Occlusion, TMJ dysfunctions and orofacial pain from A to Z

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32 lessons + 1 free (31h 10min)

27 CE Credits

27 CE Credits

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Description

This course will give you a comprehensive understanding of TMJ dysfunctions, facial pain and occlusion in the concept of Jeffrey Okeson performed by the legendary author.

 

The course contains information only with a scientific evidence base - this will help to take a fresh look at functional issues.

 

We recommend this course as a must for every dentist. What is very important – in 33 lessons the most complete presentation of the author's lectures is collected!

 

The training consists of 6 modules:

 

– Understanding Masticatory Function and Dysfunction

– Understanding Orofacial Pain

– Evaluating the Pain Patient and Establishing the Diagnosis

– Managing Temporomandibular Disorders

– Evaluating and Managing other Orofacial Pain Disorders

– Other consideration of TMD and Orofacial Pain.

Lesson 1.Free example. Temporomandibular Disorders and Orofacial Pain: Understanding the Problem

– Overview of orofacial pain. Causes of errors in diagnosis and treatment

– TMJ disorders сlassification

– Classification of Orofacial Pain

– Diagnosis of TMJ disorders and orofacial pain

– Differential diagnosis of orofacial pain

– Establishing diagnosis

– Selection the best treatment strategy

– Clinical cases.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 2.The Anatomy and Biomechanics of the Temporomandibular Joint: Understanding Normal Function. Module 1

– Why does a dentist need to know anatomy?

– TMJ anatomy

– TMJ function

– TMJ Biomechanics

– The role of knowledge of normal anatomy and biomechanics for a dentist for the correct treatment of TMJ disorders.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 3.Etiologic Considerations of Temporomandibular Disorders: Where does Occlusion Fit? Module 1

– Etiological factors of Temporomandibular Disorders

– Detailed analysis of five known etiological factors for the occurrence of TMJ disorders

– The role of knowledge of the etiological factors for the occurrence of TMJ disorders

– Does occlusion affect the occurrence of TMJ disorders?

– Finding the predominant etiological factor

– The provision of patient care depending on the predominant etiological factor

– Clinical cases.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 4.What every dentist needs to know about Occlusion and Temporomandibular Disorders. Module 1

– The role of occlusion in the occurrence of TMJ disorders

– The association of occlusion and the occurrence of TMJ disorders

– Musculoskeletally Stable Position (CR)

– Оptimum occlusal contact relationship

– The optimum orthopedically stable relationship

– Does loss of orthopedic stability lead to TMJ dysfunction?

– The concept of orthopedic stability in the masticatory system

– Centric relation in modern dentistry

– The association of occlusion and the occurrence of TMJ disorders

– Patient Occlusion Recovery Protocol.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 5.Five Joint Positions that are used in Dentistry Today: The Science and Controversy - Part I. Module 1

– Concepts of Stable Joint Position:


- Musculoskeletally Stable Position

- The most posterior retruded position

- The anterior protrusive position

- The 4/7 radiographic position

- The neuromuscular position.


– Analysis of the most physiological position of the condyle

– 5 basic provisions of the condyle

– Patient treatment protocol depending on the provisions of the condyle.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 6.Five Joint Positions that are used in Dentistry Today: The Science and Controversy - Part II. Module 1

– Concepts of Stable Joint Position. Continuation:


- Musculoskeletally Stable Position

- The most posterior retruded position

- The anterior protrusive position

- The 4/7 radiographic position

- he neuromuscular position.


– Factors leading to a reduction in symptoms of TMJ dysfunction

– Analysis of the most physiological position of the condyle

– 5 basic provisions of the condyle

– Patient treatment protocol depending on the provisions of the condyle.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 7.Understanding Intracapsular Disorders of the Temporomandibular Joint. Module 1

– TMJ Disorders. Classification:


- Derangements of the Condyle-Disc Complex

- Structural incompatibilities.


