Dental CE Course: TEMPOROMANDIBULAR DISORDERS, ARTHROCENTESIS AND BOTOX/TRIGGER POINT INJECTIONS

SYNOPSIS:


This two-day intensive course focuses on the four main categories of Temporomandibular Disorder, namely arthrogenic, myogenic, derangements, and uncommon TMD. The morning sessions on Friday and Saturday are in lecture format and review the current standards for medical history and physical examination required for diagnosis. The lectures will include a rapid review of TMJ anatomy, TMJ mechanics and radiology, including the use of 3D-CT. In addition, evidence-based treatment procedures appropriate for the above conditions will be presented. In the afternoon, participants will move to a clinical setting and observe demonstrations of how to conduct a thorough physical examination on patients with TMD. The goal of the afternoon session is to take a history, perform an examination and come up with a tentative diagnosis and effective treatment plan. Demonstrations will involve a review of the appropriate pharmacologic, behavioral, splint therapy and physical medicine management procedures. For example, myofascial pain-based exercises include stretching, mobilization and manipulation methods. Muscle injections (e.g. trigger point anesthetic and botox injections) and joint injections (e.g. sodium hyaluronate, arthrocentesis and corticosteroids) will be discussed. The commonly used occlusal orthotic devices will also be discussed and the common recommended prescriptions for pain and spasm management will be reviewed. Finally, case presentations of real patients will be presented with the goal of helping the attendee become more comfortable in diagnosing and treating TMD disorders and providing them with a new understanding of TMD associated dysfunction and pain.

UPON COMPLETION YOU WILL BE ABLE TO:


Understand the process of establishing a TMJ diagnosis using a standardized TMJ examination
Know the options for occlusal splint therapy
Understand the various modalities of physical therapy used for TMD
Know the medications commonly used for TMJ disorders
Understand the management of chronic myofascial pain using fluorimethane and trigger point therapy
Know the basics of TMJ anatomy
Identify the various types of TMJ disorders
Understand the mechanism of myofascial pain induction and maintenance
Know the appropriate use of TMJ radiology procedures including 3D-CT, panoramic films and MRI images
Know how and when to perform intramuscular and intraarticular injections