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Approved for 25 hours of AGD/MAGD Credit
Three full days (plus a Thursday night session)
Limited Registration
Registration confirmed upon receipt of payment
 This three-day seminar includes both lecture and patient care, with an emphasis on patient care. A new patient will be evaluated during the seminar, and the participants will observe the important initial diagnostic procedures, including the comprehensive history and examination, radiographs, diagnostic screening tools, and post-appointment consultation. To allow for individual attention and a positive learning environment, the seminar is limited to six to eight registrants. Participants will observe splint construction and have hands-on experience constructing and inserting a B splint and/or and NTI used for bruxism and nighttime wear. Emphasis is also placed on the role of Joint Vibration Analysis, EMG, and Electrognathology in the diagnostic phase.
1. A complete review of craniomandibular concepts
- Anatomy review
- Applicable physiology of acute and chronic pain
2. Diagnosis
- a. Comprehensive craniomandibular examination
- Demonstration (including cranial nerve evaluation)
- Hands-on experience
- Review of forms
- b. Imaging
- Tomography:
- Plain Films
- The Radiographic Report
- Dental Radiographs
- Discussion of Transcranials and Panorex
- MRI Interpretation and Prescription (How, Why and When)
- c. BioPak
- EMG How, Why, and When
- EGN How, Why, and When
- JVA As a Screening Device, as well as for advanced diagnosis
- Neuromuscular Bite
- How, Why, and When: Tomograph Confirmation
- Ligament Insertion Injections for Diagnosis
- Correlation of Findings to for Correct Diagnosis
- Subjective and Objective and Assessment Recordings in the SOAP Report
3. Treatment planning
- a. Differential Diagnosis
- MPD
- Myositis and myalgia
- Temporal tendonitis
- Ernest's Syndrome
- Eagles Syndrome
- Migraine
- Mixed headache
- Muscle contraction headache
- Atypical & typical trigeminal neuralgia
- Atypical facial pain
- Atypical odontaliga
- Intracapuslar TMJ dysfunctions
- Internal Derangements with and without reduction
- Degenerative diseases
- Ligament laxity and discothithesis
- Bruxism and other Parafunctional habits
- b. Diagnostically Driven Treatment Planning
- When to use splints
- Splint design
- MORA
- Maxillary and Mandibular B splints
- Maxillary and Mandibular NTIs
- MAPA
- Soft pivotal
- When NOT to use splints
- Ligament Insertion Injections
- Sympathetic Ganglion Injections
- Sphenopalatine
- Otic
- Submandibular
- Specific treatment for diagnosis
- Temporal tendonitis: Why a splint causes more pain
- Ernest's syndrome
- Post trauma joint ligament damage
- Joint inflammation
- Acute vs. chronic closed lock
- Precautions to take for the compromised patient in general dental setting
- Trigger point injections
- Iontophoreses
- Vapo-coolant Spray and Stretch therapy
- Moist Heat Therapy
- TENS
- TMJ injections
- Prolotherapy for disk laxity
- Corticosterioid injections
- Anesthetic injections
- Referral patterns: When and to whom
4. Phase II Therapy
- Basic Principal: Minimize Treatment, Maximize patient comfort
- Orthodontics: Discussion
- Overlay construction
- Phase II Restorative dentistry
- When to Consider; How to proceed
- Experimental phase with decreased wear time of appliances
5. Practice management
- How to incorporate procedures in your office
- Incorporation into a general dental office
- Converting a portion of practice to a pain related practice
- Patient record keeping and progress notes
- The all important first contact via phone
- The all important first visit
- Insurance and billing
- Referral and practice building
- Initial report and letter
- Progress reports
6. A Review of the Dentist's Role in Sleep Medicine
- Diagnosis of Sleep Obstructive Disorders
- Oral Appliances
- Indications
- Vs. CPAP or with CPAP
- Screening for
- Side Effects
- Prevention
- Treatment
Day 1:
8 AM - NOON - Lecture
1PM - 5PM -In-house Patient Care
7:30 PM - 10PM -Lecture
Day 2:
8AM - 10AM - Lecture
10AM - 5 PM - In-house Patient Care
Day 3:
9AM - NOON - Lecture & Appliance Construction
1PM - 4PM - Summary Lecture & Muscle Palpation Demonstration
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