Other languages of instruction: Catalan, Spanish
Javier Mareque Bueno
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.
There are no prerequisites.
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.
- 01 - Being aware of the essential elements of the dental profession, including the ethical principles and legal responsibilities it involves.
- 03 - Knowing how to identify the concerns and expectations of patients, as well as how to communicate effectively and clearly, both orally and in writing, with patients, family members, the media and other professionals.
- 04 - Understanding and recognising the social and psychological aspects that are relevant in terms of treating patients.
- 08 - Knowing how to share information with other healthcare professionals and how to work as part of a team.
- 15 - Being familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
- 16 - Understanding the fundamental basis of actions, instructions and the efficiency of medicines and other healthcare interventions, knowing what their side-effects, interactions, systemic effects and interactions with other organs are, based on the scientific knowledge available.
- 22 - Having the ability to make an initial diagnostic judgement and establish a reasonable diagnostic strategy, as well as being competent in recognising situations that require urgent dental treatment.
- 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.
- 24 - Recognising situations in which lives are at risk and knowing how to provide basic life-support.
- 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.
- 28 - Acquiring clinical experience under suitable supervision.
- 30 - Recognising the role of the dentist in actions to prevent and protect against oral diseases, as well as the maintenance and promotion of good health, both at an individual level and a community level.
- 31 - Knowing about the National Healthcare System, as well as the basic aspects of healthcare legislation, clinical management and the correct use of healthcare resources, and understanding the importance of the role of the dentist in the field of Primary Healthcare
- 41 - Being aware of the behavioural and communication sciences which facilitate dental practice
- 46 - Providing a comprehensive approach to oral care and applying principles to promote good oral health and the prevention of oral and dental diseases
- 47 - Educating and motivating patients in the area of oral and dental diseases, controlling pathogenic oral habits,
- 49 - Knowing the procedures to carry out an oral healthcare diagnosis in the community and how to interpret the results
- 52 - Creating and carrying out oral healthcare programmes and knowing about the inter-institutional and inter-professional coordination that is required to do so
- 58 - Knowing the general pathological characteristics of the illnesses and disorders that affect organic systems
- 61 - Knowing the pharmacological grounding for the various anaesthetic techniques, both local and general, as well as the role of sedation and general anaesthesia in terms of managing dental patients
- 62 - Conocer y manejar las emergencias y urgencias médicas más frecuentes en la práctica odontológica y en las técnicas de reanimación cardiorrespiratoria básica
- 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
- 69 - Identifying patients who require special care, recognising the characteristics and peculiarities of such cases
- 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
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.
ORAL MEDICINE AND MAXILOFACIAL
UNIT 1. Anatomy, histology, physiology, embryology, immunology, functions.
UNIT 2. Anatomy, histology, physiology, embryology, immunology, functions.
UNIT 3. Medical history. Oral cavity exploration. Oral and annexes. Semiotics. Symptoms: halitosis, xerostomy.
UNIT 4. Investigations: CBC, radiology, biopsy, pathologic anat., etc.
UNIT 5. Drug use in oral medicine. Master formulae. Ready. Phytotherapy.
MUCOSAL MEDICAL PATHOLOGY
UNIT 1. The history of oral medication in dentistry.
UNIT 2. Variants from normal. Skin lesions and mucous fundamental erythema, papules, etc.
UNIT 3. Physical, mechanical and chemical injuries.
UNIT 4. Bacterial, viral and mycotic infections.
UNIT 5. Bacterial, viral and mycotic infections.
UNIT 6. Recurrent oral aphthous stomatitis.
UNIT 7. Lichen planus.
UNIT 8. Pemphigus, pemphigoid.
UNIT 9. Connective tissue diseases: lupus, scleroderma, dermatomyositis.
UNIT 10. Mesenchymal lesions.
UNIT 11. Epithelial and pigmented lesions.
UNIT 12. Tongue pathology.
UNIT 13. Pathologies of the lips. Cheilitis.
UNIT 1. Semiology orofacial neuromuscular.
UNIT 2. Neurogenic orofacial pain: trigeminal neuralgia, glossopharyngeal.
UNIT 3. Pain of vascular origin.
UNIT 4. Analgesia, drugs, acupuncture, surgery.
UNIT 1. Anatomy, histology and physiology of the salivary glands.
