Subject

Maxillofacial and Oral Medicine

  • code 09250
  • course 3
  • term Semester 2
  • type OB
  • credits 6

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff

Head instructor

Dr. Josep RUBIO - jorubio@uic.es

Office hours

By appointment via e-mail.

Lecturer responsible: Dr. Josep Rubio Palau

jorubio@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.

 

 

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.
  • 35 - Knowing the scientific principles of sterilisation, disinfection and the antiseptics necessary to prevent cross-infection in dental practice
  • 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
  • 59 - Knowing the oral manifestations of systemic diseases
  • 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.
  • 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
  • 58 - Knowing the general pathological characteristics of the illnesses and disorders that affect organic systems
  • 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
  • 05 - Knowing how to apply the correct principles to control anxiety and stress in oneself, in patients and in other memebers of the dentistry team.

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.

 

  • 3.21 - 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
  • 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

Syllabus

ORAL AND MAXILLOFACIAL MEDICINE

1 ORAL PATHOLOGY (28h)

A. MUCOUS MEDICAL PATHOLOGY (14h)

1. Odontogenic Infections

2. Bacterial, Viral and Mycotic Infections

3. Pathology of the tongue

4. Pathology of the lips. Queilitis

5 Premalignant lesions of the oral mucosa (leukoplakia / erythroplasia)

6 Squamous carcinoma of the oral mucosa.

7. Pemphigus, Pemphigoid

8. Connective tissue diseases: Lupus, Scleroderma, Dermatomyositis

9 Variants of normality. Fundamental lesions in skin and mucous membranes: erythema, papule, ...
10. Injuries by physical, mechanical or chemical agents

11. Recurrent oral aphthous stomatitis

12. Lichen planus

13 Applications of the laser in Oral Medicine

B. GLANDULAR PATHOLOGY (4h)

1. Saliva: Function, composition.
2. Semiology salivary glands. Exploration techniques.

3. Obstructive pathology, inflammatory pathology, tumor pathology.


C. ORAL PATHOLOGIES OF SYSTEMATIC ORIGIN (2h)

1. Oral manifestations of radiotherapy and chemotherapy. Diseases secondary to drugs. Osteoradionecrosis / BRONJ

2. Digestive diseases: Crohn / Hematological diseases.

D. CRANEOMAXILLOFACIAL PATHOLOGY (8h)

1. Maxillofacial Traumatology 2h

2. Cleft lip and palate: Embryology, etiopathogenesis, anatomy. 1h

3. Surgical treatment of the cleft lip and palate: cheiloplasty, palatoplasty, alveolar graft, rhinoplasty, pharyngoplasty, orthognathic surgery and distraction. 1h

4. Craniomaxillofacial syndromic pathology. 2h

5. Rehabilitation of the atrophic jaws: Preprosthetic surgery. Dental, pterygoid and zygomatic implants. 1h

6. Treatment of dentofacial deformities. Types of deformities, sagittal, axial and frontal analysis, conventional planning and 3D. 1h


2. SEDATION IN DENTISTRY 8h

1 Sedation and dental anxiety. Pharmacology of inhalation gases.

2 Anatomy and physiology of the respiratory, cardiovascular and neurological apparatus

3 Evaluation and selection of the patient

4 Administration of conscious inhalation sedation


3. MAXILLOFACIAL RADIOLOGY 22h

    Introduction: 2h

        The radiographic image

        Radiation physics

        Dental X-ray equipment

        Biological effects and associated risks

        Protection against radiation.


    Dental x-ray: 2h

        Periapical radiography

        X-ray of bite wing

        Occlusal radiography

        Cephalometric radiography

        Panoramic radiography

        Cone-beam computed tomography


    Radiological anatomy: 2h

        Teeth

        Dental restorations

        Dental implants

        Maxillary

        Jaw


    Dental diagnosis I: 2h

        Alterations of the development in the size and shape of the teeth

        Alterations of the development in the structure of the teeth

        Alterations acquired from the teeth.

        Trauma


    Dental diagnosis II (infection / inflammation): 2h

        Dental caries

        Periapical radicle osteitis: abscess, granuloma, cyst

        Periapical sclerosing osteitis

        Periodontal disease


    Maxillary and mandible diagnosis I: 2h

        Normal variants: exostosis, accessory mandibular canal, Stafne defect, idiopathic osteosclerosis.

        Congenital / genetic abnormalities: clefts, cleidocranial dysplasia, Pierre Robin, Treacher Collins.

        Trauma

        Infection / inflammation: osteomyelitis, osteoradionecrosis, osteonecrosis.


    Maxillary and mandible diagnosis II: 2h

        Odontogenic cysts: dentigerous, lateral periodontal, residual, vestibular bifurcation.

        Non-odontogenic cysts: aneurysmal, naso-palatine duct, naso-labial, simple bone.

