Universitat Internacional de Catalunya
Maxillofacial and Oral Medicine
Other languages of instruction: Catalan, English
Teaching staff
By appointment via e-mail.
Lecturer responsible: Dr. Josep Rubio Palau
jorubio@uic.es
Introduction
Oral and maxillofacial medicine understood as oral medicine is a multidisciplinary subject of dentistry. It requires constant interaction with other disciplines of the profession and general medicine for diagnosis and treatment of the cases presented.
The field of oral medicine gives the public connotations in general medicine highlighting the coincidence of the medical practitioner in theoretical and practical knowledge and the need for the dentist to understand the medical basis and the impact of systemic diseases or general or genetic syndromes before starting dental treatment, with special attention to the clinic which is manifested in the stomatognathic area.
Pre-course requirements
There are no prerequisites.
Objectives
Emphasis will be placed on the concepts of disease entity, pathogenesis, and clinical and diagnostic aspects, integrating this vision with other basic training courses in the curriculum, such as pathology, radiology and medical-surgical pathology.
We intend to equip students with the basic information in this area enabling them to run their dental practice with a strong vision of the interrelations between dentistry and medicine at large.
Competences/Learning outcomes of the degree programme
- 05 - Knowing how to apply the correct principles to control anxiety and stress in oneself, in patients and in other memebers of the dentistry team.
- 12 - Understanding and recognising the structure and normal function of the stomatognathic apparatus, at a molecular, cellular, tissue and organic level, during the various stages of life.
- 14 - Being aware of the general processes of the illness, including infection, inflammation, alterations in the immune system, degeneration, neoplasm, metabolic alterations and genetic disorders.
- 15 - Being familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
- 21 - Knowing how to undertake a full dental exam, including the necessary X-ray and complementary exploratory tests, as well as obtaining suitable clinical references.
- 23 - Establishing a diagnosis, prognosis and suitable treatment planning for all the different clinical areas of Dentistry, being competent in terms of the diagnosis, prognosis and writing up the dental care plan for patients who require special care, including medically compromised patients (such as diabetics, those with hypertension, a depressed immune system or are anticoagulated, etc) and patients with disabilities.
- 25 - Being aware of and applying basic treatment for the most common dental pathology in patients of all ages. The treatment procedures must be based on the concept of minimally invasive surgery and an overall and comprehensive focus on dental treatment.
- 26 - Knowing how to plan and undertake multidisciplinary, sequential and comprehensive dental treatment of limited complexity for patients of all ages and conditions and for patients who require special care.
- 27 - Outlining and proposing suitable preventative measures for each clinical situation.
- 29 - Recognising the underlying causes of dental health in the population, whether genetic, lifestyle, demographic, environmental, social, economic, psychological or cultural.
- 32 - Knowing the biomedical science on which Dentistry is based in order to ensure adequate oral and dental care. This science must include material on: (a). Embryology, anatomy, histology and the physiology of the human body (b). Genetics, Biochemistry, Cell and Molecular Biology and (c). Microbiology and immunology.
- 35 - Knowing the scientific principles of sterilisation, disinfection and the antiseptics necessary to prevent cross-infection in dental practice
- 36 - Knowing the danger of ionising radiation and its impact on biological tissue, as well as the legislation that regulates its use. Knowing how to manage dental radiodiagnostic facilities
- 37 - Undertaking the x-rays that are necessary in dental practice, interpreting the images obtained and learning about other important image-based diagnosis techniques
- 39 - Recognising oral normality and pathology, as well as the evaluation of semiological data
- 43 - Having knowledge of dental biomaterial: in terms of handling, properties, instructions, allergies, biocompatibility, toxicity and eliminating residues as well as their environmental impact
- 48 - Being aware of the effects of tobacco on oral health and participating in measures which help patients who want to give up their smoking habit. Also, knowing about the complex interaction between the environmental, social and behavioural factors related to oral and general health
- 57 - Knowing the general processes of illness, curing and reparing, including infection, inflammation, haemorrhage and clotting, scarring, trauma and alterations in the immune system, degeneration, neoplasia, metabolic alterations and genetic disorders
- 58 - Knowing the general pathological characteristics of the illnesses and disorders that affect organic systems
- 59 - Knowing the oral manifestations of systemic diseases
- 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
- 66 - Taking and interpreting x-rays and other image-based procedures that are important in dental practice
- 69 - Identifying patients who require special care, recognising the characteristics and peculiarities of such cases
- 77 - Undertaking medical and surgical treatment for common diseases in soft oral tissue
- 80 - Treating the inflammatory processes of periodontal tissue both pharmacologically and surgically, including supra and subgingival techniques for periodontal instrumentation
Learning outcomes of the subject
Appropriate preparation of an oral medicine clinical history.
