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Temporomandibular disorders and orofacial pain: up-to-date treatment protocols
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Jean-Daniel Orthlieb
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Jeffrey P. Okeson
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Ambra Michelotti
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David Angelo
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13 aulas (12h 16m)
10.75 CE Credits
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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.
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Functional Dentistry
Pathologies
Treatment methods
General questions
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Aulas incluídas | – | 13 aulas desse curso | |
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conferências 4
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Protesista e especialista em oclusão focalizando distúrbios temporomandibulares e reabilitação oclusal. Professor Universitário Honorário na Universidade de Aix-Marseille, França.
Mais de 45 anos de experiência acadêmica e clínica em prótese fixa, oclusão e manejo de DTM. Desenvolvedor do conceito OCTA (Arquitetura Oclusal) para assegurar tratamentos ortodônticos e protéticos através de princípios de design oclusal funcional. Ex-presidente do Departamento de Oclusão e Disfunção e ex-Vice-Reitor responsável pela educação odontológica na Faculdade de Odontologia, Universidade de Aix-Marseille.
Diretor de programas de educação de pós-graduação em oclusão e DTM, e prótese fixa na Universidade de Aix-Marseille. Professor visitante na Universidade de Donau, Áustria. Ex-presidente do Colégio Nacional Francês de Oclusodontologia (1995-1996) e da Academia Internacional de Odontologia Interdisciplinar Avançada (iAAID).
DDS pela Faculdade de Odontologia, Universidade de Aix-Marseille (1978). Certificado em Antropologia (1979) e Prótese Fixa e Oclusodontologia (1980). Mestrado (DSO, 1983). PhD (Doctorat d'Université, 1990). Professor Titular desde 2007. Autor de 8 livros e mais de 160 publicações científicas sobre oclusão, DTM e prótese. Membro da Academia Europeia de Distúrbios Craniomandibulares.
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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.
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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.
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Estomatologista e cirurgião bucomaxilofacial especializado inteiramente em distúrbios da articulação temporomandibular (ATM). Diretor Clínico, Instituto Português da Face (IPFace), Lisboa — o principal centro de referência de Portugal para patologia e tratamento da ATM. Professor e Diretor do Curso de Pós-graduação em Cirurgia Aberta e Artroscopia da Articulação Temporomandibular, Faculdade de Medicina, Universidade de Lisboa. Professor, Faculdade de Medicina Dentária, Universidade de Lisboa.
Pioneiro no desenvolvimento e implementação clínica de técnicas cirúrgicas minimamente invasivas e regenerativas da ATM em Portugal — incluindo artrocentese com Super-PRP (células regenerativas + ácido hialurônico), artroscopia da ATM, cirurgia aberta da ATM e substituição total articular aloplástica. Desenvolvedor de um protocolo clínico integrado de 360° abrangendo imagem diagnóstica (CBCT 3D), tratamento conservador, injeção de toxina botulínica, artrocentese, artroscopia, cirurgia articular aberta e reabilitação fisioterapêutica pós-operatória. Pesquisador na regeneração do disco da ATM usando biomateriais e medicina regenerativa inteligente. Autor de dezenas de publicações revisadas por pares como primeiro autor nas principais revistas da especialidade. Primeiro Secretário, Ordem dos Médicos Dentistas de Portugal (2016–2019).
Destinatário de mais de 11 prêmios de pesquisa nacionais e internacionais, incluindo o prestigioso Prêmio Jovem Pesquisador da Fundação Grunenthal em Dor (2015). Investigador principal do ensaio pré-clínico TEMPOJIMS. Palestrante internacional sobre diagnóstico da ATM, procedimentos minimamente invasivos e cirurgia aberta.
MD (Estomatologia), Residência no Hospital Universitário de Santa Maria, Lisboa (nota final: 19,6/20, 2012–2016). Candidato a PhD, Faculdade de Medicina, Universidade de Lisboa (pesquisa em medicina regenerativa e biomateriais da ATM).
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