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Evidence-based treatment of temporomandibular disorders

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57 votes
Daniel Paesani
Martin Gross
Ambra Michelotti
Barry Glassman
Luca Guarda Nardini
Course details
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  • This online course

Details

8 lessons + 1 free (16h 19min)

14.5 CE Credits

14.5 CE Credits

English

Access to the record for Membership period

Description

A course for practicing dentists, who want to treat temporomandibular disorders according to scientifically proven protocols and not base their treatment on a specific concept.


The new course “Evidence-Based Treatment of of temporomandibular disorders" will present the 2022 protocols for diagnosis and treatment of this pathology.


The course is created by leading gnatologists, prosthodontists, orthodontists, and maxillofacial surgeons. You will learn about:


– Splint therapy

– Minimally invasive and invasive temporomandibular joint surgery (from arthrocentesis to TMJ prosthesis)

– Pharmacotherapy

– Physiotherapy

– Psychotherapeutic treatment.

Lesson 1.New perspective in the treatment of TMD: minimally invasive and invasive methods. Introductory lesson

– Anatomy of TMJ

– TMD: diagnostic difficulties

– Types of TMD treatment methods

– Minimally invasive treatments:

 

- arthrocentesis: indications and methodology

- arthroscopy

- botulinum toxin: indications and technique.

 

Recommended for: Functional dentists.

Lesson 2.New perspective in the treatment of TMD: minimally invasive and invasive methods

– Anatomy of TMJ

– TMD: diagnostic difficulties

– Types of TMD treatment methods

– Minimally invasive treatments:


- arthrocentesis: indications and methodology

- arthroscopy

- botulinum toxin: indications and technique.


– The effectiveness of hyaluronic acid using in the TMD treatment

– Invasive surgical treatments: 


- articular (meniscectomy, eminectomy, condyloplasty, prosthetic replacement)

- non-articular (hyper development of the coronoid process, eagle syndrome, facial asymmetry).


Recommended for: Functional dentists.

Lesson 3.Сlinical TMD diagnosis

– TMD: definition and epidemiology

– Evaluation of risk factors in the development of TMD

– Micro and macrotrauma in the development of TMD: bruxism, overextension

– The role of central nervous system in the development of TMD

– Psychosocial factors in the development of TMD

– Psychosocial profile of the patient

– Anatomical factors in the development of TMD: occlusal disharmony, abnormal condylar position and mandible

– Screening tools for TMD

– Standardized clinical examination.


Recommended for: Functional dentists.

Lesson 4.Psychosocial considerations when diagnosing and managing orofacial pain, headaches and TMD

– History of the medical community’s view of the role of psychology and emotion in the management of chronic pain

– Procedures and attitudes which considers the complex relationship of psychological and biomedical factors

– Specific techniques which deal with the psychological component of the pain pattern 

– Identification and integration of biological and psychological aspects of pain

– Description of the biomedical and psychosocial models

– History of the biopsychosocial model

– The importance of psychological aspects in the treatment of patients with chronic pain

– Current state of the biopsychosocial model in pain management concepts

– Techniques to address the psychological aspects for the dentist

– Critical processes to make a referral without causing anger and without suggesting the patient’s pain is psychosomatic.


Recommended for: Functional dentists.

Lesson 5.The evidence-based protocol for management of patients with signs and symptoms of TMJ dysfunction in orthodontic and orthopedic practice

– TMD: symptoms, clinical signs, X-ray

– "Occlusion — TMJ — Orthodontics": the history of the old paradigm 

– The development of an evidence-based new paradigm 

– Сlinical and radiological markers of hidden joint pathologies

– The effect of TMJ arthrosis on the growth and jaw stability

– Radiological markers of asymptomatic joint disease 

– The influence of joint pathology during jaw growth

– The genesis of open bite, asymmetries, and crossbite

– Tips to avoid relapse after orthodontics-orthognatic surgery 

– Asymmetric prognathism: diagnostics.


Recommended for: Functional dentists.

Lesson 6.Mythbusting in functional dentistry

– The evolution of CR over time

– Condylar position: norm and pathology

– Centric relation: mechanically thinking vs biologically thinking

– Occlusal interferences: what does that mean?

– Vertical dimension variation without affecting the intermaxillary relationship

– Hinge axis: facts or fictions

– Jaw deprograming: techniques

– Factors of occlusal stability

– Understanding occlusal instability.


Recommended for: Functional dentists.

Lesson 7.Protocols for the TMD treatment: splint therapy, physiotherapy, pharmacotherapy

– Management according to the patient-centered principles

– Evaluation of bio-psycho-social domain

– Stepped care model

– Principles of cognitive and behavioral therapy

– Protocols of home exercises

– Placebo effect in the treatment of TMD

– Oral appliances. Management of the occlusal splint

– Management of TMD before or during orthodontic/dental treatment

– Indication of surgical treatment.


Recommended for: Functional dentists.

Lesson 8.Temporomandibular joint disorders. Сlassifications and risk factors

– TMD definitions and classifications

– Etiology of TMD

– Signs and symptoms of TMD

– Temporomandibular joint disorders

– Normal disc relations and disc derangements: 


- Disc displacement with reduction

- Disc displacement without reduction.


– Somatization and somatoform disorders

– Оrofacial pain: сluster analysis

– Modeling, remodeling and adaptation of TMJ

– Osteoarthritis

– Masticatory muscle disorders

– Masticatory muscle pain

– Risk factors – correlation versus etiologic predictability, occlusal risk factors.


Recommended for: Functional dentists.

Lesson 9.Management of Temporomandibular disorders

– Management of patients with TMD

– Diagnosis DC/TMD: modern approach

– Methods of TMD treatment:


- Physical therapy

- Medication

- Behavior modification

- Occlusal splint therapy

- Surface electromyography and controversies

- Occlusal adjustment.


