CDA Convention in PEI: What’s New in Temporomandibular Disorders: An Evidence Based Review
|
Highlights
Temporomandibular disorders (TMD) encompass a number of clinical problems that involve the masticatory musculature, the temporomandibular joint or both. Due to an explosion of scientific knowledge, the field of TMDs is undergoing radical changes. Dentists who manage patients with TMD should have an appreciation and understanding of contemporary concepts.
This lecture, following an evidenced-based approach, will expose the participants to controversies and limitations associated with existing classification systems for TMDs in addition to a detailed discussion regarding the evolution of newer validated systems.
Furthermore, a review of the results from the first ever prospective clinical study (OPPERA -Orofacial Pain: Prospective Evaluation and Risk Assessment) being funded by the National Institute of Dental and Craniofacial Research (NIDCR) to identify risk factors that contribute to someone developing TMD will be presented. The course will conclude with a discussion toward a view to the future directions in the field of TMD.
Dr. Klasser will lead two sessions in PEI:
- Persistent pain after dental interventions on August 23, 2018, 8:30 AM – 11:30 AM
-
What’s New in Temporomandibular Disorders: An Evidence Based Review on August 24, 2018, 8:30 AM – 11:30 AM
Oasis Moment – Take Away Message (3.10″)
Full Conversation (16.55″)
What’s “new” is old. There is nothing really new under the sun with TMD/Occlusal Disease. It’s an occlusal problem. It’s muscles protecting teeth. Nothing more, nothing less. For those of us who work with these patients every single day and have thousands of successful treatments through occlusal therapies, the fundamentals haven’t changes in 50 years? 70 years? Yes, there are other factors. Genetics, epigenetic factors may influence the nature of an individual’s response. There may be confounding factors, such as spinal-cervical problems. But management is still an occlusal problem. It’s not “bio-pyscho-social” like some have advocated. People in chronic pain go nuts. That’s understandable. And I wish people would stop talking about the joint as being a primary factor. Joint problems are merely a symptom of an occlusal problem. Yes, it can progress to a host of deteriorating conditions, but in garden variety TMD cases it’s just a symptom. That’s why the rush to do joint surgery in the 80s and 90s failed so abysmally; they were operating on a symptom and merely ended up creating a generation of chronic pain patients.