Universitat Internacional de Catalunya

TMJ

TMJ
4
15927
2
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish,

Teaching staff


  • Course Director / Lead Professor: Dr. Jordi Tomás

  • Wednesdays from 9:00 a.m. to 2:00 p.m. (Prior appointment via email is recommended: jtomas@uic.es)

Introduction

Craniomandibular pain and dysfunction have a very significant prevalence in the general population. Patient consultations regarding dysfunctional symptoms are extremely common across various areas of dentistry and other medical specialties, highlighting the need for dentists to diagnose signs and symptoms quickly in order to guide our patients on appropriate therapeutic measures. Masticatory system dysfunction is a broad subject in which students must progressively acquire theoretical concepts, sufficient practical skills, and experience to diagnose and treat it. Currently, the concept of masticatory system dysfunction within the field of Dentistry is integrated into the patient's general context as a functional unit, requiring a comprehensive approach and treatment. 

Pre-course requirements

Knowledge of the anatomy of the stomatognathic system and the neurophysiology of craniofacial pain.

Objectives

  • Train master's students to acquire advanced theoretical and practical knowledge regarding the diagnosis of dysfunctional pathology of the masticatory system.

  • Obtain sufficient knowledge regarding the different types of dysfunctional treatment.

  • Promote research and information-gathering in the subject area.

Competences/Learning outcomes of the degree programme

  • Perform non-surgical treatment of temporomandibular disorders and orofacial pain

  • Identify and correct oral habits likely to cause or exacerbate malocclusions

  • Assess the motor and sensory function of the mouth, jaws, and associated structures

  • Understand the morphology and function of the stomatognathic system, including relevant content in specific embryology, anatomy, histology, and physiology

  • Diagnose, plan, and execute, in general, a multidisciplinary, sequential, and integrated treatment of limited complexity in patients of all ages and conditions, including patients with special needs (such as diabetic, hypertensive, oncological, transplant, immunocompromised, or anticoagulated patients, among others) or disabilities. Specifically, the dentist must be competent in establishing a diagnosis, prognosis, and developing an appropriate therapeutic plan—particularly regarding 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, oral soft tissues, and associated glands; partial or total edentulism; planning restorative treatment using tooth-supported and mucosa-supported prostheses or dental implants; tooth malposition and/or malocclusion; and other anatomical or functional alterations of the face or stomatognathic system, along with potential orthodontic, orthopedic, or surgical corrections

  • Fabricate diagnostic models, mount them, and make interocclusal records

Learning outcomes of the subject

  • Understand and describe the embryological origin of head and neck structures

  • Understand the structure and function of the support and movement systems of the head and neck. Bones of the skull and face. Head musculature: facial expression, masticatory, suprahyoid, and infrahyoid muscles. Neck musculature

  • Understand the structure and function of the temporomandibular joint

  • Understand the vascular distribution of the head and neck

  • Understand the distribution of cranial nerves and their clinical examination

  • Solve clinical problems based on deductions derived from basic knowledge of head and neck anatomy and physiology

  • Identify structures across different topographic regions of the head and neck using imaging techniques

  • Understand the general use of dental materials and instruments

  • Understand anxiety management techniques

  • Understand the pharmacological management of pain

  • Differentiate pain based on location

  • Differentiate pain based on origin

  • Differentiate pain based on duration

  • Differentiate pain based on characteristics

  • Understand and recognize the etiology of malocclusions

  • Know how to take a proper patient clinical history

  • Know how to perform a proper oral and functional examination of the patient

  • Know how to perform a proper physical examination of the patient

Syllabus

  • Introduction to CMD and OFP (Craniomandibular Disorders and Orofacial Pain)

  • Patient screening for CMD

  • Clinical history (anamnesis and examination)

  • Craniomandibular muscle examination

  • Craniomandibular muscle disorders

  • TMJ (Temporomandibular Joint) examination

  • TMJ disorders

  • Orofacial pain: neuropathic

  • Orofacial pain: neurovascular

  • Rheumatology

  • Psychology

  • Neuro-occlusal rehabilitation

  • Physical therapy / Physiotherapy

  • Oral medicine

  • Bioenergetic dentistry

  • Multidisciplinary seminars

  • Bruxism diagnosis and treatment

  • Occlusal pathology

  • Rehabilitation of patients with severe wear

  • Dental waxing and anatomy

  • Dental photography

  • Pharmacology

  • Diagnostic radiology / Radiodiagnosis

Teaching and learning activities

In person



* Lectures * Preclinical practical seminars * Imaging analysis seminars * Clinical case seminars * Theoretical and practical exam 

Evaluation systems and criteria

In person



The final evaluation will be conducted as follows:

Theoretical Exam: The evaluation will cover all theoretical concepts taught throughout the semester. It will consist of 50 multiple-choice questions. Each correct answer will add 1 point. 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 exam represents 60% of the course's total grade.

Practical Exam: The practical portion will be evaluated based on the student's daily performance regarding knowledge acquisition, skills, and attitude (including punctuality), as well as a practical exam. Attendance at practical sessions is MANDATORY. Two unexcused absences will result in failing the course. The practical component represents 40% of the course's total grade.

Exceptionally, the possibility of taking an oral exam for the course will be evaluated together with the teaching staff and academic secretariat if an individual situation specifically requires it.

Bibliography and resources

Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 7ª Ed. Elsevier, 2013.

 Headache clasificación 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, Klassen GD. ed. Orofacial Pain Guidelines for Assessment, Diagnosis and Management of the American Academy of orofacial Pain. 5th Ed. Quintessence, 2013.

Lavigne G. Medicina del sueño por dentistas. 1ª ed. Quintessence books, 2009

Rodríguez Flores JM. Medicina oral del sueño en niños y adultos. 1ª ed. Quintessence, 2014

Chokroverty S. Medicina de los trastornos del sueño. 3ª ed. Elsevier, 2011

Lectura y análisis de literatura actual y clásica