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Evidence-based treatment of temporomandibular disorders

4.58
57 voti
Daniel Paesani
Martin Gross
Ambra Michelotti
Barry Glassman
Luca Guarda Nardini
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Dettagli

8 lezioni + 1 gratis (16o 19m)

14.5 CE Credits

14.5 CE Credits

Inglese

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Descrizione

A course for practicing dentists, who want to treat temporomandibular disorders according to scientifically proven protocols and not base their treatment on a specific concept.


The new course “Evidence-Based Treatment of of temporomandibular disorders" will present the 2022 protocols for diagnosis and treatment of this pathology.


The course is created by leading gnatologists, prosthodontists, orthodontists, and maxillofacial surgeons. You will learn about:


– Splint therapy

– Minimally invasive and invasive temporomandibular joint surgery (from arthrocentesis to TMJ prosthesis)

– Pharmacotherapy

– Physiotherapy

– Psychotherapeutic treatment.

Lezione 1.New perspective in the treatment of TMD: minimally invasive and invasive methods. Introductory lesson

– Anatomy of TMJ

– TMD: diagnostic difficulties

– Types of TMD treatment methods

– Minimally invasive treatments:

 

- arthrocentesis: indications and methodology

- arthroscopy

- botulinum toxin: indications and technique.

 

Recommended for: Functional dentists.

Lezione 2.New perspective in the treatment of TMD: minimally invasive and invasive methods

– Anatomy of TMJ

– TMD: diagnostic difficulties

– Types of TMD treatment methods

– Minimally invasive treatments:


- arthrocentesis: indications and methodology

- arthroscopy

- botulinum toxin: indications and technique.


– The effectiveness of hyaluronic acid using in the TMD treatment

– Invasive surgical treatments: 


- articular (meniscectomy, eminectomy, condyloplasty, prosthetic replacement)

- non-articular (hyper development of the coronoid process, eagle syndrome, facial asymmetry).


Recommended for: Functional dentists.

Lezione 3.Сlinical TMD diagnosis

– 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

– Anatomical factors in the development of TMD: occlusal disharmony, abnormal condylar position and mandible

– Screening tools for TMD

– Standardized clinical examination.


Recommended for: Functional dentists.

Lezione 4.Psychosocial considerations when diagnosing and managing orofacial pain, headaches and TMD

– History of the medical community’s view of the role of psychology and emotion in the management of chronic pain

– Procedures and attitudes which considers the complex relationship of psychological and biomedical factors

– Specific techniques which deal with the psychological component of the pain pattern 

– Identification and integration of biological and psychological aspects of pain

– Description of the biomedical and psychosocial models

– History of the biopsychosocial model

– The importance of psychological aspects in the treatment of patients with chronic pain

– Current state of the biopsychosocial model in pain management concepts

– Techniques to address the psychological aspects for the dentist

– Critical processes to make a referral without causing anger and without suggesting the patient’s pain is psychosomatic.


Recommended for: Functional dentists.

Lezione 5.The evidence-based protocol for management of patients with signs and symptoms of TMJ dysfunction in orthodontic and orthopedic practice

– TMD: symptoms, clinical signs, X-ray

– "Occlusion — TMJ — Orthodontics": the history of the old paradigm 

– The development of an evidence-based new paradigm 

– Сlinical and radiological markers of hidden joint pathologies

– The effect of TMJ arthrosis on the growth and jaw stability

– Radiological markers of asymptomatic joint disease 

– The influence of joint pathology during jaw growth

– The genesis of open bite, asymmetries, and crossbite

– Tips to avoid relapse after orthodontics-orthognatic surgery 

– Asymmetric prognathism: diagnostics.


Recommended for: Functional dentists.

Lezione 6.Mythbusting in functional dentistry

– The evolution of CR over time

– Condylar position: norm and pathology

– Centric relation: mechanically thinking vs biologically thinking

– Occlusal interferences: what does that mean?

– Vertical dimension variation without affecting the intermaxillary relationship

– Hinge axis: facts or fictions

– Jaw deprograming: techniques

– Factors of occlusal stability

– Understanding occlusal instability.


