Temporomandibular disorders and orofacial pain: up-to-date treatment protocols
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13 lessons (12h 16min)
10.75 CE Credits
English
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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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Functional Dentistry
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Lecturers 4
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.
Received his doctorat in dentistry (DDS) in 1978 from the Faculty of Dentistry, Aix-Marseille University, France.
He was certified in Anthropology in 1979, in fixed prosthodontic and Occlusodontology in 1980.
He received his master (DSO) in 1983.
He became assistant in fixed prosthodontic department in 1985.
He received his Doctorat d`Universite – University thesis- in 1990 (PhD).
In 1993 he was associated professor, Chairman of the Occlusion and Dysfunction department of Faculty of Dentistry of Marseille. In this university, he manages a postgraduate education program in occlusion and TMD and a postgraduate education program in fixed prosthetic.
From 2007, he is Full Professor of University. He is Visiting professor of Donau University.
He was President of the French National College of Occlusodontology in 1995-96.
He is member of the European Academy of Craniomandibular Disorders.
He was President of International Academy of Advanced Interdisciplinary Dentistry (iAAID).
He had published 6 books and more than 130 scientific papers about occlusion, TMD and prosthodontics.
In 2012 he started the Medical Speciality in Stomatology at the Hospital Universitário de Santa Maria - Lisboa Portugal, in 2016 he concluded the residency with 19,6 values.
During this period he designed an important preclinical trial - TEMPOJIMS and started a PhD program at the Faculty of Medicine of Lisbon University.
During the investigation he was awarded with 6 national and international prizes and managed to acquire major knowledge regarding temporomandibular disorders.
Prof. Dr. David Ângelo is the clinical director of Instituto Português da Face, a clinical center in Lisbon mostly dedicated to patients with temporomandibular disorders.
Ambrosina Michelotti graduated in Dentistry (DDS) in 1984 and received the Honorary Degree in Dentistry at the University of Malmo (Sweden) in 2018. In 1991 she's got the degree of specialist in Orthodontics and since then she has been teaching in pregraduate and postgraduate courses in Orthodontics and TMD at the University of Naples Federico II. She is associate professor in Orthodontics and Clinical Gnathology. She is director of the post-graduated School in Orthodontics and responsible of the Master course on “Orofacial pain and Temporomandibular Disorders” at the University of Naples Federico II. Her clinical interests are limited exclusively to the orthodontic practice and the treatment of temporomandibular disorders. She has authored or co-authored more than 150 papers published in Italian and international journals, and co-author of several book chapters. She also gave numerous lectures at international congresses. Her research interests are mainly focused on clinical orthodontic, the basic physiology of the jaw muscles, on the etiology, diagnosis and management of temporomandibular disorders and on the relationship between the jaw musculature and orthodontics.
She was the president of the European Academy of Craniomandibular Disorders (2010), President of the Neuroscience group of IADR (2011); President of SIDA (società italiana di disfunzioni ed algie temporomandibolari; 2012-2013); President of the RDC/TMD Consortium at the International Association od Dental Research (2013-2014); President of IBO (Italian Board of Orthodontics; 2021).
Editor in Chief of the Orthodontic and Craniofacial Research journal, Associate Editor of the European Journal of Oral Science, Associate Editor of the Journal of Oral Rehabilitation, member of the Editorial Board of the European Journal of Orthodontics and referee of several national and international journals.
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