Appropriate running of a physical exploration.
Understanding and correct indication of the various diagnostic methods, mainly biopsy.
Knowledge of the diseases of the oral mucosa and their diagnosis and treatment.
Order and correct interpretation of analytics.
Encouraging students to work in teams.
Encouraging students to continue their education in this area.
Initiating students in making reasoned diagnostic decisions. Systemic effects and effects on other organs.
- 3.01 - Identify the most important characteristics of the different groups of medicines: pharmacological activity, mechanism of action, indications, dosage, contraindications and adverse effects.
- 3.02 - Using information sources of Pharmacology
- 3.03 - Know the most relevant precautions in prescribing and administering medications in the dental patient in relation to their own pathology and concomitant medication.
- 3.04 - Have thorough knowledge in general medical pathology.
- 3.05 - Have thorough knowledge in General Surgical Pathology
- 3.10 - Ask and interpret the results of the general complementary explorations ( laboratory-image- functional)
- 3.11 - Conduct a differential diagnosis, a provisional diagnosis and a definitive diagnosis.
- 3.19 - Know the pharmacological treatment of pain
- 3.20 - Knowledge of oral manifestations of systemic pathologies
- 3.21 - Know how to explore at physical oro-maxillo-facial level and interpret laboratory complementary examinations and image
- 3.22 - Knowledge of smoking and its treatment
- 3.24 - Interpret the main analytical determinations: normal and pathological values
Syllabus
ORAL AND MAXILLOFACIAL MEDICINE 1 ORAL PATHOLOGY (28h) A. MUCOUS MEDICAL PATHOLOGY (14h) 1. Odontogenic Infections 2. Bacterial, Viral and Mycotic Infections 3. Pathology of the tongue 4. Pathology of the lips. Queilitis 5 Premalignant lesions of the oral mucosa (leukoplakia / erythroplasia) 6 Squamous carcinoma of the oral mucosa. 7. Pemphigus, Pemphigoid 8. Connective tissue diseases: Lupus, Scleroderma, Dermatomyositis 9 Variants of normality. Fundamental lesions in skin and mucous membranes: erythema, papule, ... 10. Injuries by physical, mechanical or chemical agents 11. Recurrent oral aphthous stomatitis 12. Lichen planus 13 Applications of the laser in Oral Medicine B. GLANDULAR PATHOLOGY (4h) 1. Saliva: Function, composition. 2. Semiology salivary glands. Exploration techniques. 3. Obstructive pathology, inflammatory pathology, tumor pathology. C. ORAL PATHOLOGIES OF SYSTEMATIC ORIGIN (2h) 1. Oral manifestations of radiotherapy and chemotherapy. Diseases secondary to drugs. Osteoradionecrosis / BRONJ 2. Digestive diseases: Crohn / Hematological diseases. D. CRANEOMAXILLOFACIAL PATHOLOGY (8h) 1. Maxillofacial Traumatology 2h 2. Cleft lip and palate: Embryology, etiopathogenesis, anatomy. 1h 3. Surgical treatment of the cleft lip and palate: cheiloplasty, palatoplasty, alveolar graft, rhinoplasty, pharyngoplasty, orthognathic surgery and distraction. 1h 4. Craniomaxillofacial syndromic pathology. 2h 5. Rehabilitation of the atrophic jaws: Preprosthetic surgery. Dental, pterygoid and zygomatic implants. 1h 6. Treatment of dentofacial deformities. Types of deformities, sagittal, axial and frontal analysis, conventional planning and 3D. 1h 2. SEDATION IN DENTISTRY 8h 1 Sedation and dental anxiety. Pharmacology of inhalation gases. 