Recommended for: Functional dentists.

Lezione 7.Protocols for the TMD treatment: splint therapy, physiotherapy, pharmacotherapy

– Management according to the patient-centered principles

– Evaluation of bio-psycho-social domain

– Stepped care model

– Principles of cognitive and behavioral therapy

– Protocols of home exercises

– Placebo effect in the treatment of TMD

– Oral appliances. Management of the occlusal splint

– Management of TMD before or during orthodontic/dental treatment

– Indication of surgical treatment.


Recommended for: Functional dentists.

Lezione 8.Temporomandibular joint disorders. Сlassifications and risk factors

– TMD definitions and classifications

– Etiology of TMD

– Signs and symptoms of TMD

– Temporomandibular joint disorders

– Normal disc relations and disc derangements: 


- Disc displacement with reduction

- Disc displacement without reduction.


– Somatization and somatoform disorders

– Оrofacial pain: сluster analysis

– Modeling, remodeling and adaptation of TMJ

– Osteoarthritis

– Masticatory muscle disorders

– Masticatory muscle pain

– Risk factors – correlation versus etiologic predictability, occlusal risk factors.


Recommended for: Functional dentists.

Lezione 9.Management of Temporomandibular disorders

– Management of patients with TMD

– Diagnosis DC/TMD: modern approach

– Methods of TMD treatment:


- Physical therapy

- Medication

- Behavior modification

- Occlusal splint therapy

- Surface electromyography and controversies

- Occlusal adjustment.


Recommended for: Functional dentists.

Il corso include le seguenti lezioni:

1o 53m
Lezione 2

New perspective in the treatment of TMD: minimally invasive and invasive methods

Luca Guarda Nardini
1o 52m
Lezione 3

Сlinical TMD diagnosis

Ambra Michelotti
2o 13m
Lezione 4

Psychosocial considerations when diagnosing and managing orofacial pain, headaches and TMD

Barry Glassman
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Lettori 5

Dentista specializzato in disturbi temporomandibolari (TMD), dolore orofacciale, bruxismo e disturbi del sonno. Professor presso University of Salvador/AOA, Buenos Aires, Argentina. Vicepresidente di ALDOTS (Latin American Academy of TMD, Orofacial Pain and Sleep Disorders). Autorità internazionale sul bruxismo.

 

Oltre 35 anni di esperienza clinica e accademica in dolore orofacciale e TMD. Laureato come dentista in Argentina, ha perseguito formazione avanzata in disturbi temporomandibolari, meccanismi del dolore orofacciale e disturbi respiratori correlati al sonno. Nominato Professor presso University of Salvador (Universidad del Salvador, USAL) insegnando diagnosi e gestione TMD a studenti di odontoiatria e residenti postlaurea. Ricercatore attivo contribuendo alla comprensione di eziologia, diagnosi e approcci terapeutici del bruxismo. Serve come Vicepresidente di ALDOTS, organizzazione latinoamericana leader promuovendo approcci evidence-based per TMD, dolore orofacciale e disturbi del sonno in tutta regione.

 

Docente internazionale presentando a conferenze dentali in America Latina, Europa e Nord America su classificazione del bruxismo, disturbi temporomandibolari, diagnosi e trattamento del dolore orofacciale e disturbi del sonno. Editor ospite per dossier tematici in riviste dentali internazionali su TMD, dolore orofacciale, bruxismo e apnea del sonno. Esperto riconosciuto su diverse scuole di pensiero riguardo definizione, eziologia e trattamento del bruxismo, inclusa scuola del dolore orofacciale identificandolo come patologia versus approcci alternativi. Pubblicato estensivamente in riviste peer-reviewed su TMD, meccanismi del bruxismo, metodi diagnostici, cambiamenti morfologici da apparecchi funzionali, relazioni tra bruxismo e posizione condilare, e gestione dei disturbi del sonno.

 

DDS. Professor presso University of Salvador (USAL), Buenos Aires. Autore di libro di testo definitivo "Bruxism: Theory and Practice" (Quintessence Berlin), riferimento completo stabilendo comprensione evidence-based del bruxismo coprendo eziologia, classificazione, diagnosi, conseguenze e strategie terapeutiche. Libro riconosciuto internazionalmente come risorsa autorevole sul bruxismo per clinici e ricercatori.