        Osteofibrous lesions: periapical cemental dysplasias, florid osseous dysplasias, cemento-ossifying fibroma, fibrous dysplasia, Paget's disease, cherubism.

Maxillary and mandible diagnosis III: 6h

        Benign odontogenic neoplasms: odontoma, adenomatoid odontogenic tumor, ameloblastoma, ameloblastic fibroma, ameloblastic fibroodontoma, calcifying epithelial odontogenic tumor, calcifying odontogenic cystic tumor, cementoblastoma, odontogenic myxoma, central odontogenic fibroma, odontogenic keratocystic tumor.

        Benign non-odontogenic neoplasms: central hemangioma, osteoid osteoma, osteoblastoma, osteoma of the jaw and maxilla, nervous sheath tumor, neurofibromatosis, desmoplastic fibroma.

        Malignant odontogenic neoplasms: malignant ameloblastoma, ameloblastic carcinoma.

        Non-odontogenic malignancies: metastasis, osteosarcoma, chondrosarcoma, primary intraosseous carcinoma, mucoepidermoid carcinoma, lymphomas, multiple myeloma, Ewing's sarcoma.

        Pseudotumoral lesions: giant cell granuloma, histiocytosis.


    Miscellaneous: 2h

        ATM: anatomy and radiological pathology.

        Maxillary sinus: anatomy and radiological pathology.

        Radiological pathology salivary glands.



SEMINARS

Duration of each seminar 1h.

MUCOSA MEDICAL PATHOLOGY (18h)

1. Odontogenic Infections (Dra Navalón) 1h

2. Bacterial, Viral and Mycotic Infections (Dra Vela) 1h

3. Pathology of the tongue (Dr Gil) 1h

4. Pathology of the lips. Queilitis (Dra Navalón) 1h

5 and 6 Premalignant lesions of the oral mucosa. Squamous carcinoma of the oral mucosa. (Dr Ferrés Amat) 1h

7 and 8 Pemphigoid. Connective tissue d.: Lupus, Scleroderma, Dermatomyositis (Candle) 1h

9 and 10 Variants of normality. Fundamental injuries in skin and mucous membranes. Injuries by physical, mechanical or chemical agents (Dr Gil) 1h

11 and 12 Recurrent oral aphthous stomatitis. Lichen planus (Candle) 1h

13 Applications of the laser in Oral Medicine (Dr Gil) 1h

B. GLANDULAR PATHOLOGY

1 and 2. Saliva: Function, composition. Saliva as a diagnosis Semiology salivary glands. Exploration techniques. (Dra Navalón) 1h

3. Obstructive pathology, inflammatory pathology, tumor pathology. (Dra Navalón) 1h

ORAL PATHOLOGY OF SYSTEMATIC ORIGIN

1 and 2 Oral manifestations of radiotherapy and chemotherapy. Diseases secondary to drugs. Osteoradionecrosis / OQN. Digestive diseases. Hematological diseases. (Dra Vela)

SEDATION

Seminar 1: The conscious inhalation sedation team. (Dra Navalón / Vela / Gil).

Seminar 2: Sedation protocol. (Dra Navalón / Vela / Gil).

Seminar 3: (Dra Navalón/Vela/Gil).


Chapter 1 Calendar Oral Medicine and Maxillofacial surgery

Teaching and learning activities


In blended

 

        1. Theoretical classes

 

 

In site classes, imparting theoretical and practical knowledge in a schematic way with great iconographic content. The classes will last 2 hours. A final time (15 minutes) of the theoretical class will be dedicated for questions, clarification, or expansion of concepts.

 

                2. Seminars

 

 

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

The evaluation will be conducted as follows:

 

              Theoretical final exam: 75%.

               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.

Personal/online 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 overall grade to pass is 5.

 

 

a) suspenso: 0- 4,9 (SS)

 

b) Aprobado: 5-6,9 (AP)

 

c) Notable: 7-8,9 (NT)

 

d) Excelente: 9-10 (SB).

 

e) Matrícula de honor: implica haber obtenido excelente además una mención especial.

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 18/05/2021 14:00h A09
  • E1 18/05/2021 14:00h A22
  • E1 18/05/2021 14:00h A21
  • E1 18/05/2021 14:00h A03
  • E1 18/05/2021 14:00h A01
  • R1 01/06/2021 14:00h A15
  • E2 22/06/2021 14:00h A22
  • E2 22/06/2021 14:00h A21
  • R2 02/07/2021 10:00h A10

Teaching and learning material

      Material
            Calendar Medicina oral y Maxilofacial medicinaoralymaxilofacial-20_21.pdf 
  © 2024 Universitat Internacional de Catalunya | Contact us | Privacy and data protection | Intellectual property
  Campus Barcelona. Tel.: 93 254 18 00 | Campus Sant Cugat. Tel.: 93 504 20 00