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Occlusion, TMJ dysfunctions and orofacial pain from A to Z
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Jeffrey P. Okeson
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32 aulas + 1 grátis (31h 10m)
27 CE Credits
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This course will give you a comprehensive understanding of TMJ dysfunctions, facial pain and occlusion in the concept of Jeffrey Okeson performed by the legendary author.
The course contains information only with a scientific evidence base - this will help to take a fresh look at functional issues.
We recommend this course as a must for every dentist. What is very important – in 33 lessons the most complete presentation of the author's lectures is collected!
The training consists of 6 modules:
– Understanding Masticatory Function and Dysfunction
– Understanding Orofacial Pain
– Evaluating the Pain Patient and Establishing the Diagnosis
– Managing Temporomandibular Disorders
– Evaluating and Managing other Orofacial Pain Disorders
– Other consideration of TMD and Orofacial Pain.
Aula 1.Free example. Temporomandibular Disorders and Orofacial Pain: Understanding the Problem
– Overview of orofacial pain. Causes of errors in diagnosis and treatment
– TMJ disorders сlassification
– Classification of Orofacial Pain
– Diagnosis of TMJ disorders and orofacial pain
– Differential diagnosis of orofacial pain
– Establishing diagnosis
– Selection the best treatment strategy
– Clinical cases.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 2.The Anatomy and Biomechanics of the Temporomandibular Joint: Understanding Normal Function. Module 1
– Why does a dentist need to know anatomy?
– TMJ anatomy
– TMJ function
– TMJ Biomechanics
– The role of knowledge of normal anatomy and biomechanics for a dentist for the correct treatment of TMJ disorders.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 3.Etiologic Considerations of Temporomandibular Disorders: Where does Occlusion Fit? Module 1
– Etiological factors of Temporomandibular Disorders
– Detailed analysis of five known etiological factors for the occurrence of TMJ disorders
– The role of knowledge of the etiological factors for the occurrence of TMJ disorders
– Does occlusion affect the occurrence of TMJ disorders?
– Finding the predominant etiological factor
– The provision of patient care depending on the predominant etiological factor
– Clinical cases.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 4.What every dentist needs to know about Occlusion and Temporomandibular Disorders. Module 1
– The role of occlusion in the occurrence of TMJ disorders
– The association of occlusion and the occurrence of TMJ disorders
– Musculoskeletally Stable Position (CR)
– Оptimum occlusal contact relationship
– The optimum orthopedically stable relationship
– Does loss of orthopedic stability lead to TMJ dysfunction?
– The concept of orthopedic stability in the masticatory system
– Centric relation in modern dentistry
– The association of occlusion and the occurrence of TMJ disorders
– Patient Occlusion Recovery Protocol.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 5.Five Joint Positions that are used in Dentistry Today: The Science and Controversy - Part I. Module 1
– Concepts of Stable Joint Position:
- Musculoskeletally Stable Position
- The most posterior retruded position
- The anterior protrusive position
- The 4/7 radiographic position
- The neuromuscular position.
– Analysis of the most physiological position of the condyle
– 5 basic provisions of the condyle
– Patient treatment protocol depending on the provisions of the condyle.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 6.Five Joint Positions that are used in Dentistry Today: The Science and Controversy - Part II. Module 1
– Concepts of Stable Joint Position. Continuation:
- Musculoskeletally Stable Position
- The most posterior retruded position
- The anterior protrusive position
- The 4/7 radiographic position
- he neuromuscular position.
– Factors leading to a reduction in symptoms of TMJ dysfunction
– Analysis of the most physiological position of the condyle
– 5 basic provisions of the condyle
– Patient treatment protocol depending on the provisions of the condyle.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 7.Understanding Intracapsular Disorders of the Temporomandibular Joint. Module 1
– TMJ Disorders. Classification:
- Derangements of the Condyle-Disc Complex
- Structural incompatibilities.
