Orofacial Pain and TMJ

Orofacial Pain and TemporoMandibular Joint

Dor Orofacial e Articulação Temporomandibular

Curse code:9548430

Sérgio Manuel Antunes Félix

Learning outcomes of the curricular unit:

Students have become acquainted with principles of Anatomy, Occlusion and the (TMJ), healthy and desease condition.

General:

• To build a taste for research and scientific accuracy
• Knowledge on the following aspects of TMJ & Orofacial Pain:Nature and evolution of the concept
• Role of the Physician in the management
• Classification
• Clinical presentation of the different types of TMJ & Orofacial Pain
• Treatment basics, and the interdisciplinary approach
• Study habits, as well as accuracy and precision of technical and professional vocabulary
• Stimulate the student

Specific:

• To be able to define TMJ & Orofacial Pain
• Characterise the type of Pain and to understand whether or not it falls within his/her area of activity
• Make a differential diagnosis and use the appropriate patient approach
• Get the skills to treat acute and/or chronic TMJ & Orofacial Pain
• To get the necessary skills to integrate a multidisciplinary research team in the field of TMJ & Orofacial Pain

Syllabus:

1. The nature of TMJ & Orofacial Pain:Definition
2. The role of the Physician in the management of TMJ & Orofacial Pain
3. Pathways levels of TMJ & Orofacial Pain, Anatomical considerations
4. Pain transmission in TMJ & Orofacial Pain
5. Characterisation of TMJ & Orofacial Pain as to Neuroanatomy
6. Neurophysiology
7. Relationship with Central Nervous System and supraspinal centres
8. Clinical considerations
9. Symptomatology and Types
10. Categorisation and classification
11. Approach to patients with Orofacial Pain
12. Physician/Patient relationship
13. Collecting data
14. The importance of making a record of the patient’s pain history
15. Clinical syndromes
16. How the various TMJ & Orofacial Pain syndromes work; types; differential diagnosis; therapeutic management of pain
17. Cutaneous and mucogingival
18. Dental
19. Muscle
20. Musculoskeletal
21. Visceral
22. Vascular and Neurovascular
23. Neuropathic
24. Therapeutical principles- interdisciplinary approach
25. Myoarthropathies
26. Pharmacotherapy
27. Cognitive-Behavioural Therapy
28. Occlusal Splint Theraphy

Suggested Bibliography:

• Maciel,R. (1996) OCLUSÃO E ATM – Procedimentos clínicos, 1st ed., Livraria Santos Editora
• Okeson, P (2005) Bell´S Orofacial Pains. 6th ed., Quintessence Publishing CO. ISBN: 0-86715-439-X
• Palla, S. (2004) Mioarteropatias do Sistema Mastigatório e Dores Orofaciais. Artes Médicas. ISBN: 85-367-0012-2
• Bumann, A. Lotzmann, U (2002) Disfunção Temporomandibular : Diagnóstico Funcional e Princípios Terapêuticos. Thieme. ISBN: 85-7307-813-8
• Pertes, R.; QuintessencePublishing Co (1995) Tratamento Clínico das Disfunções Temporomandibulares e da Dor Orofacial. ISBN: 85-87425-57-9