Subject: Oral Embryology and Pathology
1. Topic-
Diseases Affecting the Temporomandibular Joint
 
2. Content-
Anatomy and function of the Temporomandibular Joint, Muscles of Mastication, Temporomandibular Disorder, TMDs, Knowledge of the anatomy and function of the TMJ enables the dental hygienist to understand the diseases that affect the joint. Disorders of the TMJ include myofascial pain and dysfunction (MPD), internal derangements syndrome, osteoarthritis, and rheumatoid arthritis. Benign and malignant tumors can also affect the TMJ.
 
3. Goals: Aims/Outcomes-
1. Upon completion of this course, the student will be able to evaluate scientific literature to make evidence based decisions that advance the profession at a competent level.
2. Upon completion of this course, the student will be able to systematically collect, analyze, and accurately record general, oral, and psychosocial health data, including chief complaint at a competent level.
3. Upon completion of this course, the student will be able to formulate a patient centered comprehensive dental hygiene care plan based on assessment, in collaboration with the patient and other health professionals, while using evidence based critical decision making skills at a competent level.
 
4. Objectives-
1. Upon completion of this unit, the student will be able to label glenoid fossa of the temporal bone, articular disk, mandibular condyle, joint capsule, and superior belly of the lateral pterygoid muscles with 90% accuracy.
2. Upon completion of this unit, the student will be able to state the function of the muscles of mastication with 90% accuracy.
3. Upon completion of this unit, the student will be able to state three factors that have been implicated in the cause of temporomandibular disorders.
4. Upon completion of this unit, the student will be able to ask three questions of a patient suspected of having a TMD.
5. Upon completion of this unit, the student will be able to list at least two symptoms that are suggestive of TMD.
6. Upon completion of this unit, the student will be able to state the importance of radiographs in the evaluation of a patient with symptoms suggestive of TMD with 90% accuracy.
7. Upon completion of this unit, the student will be able to list five types of TMDs.
8. Upon completion of this unit, the student will be able to list and describe the two main categories of treatment of TMDs.
9. Upon completion of this unit, the student will be able to state the names of one benign and one malignant tumor that may affect the TMJ.
 
5. Materials and Aids-
PowerPoint Presentation
Videos
 
6. Procedures/Methods-

A. Introduction-

1. Introduce self. (Minutes required)
2. Present case study example - patient presents for a prophylactic appointment and during the extra oral exam, the hygienist notices some clicking of the joints. What should she do? (minutes required)
 

B. Development-

1. Use PowerPoint to present the information about the TMJ and the diseases affecting the TMJ.
2. Students follow along using handouts provided taking notes.
3. Each of the following topics will be introduced: (list topics from the PP once the PP is developed and write minutes required after each topic)
 

C. Practice-

1. Decide on active learning strategy...potentially paired labeling, paired non-graded quiz, paired role playing, paired case study work, watching a video or two...(minutes required for each active learning activity)
2. Students will be grouped into pairs. Working in pairs allows the students to practice the skill, but also dialogue with a peer to discover the correct information. During each break students will practice skill (see development). Breaking the lecture into shorter segments followed by time to apply the information learned reinforces each concept while maintaining attention span. Trying to apply the content discussed gives the students a direct opportunity to see if they truly understand "� or if the instructor needs to review again.
 

D. Independent Practice-

Minute Paper or student summary of topic on an index card. (Minutes required)
 

E. Accommodations (Differentiated Instruction)-

Groups that finish early will provide peer feedback to remainder of students(?)
 

F. Checking for understanding-

1. Student instructor will ask questions at the end of the session to check student learning.
2. Student instructor will have faculty member and students complete evaluations to provide feedback. (Include minutes that will take)
 

G. Closure-

1. Review the major components of TMJ and TMD.
2. Have TA discuss information for upcoming quiz. (Include minutes that will take)
 
7. Evaluation-
Have students complete evaluation of learning (5 min)

Total time: _____minutes
 
8. Teacher Reflection-
Was there sufficient time for all sections?
Were the students attentive or bored?
What appeared to confuse the students the most?
Did the students work well in partners?
What was the student feedback?
How did the students perform on the in class assignment?
How did the students perform on the quiz?
 

This Lesson Plan is available at (www.teacherjet.com)