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Temporomandibular disorders and orofacial pain: up-to-date treatment protocols
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Jean-Daniel Orthlieb
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Jeffrey P. Okeson
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Ambra Michelotti
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David Angelo
Course details
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13 lessons (12h 16min)
10.75 CE Credits

English
Access to the record for Membership period
Description
Up-to-date solutions and advanced treatment methods for Temporomandibular Disorders (TMD) will be showcased by leading experts in functional dentistry from around the world, including Jeffrey Okeson, David Angelo, Jean-Daniel Orthlieb, and Ambra Michelotti — in one online course!
During the course, you will learn about:
– Current approaches in treating Temporomandibular Disorders
– Protocols for restoring occlusion in patients with TMD-related disorders
– Techniques of minimally invasive TMJ surgery
– Protocols for open TMJ surgery.
The online course on the treatment of TMD and orofacial pain offers a unique opportunity to stay updated on the latest trends, scientific discoveries, and advanced methodologies in functional dentistry. It's a chance to broaden your professional horizons alongside global experts in the field.
Lesson 1.Diagnosis of TMD and orofacial pain
– Muscle pain and TMJ pain: differential diagnosis
– Classification of TMD
– Types of heterotypic pain
– Diagnostic criteria for referred pain
– How to identify pain disorders that are likely to respond positively to your therapy from those that will not
– How to differentiate TMD from other sources of orofacial pain
– The relationship between occlusion and temporomandibular disorders
– Adaptability of the maxillofacial system
– Deep localized pain.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 2.Etiological factors of TMD
– Effect of stress on orofacial pain
– Post Traumatic Stress Disorder (PTSD)
– Prolonged stress: impact on the human body
– Effect of occlusion on muscle pain
– An acute changes in the occlusal condition
– Chronic response from occlusal alteration.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 3.Orthopedically stable occlusal interrelationship
– The most favorable and orthopedically stable interrelationship between occlusion and the condylar position for orthodontic-prosthodontic therapy
– The concept of musculoskeletally stable position
– Determination of TMJ stability
– The bilateral mandibular manipulation technique
– Condylar stability vs occlusal stability
– Effect of occlusion on TMD.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 4.The mechanisms of development of orofacial pain
– Muscle pain as a consequence of anatomical variation
– Obstructive sleep apnea syndrome and bruxism: relationship and mutual influence
– Rhythmic muscle activity and pain
– Delayed onset of local muscle soreness
– Spasm: definition.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 5.Principles of orofacial pain treatment
– Model of muscle pain development
– Spastic activity of the masticatory muscles
– Botox in the treatment of muscle pain
– When to refer a patient to a related specialist
– Local myalgia:
- definition
- etiology
- clinical symptoms
- treatment tactics.
– The importance of the patient's psychological state in the treatment of orofacial pain
– Application of a stabilizing splints
– Indications for stabilizing equipment.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 6.Occlusal equipment in the treatment of TMD
– Bruxism and its relationship with occlusion
– The appropriate use of occlusal appliance therapy for muscle pain and joint pain
– The importance of doctor-patient interaction in the treatment of TMD
– When does an occlusal appliance reduce the patient’s TMD symptoms?
– Placebo effect in the treatment of TMD.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 7.Intracapsular TMJ problems: treatment
– Anatomical and pathophysiological basis for intracapsular TMJ problems
– TMJ ligaments: structure, functions
– Articular disc displacement with reduction: clinical manifestations
– Articular disc displacement without reduction: clinical symptoms and tactics
– Principles of treatment of intracapsular disorder.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 8.Problems in the treatment of orofacial pain and TMD. Q&A session
– Increasing contacts and their effect on muscle pain
– The use of Botox for local myalgia
– Mandibular Advancement Devices (MAD)
– Taking impressions of patients with significant limitations in mouth opening
– Damage to the inferior alveolar nerve: possibilities of regeneration
– Hard splints vs soft splints: research and results
– Questions about using Bruxchecker
– Differential diagnosis of TMD
– Habits that affect TMD.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 9.Principles of TMD diagnosis. Options for hypomobility and hypermobility of TMJ
– Diagnosis of TMDs
– Etiological risk factors in the development of TMD
– Clinical examination: external examination, assessment of muscle and TMJ
– Additional examination methods
– TMDs: definition and diagnosis
– Types of TMDs and principles of their diagnosis
– The use of Botox in the treatment of TMD
– Adhesions: diagnosis and treatment tactics
– Ankylosis: types, diagnosis and treatment options
– Dislocations and subluxations of the TMJ
– Technique for lower jaw reduction
– Degenerative changes of the TMJ:
- osteoarthrosis
- osteoarthritis
- resorption of condyles
- osteonecrosis
- neoplasm
- synovial chondromatosis
- aplasia and hypoplasia of the condyle.
– Muscle pain:
- myalgia
- tendonitis
- spasm
- myositis.
