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Evidence-based treatment of TMJ dysfunction
4.56
154 votos
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Jeffrey P. Okeson
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Ulrich Lotzmann
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Ambra Michelotti
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Gary D. Klasser
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Lawrence Gottesman
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8 aulas + 1 grátis (15h 59m)
14.5 CE Credits

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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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
O curso inclui aulas:
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2h 2m
Aula 1
TMD and orofacial pain treatment
Jeffrey P. OkesonMostrar programa de aula
0:01
Introduction and Course Overview
10:25
Definition and Scope of TMD
20:38
Diagnostic Categories: Dental, TMD, Non‑dental
30:50
Pain Referral: Site vs Source (heterotopic pain)
41:03
Muscle vs Joint Pain: Classification & Clinical Importance
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1h 49m
Aula 2
Temporomandibular disorders: clinical examination and differential diagnosis
Gary D. KlasserMostrar programa de aula
0:01
Introduction and Educational Objectives
3:36
Definition of Pain and Key Notes
12:02
Biopsychosocial Model and Neuromatrix
23:09
TMD Definition and Associated Tissues
24:32
Epidemiology of TMD
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1h 51m
Aula 3
TMJ and Muscle Dysfunctions: diagnostic and treatment protocols
Gary D. KlasserMostrar programa de aula
0:01
Introduction and Educational Objectives
9:16
Definition and Epidemiology of TMD
18:32
RDC/TMD (1992): Biopsychosocial Axis I and II
27:48
DC‑TMD (2014) and Expanded Taxonomy
37:04
Screening and Diagnostic Principles for TMD
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Odontologia funcional
Pathologies
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Compra única | |||
|---|---|---|---|
Aulas incluídas | – | 9 aulas desse curso | |
Período de acesso | sem limites | 180 dias | |
Preço por aula | ... | 44 $ | |
Preço total | ... por ano | 349 $ por curso | |
conferências 5
Especialista em dor orofacial e Reitor da Faculdade de Odontologia da Universidade de Kentucky. Fundador e diretor do Centro de Dor Orofacial na Universidade de Kentucky (estabelecido em 1977), reconhecido como pioneiro na educação sobre DTM e dor orofacial.
Mais de 50 anos de experiência acadêmica e clínica em distúrbios temporomandibulares e manejo da dor orofacial. Desenvolveu o primeiro programa de Mestrado em Ciências em Dor Orofacial nos Estados Unidos, credenciado pela Academia Americana de Dor Orofacial. O Programa de Residência em Dor Orofacial foi um dos primeiros credenciados pela Comissão de Credenciamento Odontológico, formando 65 residentes em tempo integral de 26 países.
Professor e chefe da Divisão de Dor Orofacial, membro do corpo docente em tempo integral na Universidade de Kentucky por 45 anos. Palestrante internacional tendo ministrado mais de 1.300 palestras convidadas em todos os estados dos EUA e 59 países estrangeiros. Reconhecido como "Embaixador Mundial da Dor Orofacial" pelos colegas.
DMD pela Universidade de Kentucky (1974). Provost's Distinguished Service Professor. Autor do livro didático "Tratamento dos Distúrbios Temporomandibulares e Oclusão" (8ª edição), traduzido para 11 idiomas e usado na maioria das escolas odontológicas dos EUA. Editor de "Dor Orofacial: Diretrizes para Classificação, Avaliação e Tratamento" (AAOP), usado como padrões de tratamento em todo o mundo. Mais de 240 publicações em revistas científicas. Ex-presidente da Academia Americana de Dor Orofacial. Diplomata fundador e duas vezes ex-presidente do Conselho Americano de Dor Orofacial. Recebedor do Prêmio Grande Professor da Universidade de Kentucky, Prêmio Acorn do Estado de Kentucky, Prêmio Dentista Internacional do Ano da Academia Internacional de Odontologia, e introduzido no Hall de Exalunos Distinguidos da Universidade de Kentucky.
Professor Emeritus e ex-Head do Department of Prosthodontics and Orofacial Function na Philipps-University Marburg, Alemanha (1995-aposentadoria). Especialista em prótese, distúrbios craniomandibulares (CMD) e dor orofacial com mais de 45 anos de experiência combinada clínica, acadêmica e de pesquisa.
Experiência clínica extensa em diagnóstico diferencial de dor de cabeça, facial e de pescoço de origem dental, tratamento conservador de CMD e disfunções relacionadas à oclusão, e reabilitação protética complexa de dentições funcionalmente e periodontalmente comprometidas. Ex-diretor do Department of Prosthodontics no Center for Dental Medicine na Marburg University, onde estabeleceu protocolos de tratamento abrangentes para pacientes CMD e prótese geriátrica.
