Explore This Residency

Overview

The Division of Oral and Maxillofacial Surgery and Dentistry (OMFS) at Massachusetts General Hospital offers a two-year Orofacial Pain Residency program. This program provides advanced training in orofacial pain, headache disorders and dental sleep medicine. The program consists of clinical training with program faculty and elective rotations through various related departments, including:

Clinical training is supplemented by a comprehensive didactic program. Teaching opportunities at Mass General and Harvard School of Dental Medicine will also be available.

Goals of the Orofacial Pain Residency Program

  • A basic understanding of the mechanisms involving pain
  • A basic understanding of the anatomical, physiological, biological, pathophysiological, and medical processes involved with pain disorders of the head, face, and neck
  • An understanding of the field of orofacial pain and the epidemiologic characteristics of these syndromes
  • Competency in the examination and evaluation of orofacial pain patients
  • Competency in the diagnosis and management of the orofacial pain patient
  • Competency to coordinate care for orofacial pain patients either as a single clinician or within a multi-disciplinary team
  • Competency to evaluate outcomes of treatment for orofacial pain patients
  • Competency to develop and/or evaluate research projects in orofacial pain

How to Apply

Applicants should be a:

  • Graduate of an accredited US or Canadian dental school. Applicants with a degree from a foreign dental school will be considered based upon their transcripts, curriculum vitae, training, acceptable TOEFL score and a personal interview
  • Citizen of the United States, non-citizen resident or foreign national having in his/her possession a visa permitting temporary status in the United States and educational licensure
  • Massachusetts Dental License or equivalent temporary/intern license holder

Applicants should submit the following:

  • Curriculum Vitae
  • Official Dental School transcripts
  • Three letters of recommendation
  • A personal statement

Applicants should submit all materials to:

The Division of Oral and Maxillofacial Surgery and Dentistry
Massachusetts General Hospital
55 Fruit St. Warren 1201
Boston, MA 02114

