Evidence-based treatment of TMJ dysfunction

– The problem of musculoskeletal dysfunction: definition

– Diagnostic difficulties of musculoskeletal dysfunction

– Differential diagnosis of muscle and joint pain

– Classification of temporomandibular disorders

– Classification of orofacial pain

– Pain in the mandible as a sign of myocardial infarction

– Principles of effective treatment

– The concept of convergence and divergence

– Pain zone or pain source: differentiation rules

– Trigger zones

– Causes of musculoskeletal dysfunction:

- Relationship between occlusion and musculoskeletal dysfunction

- Trauma

- Emotional stress

- Parafunctions

- Deeply localized pain.

– Etiology of muscle pain

– Bruxism and muscle pain: correlation

– Delayed muscle soreness syndrome

– Intra-articular pain: types and etiology

– Principles of treatment of TMJ diseases.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

– What is pain?

– Biopsychosocial model: components

– Neuromatrix theory

– Classification of orofacial pain

– Musculoskeletal dysfunction: definition

– Epidemiology of musculoskeletal pain

– Etiology of musculoskeletal disorders

– Rules for choosing treatment tactics

– Factors of development of musculoskeletal dysfunction:

- Predisposing factors

- Initiators

- Aggravating factors.

– The concept of primary and heterotopic pain

– Anamnesis collection and examination: LOQFDIV-survey

– Clinical examination:

- Otoscopy

- Range of motion in the cervical spine

- Palpation of muscles and joints

- Palpation of the lymph nodes

- Provocative tests

- Movement of the lower jaw

- Intraoral examination

- X-ray diagnostics

- Serological examination

- Local anaesthesia.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

– Musculoskeletal dysfunction: definition

– Classification systems for musculoskeletal dysfunctions:

- RDC-TMD

- DC-TMD

- Extended DC-TMD.

– Masticatory muscles: a model of pain formation

– Causes of muscle dysfunction

– Local muscle soreness: causes

– Myospasm of the masticatory muscles

– Myofascial pain: causes

– Source of pain and localization

– Constant continuous muscle pain

– Fibromyalgia: diagnostics

– TMJ diseases:

- Disorders of the condyle-disc complex

- Inflammatory disorders.

– The role of ligaments in the development of diseases

– Displacement of the articular disc with and without reduction

– Inflammatory disorders: etiology

– Osteoarthritis: manifestations and key points of treatment

– Invasive treatment: indications

– Principles of treatment of TMJ dysfunctions

– Manual therapy

– Multiple "P" approach.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

– TMD: definition and epidemiology

– Evaluation of risk factors in the development of TMD

– Micro and macrotrauma in the development of TMD: bruxism, overextension

– The role of central nervous system in the development of TMD

– Psychosocial factors in the development of TMD

– Psychosocial profile of the patient.

Recommended for: Functional dentists.

– Classification of orofacial pain

– Determination of temporomandibular disorders

– Diagnostic groups of temporomandibular disorders

– Risk factors for temporomandibular disorders:

- Macrotrauma: types and correlation with musculoskeletal disorders

- Pathophysiological factors

- Psychoemotional factors

- Anatomical factors.

– Occlusion and temporomandibular disorders: relationship

– Classification of temporomandibular disorders

– Bio-psycho-social model

– Diagnostic criteria:

- Anamnesis

- Localization

- Modified function

- Familiar pain

- Radiating pain.

– Musculoskeletal pain:

- Myalgia

- Myofascial pain

- Arthralgia.

– Palpation of muscles and TMJ

– TMJ dysfunction: types and characteristics

– Clinical examination: standardized method

– Diagnostic procedures:

- Patient intake

- Clinical examination

- Diagnostic tests

- Making a diagnosis.

– Characteristics of pain

– SMILES approach

– MRI for TMJ dysfunctions.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

– The concept of patient-oriented treatment

– Criteria for the diagnosis of musculoskeletal pain

– Disease-oriented principle

– Tactics of treatment of musculoskeletal disorders

– Step-by-step treatment model

– Behavioral therapy: indications and stages

– Self-massage: technique

– Control of parafunctional behavior

– Physical therapy protocol: types of exercises and methods of performance

– Arthralgia: causes, diagnosis, treatment

– Displacement of the articular disc with reduction: tactics

– Reduction of the articular disc: methodology

– Dislocation and subluxation: diagnosis and treatment

– Occlusal splints: indications

– Consequences of self-treatment with occlusive splints

– Comprehensive treatment: benefits

– Mechanism of action of the occlusal splint

– Placebo effect in the treatment of musculoskeletal disorders.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

– Components of orofacial pain

– Small fiber neuropathy (SFPN)

– Concomitant pathology:

- Genetic factors

- Purchased factors.

– Diagnosis of neuropathy: trepan-biopsy

– Genetic testing in dentistry

– Retromyalgia: principles of diagnosis:

- Match test

- Joint Hypermobility test.

– Chiari malformation: clinic

– Myofascial pain syndrome: diagnosis

– Principles of treatment of polyneuropathy

– Paraneoplastic syndrome.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

– Craniomandibular dysfunction:

- Definition

- Symptoms

- Etiology.

– Forms of craniomandibular dysfunction:

- Compensated

- Uncompensated.

– Pathology of occlusion: role in the development of craniomandibular dysfunction

– Parafunctions: occlusal and nonocclusal

– Demastication, Attriction, Abfraction and Erosion: Significance

– Methods of functional analysis

– Three-dimensional registration of movements of the lower jaw

– Options for functional analysis:

- Quick Check

- Functional analysis I

- Functional analysis II.

– Objectives of functional analysis

– Posture: influence on the development of pathology

– Anatomy and function of the TMJ

– Examination of the TMJ: palpation technique

– The main pain areas of the TMJ

– Temporomandibular joint noises: crunch, click and crepitus

– Disc displacement: reposition technique

– Jaw muscle pain: localization and diagnostics

– Examination of masticatory muscles.

Recommended for: General dentists, Orthodontists, Prosthetists, Gnathologists.

– The role of occlusion for establishing craniomandibular dysfunction:

- Premature contacts

- Parafunctions.

– Strategies for the treatment of CMD:

- Etiological

- Symptomatic.

– Indications for occlusive therapy

– Selective grinding of teeth: a technique

– Positioning of the occlusal splint: on the upper or lower jaw?

– Types of occlusal splints:

- Reflex

- Stabilization

- Reposition

- Distraction

- Decompression

- Verticalization.

– The main therapeutic tasks of occlusal splints

– Method of registration of occlusal contacts

– Manual therapy in the treatment of CMD.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.