Visiting Assistant Professor e Visiting Professor na TMJ and Orofacial Pain Clinic na University of California San Francisco (1990, 1991, 1993, 1995, 1996) trabalhando com Professor Charles McNeill. Palestrante internacional apresentando extensivamente na Alemanha e Europa sobre diagnóstico e terapia CMD, conceitos de oclusão, prótese sobre implantes e planejamento de tratamento para casos complexos. Co-editor da revista dental "Teamwork" e membro de juntas editoriais para múltiplas publicações dentais alemãs incluindo ZWR e Dental Dialogue. Membro da Academy for Practice and Science da German Society for Dentistry (DGZMK) desde 1990.
DMD pela University of Göttingen, Alemanha (1986). Treinado como técnico dental (1977-1980). PhD (Dr. med. dent.) com dissertação sobre axiografia paraoclusal em análise funcional (1987, University of Göttingen). Habilitação em diagnóstico e terapia CMD (1994, University of Göttingen). Premiado com Kemptner Promotion Prize do Working Group for Functional Diagnostics da German Society for Dentistry (DGZMK, 1987). Nomeado "Qualified Specialist for Prosthodontics" pela German Society for Prosthetic Dentistry and Dental Materials (DGZPW, 1997).
Professora Plena em Orthodontics and Clinical Gnathology na University of Naples Federico II, Itália. Diretora da Postgraduate School in Orthodontics na University of Naples Federico II. Diretora do Master Course sobre "Orofacial Pain and Temporomandibular Disorders" na University of Naples Federico II. Uma das pesquisadoras mais importantes internacionalmente no campo de ortodontia, distúrbios temporomandibulares e dor orofacial.
Mais de 42 anos de experiência clínica, docente e de pesquisa combinada desde graduação em 1984. Especialista em diagnóstico e tratamento de distúrbios temporomandibulares, gestão de dor orofacial, tratamento ortodôntico e sua relação com DTM, terapia manual para condições musculoesqueléticas, terapia cognitivo-comportamental para pacientes com DTM, exercícios mandibulares e tratamento de DTM centrado no paciente. Prática limitada exclusivamente a tratamento ortodôntico e gestão de distúrbios temporomandibulares. Pesquisa focada em fisiopatologia dos músculos mastigatórios, etiologia, diagnóstico e terapia de distúrbios craniomandibulares, correlação entre DTM e ortodontia, mecanismos de dor na região orofacial e eficácia de várias terapias de DTM.
Ex-Presidente da European Academy of Craniomandibular Disorders (EACMD, 2010). Ex-Presidente do Neuroscience Group da IADR (International Association for Dental Research, 2011). Ex-Presidente da SIDA (Società Italiana Disfunzioni ed Algie Temporomandibolari - Sociedade Italiana de DTM e Algia, 2012-2013). Receptora de Honorary Degree in Dentistry pela University of Malmö, Suécia (2018). Autora de mais de 170 artigos publicados em revistas italianas e internacionais revisadas por pares. Palestrante internacional tendo apresentado extensivamente por toda Europa, Américas e mundialmente. Co-autora da International Classification of Orofacial Pain (ICOP). Especialista em vários comitês de pesquisa internacionais e nacionais. Revisora para principais revistas internacionais em ortodontia e dor orofacial. Educadora tendo treinado centenas de ortodontistas e especialistas em DTM através de programas de pós-graduação na University of Naples.
DDS pela University of Naples Federico II (1984, graduada com honras). Especialista em Ortodontia (1991). Nomeação como Professora Plena em Orthodontics and Clinical Gnathology na University of Naples Federico II. Diretora da Postgraduate School in Orthodontics e Master Course sobre Orofacial Pain e TMD.
Especialista em dor orofacial, pesquisador e educador. Professor do Department of Diagnostic Sciences, Louisiana State University (LSU) School of Dentistry, New Orleans. Director do LSU Orofacial Pain Continuum, um programa abrangente de educação continuada de pós-graduação em dor orofacial para clínicos em atividade. Anteriormente foi Assistant Professor e Director da Oral Medicine/Orofacial Pain Clinic, University of Illinois at Chicago, College of Dentistry (2005–2011). Antes da carreira acadêmica: 22 anos de prática odontológica geral em saúde pública e em consultório particular (1980–2002).
Autor e coautor de mais de 80 publicações revisadas por pares sobre dor orofacial, desordens temporomandibulares, síndrome da ardência bucal e cefaleia. Autor de mais de 25 capítulos de livros em importantes textos de odontologia e medicina da dor. Colaborador do Merck/MSD Manual (Professional Edition) na área de dor orofacial. Coeditor de três textos de referência: Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management (AAOP, 7th edition, Quintessence, 2023); Manual of Temporomandibular Disorders (Wiley-Blackwell); e Temporomandibular Disorders: A Translational Approach from Basic Science to Clinical Applicability. Associate editor e revisor editorial de múltiplos periódicos em odontologia e medicina da dor.
Past President da American Academy of Orofacial Pain (AAOP). Fellow da AAOP.
DMD, University of Manitoba, Canadá (1980). Certificate in Orofacial Pain, University of Kentucky (2004). Fellowship in Oral Medicine/Oral Oncology, University of Illinois at Chicago (2005).
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