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Universitat Internacional de Catalunya

Maxillofacial and Oral Medicine

Maxillofacial and Oral Medicine
6
9250
3
Second semester
OB
Main language of instruction: Spanish

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

  • 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

BLOCK 1. Infectious and reactive pathology of the oral mucosa

No. | Topic | Lecturer
1 | Odontogenic infections | Dr. Rubio
2 | Bacterial, viral and fungal infections | Dr. Rubio
3 | Oral pathology related to COVID-19 | Dr. Rubio
4 | Recurrent aphthous stomatitis | Dr. Eduard Ferrés
5 | Lesions caused by physical, mechanical or chemical agents | Dr. García Linares
6 | Drug-induced diseases (osteoradionecrosis…) | Dr. García Linares
7 | Infectious pathology of the jaws | Dr. Martínez Miravé

BLOCK 2. Mucosal lesions: immunological, dermatological and systemic

No. | Topic | Lecturer
8 | Variants of normality. Fundamental lesions of skin and mucosa | Dr. García Linares
9 | Oral lichen planus | Dr. Eduard Ferrés
10 | Pemphigus, pemphigoid | Dr. Gil
11 | Lupus, scleroderma, dermatomyositis | Dr. Gil
12 | Tongue pathology | Dr. Rubio
13 | Lip pathology. Cheilitis | Dr. Rubio

BLOCK 3. Oral oncology and potentially malignant disorders

No. | Topic | Lecturer
14 | Premalignant lesions of the oral mucosa | Dr. Rubio
15 | Oral squamous cell carcinoma | Dr. Rubio

BLOCK 4. Developmental anomalies, orofacial pain and TMJ

No. | Topic | Lecturer
16 | Cleft lip and palate: embryology, etiopathogenesis, anatomy | Dr. Rubio
17 | Labial and palatal pathology and sequelae of cleft conditions | Dr. Rubio
18 | Oral manifestations of craniofacial syndromes | Dr. Rubio
19 | Oral and functional repercussions of facial anomalies | Dr. Rubio
20 | Inflammatory, myofascial and degenerative medical pathology of the TMJ | Dr. Eduard Ferrés
21 | Myofascial and TMJ pain | Dr. Eduard Ferrés
22 | Facial paralysis | Dr. Eduard Ferrés

BLOCK 5. Clinical diagnosis and maxillofacial pathology

No. | Topic | Lecturer
23 | Medical history and oral examination. Semiotics and symptoms | Dr. García Linares
24 | Oral manifestations of systemic diseases: autoimmune diseases, endocrinopathies, hematological disorders | Dr. García Linares
25 | Interpretation of diagnostic tests and laboratory studies | Dr. Gil
26 | Saliva | Dr. García Linares
27 | Semiotics of the salivary glands. Examination techniques | Dr. García Linares
28 | Applications of laser technology in Oral Medicine | Dr. España
29 | Dental and maxillofacial management of dentoalveolar and facial trauma | Dr. Rubio
30 | Oral manifestations of radiotherapy and chemotherapy | Dr. García Linares
31 | Salivary gland pathology (obstructive, inflammatory, tumoral) | Dr. Rubio
32 | Odontogenic cysts | Dr. Martínez Miravé
33 | Non-odontogenic cysts | Dr. Martínez Miravé
34 | Benign and malignant odontogenic tumors | Dr. Martínez Miravé
35 | Benign and malignant non-odontogenic tumors | Dr. Martínez Miravé
36 | Fibro-osseous lesions of the jaws | Dr. Martínez Miravé
37 | Soft tissue calcifications | Dr. Martínez Miravé

SEMINARS

Duration of each seminar: 1 hour

  1. Little-known anatomical structures. Clinical relevance (Dr. Martínez Miravé)

  2. Bacterial, viral and fungal infections (Dr. Raurich)

  3. Tongue pathology (Dr. Gil)

  4. Rarefying osteitis and condensing osteitis. Differential diagnosis (Dr. Martínez Miravé)

  5. Pemphigus, pemphigoid. Connective tissue diseases: lupus, scleroderma, dermatomyositis (Dr. Gil)

  6. Premalignant lesions of the oral mucosa (Dr. Raurich)

  7. Oral squamous cell carcinoma (Dr. Raurich)

  8. Variants of normality. Fundamental lesions of skin and mucosa. Lesions caused by physical, mechanical or chemical agents (Dr. Gil)

  9. Lesions associated with impacted teeth (Dr. Martínez Miravé)

  10. Applications of laser technology in Oral Medicine (Dr. Gil)

  11. Medical history and oral examination. Biopsy techniques (Dr. Raurich)

  12. Interpretation of laboratory tests and diagnostic procedures (Dr. Gil)

  13. Soft tissue calcifications (Dr. Martínez Miravé)

  14. Signs of malignancy and benignity in jaw lesions (Dr. Martínez Miravé)

  15. Oral manifestations of radiotherapy and chemotherapy. Digestive diseases: Crohn’s disease / hematological disorders. Drug-induced diseases. Osteoradionecrosis / osteochemonecrosis (Dr. Raurich)

 


Teaching and learning activities

In person



Methodology and training activities

1. Theoretical classes

Master classes, imparting theoretical and practical knowledge schematically with great iconographic content. Classes will last 2 hours. A final time (15 minutes) of the theoretical class will be allocated for questions, clarification or extension of concepts.

2. Seminars

Seminars will be held to expand and consolidate those important theoretical knowledge in which the active participation of the student will be important during the realization of 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 person



The final examination shall consist of 50 multiple choice questions (5 options) with a single correct answer. 

A wrong answer will deduct 0.20 points from the mark.

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 present to the final exam.

The overall grade to pass is 5.

 

a) Fail: 0- 4.9 (SS) 

b) Pass: 5-6.9 (AP)

c) Notable: 7-8.9 (NT)

d) Excellent: 9-10 (SB).

e) Honors: implies having obtained excellent as well as a special mention.

 

 


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

E: exam date | R: revision date | 1: first session | 2: second session:
  • E1 20/05/2026 A01 16:00h
  • E1 20/05/2026 I3 16:00h
  • E1 20/05/2026 I2 16:00h
  • E1 20/05/2026 A22 16:00h
  • R1 26/05/2026 08:00h
  • E2 30/06/2026 A21 15:00h
  • E2 30/06/2026 I1 15:00h
  • R2 07/07/2026 A01 08:00h

Teaching and learning material