Recommended for: Functional dentists.

Course includes next lessons:

1h 53min
Lesson 2

New perspective in the treatment of TMD: minimally invasive and invasive methods

Luca Guarda Nardini
1h 52min
Lesson 3

Сlinical TMD diagnosis

Ambra Michelotti
2h 13min
Lesson 4

Psychosocial considerations when diagnosing and managing orofacial pain, headaches and TMD

Barry Glassman
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Lecturers 5

Dentist specializing in temporomandibular disorders (TMD), orofacial pain, bruxism, and sleep disorders. Professor at University of Salvador/AOA, Buenos Aires, Argentina. Vice President of ALDOTS (Latin American Academy of TMD, Orofacial Pain and Sleep Disorders). International authority on bruxism.

 

Over 35 years of clinical and academic experience in orofacial pain and TMD. Graduated as dentist in Argentina, pursued advanced training in temporomandibular disorders, orofacial pain mechanisms, and sleep-related breathing disorders. Appointed Professor at University of Salvador (Universidad del Salvador, USAL) teaching TMD diagnosis and management to dental students and postgraduate residents. Active researcher contributing to understanding of bruxism etiology, diagnosis, and therapeutic approaches. Serves as Vice President of ALDOTS, leading Latin American organization promoting evidence-based approaches to TMD, orofacial pain, and sleep disorders throughout region.

 

International lecturer presenting at dental conferences across Latin America, Europe, and North America on bruxism classification, temporomandibular disorders, orofacial pain diagnosis and treatment, and sleep disorders. Guest editor for thematic dossiers in international dental journals on TMD, orofacial pain, bruxism, and sleep apnea. Recognized expert on different schools of thought regarding bruxism definition, etiology, and treatment, including orofacial pain school identifying it as pathology versus alternative approaches. Published extensively in peer-reviewed journals on TMD, bruxism mechanisms, diagnostic methods, morphological changes from functional appliances, bruxism and condylar position relationships, and sleep disorder management.

 

DDS. Professor at University of Salvador (USAL), Buenos Aires. Author of definitive textbook "Bruxism: Theory and Practice" (Quintessence Berlin), comprehensive reference establishing evidence-based understanding of bruxism covering etiology, classification, diagnosis, consequences, and therapeutic strategies. Book recognized internationally as authoritative resource on bruxism for clinicians and researchers.

 

Associate Clinical Professor in Oral Rehabilitation at Tel Aviv University, Israel. Specialist in prosthodontics with over 30 years of faculty experience at TAU Dental School, where he directed the postgraduate prosthodontics program for 15 years.

 

Over 40 years of clinical practice focusing on complex oral rehabilitation, occlusion, and temporomandibular disorders. Currently maintains a private practice and is actively involved in clinical research on implant-supported restorations and TMD management.

 

International educator and past President of the International College of Prosthodontists (2011-2013). Author of over 70 publications and the textbook 'The Science and Art of Occlusion and Oral Rehabilitation' (Quintessence 2015), translated into Japanese, Chinese, and Portuguese.

 

BDS, LDS from Guy's Hospital Dental School, University of London (1971). Master of Science in Prosthodontics from Northwestern University Dental School, Chicago (1974).

 

Full Professor in Orthodontics and Clinical Gnathology at the University of Naples Federico II, Italy. Director of the Postgraduate School in Orthodontics at University of Naples Federico II. Director of the Master Course on "Orofacial Pain and Temporomandibular Disorders" at University of Naples Federico II. One of the most important researchers internationally in the field of orthodontics, temporomandibular disorders, and orofacial pain.

 

Over 42 years of combined clinical, teaching, and research experience since graduation in 1984. Expert in temporomandibular disorders diagnosis and treatment, orofacial pain management, orthodontic treatment and its relationship to TMD, manual therapy for musculoskeletal conditions, cognitive-behavioral therapy for TMD patients, jaw exercises, and patient-centered TMD treatment. Practice limited exclusively to orthodontic treatment and management of temporomandibular disorders. Research focuses on physiopathology of masticatory muscles, etiology, diagnosis and therapy of craniomandibular disorders, correlation between TMD and orthodontics, pain mechanisms in orofacial region, and effectiveness of various TMD therapies.

 

Former President of the European Academy of Craniomandibular Disorders (EACMD, 2010). Former President of the Neuroscience Group of IADR (International Association for Dental Research, 2011). Former President of SIDA (Società Italiana Disfunzioni ed Algie Temporomandibolari - Italian Society of TMD and Algia, 2012-2013). Recipient of Honorary Degree in Dentistry from University of Malmö, Sweden (2018). Author of over 170 papers published in Italian and international peer-reviewed journals. International lecturer having presented extensively throughout Europe, Americas, and worldwide. Co-author of the International Classification of Orofacial Pain (ICOP). Expert on several international and national research committees. Reviewer for major international journals in orthodontics and orofacial pain. Educator having trained hundreds of orthodontists and TMD specialists through postgraduate programs at University of Naples.

 

DDS from University of Naples Federico II (1984, graduated with honors). Specialist in Orthodontics (1991). Full Professor appointment in Orthodontics and Clinical Gnathology at University of Naples Federico II. Director of Postgraduate School in Orthodontics and Master Course on Orofacial Pain and TMD.

 

Leading US еxpert in Craniofacial Pain and Sleep Disorders.

 

Diplomate of the American Board of Craniofacial Pain, Diplomate of the American Academy of Pain Management, a Diplomate of the American Board of Dental Sleep Medicine, and a Fellow of the International College of Craniomandibular Disorders.

 

He served on staff of the Lehigh Valley Hospital network as clinical instructor in Craniofacial Pain and Sleep Disorders in the General Dentistry Residency program.

 

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