade of the subject.
Practice test:
The practice test will include the daily evaluation of the students (including punctuality), and a practical test. Attendance to the practice sessions is compulsory. The unjustified absence at two practical sessions will not pass the course. The practical test will represent 40% of the total grade of the subject.
It will be necessary to obtain a total score (theoretical test + practical test) of 5 / 10 to pass the subject. It will also be necessary to pass both exams individually (practical and theoretical) to approve the subject.
Exceptionally it will be valued with the professors of the subject and academic secretary the possibility of doing an oral examination of the subject if the individual situation requires it in particular.
Bibliography and resources
Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 7ª 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.
Evaluation period
- E1 15/12/2021 A24 08:00h
- E1 15/12/2021 A12 08:00h
- E1 15/12/2021 A13 08:00h
- E1 15/12/2021 A26 08:00h
- R1 19/01/2022 A02 09:00h
- E2 29/06/2022 A01 08:00h
- R2 06/07/2022 A02 09:00h