TMJ Mini-Residency (3 Day In-Office)

“Why do you see all those patients?”

“I couldn’t ever practice like that.”

“I’m an orthodontist. I want to bend wire.”

“Seeing T.M.J. Dysfunction patients will ruin my practice.”

All of us have heard these questions and statements many times and there is some truth in them. There are many practitioners who feel that specializing in this area is both challenging and rewarding, however. This course will remove the frustrations from the challenge and enhance the rewards.

One need only survey the mailings, journals, and dental meeting announcements to ascertain not only how much time is spent teaching treatment of dysfunction but, moreover, how different each lecturer’s concept of treatment is. With this in mind, I would like to present not THE concept of management, but “one” concept of management. Of necessity, my biases of types of splints and use of various modalities will be described. Scientific biases for how one chooses a type of splint, how one derives it, and why, is covered well in this mini-residency as well as practical, effective, efficient, low stress treatment (for both patient and doctor) is the chief purpose of this course.

Outline:

■ What is a TMJ Problem (Dysfunction)?
▣ A problem within the joint?
▪ Clicking ▪ “Popping” ▪ Crepitation ▪ Locking ▪ Adhesions ▪ Pain
▣ Myofascial pain?
▪ “Jaw” pain ▪ Headaches of all types (including migraines) ▪ Neck pain/tightness/spasm ▪ Shoulder pain
▣ Orthopedic problems?
▪ Condylar positional changes ▪ Degenerative Joint Disease (DJD) ▪ Fossa/Eminence Pathology

■ Stereographic Diagnosis
▣ Physical Examination
▣ Complete CBCT in Three Dimensions
▣ 3-D model analysis (Articulated Study Models)
▣ Completion of Checklists

■ Treatment Planning
▣ How is it different than orthodontic treatment planning?
▣ “Healthy” joints
▣ “Sick” joints
▣ Condylar positions for healthy and sick joints

■ Treatment
▣ Phase I
▪ Splints: Gnathological (C.R.), Anterior Repositioning (ARS), Pivot Splints, Night Splints
▪ Physical Therapy Modalities (In-Office): UltraSound, ElectroGalvanic Stimulation, Vapocoolant Sprays, Exercises

▣ Phase II
▪ Occlusal Equilibration
▪ Orthodontics
▪ Restorative
▪ Surgery: Orthognathic, Joint (Arthroscopic, Joint Replacement)
▪ Ongoing Observation

This course is taught over a three-day period in our lecture facility and clinic in Vista, CA. Fee includes: All course materials, TMJ manual & patient handouts, an orthotic splint for doctor and 1 staff member is permitted to attend at no additional charge (if you choose to bring someone) for hands-on practical as well as observation of patients in treatment.

Experience the results of the PhysioDynamic System.

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