– Analysis of changes in TMJ that cause clicks

– The relationship between specific articular symptoms and various intracapsular disorders

– Etiology of TMJ clicks

– Diagnosis of TMJ Disorders

– Treatment Plan for Intracapsular Disorders

– Factors affecting the choice of treatment plan.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 8.Introduction to Orofacial Pain: Understanding the Concepts and Complexity. Module 2

– Concepts of Orofacial Pain

– Pain. Etiology. Basic concepts

– Pain. Basic concepts

– Classification of orofacial pain

– Functional Anatomy of the Brain

– The onset of pain due to fear, stress, anxiety, depression

– The dependence of human behavior on the limbic system.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 9.Understanding the Neuroanatomy and Neurophysiology of Orofacial Pain: The Peripheral Nervous System. Module 2

– The neurogenic structures

– The neuron. Anatomy

– Classification of afferent neurons

– The action potential

– The role of knowledge of neuroanatomy and neurophysiology of orofacial pain for a dentist

– The mechanism of pain

– Neuroanatomy of Orofacial Pain

– Neurophysiology of Orofacial Pain

– The myotatic reflex

– The nociceptive reflex

– The role of the peripheral nervous system in the occurrence of pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 10.The History of Pain and Pain Concepts: Understanding Pain Modulations. Module 2

– Pain Concepts: Past and Present

– The Evolution of Pain Theories

– The mechanism of pain

– Mechanistic model of the disease

– Biopsychosocial model of the disease

– Comparison of the mechanistic and biopsychosocial pain model

– Differential diagnosis of orofacial pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 11.Understanding pain referral in the head and neck. Module 2

– Primary and heterotopic pain

– Types of heterotopic pain

– Referred pain. Clinical characteristics. Mechanism of occurrence

– Differential diagnosis of true pain from referred

– Identification of the source of pain before diagnosis and treatment

– Simple clinical guidelines for detecting pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 12.Understanding the Neuroanatomy and Neurophysiology of Orofacial Pain: The Сentral Nervous System. Module 2

– The role of knowledge of neuroanatomy and neurophysiology of orofacial pain for a dentist

– The mechanism of pain

– The onset of fast and slow pain

– Reticular formation. Functions Performed

– Brainstem Centers (nuclei). Functions Performed

– Ventricular system of the brain. Functions Performed

– Periaqueductal gray. Functions Performed

– Thalamus. Hypothalamus. Functions Performed

– Cerebellum. Functions Performed

– Limbic system. Functions Performed

– Functional areas of the brain responsible for the occurrence of pain

– The role of the central nervous system in the occurrence of pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 13.The Classification of Oral and Facial Pain. Module 3

– Classification of orofacial pain:


- Nociceptive pain

- Inflammatory pain

- Neuropathic pain

- Dysfunctional pain.


– Classification of oral and facial pain

– Clinical symptoms characteristic of various orofacial pains

– Diagnosing and choosing the right treatment plan for orofacial pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 14.The History and Examination of the Orofacial Pain Patient. Module 3

– Patient history

– The role of the patient history in making the correct diagnosis and drawing up a treatment plan

– Pain characteristic

– Examination of the Orofacial Pain Patient

– Diagnostic Manipulation

– Extraoral and intraoral diagnosis

– All the information a doctor needs to make a correct diagnosis.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 15.Keys to making a Differential Diagnosis: Is it Muscle Pain or Joint Pain? Module 3

– Classification of TMJ Disorders

– Differential diagnosis of muscle and joint pain

– 9 keys differential diagnosis:


- Patient history

- Restriction in mouth opening

- End feel

- Restriction of eccentric mandibular movements

- Interference in mouth opening

- Malocclusion

- Loading the joint

- Functional manipulation

- Anesthetic blockade.


– Proper diagnosis and treatment plan selection.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 16.The Use of Diagnostic and Therapeutic Injections. Part 1: Muscle Injections. Module 3

– Anesthetic blocking for differential diagnosis

– Indications and contraindications for anesthetic blocking

– Anesthetic blockade. Detailed protocol

– Anesthetics for blockade

– Complications of anesthetic blockade

– Muscle anatomy. The role of muscle anatomy knowledge for muscle injection

– Myofascial trigger point injections.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 17.The Use of Diagnostic and Therapeutic Injections. Part 2: Nerve blocks and Intracapsular Injections. Module 3

– Indications and contraindications for nerve blocks

– Indications and contraindications for intracapsular injection

– Nerve blocks and intracapsular injection detailed protocols

– Types of Anesthetics Used

– Auriculotemporal Nerve Block

– Sphenopalatinе block

– Complications of diagnostic and therapeutic injections.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 18.Managing Muscle Pain - Part 1. Module 4

