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Temporomandibular disorders and orofacial pain: up-to-date treatment protocols

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Detalhes

13 aulas (12h 16m)

10.75 CE Credits

10.75 CE Credits

inglês

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Descrição

Up-to-date solutions and advanced treatment methods for Temporomandibular Disorders (TMD) will be showcased by leading experts in functional dentistry from around the world, including Jeffrey Okeson, David Angelo, Jean-Daniel Orthlieb, and Ambra Michelotti — in one online course!

 

During the course, you will learn about:

 

– Current approaches in treating Temporomandibular Disorders

– Protocols for restoring occlusion in patients with TMD-related disorders

– Techniques of minimally invasive TMJ surgery

– Protocols for open TMJ surgery.

 

The online course on the treatment of TMD and orofacial pain offers a unique opportunity to stay updated on the latest trends, scientific discoveries, and advanced methodologies in functional dentistry. It's a chance to broaden your professional horizons alongside global experts in the field.

Aula 1.Diagnosis of TMD and orofacial pain

– Muscle pain and TMJ pain: differential diagnosis

– Classification of TMD

– Types of heterotypic pain

– Diagnostic criteria for referred pain

– How to identify pain disorders that are likely to respond positively to your therapy from those that will not

– How to differentiate TMD from other sources of orofacial pain

– The relationship between occlusion and temporomandibular disorders

– Adaptability of the maxillofacial system

– Deep localized pain.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 2.Etiological factors of TMD

– Effect of stress on orofacial pain

– Post Traumatic Stress Disorder (PTSD)

– Prolonged stress: impact on the human body

– Effect of occlusion on muscle pain

– An acute changes in the occlusal condition

– Chronic response from occlusal alteration.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 3.Orthopedically stable occlusal interrelationship

– The most favorable and orthopedically stable interrelationship between occlusion and the condylar position for orthodontic-prosthodontic therapy

– The concept of musculoskeletally stable position

– Determination of TMJ stability

– The bilateral mandibular manipulation technique

– Condylar stability vs occlusal stability

– Effect of occlusion on TMD.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 4.The mechanisms of development of orofacial pain

– Muscle pain as a consequence of anatomical variation

– Obstructive sleep apnea syndrome and bruxism: relationship and mutual influence

– Rhythmic muscle activity and pain

– Delayed onset of local muscle soreness

– Spasm: definition.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 5.Principles of orofacial pain treatment

– Model of muscle pain development

– Spastic activity of the masticatory muscles

– Botox in the treatment of muscle pain

– When to refer a patient to a related specialist

– Local myalgia:


- definition

- etiology

- clinical symptoms

- treatment tactics.


– The importance of the patient's psychological state in the treatment of orofacial pain

– Application of a stabilizing splints

– Indications for stabilizing equipment.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 6.Occlusal equipment in the treatment of TMD

– Bruxism and its relationship with occlusion

– The appropriate use of occlusal appliance therapy for muscle pain and joint pain

– The importance of doctor-patient interaction in the treatment of TMD

– When does an occlusal appliance reduce the patient’s TMD symptoms?

– Placebo effect in the treatment of TMD.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 7.Intracapsular TMJ problems: treatment

– Anatomical and pathophysiological basis for intracapsular TMJ problems

– TMJ ligaments: structure, functions

– Articular disc displacement with reduction: clinical manifestations

– Articular disc displacement without reduction: clinical symptoms and tactics

– Principles of treatment of intracapsular disorder.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 8.Problems in the treatment of orofacial pain and TMD. Q&A session

– Increasing contacts and their effect on muscle pain

– The use of Botox for local myalgia

– Mandibular Advancement Devices (MAD)

– Taking impressions of patients with significant limitations in mouth opening

– Damage to the inferior alveolar nerve: possibilities of regeneration

– Hard splints vs soft splints: research and results

– Questions about using Bruxchecker

– Differential diagnosis of TMD

– Habits that affect TMD.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 9.Principles of TMD diagnosis. Options for hypomobility and hypermobility of TMJ

– Diagnosis of TMDs

– Etiological risk factors in the development of TMD

– Clinical examination: external examination, assessment of muscle and TMJ

– Additional examination methods

– TMDs: definition and diagnosis

– Types of TMDs and principles of their diagnosis

– The use of Botox in the treatment of TMD

– Adhesions: diagnosis and treatment tactics

– Ankylosis: types, diagnosis and treatment options

– Dislocations and subluxations of the TMJ

– Technique for lower jaw reduction

– Degenerative changes of the TMJ:


- osteoarthrosis

- osteoarthritis

- resorption of condyles

- osteonecrosis

- neoplasm

- synovial chondromatosis

- aplasia and hypoplasia of the condyle.