– Analysis of changes in TMJ that cause clicks
– The relationship between specific articular symptoms and various intracapsular disorders
– Etiology of TMJ clicks
– Diagnosis of TMJ Disorders
– Treatment Plan for Intracapsular Disorders
– Factors affecting the choice of treatment plan.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 8.Introduction to Orofacial Pain: Understanding the Concepts and Complexity. Module 2
– Concepts of Orofacial Pain
– Pain. Etiology. Basic concepts
– Pain. Basic concepts
– Classification of orofacial pain
– Functional Anatomy of the Brain
– The onset of pain due to fear, stress, anxiety, depression
– The dependence of human behavior on the limbic system.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 9.Understanding the Neuroanatomy and Neurophysiology of Orofacial Pain: The Peripheral Nervous System. Module 2
– The neurogenic structures
– The neuron. Anatomy
– Classification of afferent neurons
– The action potential
– The role of knowledge of neuroanatomy and neurophysiology of orofacial pain for a dentist
– The mechanism of pain
– Neuroanatomy of Orofacial Pain
– Neurophysiology of Orofacial Pain
– The myotatic reflex
– The nociceptive reflex
– The role of the peripheral nervous system in the occurrence of pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 10.The History of Pain and Pain Concepts: Understanding Pain Modulations. Module 2
– Pain Concepts: Past and Present
– The Evolution of Pain Theories
– The mechanism of pain
– Mechanistic model of the disease
– Biopsychosocial model of the disease
– Comparison of the mechanistic and biopsychosocial pain model
– Differential diagnosis of orofacial pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 11.Understanding pain referral in the head and neck. Module 2
– Primary and heterotopic pain
– Types of heterotopic pain
– Referred pain. Clinical characteristics. Mechanism of occurrence
– Differential diagnosis of true pain from referred
– Identification of the source of pain before diagnosis and treatment
– Simple clinical guidelines for detecting pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 12.Understanding the Neuroanatomy and Neurophysiology of Orofacial Pain: The Сentral Nervous System. Module 2
– The role of knowledge of neuroanatomy and neurophysiology of orofacial pain for a dentist
– The mechanism of pain
– The onset of fast and slow pain
– Reticular formation. Functions Performed
– Brainstem Centers (nuclei). Functions Performed
– Ventricular system of the brain. Functions Performed
– Periaqueductal gray. Functions Performed
– Thalamus. Hypothalamus. Functions Performed
– Cerebellum. Functions Performed
– Limbic system. Functions Performed
– Functional areas of the brain responsible for the occurrence of pain
– The role of the central nervous system in the occurrence of pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 13.The Classification of Oral and Facial Pain. Module 3
– Classification of orofacial pain:
- Nociceptive pain
- Inflammatory pain
- Neuropathic pain
- Dysfunctional pain.
– Classification of oral and facial pain
– Clinical symptoms characteristic of various orofacial pains
– Diagnosing and choosing the right treatment plan for orofacial pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 14.The History and Examination of the Orofacial Pain Patient. Module 3
– Patient history
– The role of the patient history in making the correct diagnosis and drawing up a treatment plan
– Pain characteristic
– Examination of the Orofacial Pain Patient
– Diagnostic Manipulation
– Extraoral and intraoral diagnosis
– All the information a doctor needs to make a correct diagnosis.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 15.Keys to making a Differential Diagnosis: Is it Muscle Pain or Joint Pain? Module 3
– Classification of TMJ Disorders
– Differential diagnosis of muscle and joint pain
– 9 keys differential diagnosis:
- Patient history
- Restriction in mouth opening
- End feel
- Restriction of eccentric mandibular movements
- Interference in mouth opening
- Malocclusion
- Loading the joint
- Functional manipulation
- Anesthetic blockade.
– Proper diagnosis and treatment plan selection.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 16.The Use of Diagnostic and Therapeutic Injections. Part 1: Muscle Injections. Module 3
– Anesthetic blocking for differential diagnosis
– Indications and contraindications for anesthetic blocking
– Anesthetic blockade. Detailed protocol
– Anesthetics for blockade
– Complications of anesthetic blockade
– Muscle anatomy. The role of muscle anatomy knowledge for muscle injection
– Myofascial trigger point injections.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 17.The Use of Diagnostic and Therapeutic Injections. Part 2: Nerve blocks and Intracapsular Injections. Module 3
– Indications and contraindications for nerve blocks
– Indications and contraindications for intracapsular injection
– Nerve blocks and intracapsular injection detailed protocols
– Types of Anesthetics Used
– Auriculotemporal Nerve Block
– Sphenopalatinе block
– Complications of diagnostic and therapeutic injections.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 18.Managing Muscle Pain - Part 1. Module 4
– Classification of facial pain
– Pathophysiology of muscle pain
– Etiological factors of muscle pain
– The role of psychological factors in the occurrence of muscle pain
– Different manifestations of muscle pain
– The choice of treatment depending on the type of muscle pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 19.Managing Muscle Pain - Part 2: Co-Contraction, Local Muscle Soreness and Myospasm. Module 4
– Co-Contraction. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment
– Local Muscle Soreness. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment
– Myospasm. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment
– Correct diagnosis
– Choosing an effective treatment plan depending on the diagnosis
– Diagnostic methods: patient history and examination of the masticatory structures.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 20.Managing Muscle Pain - Part 3: Myofascial Pain, Central Mediated Myalgia and Fibromyalgia. Module 4
– Myofascial Pain. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment
– Central Mediated Myalgia. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment
– Fibromyalgia. Etiology. Diagnostics. Patient history. Clinical manifestations. Treatment
– Diagnostic and therapeutic considerations for myofascial pain, central mediated myalgia and fibromyalgia
– The role of the dentist in each of these muscle pain condition.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 21.The Indications and Fabrication of a Stabilization Appliance. Module 4
– Types of Stabilization Appliance
– Indications for the use of Stabilization Appliance
– Simple and straight-forward technique to fabricate a stabilization appliance. Each step of the fabrication is presented with photos and video clips making the procedures easy to use in your office
– Clinical protocols for the use of Stabilization Appliance
– Therapeutic goals of the Stabilization Appliance
– Final criteria for the Stabilization Appliance.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 22.The Management of Muscle Pain with a Stabilization Appliance: What do you do next? Module 4
– Treatment of patients with local muscle soreness
– The effect of stabilization appliance on reducing patient symptoms
– The effect of vertical dimension on the occurrence of TMJ dysfunction
– Step by step algorithm that gives direction to the clinician regarding the proper sequencing of treatment for a stabilization appliance
– 8 different ways a stabilization appliance may help reduce the patient`s TMD symptoms
– Relationship `Dentist - Patient`.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 23.Indications and Fabrication of an Anterior Positioning. Module 4
– Treatment for TMJ Disorders
– Philosophy of treatment for TMJ disorders. Which one to choose?
