Evidence-based treatment of TMJ dysfunction
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8 lezioni + 1 gratis (15o 59m)
14.5 CE Credits
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Descrizione
One of our most demanded online courses among our clients is the "Evidence-based treatment of TMD".
The course introduces evidence-based methods of diagnosing and treatment of TMD, muscle and craniomandibular dysfunctions.
Lecturers will discuss in detail:
– Principles and methods for diagnosing TMD
– Differential diagnosis of muscle and joint pain
– An interdisciplinary approach to the management of TMJ disorders
– Relationship between the bruxism and TMD.
Course Objectives:
– Review risk factors for temporomandibular disorders
– Review TMD diagnosis and differential diagnosis protocols in an evidence-based approach
– Review TMD and orofacial pain treatment protocols
– Review relationship between general somatic pathology and TMJ diseases
– Review relationship between the bruxism and TMD.
Lezione 1.TMD and orofacial pain treatment
– The problem of musculoskeletal dysfunction: definition
– Diagnostic difficulties of musculoskeletal dysfunction
– Differential diagnosis of muscle and joint pain
– Classification of temporomandibular disorders
– Classification of orofacial pain
– Pain in the mandible as a sign of myocardial infarction
– Principles of effective treatment
– The concept of convergence and divergence
– Pain zone or pain source: differentiation rules
– Trigger zones
– Causes of musculoskeletal dysfunction:
- Relationship between occlusion and musculoskeletal dysfunction
- Trauma
- Emotional stress
- Parafunctions
- Deeply localized pain.
– Etiology of muscle pain
– Bruxism and muscle pain: correlation
– Delayed muscle soreness syndrome
– Intra-articular pain: types and etiology
– Principles of treatment of TMJ diseases.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Lezione 2.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.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Lezione 3.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.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Lezione 4.TMD diagnosis in an evidence-based approach. Introductory lesson
– TMD: definition and epidemiology
– Evaluation of risk factors in the development of TMD
– Micro and macrotrauma in the development of TMD: bruxism, overextension
– The role of central nervous system in the development of TMD
– Psychosocial factors in the development of TMD
– Psychosocial profile of the patient.
Recommended for: Functional dentists.
Lezione 5.TMD diagnosis in an evidence-based approach
– Classification of orofacial pain
– Determination of temporomandibular disorders
– Diagnostic groups of temporomandibular disorders
– Risk factors for temporomandibular disorders:
- Macrotrauma: types and correlation with musculoskeletal disorders
- Pathophysiological factors
- Psychoemotional factors
- Anatomical factors.
– Occlusion and temporomandibular disorders: relationship
– Classification of temporomandibular disorders
– Bio-psycho-social model
– Diagnostic criteria:
- Anamnesis
- Localization
- Modified function
- Familiar pain
- Radiating pain.
– Musculoskeletal pain:
- Myalgia
- Myofascial pain
- Arthralgia.
– Palpation of muscles and TMJ
– TMJ dysfunction: types and characteristics
– Clinical examination: standardized method
– Diagnostic procedures:
- Patient intake
- Clinical examination
- Diagnostic tests
- Making a diagnosis.
– Characteristics of pain
– SMILES approach
– MRI for TMJ dysfunctions.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Lezione 6.Potential treatments for TMD
– The concept of patient-oriented treatment
– Criteria for the diagnosis of musculoskeletal pain
– Disease-oriented principle
– Tactics of treatment of musculoskeletal disorders
– Step-by-step treatment model
– Behavioral therapy: indications and stages
– Self-massage: technique
– Control of parafunctional behavior
– Physical therapy protocol: types of exercises and methods of performance
– Arthralgia: causes, diagnosis, treatment
– Displacement of the articular disc with reduction: tactics
– Reduction of the articular disc: methodology
– Dislocation and subluxation: diagnosis and treatment
– Occlusal splints: indications
– Consequences of self-treatment with occlusive splints
– Comprehensive treatment: benefits
– Mechanism of action of the occlusal splint
– Placebo effect in the treatment of musculoskeletal disorders.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Lezione 7.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.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Lezione 8.Functional diagnostics. Norm and pathology
– Craniomandibular dysfunction:
- Definition
- Symptoms
- Etiology.
– Forms of craniomandibular dysfunction:
- Compensated
- Uncompensated.
– Pathology of occlusion: role in the development of craniomandibular dysfunction
– Parafunctions: occlusal and nonocclusal
– Demastication, Attriction, Abfraction and Erosion: Significance
– Methods of functional analysis
– Three-dimensional registration of movements of the lower jaw
– Options for functional analysis:
- Quick Check
- Functional analysis I
- Functional analysis II.
– Objectives of functional analysis
– Posture: influence on the development of pathology
– Anatomy and function of the TMJ
– Examination of the TMJ: palpation technique
– The main pain areas of the TMJ
– Temporomandibular joint noises: crunch, click and crepitus
– Disc displacement: reposition technique
– Jaw muscle pain: localization and diagnostics
– Examination of masticatory muscles.
Recommended for: General dentists, Orthodontists, Prosthetists, Gnathologists.
Lezione 9.Pre-treatment with occlusal splints
– The role of occlusion for establishing craniomandibular dysfunction:
- Premature contacts
- Parafunctions.
– Strategies for the treatment of CMD:
- Etiological
- Symptomatic.
– Indications for occlusive therapy
– Selective grinding of teeth: a technique
– Positioning of the occlusal splint: on the upper or lower jaw?
– Types of occlusal splints:
- Reflex
- Stabilization
- Reposition
- Distraction
- Decompression
- Verticalization.
– The main therapeutic tasks of occlusal splints
– Method of registration of occlusal contacts
– Manual therapy in the treatment of CMD.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Il corso include le seguenti lezioni:
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Lettori 5
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.
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.
Оbtained his dental degree from the University of Manitoba (Canada) in 1980. Over the next 22 years, he enjoyed the practice of general dentistry from both a public health and private practice perspective until he returned to graduate studies in 2002. In 2004, he completed his training and graduated from the University of Kentucky with a Certificate in Orofacial Pain. In 2005, he completed a fellowship in Oral Medicine/Oral Oncology at the University of Illinois at Chicago (UIC). From 2005 – 2011, he was an Assistant Professor and Director of the Oral Medicine/Orofacial Pain clinic at the College of Dentistry in the University of Illinois at Chicago. He is currently a Professor in the Department of Diagnostic Sciences at Louisiana State University, School of Dentistry as well as the Director of the LSU Orofacial Pain Continuum. Dr. Klasser has published numerous peer reviewed scientific articles while contributing many chapters to various textbooks. He also serves as an associate editor or as an editorial reviewer for a number of journals. He is also co-editor of several textbooks related to oral and facial pain and is a Past-President of the American Academy of Orofacial Pain.
Dissertation (1987) and habilitation (1994) in the field of CMD diagnostics and therapy. Since 1995 Professor and head of the Department of Prosthodontics and Orofacial Function, Philipps-University, Marburg, Germany.
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