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Publications

MGH Orofacial Pain and OMFS Publications
  • Aguiar ADS, Nogueira Carrer HC, de Lira MR, Martins Silva GZ, Chaves TC. Patient-Reported Outcome Measurements in Temporomandibular Disorders and Headaches: Summary of Measurement Properties and Applicability. J Clin Med. 2021; 10(17): 3823.
  • Askar H, Aronovich S, Christensen BJ, McCain J, Is Arthroscopic Disk Repositioning Equally Efficacious to Open Disk Repositioning? A Systematic Review. J Oral Maxillofac Surg. 2021 Oct;79(10):2030-2041.
  • Bavarian R, Begasse de Dhaem O, Shaefer JR. Implementing Virtual Case-Based Learning in Dental Interprofessional Education. Pain Med. 2021 Dec 11;22(12):2789-2791. doi: 10.1093/pm/pnab231.PMID: 34320654.
  • Bavarian R, Harris R, Holland N. Language Access and Orofacial Pain. Dent Clin North Am. 2023 Jan;67(1):187-198. doi: 10.1016/j.cden.2022.07.014. Epub 2022 Oct 27.
  • Bavarian R, Khawaja SN, Ajisafe AH, Sultan The efficacy of microcurrent electrical nerve stimulation in treating masticatory myofascial pain: A systematic review and meta-analysis. Cranio. 2021 Dec 27:1-7.
  • Bavarian R, Khawaja SN, Treister NS. Oral appliances in the management of neuropathic orofacial pain: A retrospective case series. Oral Dis. 2022 Apr;28(3):805-812.
  • Bavarian R, Pharr CA, Handa S, Shaefer J, Keith DA. The utility of telemedicine in orofacial pain: Guidelines for examination and a retrospective review at a hospital-based practice. J Oral Rehabil. 2022 Aug;49(8):778-787. doi: 10.1111/joor.13335. Epub 2022 May 16.
  • Bavarian R, Schatman ME, Keith DA. Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective. J Pain Res. 2021 Sep 27;14:3033-3046.
  • Bavarian R, Schatman ME, Kulich RJ. Posttraumatic Stress Disorder and the Role of Psychosocial Comorbidities in Chronic Orofacial Pain. Dent Clin North Am. 2023 Jan;67(1):141-155.
  • Bavarian, R, Schatman, ME, Keith, DA Persistent Pain Following Proplast-Teflon Implants of the Temporomandibular Joint: A Case Report and 35-Year Management Perspective Journal of Pain Research. 2021 14 1-14.
  • Bavia FP, Ganjawalla K, Keith DA. Oral and Maxillofacial Surgery Cases Available online 25 November 2020, 100205 Long standing Temporomandibular joint (TMJ) dislocation with pseudo articulation with the base of the skull.
  • Bavia PF, Keith DA. (2019). Isolated tympanic plate fracture and associated temporomandibular joint symptoms: Literature review and report of 2 cases. Journal of the American Dental Association (1939), 150(9), 794–798.
  • Bavia PF, Keith DA. Isolated tympanic plate fracture and associated temporomandibular joint symptoms: Literature review and report of 2 cases. J Am Dent Assoc 2019 Sep 150(9) 794-798.
  • Burris B, Guastaldi FPS, Hadad H, Faquin WC, McCain JP. Arthroscopic management of synovial chondromatosis with skull base perforation: A case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Nov 23: S2212-4403(22).
  • Burris BJ, Bavarian R, Shaefer JR. Nonsurgical Management of Temporomandibular Joint Arthropathy Dent Clin North Am. 2023 Jan;67(1):27-47.
  • Choi DD, Smith D, Davis CM, McCain JP Arthroscopic diagnosis and medical management of calcium pyrophosphate deposition disease in the temporomandibular joint. Int J Oral Maxillofac Surg. 2020 Dec;49(12):1618-1621.
  • Choi DD, Vandenberg K, Smith D, Davis C, McCain JP. Is Temporomandibular Joint Arthroscopy Effective in Managing Pediatric Temporomandibular Joint Disorders in the Short- and Long-Term? J Oral Maxillofac Surg. 2020 Jan;78(1):44-51
  • Choi, DD, Vandenberg K, Smith D, Davis C, McCain JP. Early Clinical Outcomes of Arthroscopic Management of the Failing Alloplastic Temporomandibular Joint Prosthesis. J Oral Maxillofac Surg. 2020 Jan;78(1):44-51. doi: 10.1016/j.joms.2019.07.011. Epub 2019 Jul 31.
  • Costa YM, De Koninck BP, Elsaraj SM, Exposto FG, Herrero Babiloni A, Kapos FP, Sharma S, Shimada A. Orofacial pain education in dentistry: A path to improving patient care and reducing the population burden of chronic pain. J Dent Educ. 2021 Mar;85(3):349-358.