– Classification of facial pain

– Pathophysiology of muscle pain

– Etiological factors of muscle pain

– The role of psychological factors in the occurrence of muscle pain

– Different manifestations of muscle pain

– The choice of treatment depending on the type of muscle pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 19.Managing Muscle Pain - Part 2: Co-Contraction, Local Muscle Soreness and Myospasm. Module 4

– Co-Contraction. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment

– Local Muscle Soreness. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment

– Myospasm. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment

– Correct diagnosis

– Choosing an effective treatment plan depending on the diagnosis

– Diagnostic methods: patient history and examination of the masticatory structures.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 20.Managing Muscle Pain - Part 3: Myofascial Pain, Central Mediated Myalgia and Fibromyalgia. Module 4

– Myofascial Pain. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment

– Central Mediated Myalgia. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment

– Fibromyalgia. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment

– Diagnostic and therapeutic considerations for myofascial pain, central mediated myalgia and fibromyalgia

– The role of the dentist in each of these muscle pain condition.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.


Lesson 21.The Indications and Fabrication of a Stabilization Appliance. Module 4

– Types of Stabilization Appliance

– Indications for the use of Stabilization Appliance

– Simple and straight-forward technique to fabricate a stabilization appliance. Each step of the fabrication is presented with photos and video clips making the procedures easy to use in your office

– Clinical protocols for the use of Stabilization Appliance

– Therapeutic goals of the Stabilization Appliance

– Final criteria for the Stabilization Appliance.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 22.The Management of Muscle Pain with a Stabilization Appliance: What do you do next? Module 4

– Treatment of patients with local muscle soreness

– The effect of stabilization appliance on reducing patient symptoms

– The effect of vertical dimension on the occurrence of TMJ dysfunction

– Step by step algorithm that gives direction to the clinician regarding the proper sequencing of treatment for a stabilization appliance

– 8 different ways a stabilization appliance may help reduce the patient`s TMD symptoms

– Relationship `Dentist - Patient`.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 23.Indications and Fabrication of an Anterior Positioning. Module 4

– Treatment for TMJ Disorders

– Philosophy of treatment for TMJ disorders. Which one to choose?

– Indications and contraindications for use of Anterior Positioning

– Anterior Positioning Step-by-Step Protocol

– Choosing the correct mandibular position

– Long-Term Results Using Anterior Positioning.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 24.Treatment Protocol for using an Anterior Positioning Appliance. Module 4

– Disc displacement treatment. Algorithm

– Disc dislocation treatment. Algorithm

– Simple and effective way to use an anterior positioning appliance

– A treatment algorithm for a patient with a painful disc displacement with reduction

– The management of patients with disc dislocation without reduction

– Long-term results of treatment of displacement and dislocation of the disk.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 25.Headache - Part 1: Migraine, Tension Type Headache and Medication Overuse Headache. Module 5

– Neurovascular pain disorders. Classification

– Etiology of migraine

– Etiology of tension type headache

– Etiology of medication overuse headache

– Differential diagnosis of migraine and tension type headache

– Clinical symptoms of migraine, tension type headache and medication overuse headache

– The choice of treatment plan depending on the type of headache.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 26.Headache - Part 2: Trigeminal Autonomic Cephalalgia and Temporal Arteritis. Module 5

– Trigeminal Autonomic Cephalalgia. Classification:


- Cluster headache

- Paroxysmal hemicrania

- Hemicrania Continua

- Short-lasting unilateral headache attacks.


– Trigeminal Autonomic Cephalalgia treatment plan

– Temporal Arteritis treatment plan.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 27.Neuropathic Pains - Part 1: Trigeminal Neuralgia and Entrapment Neuropathy. Module 5

– Paroxysmal neuralgia. Classification

– Paroxysmal neuralgia. Clinical manifestations

– Paroxysmal neuralgia. Treatment protocol

– Neuropathic headache. Clinical manifestations

– Trigeminal Neuralgia treatment plan

– Entrapment Neuropathy treatment plan

– Differential diagnosis of trigeminal neuralgia and neuropathy.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 28.Neuropathic Pains - Part 2: Neuritis and other Continuous Neuropathic Pains. Module 5

– Classification of neuritis:


- Peripheral neuritis

- Herpes Zoster.


