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2020 Comprehensive TMD for the General Dentist/ Dr. Barry Glassman and St. Steven J. Scrivani

 

Orofacial Pain and Joint Dysfunction

The Perfect Mix of Academia and Practical Clinical Application

Course and Registration Info for 2 Day Comprehensive TMD with Drs. Glassman and Scrivani

Hotel and Travel Information

Dr. Glassman’s two day course on Occlusion, Bruxism, Parafunctional Control and TMD for the General Dentist is still offered, and can found at:  

Dr. Glassman’s 2 Day Course for General Dentists

BUT……

We are ECSTATIC to offer this two day course given in conjunction with Dr. Steve Scrivani.  While the basics of occlusion and parafunctional control are reviewed in this course, the course explores more deeply diagnosis and treatment of orofacial pain and joint dysfunction.  Neurovascular, Neuromusuclar and neuropathies as well as headache diagnoses are included in the differential diagnosis.  When to image — and when it is not required! A complete section on taking a history with histories taken that leads to discussions and questions.  Red flags that cause concern,  which interestingly are usually NOT related to pain intensity, are discussed IN DETAIL.

This is a GREAT course for the GENERAL DENTIST who wants to understand more about trigeminally mediated pain — but is also appropriate for the dentist with experience in treating orofacial pain.  Current classifications

How many of us have dealt with a patient’s specific complaint of dental pain in the absence of dental disease?  How often have we heard complaints of pain that doesn’t follow the concepts of the acute pain patterns we are trained to diagnose and treat?  And as importantly, how often in our careers have we faced a patient with a positive occlusal sense or some degree of occlusal neuroticism?

Over the span of the two days, we will explore these issues and so many more. You will learn how to diagnose and treat internal derangements in nonsurgical, conservative terms.  We hope to eliminate the frustration of sending these patients to oral surgeons, many of whom are not trained in conservative therapies or sending them to self-anointed “TMJ” experts who often suggest massive dental “phase II” treatment plans.

But as importantly, how do we make a diagnosis of trigeminal neuralgia or as importantly, stylomandibular ligament tendinosis?  How do we screen for temporal arteritis?  How about a diagnosis of migraine vs. cluster or other TAC’s?

NOTE:  There is a DENTAL SLEEP MEDICINE update included at the end of the second day!

Meet Dr. Steven J. Scrivani

Steven J. Scrivani is a Professor and the CranioFacial Pain Center at Tufts University School of Dental Medicine.  He is an Adjunct Professor at the Department of Public Health and Family Medicine Pain Research, Education and Policy Program at Tufts and a Research Associate with the Pain and Analgesia Imagine and Neuroscience Group at Boston Children’s Hospital.  He is the editor of several books on pain including “Head, Face, and Neck PAIN” published in 2009, as well as authoring many articles in peer reviewed journals.

 

 

SYLLABUS

Curriculum Day 1

8 AM – 10 AM Dr. Glassman

Introduction and Goal Setting
Brief History and Current State of Orofacial Pain and Joint Dysfunction Education Importance of Unlearning Myths
Structure Based Theory vs. Evidenced Based Medicine
Review Guidelines for EBM – David Sackler Criteria and Pyramid

10:00 AM – 10:30 AM Dr. Scrivani

Practical Joint Anatomy – gross anatomy of the masticatory complex, gross anatomy of the temporomandibular joint, histologic anatomy of the temporomandibular joint, functional anatomy of the temporomandibular joint and masticatory complex, imaging correlations

10:30 AM – 10:45 AM Break

10:45 AM – 12:30 PM Dr. Scrivani

Practical Head & Neck Anatomy – Basic neuroanatomy of the pain system (somatosensory system, motor system & autonomic nervous system), neuroanatomy of the trigeminal system
Anatomy of Pain

  • Acute and Chronic
  • Central and Peripheral Sensitization
  • Neuroanatomical changes in chronic pain disorders

12:30 PM – 1:15 PM LUNCH

1:15 PM – 2:30 PM Dr. Glassman

Micro and Macro Trauma
Role of Occlusion and Parafunction

2:30 PM – 3:45 PM Dr. Scrivani

Introduction into diagnosis – the diagnostic medical evaluation
Diagnostic Categories – review the IHS/ICHD-3 diagnostic criteria, review the AAOP diagnostic criteria and guidelines of Orofacial Pain Disorders
Role of Imaging, other diagnostic testing

3:45 PM – 4:00 PM Break

4:00 PM – 5:30 PM Dr. Scrivani

Continued Diagnostic Categories

  • Differential Diagnosis of Orofacial Pain Disorders (clinical correlations)

Outline the following diagnoses

  • Headache types (brief review) – migraine, trigeminal autonomic cephalgias
  • Orofacial Pain
    1. Trigeminal neuralgia
    2. PPTN
  • Post-herpetic neuralgia
  1. Persistent idiopathic facial pain
  2. CRPS
  3. Temporal arteritis
  • Ligament insertion injuries
  • Myofascial pain disorders
  1. Multiple sclerosis
  2. Structural pathology (tumors, etc.)

Sleep Disorders Dentistry Research & Learning Centre – 10-5045 Orbitor Dr. – Suite 300 Mississauga L4W 4Y4

All Sleep Disorders Dentistry Programs Taught to American Academy of Dental Sleep Medicine Standards

Curriculum Day 2

8:00 AM – 9:30 AM Drs. Scrivani and Glassman

History taking and Clinical exam – Purposes of Initial History Guidelines to History Taking Clinical Examination

9:30 AM – 10:30 AM Dr. Scrivani

Review of commonly used pharmacotherapy agents

10:30 AM – 10:45 AM Break
10:45 AM – 12:30 PM Dr. Glassman

Specific ligament insertion injuries
Treatment including parafunctional control – nocturnal and diurnal Splint Therapy
Occlusal Dysesthesia Diagnosis and Treatment

12:30 PM – 1:15 PM Lunch

1:15 PM – 2:45 PM Drs. Scrivani and Glassman

Review of imaging – reasons for imaging, types of imaging modalities, pros and cons for different imaging modalities, when to image, what to image, review of temporomandibular joint imaging
Headache diagnosis including red flag
Headache treatment

2:45 – 3:00 PM Break
3:00PM – 4:45PM   Dr. Glassman

Sleep Update   Patterns of Practice Updates/ MatrX Status / AHI vs ODI / Sleep and Bruxism