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Evidence-Based Treatment of TMJ Dysfunction

Evidence-Based Treatment of TMJ Dysfunction

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Professors

Ambra Michelotti

Target audience

General dentists; Orthodontists

Nb of lessons

8

Nb of modules

Course duration

14 h 13 min

Delivery method

Google Drive Link, Offline

Course Overview

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.

Full Course Program

Intro to TMD and Orofacial Pain Treatment

Lesson program:

  • 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.

Duration: 58 min · Presented by: Jeffrey P. Okeson

Temporomandibular Disorders: Clinical Examination and Differential Diagnosis

Lesson program:

  • 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.

Duration: 1 h 49 min · Presented by: Gary D. Klasser

TMJ and Muscle Dysfunctions: Diagnostic and Treatment Protocols

Lesson program:

  • Musculoskeletal dysfunction: definition
  • Classification systems for musculoskeletal dysfunctions:
  • RDC-TMDDC-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.

Duration: 1 h 51 min · Presented by: Gary D. Klasser

TMD Diagnosis in an Evidence-Based Approach

Lesson program:

  • 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 TMJTMJ 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.

Duration: 1 h 55 min · Presented by: Ambra Michelotti

Potential Treatments for TMD

Lesson program:

  • 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.

Duration: 2 h 3 min · Presented by: Ambra Michelotti

General Somatic Pathology and Diseases of the TMJ: An Integrated Approach to Diagnosis and Treatment

Lesson program:

  • 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.

Duration: 1 h 43 min · Presented by: Lawrence Gottesman

Functional Diagnostics. Norm and Pathology

Lesson program:

  • 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 IFunctional 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.

Duration: 2 h 52 min · Presented by: Ulrich Lotzmann

Pre-Treatment with Occlusal Splints

Lesson program:

  • 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.

Duration: 1 h 2 min · Presented by: Ulrich Lotzmann

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