American school of evidence-based treatment of temporomandibular disorders
American school of evidence-based treatment of temporomandibular disorders
Course overview
Learn the protocols of the American school of evidence-based treatment of temporomandibular disorders in a new online course by its leading representatives: Jeffrey P. Okeson, Gary D. Klasser, Lawrence Gottesman!
This course is for those who want to treat TMDs following scientifically proven protocols, rather than relying on specific concepts.
During the training, you will learn:
How to perform differential diagnosis of TMDs
Diagnostic protocols for TMDs and orofacial pain
Treatment of intracapsular TMDs
Appliance-based methods for treating
Comprehensive treatment of TMDs according to the protocols of the American school.
Course lessons
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.
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.
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.
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.
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.
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.
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.
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.
Lesson 9. Temporomandibular disorders: clinical examination and differential diagnosis
What is pain?
Biopsychosocial model: components
Neuromatrix theory
Classification of orofacial pain
Musculoskeletal dysfunction: definition
Epidemiology of musculoskeletal pain
Etiology of musculoskeletal disorders
Rules for choosing treatment tactics
Factors of development of musculoskeletal dysfunction:
Predisposing factors
Initiators
Aggravating factors.
The concept of primary and heterotopic pain
Anamnesis collection and examination: LOQFDIV-survey
Clinical examination:
Otoscopy
Range of motion in the cervical spine
Palpation of muscles and joints
Palpation of the lymph nodes
Provocative tests
Movement of the lower jaw
Intraoral examination
X-ray diagnostics
Serological examination
Local anaesthesia.
Lesson 10. TMJ and Muscle Dysfunctions: diagnostic and treatment protocols
Musculoskeletal dysfunction: definition
Classification systems for musculoskeletal dysfunctions:
RDC-TMD
DC-TMD
Extended DC-TMD.
Masticatory muscles: a model of pain formation
Causes of muscle dysfunction
Local muscle soreness: causes
Myospasm of the masticatory muscles
Myofascial pain: causes
Source of pain and localization
Constant continuous muscle pain
Fibromyalgia: diagnostics
TMJ diseases:
Disorders of the condyle-disc complex
Inflammatory disorders.
The role of ligaments in the development of diseases
Displacement of the articular disc with and without reduction
Inflammatory disorders: etiology
Osteoarthritis: manifestations and key points of treatment
Invasive treatment: indications
Principles of treatment of TMJ dysfunctions
Manual therapy
Multiple "P" approach.
Lesson 11. General somatic pathology and diseases of the TMJ: an integrated approach to diagnosis and treatment
Components of orofacial pain
Small fiber neuropathy (SFPN)
Concomitant pathology:
Genetic factors
Purchased factors.
Diagnosis of neuropathy: trepan-biopsy
Genetic testing in dentistry
Retromyalgia: principles of diagnosis:
Match test
Joint Hypermobility test.
Chiari malformation: clinic
Myofascial pain syndrome: diagnosis
Principles of treatment of polyneuropathy
Paraneoplastic syndrome.
