Temporomandibular disorders and orofacial pain: up-to-date treatment protocols
Temporomandibular disorders and orofacial pain: up-to-date treatment protocols
Course overview
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!
What you will learn
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.
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. 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.
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.
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.
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.
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.
