TMD, Orofacial pain, Occlusion. Diagnosis and Treatment. Updated protocols by Jeffrey Okeson

Definition and classification of temporomandibular disorders (TMD)
Scope of orofacial pain in dental practice
Why TMD is a multidisciplinary problem
Overview of orofacial pain. Causes of errors in the diagnosis stage. 

Scope of orofacial pain in dental practice
Why TMD is a multidisciplinary problem
What every clinician must know before initiating treatment
Understanding TMJ anatomy and function
The role of knowledge of normal anatomy and biomechanics of the TMJ for the correct diagnosis and treatment planning of TMD and orofacial pain.

Classification of Orofacial Pain
Diagnosis of TMJ disorders and orofacial pain
Differential diagnosis of orofacial pain
Epidemiology and clinical relevance for daily practice. 

Etiological factors of temporomandibular disorders
Analysis of five known etiological factors involved in the development of TMJ disorders
The multifactorial etiology of TMD
How to differentiate TMD from other orofacial pain conditions
How to determine whether TMD has an occlusal etiology. 

Dental versus non-dental causes of orofacial pain
Are occlusal factors related to TMD? If so, how?
Identifying the predominant etiological factor in TMD and orofacial pain;
The relationship between specific articular symptoms and various intracapsular disorders
Diagnosis of TMD and dental versus non-dental causes of orofacial pain. 

Are occlusal factors related to TMD? If so, how?
How to determine whether TMD has an occlusal etiology?
The role of occlusion in the occurrence of TMD
The association of occlusion and the occurrence of TMD
Identifying the predominant etiological factor in TMD and orofacial pain.

Local trauma and analysis of deep pain input
Patient adaptability with regard to:

Biological factors
Genetic factors
Hormonal factors
Psychosocial factors.

Evaluation of acute changes in occlusal conditions
The significance of orthopedic stability
Emotional stress and its relationship to the occurrence of TMD
Chronic regulation of the autonomic nervous system and its impact on the occurrence of TMD.

How does occlusion relate to TMD?
Acute changes in occlusal conditions after placement of a crown
Chronic responses to occlusal conditions
Analysis of occlusion and masticatory muscle disorders
Occlusion and orthopedic stability.

The relationship between occlusion and the development of TMJ disorders
Skeletal-muscular stable position
The optimum occlusal contact relationship
The optimum orthopedically stable relationship
The bilateral mandibular manipulation technique
Does loss of orthopedic stability lead to TMJ dysfunction?
The concept of orthopedic stability in the masticatory system
The functional orthopedic treatment goals for all dental therapies.
 

Understanding joint stability and occlusal instability
Joint stability and orthopedic instability
Evaluation of orthopedic instability and intracapsular disorder
Analysis of malocclusion cases and determining orthopedic and occlusal stability.

Cervical myofascial pain
Cervical spine pain
Evaluation of cervical mediates pain conditions
Analysis and determination of the trigger points
Referral patterns of pain and musculoskeletal disorders.

The role of knowledge of neuroanatomy and neurophysiology of orofacial pain for a dentist
The mechanism of pain
Mechanistic model of the disease
The role of the peripheral nervous system in the occurrence of pain
Biopsychosocial model of the disease
Differential diagnosis of orofacial pain.

Is there a relationship between bruxism and pain?
Pathophysiology of muscle pain
Etiological factors of muscle pain
The role of psychological factors in the development of muscle pain
Different clinical manifestations of muscle pain. 

Is there a relationship between bruxism and pain?
Pathophysiology of muscle pain
Etiological factors of muscle pain
Masticatory muscle pain: What is it? What causes it?
Defining spasm
Management of temporomandibular disorders
Classification of temporomandibular disorders
Analysis of the clinical masticatory muscle model
Analysis of clinical scenarios
The role of psychological factors in the development of muscle pain
Different clinical manifestations of muscle pain.

What are the basic principles of managing masticatory muscle pain disorders?
What are the basic principles of managing intracapsular pain disorders?
Myospasm: etiology, diagnosis and clinical manifestations
Myofascial pain: etiology, diagnosis and clinical manifestations
Local myalgia: etiology, diagnosis and clinical manifestations. 

Local myalgia: etiology, diagnosis and clinical manifestations
Central mediated myalgia: etiology, diagnosis and clinical manifestations
Fibromyalgia: etiology, diagnosis and clinical manifestations
The role of the dentist in managing each of these muscle pain conditions.

The functional orthopedic treatment goals for all dental therapies
Which TMD patients benefit from an occlusal appliance?
The effect of stabilization appliance on reducing patient symptoms
Criteria for the design of the stabilization appliance.

The effect of stabilization appliance on reducing patient symptoms
When an occlusal appliance reduces symptoms, what should you do next?
Occlusal stablization appliance therapy: selection, fabrication, and use
Occlusal appliance therapy and long-term management considerations
Analysis of clinical cases. 

Etiology of disc derangement disorders
Are disc derangement disorders always progressive?
Sources of trauma resulting in derangement disorders
Clinical signs and symptoms of disc derangement.

Simple and effective way to use an anterior positioning appliance
Disc displacement and dislocation treatment. Algorithm
Treatment protocols of disc displacement with reduction
Treatment protocols of disc dislocation without reduction
Managment of derangements of the dondyle-disc.