Subject

Masticatory System Dysfunction

  • code 09244
  • course 3
  • term Semester 1
  • type OB
  • credits 3

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff

Head instructor

Dr. Jordi TOMÀS - jtomas@uic.es

Office hours

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

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.

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

  • 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
  • 70 - Evaluating motor and sensory oral, mandibular and annex function
  • 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

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

18 sept

THEORY

Introduction to CMD and OFP

Dra Felipe

PRACTICE

Screening of patients with CMD

All teachers

25 sept

THEORY

Clinical history

Dr Tomàs

PRACTICE

Craniomandibular muscle examination 1

All teachers

2 oct

THEORY

Craniomandibular muscle disorers

Dra Felipe

PRACTICE

Craniomandibular muscle examination 2

All teachers

9 oct

THEORY

TMJ disorders

Dr Tomàs

PRACTICE

TMJ examination 1

All teachers

16 oct

THEORY

Orofacial Pain 1

Dr Tomàs

PRACTICE

TMJ examination 2

All teachers

23 oct

THEORY

Orofacial pain 2

Dr Tomàs

PRACTICE

Cranial nerve examination

All teachers

30 oct

THEORY

Imaging tests

Dra Felipe

PRACTICE

TMJ Magnetic resonance seminar 1

All teachers

6 nov

THEORY

Occlusal analysis

Dr Tomàs

PRACTICE

TMJ Magnetic resonance seminar 2

All teachers

13 nov

THEORY

Occlusal splints

Dra Felipe

PRACTICE

Occlusal splint fabrication

All teachers

20 nov

THEORY

Self care and physical therapy treatments

Dra Felipe

PRACTICE

Clinical cases

All teachers

27 nov

THEORY

Pharmacologic treatment 1

Dra Felipe

PRACTICE

Clinical cases

All teachers

 4 des

THEORY

Pharmacologic treatment 2

Dr Tomàs

PRACTICE

Clinical cases

All teachers

11 des

THEORY

Psychosocial screening

Dr Tomàs

PRACTICE

Clinical cases

All teachers

18 des

THEORY

FINAL EXAM (PRACTICE)

All teachers

PRACTICE

FINAL EXAM (THEORY)

All teachers

Teaching and learning activities


Online

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


Online

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

E: exam date | R: revision date | 1: first session | 2: second session:

  • E1 13/01/2021 12:00h A01
  • E1 13/01/2021 12:00h A03
  • E1 13/01/2021 12:00h A02
  • R1 27/01/2021 08:00h A15
  • E2 30/06/2021 08:00h A09
  • E2 30/06/2021 08:00h A08
  • R2 07/07/2021 10:00h A10
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