Orofacial Pain

January/2019

Hours: 14

Course Directors: Esteban Mulkay, D.M.D.

Method: Lecture

Day: Wednesday

Hour: 7:30 – 8:30

Dates Topics Reading

Jan. 9 Classification and Epidemiology of TMD Text pages 3 – 18

and Orofacial Pain

Jan. 16 TMJ Form and Function Handout

Jan. 23 Clinical Examination Handout

Jan. 30 Muscle Function and Dysfunction Text pages 109-124

Feb. 6 Bruxism

Feb. 13 Pain Measurement, Gender and Psychosocial Text pages 79-85, 93-108

Issues associated with Pain

Feb 20 Mid - Term Examination

Feb.27 Inflammation and Neuropathic Pain, Text pages 203 - 210

Trigeminal Neuralgia

Mar. 6 Headache Text pages 45 - 59

Mar.13 Diagnosis and Evidence-Based Pain Management Text pages 135 - 151

Mar. 20 Pharmacological Management

Mar.27 Occlusal Therapies and Occlusal Appliances

Apr.3 Physical Medicines Modalities and Other Non-Surgical and Surgical Alternatives

Apr. 10 Final Examination

Evaluation: Written Examination

Two written examinations will be completed in the middle and at the end of the course. These
examinations may consist of multiple choice, short answer or essay questions. The course grade will
dependent on:

1. Mid-Term Exam grade (40 % )

2. Final Exam grade ( 40 % )
3. Class Participation

Required Textbook:

Orofacial Pian: From Basic Sciences to Clinical Management, (2nd Ed. ) Eds. B.J. Sessle, G.J. Lavigne, J.P.
Lund and R. Dubner, Quintessence Publishing Co., Inc., Chicago, IL, 2008

Goals/ Objectives:

The student will:

1. Understand basic pain mechanisms and pathways in the head and necks.
2. Understand commonly occurring pain referral patterns in the orofacial region.
3. Understand the rational and protocol for obtaining a comprehensive history from the orofacial
pain patient.
4. Recognize essential differences between acute and chronic pain.
5. Be able to perform a detailed examination of the temporomandibular joint.
6. Identify various subgroups of intracapsular disorders.
7. Be able to perform a detailed examination of the masticatory and cervical musculature.
8. Identify various subgroups of extracapsular disorders.
9. Understand the role of occlusal factors in TMD.
10. Understand the rationale for multidisciplinary evaluation and management of TMD/Orofacial
Pain.
11. Recognize non-TMD orofacial pain conditions of neurologic, salivary gland, vascular, anatomic,
systemic disease origin.
12. Know the indications for an occlusal orthosis.
13. Be able to determine the need for physical therapy in musculoskeletal pathofunction cases.
14. Be able to determine the need for surgical TMJ procedures.

Name E-mail

Dr. Esteban Mulkay emulkay@dental.ufl.edu

Policy rela ted to clas s attendance:

Student attendance during school hours is required on all days officially scheduled on the annual
school calendar. For additional information about the COD attendance policy, please see section in
the student handbook.

Policy rela ted to make -up exams o r other work:

Failure to make up the Final Examination within one week with an excused extension will
result in a failing grade.

Professional Behavior
The College of Dentistry expects all dental residents to be professionals in their dealings with
patients, colleagues, faculty and staff to exhibit caring and compassionate attitudes. These and other
qualities will be evaluated during patient contacts and in other relevant settings. Professional
behavior is defined as appropriate behavior to the circumstance. Behavior of a dental student reflects
on a student’s qualification and potential to become a competent dentist. Attitudes and behaviors
inconsistent with compassionate care, refusal by or inability of the student to participate
constructively in learning or patient care, derogatory attitudes or inappropriate behavior directed at
patient groups, peer, faculty or staff, or other unprofessional conduct can be grounds for dismissal.

Accommodations fo r students with disabilities:

Students requesting classroom accommodations must first register with the Dean of Students Office.
The Dean of Students Office will provide documentation to the student who must then provide this
documentation to the Instructor when requesting accommodation.

Academic Honesty
In the process of enrolling and registering for classes at the University of Florida, every student has
signed and presumably understands the following statement. “I understand that the University of
Florida expects its students to be honest in all their academic work. I agree to adhere to this
commitment to academic honesty and understand that my failure to comply with this commitment
may result in disciplinary action up to and including expulsion from the University.”

Please refer to the University’s policy regarding cheating and use of copyrighted materials in the
Student Guide at: http://oss.ufl.edu/.