Temporomandibular Disorders, Arthrocentesis And Botox/Trigger Point Injections 2015

This two-day 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 will 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 learn how to conduct a physical examination on patients with TMD. The goal of the afternoon session is to review how to take a history, perform an examination and come up with a tentative diagnosis and effective treatment plan. Lectures will review 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 participants become more comfortable in diagnosing and treating TMD disorders and providing them with a new understanding of TMD associated dysfunction and pain.