– Etiological factors of neuritis

– Clinical characteristics of neuritis. Pathophysiology. Diagnostics

– Neuritis Treatment Protocol

– Etiological factors of other other сontinuous neuropathic pains

– Diagnosis and treatment of other сontinuous neuropathic pain.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 29.Neuropathic Pains - Part 3: Continuous Dentoalveolar Pain, Postherpetic Neuralgia and CRPS. Module 5

– Etiological factors of Continuous Dentoalveolar Pain

– Clinical characteristics of Continuous Dentoalveolar Pain

– Diagnosis and treatment of Continuous Dentoalveolar Pain

– Clinical characteristics of Postherpetic Neuralgia

– Diagnosis and treatment of Postherpetic Neuralgia

– Clinical characteristics of CRPS

– Diagnosis and treatment CRPS.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 30.Orthodontic Therapy and TM Disorders: Maintaining a Healthy Masticatory System. Module 6

– Planning an orthodontic treatment. Relationship with TMJ Dysfunction

– The effect of orthodontic treatment on the occurrence of TMJ dysfunctions

– The concepts of the relationship between TMJ disorders and orthodontic treatment

– Actions to be taken by a doctor when symptoms of TMJ dysfunction occur in a patient in the middle of active orthodontic treatment

– Clinical cases.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 31.Diagnostic Considerations of Non-Odontogenic Toothache. Module 6

– Clinical characteristics of odontogenic pain

– Clinical characteristics of non-odontogenic pain

– Diagnosis of odontogenic and non-odontogenic pain

– Differential diagnosis of odontogenic and non-odontogenic toothache

– 7 sources of toothache not related to pulp and periodontal tissues

– Treatment of non-odontogenic toothache

– Clinical case.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 32.Occlusal Appliances: Science or Theory? Types, Indications, Contraindications and Effects. Module 6

– Тhe use of occlusal appliances in the field of dentistry

– Classification of occlusal appliances:


- For TMD

- Other types.


– Indications and contraindications for the use of occlusal appliances

– Undesirable effects after using occlusal appliances.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 33.The Use of Botox in Dentistry. Module 6

– The mechanism of the effects of botulinum toxin on muscle activity

– Indications and contraindications for the use of Botox in dentistry

– Adverse side effects of using botox in dentistry

– Types of Oromandibular Dystonia

– Botox treatment of oromandibular dystonia

– Injection Techniques.


Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

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Lecturers 1

He has been a full time faculty member at the University of Kentucky for 45 years. He is recognized worldwide as an authority in the field of TMD and orofacial pain, lecturing in every state in the USA and 59 different foreign countries. His textbooks have been translated into eleven different foreign languages and have become a standard for teaching throughout the world. His peers have called him the “World Ambassador for Orofacial pain”. He is a highly sought after speaker and has given more than 1300 invited lectures throughout the world. He has received numerous awards, honors and recognitions for his outstanding teaching and educational abilities. Some of these awards include the campus wide University of Kentucky “Great Teacher Award”, the Provost’s Distinguished Service Professorship, the American Academy of Orofacial Pain’s Service Award and the first ever “Distinguished Alumni Award” from the College of Dentistry. In addition, he received the State of Kentucky Acorn Award for the best professor in the state and was inducted into the University of Kentucky Hall of Distinguished Alumni. Dr. Okeson has also received “The International Dentist of the Year Award” from the Academy of Dentistry International. This is the highest award recognized by this Academy and was given to him in recognition of his worldwide efforts in providing education in the area of temporomandibular disorders and orofacial pain. In addition to his two textbooks, he has more then 240 publications in scientific journals. He is founder of the Orofacial Pain Program at the University of Kentucky. He has developed several full-time teaching programs associated with the Center. The Master of Science Degree program he established was the first in the United States to be accredited by the American Academy of Orofacial Pain. The Orofacial Pain Residency Program was one of the very first to be accreditated by the Commission on Dental Accreditation. This program has graduated 65 full time residents from 26 different countries. He is active in many national and international organizations and is past president of the American Academy of Orofacial Pain. He is also a founding diplomate and twice past president of the American Board of Orofacial Pain. Dr. Okeson is presently serving as Dean of the University of Kentucky College of Dentistry. Dr. Okeson is a captivating lecturer with a teaching style that is engaging, logical and based on the available science. He is one of the few individuals in the world capable of bringing all these subjects together into one lecture series.
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