Veidlapa Nr. M-3 (8)
Study Course Description
Temporal and Jaw Joint Diseases
Course Code
RMS_044
Branch of Science
Anatomy; Clinical medicine
ECTS
8.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ģirts Šalms
Residency Speciality
Speciality
Maxillofacial Surgeon
Supervisor of Medical Speciality
Ģirts Šalms
Contacts
-
About Study Course
Objective
To provide the basic competence necessary for doctors - oral, facial and jaw surgery specialists:
• in the pathophysiology of TML disorders, differential diagnosis, diagnosis, following protocols of clinical examination and auxiliary examinations;
• in the application of conservative therapy;
• for the rationale and indications of surgical treatment methods, work independently, refer the patient.
Learning Outcomes
Knowledge
1.Resident will be able to: • explain the biology, anatomy, pathophysiology of TMJ; • classify findings according to the terminology; • use the findings in the differential diagnosis; • justify the possible treatment.
Skills
1.Will be able to collect a detailed medical history and to conduct investigations for patients with orofacial pain and similar disorders. • To perform the head and neck physical examination. • To perform muscle investigation. • To perform TML investigation. • To perform neurovascular and motor function assessment "at the bedside / chair". • To use visual analogue scale (VAS). • To define indications for additional tests. • To exclude other causes of pain and dysfunction. • To perform a diagnostic blockade.
Competences
1.• Able to assess and explain the clinical examination findings. • Is able to correctly select the methods of diagnosis, evaluate the collected data. • Formulate dg. according to the classifications. • Assess their ability to cooperate with other professionals. • Understand empathy and ethical aspects of working with this group of patients.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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1. Participates in thematic clinical advisory work, TML supplementary examination and data interpretation,
• CT, NMR, facial bone scintigraphy
• patients with sleep disorders.
2. Participate in jaw ankylosis surgery
• participate in other manipulations and operations (lavage, disc/condylectomy),
• it is desirable to participate in arthroscopy dg. in application.
3. Refer to the reviewed literature.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
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1.
Examination |
-
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-
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• Independent consultative work.
• Participation in interdisciplinary consultations.
• Participation in operations.
• The ability to logically formulate and explain the experience.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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1. TMJ biological aspects of craniomandibular mechanical interaction.
2. TMJ growth and development.
3. TMJ clinical and functional anatomy.
4. TMJ morphology.
5. TMJ adaptation and remodeling.
6. Occlusion and TMJ.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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1. Congenital and acquired TMJ developmental anomalies (condyle agenesis, hypoplasia, hyperplasia).
2. Temporomandibular joint disorder classification.
3. Diagnostic criteria.
4. History and appropriate examination.
5. TMJ disorder pathogenesis. Diffuse connective tissue and bone disorders.
6. Flexion-extension injury.
7. Load. Overloading.
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Seminar
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Modality
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Location
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|---|---|---|
|
On site
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Auditorium
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Topics
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1. Conservative treatment of TMJ (splints).
2. Arthrocenthesis.
3. Endoscopic TMJ surgery.
4. Minimally invasive TMJ surgery.
5. Open TMJ surgery (discopexy, discectomy, disc reposition surgery, condilectomy).
6. TMJ ankylosis treatment.
7. TMJ implants (custom and individual implants).
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Total ECTS (Creditpoints):
8.00
Number of Residency Seminars:
3
Length (weeks):
6
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Orofacial Pain and Headache. 2nd Edition, 2015. Author(s)/Editor(s): Sharav, Yair; Benoliel, Rafael (editors)
2.
Sessle B. Pathophysiology of Orofacial Pain in Turp J.C. et.al. The Puzzle of OFP. Pain Headache, Karger, 2007 Vol 15, p. 56-74, p. 153-164.
3.
Geraint Fuller. Neurological Examination Made Easy. 6th Edition. February 7, 2019.
4.
Clinician's Handbook of Oral and Maxillofacial Surgery. by Daniel M. Laskin / Eric R. Carlson (Editor). 2nd Edition, 2018
5.
Orofacial Pain. Ed. by Zakrewska J. Oxford University press, 2009.
6.
Illustrated lecture notes in oral & maxillofacial surgery. by George Dimitroulis. Quintessence Pub., Chicago, 2008
7.
Schiffman E., Ohrbach R., Truelove E., Look .J, et.al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2014; 28:6-27.
8.
Clinical Oral Physiology. Ed.by Miles T.S., Nauntofle B., Svensson P. Quintesence Pub.co, 2004.
Additional Reading
1.
Journal Oral and Maxillofacial Surgery.