  • Das S, Hakim MA, Hajibandeh JT, McCain JP. Is a Minimally Invasive Endoscopic Approach a Promising Management Modality Among Patients With Chronic Protracted Temporomandibular Joint Dislocation? J Oral Maxillofac Surg. 2020 Dec;78(12):2112-2113.
  • Davis CM, Hakim M, Choi DD, Behrman DA, Israel H, McCain JP. Early Clinical Outcomes of Arthroscopic Management of the Failing Alloplastic Temporomandibular Joint Prosthesis. J Oral Maxillofac Surg. 2020 Jun;78(6):903-907.
  • Dobish MA, Wyler DA, Farrell CJ, Dhami HS, Romo VM, Choi DD, Reed T, Mahla ME. Chronic Skull Base Erosion from Temporomandibular Joint Disease Causes Generalized Seizure and Profound Lactic Acidosis Case Rep Crit Care. 2018 Sep 27;2018:8795036.
  • Fricton J, Chen H, Shaefer JR, Mackman J, Okeson JP, Ohrbach R, Klasser GD, Hawkins J, Hasel R, Heir G. New curriculum standards for teaching temporomandibular disorders in dental schools: A commentary. J Am Dent Assoc. 2022 May;153(5):395-398.
  • Granquist EJ, Bouloux G, Dattilo D, Gonzalez O, Louis PJ, McCain J, Sinn D, Szymela V, Warner M, Quinn PD. Outcomes and Survivorship of Biomet Microfixation Total Joint Replacement System: Results From an FDA Postmarket Study. J Oral Maxillofac Surg. 2020 Sep;78(9):1499-1508.
  • Haeffs TH, D'Amato LN, Khawaja SN, Keith DA, Scrivani SJ. What Variables Are Associated With the Outcome of Arthroscopic Lysis and Lavage Surgery for Internal Derangement of the Temporomandibular Joint? J Oral Maxillofac Surg. 2018 Oct;76(10):2081-2088. doi: 10.1016/j.joms.2018.04.018. Epub 2018 Apr 26.
  • Häggman-Henrikson, B., Ekberg, E., Ettlin, D.A., Michelotti, A., Durham, J., Goulet, J., Visscher, C.M. and Raphael, K.G. (2018), Mind the Gap: A Systematic Review of Implementation of Screening for Psychological Comorbidity in Dental and Dental Hygiene Education. Journal of Dental Education, 82: 1065-1076.
  • Hakim MA, Christensen B, Ahn DY, McCain JP. Early Clinical Outcomes of Arthroscopic Management of the Failing Alloplastic Temporomandibular Joint Prosthesis. J Oral Maxillofac Surg. 2020 Aug;78(8):1297-1303.
  • Hakim MA, Guastaldi FPS, Liapaki A, Ahn DY, Mueller ML, Troulis MJ, McCain JP. In vivo investigation of temporomandibular joint regeneration: development of a mouse model. Int J Oral Maxillofac Surg. 2020 Jul;49(7):940-944.
  • Hakim MA, McCain JP, Ahn DY, Troulis MJ. Minimally Invasive Endoscopic Oral and Maxillofacial Surgery Oral Maxillofac Surg Clin North Am. 2019 Nov;31(4):561-567.
  • Handa S, Keith DA, Abou-Ezzi J, Rosèn A. Neuropathic orofacial pain: Characterization of different patient groups using the ICOP first edition, in a tertiary level Orofacial Pain Clinic. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Dec;132(6):653-661.
  • Handa S, Mercuri LG, Keith DA. Periarticular Bone Formation Involving the Temporomandibular Joint - a narrative summary and Delphi Consensus of a new classification system. Manuscript Submitted to IJOMS, 2023.
  • Handa S, Shaefer JR, Keith DA. Oromandibular dystonia and temporomandibular disorders. J Am Dent Assoc. 2022 Sep;153(9):899-906.
  • Handa S, Shafik AA, Intini R, Keith DA First Bite Syndrome – An Underrecognized and Underdiagnosed Pain Complication after Temporomandibular Joint Surgery, Journal of Oral and Maxillofacial Surgery (2021) J Oral Maxillofac Surg. 2022 Mar;80(3):437-442.
  • Handa S, Shafik AA, Intini R, Keith DA. (2022). First Bite Syndrome - An Underrecognized and Underdiagnosed Pain Complication After Temporomandibular Joint Surgery. Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons, 80(3), 437–442.
  • Harris, J, Patel, NA Keith, DA Do rural oral and maxillofacial surgeons prescribe more postoperative opioids? J Oral Maxillofac Surg 2022 Dec;26(4):649-654.
  • Hernández-Nuño de la Rosa, MF, Keith, DA, Siegel, NS, Moreno-Hay, I Journal of the American Dental Association Is there an association between otological symptoms and temporomandibular disorders? An evidence-based review. J Am Dent Assoc. 2022 Nov;153(11):1096-1103. doi: 10.1016/j.adaj.2021.07.029. Epub 2021 Nov 17.