– Coronoid hyperplasia.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 10.Minimally invasive treatment methods: botulinum therapy and arthrocentesis. Arthroscopy
– Functional disk vs non-functional disk
– Normal anatomy and physiology of the TMJ
– Botulinum therapy in the treatment of TMD
– Identifying pain points and preparing for Botox injections: video demonstration
– Physiotherapy and speech therapy in patients after botulinum therapy: timing and recommendations
– Arthrocentesis: technique of execution, anatomical landmarks
– Complications during arthrocentesis
– Indications for arthrocentesis
– Clinical examples of arthrocentesis in patients of different ages
– Arthroscopy: advantages of the technique
– Types of arthroscopy and their characteristics
– Video demonstrations and descriptions of various types of arthroscopy
– Long-term results of arthroscopy
– Bilateral arthroscopy
– Complications of arthroscopy
– Video demonstration of repairing disk perforation.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 11.Treatment of TMD: open surgery
– Indications for open TMJ surgery: absolute and relative
– Surgical access for operations on the TMJ: types of incisions
– Author's method for creating surgical access RHITHNI
– Discectomy technique
– Technique of eminectomy
– Tactics of patient management before, during and after orthodontic treatment
– TMJ reconstruction: types of prostheses
– Alloplastic replacement of the TMJ in growing patients.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 12.Indications for occlusal corrections in TMDs patients. Techniques for restoring occlusion for TMDs
– Indications and contraindications of occlusal corrections in TMDs patients
– The influence of occlusion on the occurrence of TMD
– Restoration of occlusion in patients with and without TMDs
– Occlusal approach in the treatment of TMD: disadvantages of the technique
– Academic guidelines in the treatment of patients with TMD
– Diagnostic criteria for TMDs
– Definition of musculo-articular dysfunction
– Signs of TMDs "SAD"
– 2D and 3D etiopathogenetic model
– A clear classification of TMDs
– Secondary TMDs
– Basic functions of occlusion
– Criteria for stability and instability of occlusion
– Creation of maximum intercuspation
– Algorithm for choosing the TMD treatment method
– Evolution of opinions in the treatment of TMD
– Occlusion-TMD: modern concepts
– Specific categories of occlusion pathology
– Optimization of occlusal function on clinical example
– Occlusal dysesthesia: definition and treatment strategies
– Treatment of patients with TMD and no dental problems
– Treatment of patients with TMD and dental problems
– Overtreatment: pros and cons, recommendations
– Recommendations for the treatment of patients with TMD.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 13.Etiological factors and principles of treatment of TMDs. Occlusal splint: when, why and how
– TMD: signs and symptoms
– Patient-centered approach: key principles
– Etiopathogenesis of TMD
– Treatment guidelines for patients with TMD
– Role of psychosocial factors in the development and treatment of TMD
– Comorbidities influencing the development of TMD
– Management tactics for patients with TMD
– Cognitive-behavioral therapy
– Physical therapy and a set of home exercises
– Control of parafunctional behavior
– Self-management effect
– Placebo and nocebo effects: research and recommendations
– Jaw exercises to reduce pain in patient with TMD
– The Rocabado technique
– Indications and contraindications for the occlusal splints
– Google, social media, ChatGPT: their role in patient education
– Consequences of using non-dentist-prescribed occlusal splints
– Mistakes in the application of occlusal splints
– Potential mechanism of action of occlusal splints
– Protocol for using occlusal splints
– Digital protocol for fabricating occlusal splints: advantages, disadvantages, protocol
– Guidelines for managing patients with TMD before, during, and after orthodontic treatment.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Course includes next lessons:
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1h 24min
Lesson 1
Diagnosis of TMD and orofacial pain
Jeffrey P. OkesonShow lesson program
0:01
Welcome and Congress Overview
9:30
Speaker Background and Oral Facial Pain Program
18:50
Initial TMD Assessment: Should You Treat?
28:10
TMD Definitions and Differential Diagnosis
37:30
TMD Classification: Muscle and Intracapsular Disorders
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44min
Lesson 2
Etiological factors of TMD
Jeffrey P. OkesonShow lesson program
0:01
Introduction and overview
0:45
HPA axis and autonomic stress response
5:03
Limbic and cortical roles: memory, trauma, and stressors
12:20
Prolonged stress, sensitization and hypervigilance
17:00
PTSD, abuse history, and clinical relevance
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47min
Lesson 3
Orthopedically stable occlusal interrelationship
Jeffrey P. OkesonShow lesson program
0:01
TMJ biomechanics and musculoskeletal stability
7:00
Locating the musculoskeletal-stable condylar position
11:00
Occlusal guidance: canine guidance and lateral contacts
18:30
Orthopedic occlusion rules and clinical significance
28:30
Assessing malocclusions, deep bites, and occlusal instability
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34min
Lesson 4
The mechanisms of development of orofacial pain
Jeffrey P. OkesonShow lesson program
0:01
Course announcements and mini‑residency
2:24
Introduction to treatment and bruxism
8:13
Polysomnography and objective measurement of bruxism
17:59
Evidence: bruxism, tooth wear, EMG, and TMD pain
25:11
Muscle physiology, spasms, conditioning, and clinical implications
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