UNIT 2. Saliva: role, composition. Saliva as a diagnostic tool.
UNIT 3. Semiology salivary glands. Scanning techniques.
UNIT 4. Pathology of inflammatory salivary gland tumour.
SYSTEMIC ORAL PATHOLOGY
UNIT 1. Oral manifestations of radiotherapy and chemotherapy.
UNIT 2. Collagenosis: lupus, dermatomyositis, scleroderma, myasthenia.
UNIT 3. Disease secondary to drugs. Osteoradionecrosis.
UNIT 4. Oral manifestations of AIDS and immunodepressed transplant patients.
UNIT 5. Digestive diseases: Crohn. / hematologic diseases.
UNIT 1. Deformities of the musculoskeletal system: cherubism, cleidocranial dysplasia, craniofacial dysostosis.
UNIT 2. S. of Teacher Collins, S. Pierre Robin, S. de Hollermann - Streiff, osteopetrosis, osteogenesis imperfecta.
S. Albright , S. Ellis - van Creveld. syndrome, S. Prader Willi, S. Cornelia de Lange, S. Cry of cat,
S. Patau, S. Edward
UNIT 3. Other abnormalities with oral involvement: S. Marfan, neurofibromatosis, S. fragile X chromosome.
Epidermolysis bullosa, mucopolysaccharidosis. Bourneville’s disease.
Teaching and learning activities
Lectures providing knowledge and skills in schematic form and with a wealth of supporting graphic material. The classes will run for two hours. A slot (15 minutes) is dedicated to questions, clarification or extension of concepts.
Seminars will be given to expand on given topics, placing stress on active student involvement.
A clinical situation is described that is used as an aid for reviewing and evaluating the student’s knowledge.
A written project will be submitted which complements the theory classes and is based on the topics covered in class. The topics will correspond to the syllabus of the course delivered in Word and printed on the date indicated. It shall be presented in Arial 10 font, with a maximum of 10 pages without taking into account the bibliography and index. There shall be a minimum of 10 literature entries. It must be carried out in groups of 6 students.
The composition of the groups should be sent to firstname.lastname@example.org before student names for groups and accepted topics have been posted on the Web.
April. Student presentations
Students will prepare group presentations. Questions will be asked in class with an aim to consolidating knowledge and improving both general and oral presentation skills.
The project topics will be presented in class with the aid of a PowerPoint presentation with a duration of 10 minutes (maximum) by one of the group members following a timetable to be published.
Evaluation systems and criteria
The evaluation will be conducted as follows:
Theoretical final exam: 70%. There will be a midterm exam exempting the student from the covered material if passed and only valid for the 1st examination sitting.
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.
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 written work will be evaluated on the basis of: presentation, structuring, thematic content and literature and its presentation and defence at a scientific meeting to be announced in advance.
The overall grade to pass is 6.
Bibliography and resources
Oral and Maxillofacial Medecine.
Ed. Churchill Livingstone Elsevier, 2ª edición 2008.
Bagan / Ceballos / Bermejo / Aguirre / Peñarrocha
Ed. Masson SA, 1995.
Medicina bucal vol. I y vol. II
Ed. Sintesis SA, 2000
Pocket Atlas of Oral Diseases
Ed. Thieme, 1998
Bascones / Llanes
Medicina bucal vol I y vol. II
Ed. Avances Médico Dentales, 2ª edición 1996
Wood / Goaz
Diagnóstico diferencial de las lesiones orales y maxilofaciales
Ed. Hardcourt Brace, 1998
Ceballos / Bullon /Gandara / Chimenos / Blanco / Martinez / Garcia
Medicina Bucal práctica
Ed. Danu SL., 2000
Bascones / Manso
Ed. Avances Médico Dentales, 2ª edición 1997
Oral and Maxillofacial Surgery, vol. 1,4,5,6
Ed. Saunders. 2000
Marx / Stern
Oral and Maxillofacial Pathology
Ed. Quintessence. 2003
Myers / Suen
Cancer of the Head and Neck
Ed. Saunders, 3ª edición, 1996
Langlais / Langland / Nortjé
Diagnostic Imaging of the Jaws
Ed. Williams & Wilkins, 1995
Gorlin / Cohen / Levin
Syndromes of the Head and Neck
Ed. Oxford, 1990
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