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
Evaluation systems and criteria
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: