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Diagnosis and Treatment of TMD

Date: January 20-21, 2017
Location: Chicaco
Instructor: Dr. Brock Rondeau

Lee Larstone
+877.372.7625 ext 406

This introductory TMD course will assist dentists to diagnose and treat the simple cases with repositioning splints during the daytime and anterior deprogrammers at night.  This TMD course will show you how to take construction bites to determine how much you need to increase the vertical and advance the mandible when fabricating splints.  Dentists will be encouraged to refer the complex cases to practitioners whose practices are designed to treat these patients.

Several cases will be shown on how to go from Phase I splint therapy to orthodontic case finishing.  Approximately 50% of my existing orthodontic patients are coming from my TMD practice.  Once the TMJ's have been stabilized and the patient is pain-free, the majority of patients want to proceed with a more permanent solution to their problems, which most often involves orthodontic treatment.

Dentist's who want to treat TMD patients are encouraged to join the American Academy of Craniofacial Pain(AACP).

Course Content

Anatomy of the TM Joint

Muscles of Mastication

Causes of TM Dysfunction

Clinical Examination

  • Patient history
  • Range of motion
  • Muscle palpation
  • Postural assessment

Joint Vibration Analysis (JVA)

TMJ X-Rays Tomograms

Differential Diagnosis

  • Intra-capsular vs. Extra-capsular

Five Stages of Internal Derangement (Disc Displacement)

  • Clicking, slight pain
  • More clicking, intermittent locking, moderate pain
  • Chronic closed lock, severe pain
  • Early degenerative joint disease
  • Advanced degenerative joint disease (crepitus)

Bite Registration for Splint Therapy (Phonetic Bite)

Types of Splints

  • Aqualizer (temporary)
  • Flat Plane (acute injuries)
  • Repositioning (anteriorly displaced discs)
  • Anterior Deprogrammer (clenching at night)
  • Distraction Appliance (chronic closed lock)

Neurological Tests to Determine if the Mandible is in the Correct Position with the Repositioning Splint

  • Parachute Test
  • Wall Test

How to File Insurance Claims for TM Disorders

Phase I - Splint Therapy 4 months

Phase II - Orthodontic Case Finishing 12 - 24 months

  • Porcelain Onlays

Internal Marketing for a TMJ Practice

External Marketing for a TMJ Practice


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