2 Anatomy and physiology of the respiratory, cardiovascular and neurological apparatus 3 Evaluation and selection of the patient 4 Administration of conscious inhalation sedation 3. MAXILLOFACIAL RADIOLOGY 22h Introduction: 2h The radiographic image Radiation physics Dental X-ray equipment Biological effects and associated risks Protection against radiation. Dental x-ray: 2h Periapical radiography X-ray of bite wing Occlusal radiography Cephalometric radiography Panoramic radiography Cone-beam computed tomography Radiological anatomy: 2h Teeth Dental restorations Dental implants Maxillary Jaw Dental diagnosis I: 2h Alterations of the development in the size and shape of the teeth Alterations of the development in the structure of the teeth Alterations acquired from the teeth. Trauma Dental diagnosis II (infection / inflammation): 2h Dental caries Periapical radicle osteitis: abscess, granuloma, cyst Periapical sclerosing osteitis Periodontal disease Maxillary and mandible diagnosis I: 2h Normal variants: exostosis, accessory mandibular canal, Stafne defect, idiopathic osteosclerosis. Congenital / genetic abnormalities: clefts, cleidocranial dysplasia, Pierre Robin, Treacher Collins. Trauma Infection / inflammation: osteomyelitis, osteoradionecrosis, osteonecrosis. Maxillary and mandible diagnosis II: 2h Odontogenic cysts: dentigerous, lateral periodontal, residual, vestibular bifurcation. Non-odontogenic cysts: aneurysmal, naso-palatine duct, naso-labial, simple bone. Osteofibrous lesions: periapical cemental dysplasias, florid osseous dysplasias, cemento-ossifying fibroma, fibrous dysplasia, Paget's disease, cherubism. Maxillary and mandible diagnosis III: 6h Benign odontogenic neoplasms: odontoma, adenomatoid odontogenic tumor, ameloblastoma, ameloblastic fibroma, ameloblastic fibroodontoma, calcifying epithelial odontogenic tumor, calcifying odontogenic cystic tumor, cementoblastoma, odontogenic myxoma, central odontogenic fibroma, odontogenic keratocystic tumor. Benign non-odontogenic neoplasms: central hemangioma, osteoid osteoma, osteoblastoma, osteoma of the jaw and maxilla, nervous sheath tumor, neurofibromatosis, desmoplastic fibroma. Malignant odontogenic neoplasms: malignant ameloblastoma, ameloblastic carcinoma. Non-odontogenic malignancies: metastasis, osteosarcoma, chondrosarcoma, primary intraosseous carcinoma, mucoepidermoid carcinoma, lymphomas, multiple myeloma, Ewing's sarcoma. Pseudotumoral lesions: giant cell granuloma, histiocytosis. Miscellaneous: 2h ATM: anatomy and radiological pathology. Maxillary sinus: anatomy and radiological pathology. Radiological pathology salivary glands. SEMINARS Duration of each seminar 1h. MUCOSA MEDICAL PATHOLOGY (18h) 1. Odontogenic Infections (Dra Navalón) 1h 2. Bacterial, Viral and Mycotic Infections (Dra Vela) 1h 3. Pathology of the tongue (Dr Gil) 1h 4. Pathology of the lips. Queilitis (Dra Navalón) 1h 5 and 6 Premalignant lesions of the oral mucosa. Squamous carcinoma of the oral mucosa. (Dr Ferrés Amat) 1h 7 and 8 Pemphigoid. Connective tissue d.: Lupus, Scleroderma, Dermatomyositis (Candle) 1h 9 and 10 Variants of normality. Fundamental injuries in skin and mucous membranes. Injuries by physical, mechanical or chemical agents (Dr Gil) 1h 11 and 12 Recurrent oral aphthous stomatitis. Lichen planus (Candle) 1h 13 Applications of the laser in Oral Medicine (Dr Gil) 1h B. GLANDULAR PATHOLOGY 1 and 2. Saliva: Function, composition. Saliva as a diagnosis Semiology salivary glands. Exploration techniques. (Dra Navalón) 1h 3. Obstructive pathology, inflammatory pathology, tumor pathology. (Dra Navalón) 1h ORAL PATHOLOGY OF SYSTEMATIC ORIGIN 1 and 2 Oral manifestations of radiotherapy and chemotherapy. Diseases secondary to drugs. Osteoradionecrosis / OQN. Digestive diseases. Hematological diseases. (Dra Vela) SEDATION Seminar 1: The conscious inhalation sedation team. (Dra Navalón / Vela / Gil). Seminar 2: Sedation protocol. (Dra Navalón / Vela / Gil). Seminar 3: (Dra Navalón/Vela/Gil). |
Teaching and learning activities
In blended
1. Theoretical classes
In site classes, imparting theoretical and practical knowledge in a schematic way with great iconographic content. The classes will last 2 hours. A final time (15 minutes) of the theoretical class will be dedicated for questions, clarification, or expansion of concepts.
