口腔顏面疼痛與神經科學

請參考課表 本課程為一概論性質課程,無須事先修過其他課程。 凡有下列三種興趣的同學,皆歡迎選修: 1. 牙醫或口腔照顧相關科系背景的同學,希望進一步了解口腔顏面疼痛與功能。 2. 非牙醫或口腔照顧的其他醫護背景同學(例如醫學系或護理系),希望了解口腔顏面疼痛與功能。 3. 非臨床醫護背景的同學 – 特別是理工電資背景的同學 – 希望了解口腔功能運作的基本原則,並認識當前口腔醫學臨床治療的挑戰,進一步激發跨領域的思考,將科學與工程方面的知識應用於解決口腔健康的臨床問題。 本課程竭誠歡迎交大校區師長遠距收看並惠賜意見。 This is an introductory course. Students do not need to complete other courses for entering this course. Students are welcome if they are: 1. Students with a background in the dental or oral health discipline, who want to further understand orofacial pain and functions. 2. Students with a background in clinical disciplines other than dentistry (e.g. medicine or nursing), who want to further understand orofacial pain and functions. 3. Students with a non-clinical background (e.g., EE, IE, biomechanics, etc.), who want to understand the mechanisms of oral functions and the current challenges in treating orofacial pain and dysfunctions. Students are welcome to bridge their knowledge in science and technology for solving clinical problems. All faculties from the Chiao-Tong campus are welcome to participate us via the distant virtual classroom.

各位對選修「口腔顏面疼痛與神經科學」感興趣的同學您好,我是嘉澍老師,現任牙醫系專任教授與腦科學研究所合聘教授,也是世界上極少數的兼具牙醫師與腦科學(神經造影)專長的人類。這門課原過去在陽明牙醫系是已經有七年歷史的「口腔顏面疼痛」,比較偏向臨床議題。而今年開始,本課程將重新規劃教學方向,希望不僅提供牙醫師,也包含「非口腔專業領域」的同學,一個入門的機會,了解與口腔功能相關的生理機制,以及相關的病變與臨床處理原則。故今年的課程將聚焦在以下目標,區分為三個大的模組: 1. 從神經科學了解口顎系統如何運作:本課程的模組一(前五次上課)將聚焦在口腔的感覺與運動功能,包括口腔內的觸覺、疼痛、吞嚥,與咀嚼等功能。 2. 口腔功能檢測與疼痛的分類:本課程的模組二(第六~第十次上課)將聚焦在如何評估咀嚼吞嚥與口腔顏面疼痛,並介紹臨床上對口腔顏面疼痛的分類。重點在於針對這些測量技術,引導同學做跨領域的思考。 3. 從牙齒到全人照顧:本課程的模組三(最後五次上課)將聚焦在「病人」的經驗與行為,包括病患的情緒經驗,醫療決策行為,以及面對年長者或認知功能障礙病患,各種處理口腔功能障礙與疼痛的基本原則。 Welcome to our class ‘Orofacial Pain and Neuroscience’! I am Chia-Shu Lin, now a professor of the Department of Dentistry and adjunct professor of the Institute of Brain Science. I am also one of the very few people who specialize in both dentistry and neuroscience (focusing on brain imaging) in the world. This course, previously known as ‘Orofacial Pain’, has been taught in the Department of Dentistry for seven years. From this year, the course will be largely revised for both students with a dental background and students ‘without any dental background’. The course offers an introduction to the neurophysiological mechanisms of oral functions, dysfunctions, and principles of clinical management. The course will be modularized into three parts: 1. Module I - Understanding the human stomatognathic system: In the first five lessons, we will focus on the sensory and motor functions of the oral system, including oral somatosensation, pain, mastication, and swallowing. 2. Module II – Assessment and classification of dysfunctions: From Lesson 6 to Lesson 10, we will focus on how to assess mastication, swallowing and pain. We will also focus on the clinical classification of chronic orofacial pain. 3. Module III – From patient experience to behavior: In the last five lessons, we will focus on patients’ emotional experience and decision-making behavior and individual variations in their experience, including the principles of managing pain and dysfunctions of older patients.

1. 課後作業(線上填寫,每堂課4題選擇題) 2. 討論(遠距討論或實體討論,每學期三次):本課程之討論將由教師(林嘉澍)每學期與每位同學一對一(實體或遠距方式)進行三次。討論內容將適同學科系背景調整之。原則上,(A)醫護背景同學將側重於對疼痛,咀嚼與吞嚥等功能之病理機制的探討,以及臨床上最新治療的發展。(B)理工電資背景同學將側重於如何透過科學與工程技術,開發更有效的口腔功能檢測方法,以輔助臨床醫師進行診斷與評估治療效果。 1. Individual discussion with the teacher 2. Course assignment

1. 教科書:教師自編 2. 講義:教師自編 3. 參考資料: 4. 相關網站: https://sites.google.com/view/eccentricdentistry/%E7%A5%9E%E7%B6%93