  • Hoang, E, Keith, DA, Kulich, RJ Controlled substance misuse risk assessment and prescription monitoring database use by dentists J Am Dent Asssoc 2019, May. 150 (5) 383-392.
  • Hossameldin RH, McCain JP, Dabus G. Prophylactic embolisation of the internal maxillary artery in patients with ankylosis of the temporomandibular joint. Br J Oral Maxillofac Surg. 2017 Jul;55(6):584-588.
  • Hossameldin RH, McCain JP. Outcomes of office-based temporomandibular joint arthroscopy: a 5-year retrospective study. Int J Oral Maxillofac Surg. 2018 Jan;47(1):90-97.
  • Ji YD, Keith DA. Clinical trial of rare benign pathologies in Oral and Maxillofacial Surgery J Oral Maxillofac Surg June 2020. 78, 6, 866-869.
  • Katsnelson, A Markiewicz, MR Keith DA, Dodson TB Operative management of temporomandibular joint ankylosis; a systemic review a meta-analysis J Oral Maxillofac Surg, 2012 Mar 70(3) 531-6.
  • Keith DA, Kulich RJ, Bharel M, Boose RE, Brownstein J, Da Silva JD, D'Innocenzo R, Donoff RB, Factor E, Hutter JW, Shaefer JR, Karimbux NY, Jack H, Thomas HF. Massachusetts Dental Schools Respond to the Prescription Opioid Crisis: A Statewide Collaboration. J Dent Educ. 2017 Dec;81(12):1388-1394.
  • Keith DA, Bavarian R. Re: Clinical negligence in temporomandibular joint surgery. Speculand B. Clinic. Br J Oral Maxillofac Surg. Dec 2, 2022; doi: 10.1016/j.bjoms.2022.10.001 British Journal of Oral & Maxillofacial Surgery.
  • Keith DA, Hernández-Nuño de la Rosa MF. Special Screening Resources: Strategies to Identify Substance Use Disorders, Including Opioid Misuse and Abuse 513-524 Dent Clin NA 64:3 July 2020 Controlled Substance Risk Mitigation in the Dental setting Eds Kulich, RJ, Keith, DA, Schatman, ME.
  • Keith DA, Kulich RJ, Shaefer JB. UK vs USA Opioids J Am Dent J 2021 May 230 (10)624.
  • Keith, DA, Kulich, RJ, Alexis A. Vasciannie, AV, Harold, RS Opioid Prescribing in Dental Practice: Managing Liability Risks 597-608 Dent Clin NA 64:3 July 2020 Controlled Substance Risk Mitigation in the Dental setting Eds Kulich, RJ, Keith, DA, Schatman, ME.
  • Keith, DA, Shannon, TA, Kulich, RJ. The prescription Monitoring program: What it can tell you. J AM Dent Assoc 2018 Apr 149 (4) 266-272.
  • Khawaja S, Bavia P, Keith D. (2020). Clinical Characteristics, Treatment Effectiveness, and Predictors of Response to Pharmacotherapeutic Interventions in Burning Mouth Syndrome: A Retrospective Analysis. Journal of Oral & Facial Pain and Headache, 34(2), 157–166.
  • Khawaja, S, Bavia, P, Keith DA Clinical characteristics; Treatment effectiveness, predictors of response to Pharmacotherapeutic interventions in Burning Mouth Syndrome J Orofacial Pain and Headache 33,2,2020 157-66.
  • Khawaja, SN, Scrivani, SJ Holland, N, Keith DA Effectiveness, safety, and predictors of response to botulinum toxin type A in refractory masticatory myalgia: A retrospective study. J. Oral and Maxillofac. Surgery. 2017 Nov 75 (11) 2307-2315.
  • Khawaja, SN, Scrivani, SJ, Keith, DA Facial Pain Associated with cardiac origin J Am Dent Assoc 2018, Mar. 149(3)220-225.
  • Kulich, RJ, Keith, DA, Schatman, ME Controlled Substance Risk Mitigation in the Dental Setting Preface xi-xiii Dent Clin NA July 2020 64:3 Controlled Substance Risk Mitigation in the Dental setting Eds Kulich, RJ, Keith, DA, Schatman, ME.
  • Kulich, RJ, Keith, DA, Vasciannie, AV, Thomas HF Interprofessional Collaboration in the Assessment and Management of Substance Use Risk 571-583 Dent Clin NA 64:3 July 2020 Controlled Substance Risk Mitigation in the Dental setting Eds Kulich, RJ, Keith, DA, Schatman, ME.
  • Laviv, A, Sadow, PM, Keith, DA Pseudogout in the temporomandibular joint with imaging, arthroscopic, operative and pathologic findings, Report of an unusual case J Oral Maxillofac Surg 2015 Jun 73 (6) 1106-1112.