 

Associate Clinical Professor in Oral Rehabilitation presso Tel Aviv University, Israele. Specialista in protesi con oltre 30 anni di esperienza di facoltà presso TAU Dental School, dove ha diretto il programma post-laurea di protesi per 15 anni.

 

Oltre 40 anni di pratica clinica focalizzandosi su riabilitazione orale complessa, occlusione e disturbi temporomandibolari. Attualmente mantiene pratica privata ed è attivamente coinvolto in ricerca clinica su restauri supportati da impianti e gestione TMD.

 

Educatore internazionale e ex President dell'International College of Prosthodontists (2011-2013). Autore di oltre 70 pubblicazioni e del libro di testo 'The Science and Art of Occlusion and Oral Rehabilitation' (Quintessence 2015), tradotto in giapponese, cinese e portoghese.

 

BDS, LDS dalla Guy's Hospital Dental School, University of London (1971). Master of Science in Protesi dalla Northwestern University Dental School, Chicago (1974).

 

Full Professor in Orthodontics and Clinical Gnathology presso University of Naples Federico II, Italia. Direttore della Postgraduate School in Orthodontics presso University of Naples Federico II. Direttore del Master Course su "Orofacial Pain and Temporomandibular Disorders" presso University of Naples Federico II. Una delle ricercatrici più importanti internazionalmente nel campo di ortodonzia, disturbi temporomandibolari e dolore orofacciale.

 

Oltre 42 anni di esperienza clinica, didattica e di ricerca combinata dalla laurea nel 1984. Esperta in diagnosi e trattamento di disturbi temporomandibolari, gestione del dolore orofacciale, trattamento ortodontico e sua relazione con TMD, terapia manuale per condizioni muscoloscheletriche, terapia cognitivo-comportamentale per pazienti TMD, esercizi mandibolari e trattamento TMD centrato sul paziente. Pratica limitata esclusivamente a trattamento ortodontico e gestione di disturbi temporomandibolari. Ricerca focalizzata su fisiopatologia dei muscoli masticatori, eziologia, diagnosi e terapia di disturbi craniomandibolari, correlazione tra TMD e ortodonzia, meccanismi del dolore nella regione orofacciale ed efficacia di varie terapie TMD.

 

Ex Presidente della European Academy of Craniomandibular Disorders (EACMD, 2010). Ex Presidente del Neuroscience Group di IADR (International Association for Dental Research, 2011). Ex Presidente di SIDA (Società Italiana Disfunzioni ed Algie Temporomandibolari, 2012-2013). Destinataria di Honorary Degree in Dentistry dalla University of Malmö, Svezia (2018). Autrice di oltre 170 articoli pubblicati in riviste italiane e internazionali peer-reviewed. Docente internazionale avendo presentato estensivamente in Europa, Americhe e mondialmente. Co-autrice della International Classification of Orofacial Pain (ICOP). Esperta in diversi comitati di ricerca internazionali e nazionali. Revisore per riviste internazionali maggiori in ortodonzia e dolore orofacciale. Educatrice avendo formato centinaia di ortodontisti e specialisti TMD attraverso programmi di postgraduate presso University of Naples.

 

DDS dalla University of Naples Federico II (1984, laureata con lode). Specialista in Ortodonzia (1991). Nomina come Full Professor in Orthodontics and Clinical Gnathology presso University of Naples Federico II. Direttore della Postgraduate School in Orthodontics e Master Course su Orofacial Pain e TMD.

 

Leading US еxpert in Craniofacial Pain and Sleep Disorders.

 

Diplomate of the American Board of Craniofacial Pain, Diplomate of the American Academy of Pain Management, a Diplomate of the American Board of Dental Sleep Medicine, and a Fellow of the International College of Craniomandibular Disorders.

 

He served on staff of the Lehigh Valley Hospital network as clinical instructor in Craniofacial Pain and Sleep Disorders in the General Dentistry Residency program.

 

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