2. Seminars
Seminars will be held to expand and consolidate important theoretical knowledge in which the active participation of the student will be important during the seminar.
Case method
Approach to a clinical situation that we use to review and evaluate the student's knowledge.
Evaluation systems and criteria
In blended
The evaluation will be conducted as follows:
Theoretical final exam: 75%.
Training / Seminar: 25%.
The theoretical final examination shall consist of 40 multiple choice questions (5 options) with a single correct answer. The practical examination shall consist of 10 multiple choice questions (5 options) and a single correct answer. A wrong answer will deduct 0.20 points from the mark.
Personal/online attendance of training sessions is mandatory (attendance will be taken). Two absences will lead to a failing mark in the practical component; students with two absences will not be allowed to sit the practical exam.
The overall grade to pass is 5.
a) suspenso: 0- 4,9 (SS)
b) Aprobado: 5-6,9 (AP)
c) Notable: 7-8,9 (NT)
d) Excelente: 9-10 (SB).
e) Matrícula de honor: implica haber obtenido excelente además una mención especial.
Bibliography and resources
Scully C.Oral and Maxillofacial Medecine.Ed . Churchill Livingstone Elsevier , 2a edició 2008 .
Bagan / Ceballos / Bermejo / Aguirre / Peñarrocha . Medicina oral . , Ed Masson SA , 1995 .
Bermejo . Medicina bucal vol. I i vol. II . Ed Sintesis SA , 2000
Laskaris.mPocket Atlas of Oral Diseases . Ed Thieme , 1998
Bascones / Llanes.mMedicina bucal vol I i vol. II . Ed Avenços Metge Dentals , 2a edició 1996
Wood / Goaz.mDiagnóstico diferencial de les lesions orals i maxilofaciales.Ed . Hardcourt Brace , 1998
Ceballos / Bullon / Gandara / Chimenos / Blanc / Martinez / Garcia
Medicina Bucal práctica.Ed . Danu SL . , 2000
Bascones / Manso.Dolor orofacial.Ed . Avenços Metge Dentals , 2a edició 1997
Fonseca.Oral and Maxillofacial Surgery , vol. 1,4,5,6 . Ed Saunders . 2000
Marx / SternOral and Maxillofacial Pathology .. Ed Quintessence . 2003
Myers / Suen Càncer of the Head and Neck Ed Saunders , 3a edició , 1996
Langlais / Langland / Nortje . Diagnostic Imaging of the Jaws.Ed. Williams & Wilkins , 1995 .
Gorlin / Cohen / Levin.Syndromes of the Head and Neck.Ed. Oxford, 1990
Pilch . Head and Neck Surgical Pathology Ed Lippincott Williams & Wilkins , 2001
Barnes / Eveson / Reichart / Sidransky . Pathology and Genetics of Head and Neck Tumors . Classification of Tumors . , IARC Press , 2005..
Evaluation period
- E1 18/05/2021 A09 14:00h
- E1 18/05/2021 A01 14:00h
- E1 18/05/2021 A03 14:00h
- E1 18/05/2021 A21 14:00h
- E1 18/05/2021 A22 14:00h
- R1 01/06/2021 A15 14:00h
- E2 22/06/2021 A21 14:00h
- E2 22/06/2021 A22 14:00h
- R2 02/07/2021 A10 10:00h