  • McCain JP Hossameldin RH, Srouji S, Maher A.J Arthroscopic discopexy is effective in managing temporomandibular joint internal derangement in patients with Wilkes stage II and III. Oral Maxillofac Surg. 2015 Mar;73(3):391-401.
  • McCain JP, Hossameldin RH. Advanced arthroscopy of the temporomandibular joint Atlas Oral Maxillofac Surg Clin North Am. 2011 Sep;19(2):145-67.
  • Measuring health and disability: manual for WHO Disability Assessment Schedule (‎WHODAS 2.0)‎. https://www.who.int/publications/i/item/measuring-health-and-disability-manual-for-who-disability-assessment-schedule-(-whodas-2.0). Accessed on April 10, 2023.
  • National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Health Sciences Policy; Committee on Temporomandibular Disorders (TMDs): From Research Discoveries to Clinical Treatment; Yost O, Liverman CT, English R, et al., editors. Temporomandibular Disorders: Priorities for Research and Care. Washington (DC): National Academies Press (US); 2020 Mar 12. 6, Improving TMD Health Care: Practice, Education, Access, and Coverage. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557987/
  • Ohrbach R, Gonzales Y, List T, Michelotti A, Schiffman E. (2014). Diagnostic criteria for temporomandibular disorders (DC/TMD) clinical examination protocol. Clinical Examination Protocol, 1–91. www.rdc-tmdinternational.org.
  • Orofacial T, Classification P. (2020). International Classification of Orofacial Pain, 1st edition (ICOP). Cephalalgia: An International Journal of Headache, 40(2), 129–221.
  • Partridge, JC, Cipriani, N, Faquin WC, Chuang, SK Keith DA Lahey ET Periarticular Cysts of the temporomandibular joint are more frequently Synovial than Ganglion J Oral Maxillofac Surg 2016 Jul 74 (7) 1396-1402.
  • Patel NA, Keith DA. Five-year Comparative analysis of Medicare opioid prescription volume among Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 2019 Dec 77(12) 2439-2446.
  • Sahdev R, Wu BW, Anderson N, Khawaja SN, Kim S, Keith DA. (2019). A Retrospective Study of Patient Outcomes After Temporomandibular Joint Replacement With Alloplastic Total Joint Prosthesis at Massachusetts General Hospital. Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons, 77(2), 280–288.
  • Sahdev, R, Wu, BW, Anderson, N, Khawaja, SN Kim, S Keith, DA A retrospective study of patient outcomes after temporomandibular joint replacement with alloplastic total joint prosthesis at Massachusetts General Hospital J Oral Maxillofac Surg 2019 Feb 77 (2) 280-288.
  • Salash JR, Hossameldin RH, Almarza AJ, Chou JC, McCain JP, Mercuri LG, Wolford LM, Detamore MS. Potential Indications for Tissue Engineering in Temporomandibular Joint Surgery. J Oral Maxillofac Surg. 2016 Apr;74(4):705-11.
  • Scrivani, SJ, Schatman, ME, Keith, DA, Kulich, RJ. Pain management for dental medicine: Opioids, Coronavirus and beyond J Pain Res May 2021 14, 1371-1387.
  • Selvi, F, Messina, J, Faquin, WC Keith DA Relapsing polychondritis concomitant with Synovial Chondromatosis of the temporomandibular joint J Oral Maxillofac Surg 2016 Nov 74 (11) 2207-2215.
  • Shaefer JR, Khawaja SN, Bavia PF. (2018). Sex, Gender, and Orofacial Pain. Dental Clinics of North America, 62(4), 665–682.
  • Susarla, SM, Peacock, ZS, Williams WB, Rabinov, JD, Keith DA, Kaban LB Role of computed tomographic angiography in treatment of patients with temporomandibular joint ankylosis J Oral Maxillofac Surg 2014 Feb 72 (2) 267-276.
  • Sweeney K, Handa S, August M, Keith DA. (2022). Are There Identifiable Risk Factors Associated With Heterotopic Ossification of the Temporomandibular Joint? Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons, 80(8), 1318–1330.
  • Sweeney K, Handa S, August M, Keith. DA. Are There Identifiable Risk Factors Associated With Heterotopic Ossification of the Temporomandibular Joint? J Oral Maxillofac Surg 2022 Aug;80(8):1318-1330.
  • Torres DE, McCain JP. Arthroscopic electrothermal capsulorrhaphy for the treatment of recurrent temporomandibular joint dislocation. Int J Oral Maxillofac Surg. 2012 Jun;41(6):681-9.