– Muscle pain:


- myalgia

- tendonitis

- spasm

- myositis.


– Coronoid hyperplasia.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 10.Minimally invasive treatment methods: botulinum therapy and arthrocentesis. Arthroscopy

– Functional disk vs non-functional disk

– Normal anatomy and physiology of the TMJ

– Botulinum therapy in the treatment of TMD

– Identifying pain points and preparing for Botox injections: video demonstration

– Physiotherapy and speech therapy in patients after botulinum therapy: timing and recommendations

– Arthrocentesis: technique of execution, anatomical landmarks

– Complications during arthrocentesis

– Indications for arthrocentesis

– Clinical examples of arthrocentesis in patients of different ages

– Arthroscopy: advantages of the technique

– Types of arthroscopy and their characteristics

– Video demonstrations and descriptions of various types of arthroscopy

– Long-term results of arthroscopy

– Bilateral arthroscopy

– Complications of arthroscopy

– Video demonstration of repairing disk perforation.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 11.Treatment of TMD: open surgery

– Indications for open TMJ surgery: absolute and relative

– Surgical access for operations on the TMJ: types of incisions

– Author's method for creating surgical access RHITHNI  

– Discectomy technique

– Technique of eminectomy

– Tactics of patient management before, during and after orthodontic treatment

– TMJ reconstruction: types of prostheses

– Alloplastic replacement of the TMJ in growing patients.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 12.Indications for occlusal corrections in TMDs patients. Techniques for restoring occlusion for TMDs

– Indications and contraindications of occlusal corrections in TMDs patients

– The influence of occlusion on the occurrence of TMD

– Restoration of occlusion in patients with and without TMDs

– Occlusal approach in the treatment of TMD: disadvantages of the technique

– Academic guidelines in the treatment of patients with TMD

– Diagnostic criteria for TMDs

– Definition of musculo-articular dysfunction

– Signs of TMDs "SAD"

– 2D and 3D etiopathogenetic model

– A clear classification of TMDs

– Secondary TMDs

– Basic functions of occlusion

– Criteria for stability and instability of occlusion

– Creation of maximum intercuspation

– Algorithm for choosing the TMD treatment method

– Evolution of opinions in the treatment of TMD

– Occlusion-TMD: modern concepts

– Specific categories of occlusion pathology

– Optimization of occlusal function on clinical example

– Occlusal dysesthesia: definition and treatment strategies

– Treatment of patients with TMD and no dental problems

– Treatment of patients with TMD and dental problems

– Overtreatment: pros and cons, recommendations

– Recommendations for the treatment of patients with TMD.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Aula 13.Etiological factors and principles of treatment of TMDs. Occlusal splint: when, why and how

– TMD: signs and symptoms

– Patient-centered approach: key principles

– Etiopathogenesis of TMD

– Treatment guidelines for patients with TMD

– Role of psychosocial factors in the development and treatment of TMD

– Comorbidities influencing the development of TMD

– Management tactics for patients with TMD

– Cognitive-behavioral therapy

– Physical therapy and a set of home exercises

– Control of parafunctional behavior

– Self-management effect

– Placebo and nocebo effects: research and recommendations

– Jaw exercises to reduce pain in patient with TMD

– The Rocabado technique

– Indications and contraindications for the occlusal splints

– Google, social media, ChatGPT: their role in patient education

– Consequences of using non-dentist-prescribed occlusal splints

– Mistakes in the application of occlusal splints

– Potential mechanism of action of occlusal splints

– Protocol for using occlusal splints

– Digital protocol for fabricating occlusal splints: advantages, disadvantages, protocol

– Guidelines for managing patients with TMD before, during, and after orthodontic treatment.


Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

O curso inclui aulas:

1h 24m
Aula 1

Diagnosis of TMD and orofacial pain

Jeffrey P. Okeson
44m
Aula 2

Etiological factors of TMD

Jeffrey P. Okeson
47m
Aula 3

Orthopedically stable occlusal interrelationship

Jeffrey P. Okeson
34m
Aula 4

The mechanisms of development of orofacial pain

Jeffrey P. Okeson