Evidence-based treatment of temporomandibular disorders
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52 $ per la lezione
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8 lezioni premium di quel corso
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8 lezioni + 1 gratis (16o 19m)
14.5 CE Credits
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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:
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Una lezione — gratuita
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Competenze che imparerò durante il corso
Functional Dentistry
Treatment methods
Pathologies
General questions
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Lezioni incluse | – | 9 lezioni di quel corso | |
Periodo di accesso | senza limiti | 180 giorni | |
Prezzo per lezione | ... | 52 $ | |
Prezzo totale | ... per anno | 416 $ per corso | |
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Lettori 5
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.
Professor at the University of Salvador/AOA. Vice president of ALDOTS (Latin American Academy of TMD, Orofacial Pain and Sleep disorders). Author of the book “Bruxism: theory and practice" (Quintessence Berlin).
Associate Clinical Professor in Tel Aviv University, Israel.
Specialist in Oral Rehabilitation.
Member of several national and international professional associations.
Author of book titled «The Science and Art of Occlusion and Oral Rehabilitation».
Oral and maxillofacial surgeon performing complex TMJ surgeries.
Past President SIDA – Italian Society of Temporomandibular Dysfunctions and Pain.
Qualified Physician in Obstructive Sleep Disorders.
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