Occlusion, TMJ dysfunctions and orofacial pain from A to Z
Occlusion, TMJ dysfunctions and orofacial pain from A to Z
Course overview
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.
Course lessons
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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`.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