– Indications and contraindications for use of Anterior Positioning
– Anterior Positioning Step-by-Step Protocol
– Choosing the correct mandibular position
– Long-Term Results Using Anterior Positioning.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 24.Treatment Protocol for using an Anterior Positioning Appliance. Module 4
– Disc displacement treatment. Algorithm
– Disc dislocation treatment. Algorithm
– Simple and effective way to use an anterior positioning appliance
– A treatment algorithm for a patient with a painful disc displacement with reduction
– The management of patients with disc dislocation without reduction
– Long-term results of treatment of displacement and dislocation of the disk.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 25.Headache - Part 1: Migraine, Tension Type Headache and Medication Overuse Headache. Module 5
– Neurovascular pain disorders. Classification
– Etiology of migraine
– Etiology of tension type headache
– Etiology of medication overuse headache
– Differential diagnosis of migraine and tension type headache
– Clinical symptoms of migraine, tension type headache and medication overuse headache
– The choice of treatment plan depending on the type of headache.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 26.Headache - Part 2: Trigeminal Autonomic Cephalalgia and Temporal Arteritis. Module 5
– Trigeminal Autonomic Cephalalgia. Classification:
- Cluster headache
- Paroxysmal hemicrania
- Hemicrania Continua
- Short-lasting unilateral headache attacks.
– Trigeminal Autonomic Cephalalgia treatment plan
– Temporal Arteritis treatment plan.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 27.Neuropathic Pains - Part 1: Trigeminal Neuralgia and Entrapment Neuropathy. Module 5
– Paroxysmal neuralgia. Classification
– Paroxysmal neuralgia. Clinical manifestations
– Paroxysmal neuralgia. Treatment protocol
– Neuropathic headache. Clinical manifestations
– Trigeminal Neuralgia treatment plan
– Entrapment Neuropathy treatment plan
– Differential diagnosis of trigeminal neuralgia and neuropathy.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 28.Neuropathic Pains - Part 2: Neuritis and other Continuous Neuropathic Pains. Module 5
– Classification of neuritis:
- Peripheral neuritis
- Herpes Zoster.
– Etiological factors of neuritis
– Clinical characteristics of neuritis. Pathophysiology. Diagnostics
– Neuritis Treatment Protocol
– Etiological factors of other other сontinuous neuropathic pains
– Diagnosis and treatment of other сontinuous neuropathic pain.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 29.Neuropathic Pains - Part 3: Continuous Dentoalveolar Pain, Postherpetic Neuralgia and CRPS. Module 5
– Etiological factors of Continuous Dentoalveolar Pain
– Clinical characteristics of Continuous Dentoalveolar Pain
– Diagnosis and treatment of Continuous Dentoalveolar Pain
– Clinical characteristics of Postherpetic Neuralgia
– Diagnosis and treatment of Postherpetic Neuralgia
– Clinical characteristics of CRPS
– Diagnosis and treatment CRPS.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 30.Orthodontic Therapy and TM Disorders: Maintaining a Healthy Masticatory System. Module 6
– Planning an orthodontic treatment. Relationship with TMJ Dysfunction
– The effect of orthodontic treatment on the occurrence of TMJ dysfunctions
– The concepts of the relationship between TMJ disorders and orthodontic treatment
– Actions to be taken by a doctor when symptoms of TMJ dysfunction occur in a patient in the middle of active orthodontic treatment
– Clinical cases.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 31.Diagnostic Considerations of Non-Odontogenic Toothache. Module 6
– Clinical characteristics of odontogenic pain
– Clinical characteristics of non-odontogenic pain
– Diagnosis of odontogenic and non-odontogenic pain
– Differential diagnosis of odontogenic and non-odontogenic toothache
– 7 sources of toothache not related to pulp and periodontal tissues
– Treatment of non-odontogenic toothache
– Clinical case.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 32.Occlusal Appliances: Science or Theory? Types, Indications, Contraindications and Effects. Module 6
– Тhe use of occlusal appliances in the field of dentistry
– Classification of occlusal appliances:
- For TMD
- Other types.
– Indications and contraindications for the use of occlusal appliances
– Undesirable effects after using occlusal appliances.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Aula 33.The Use of Botox in Dentistry. Module 6
– The mechanism of the effects of botulinum toxin on muscle activity
– Indications and contraindications for the use of Botox in dentistry
– Adverse side effects of using botox in dentistry
– Types of Oromandibular Dystonia
– Botox treatment of oromandibular dystonia
– Injection Techniques.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
O curso inclui aulas:
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