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TMD TEAMWORK
August 16, 2021 - 08:00 - August 21, 2021 - 17:00
€2000 – €5900
MASTER LEVEL TMD TEAMWORK
6 DAYS OF INTENSIVE TRAINING!
TMD Teamwork is a training for prosthodontists , orthodontists, physiotherapists and surgeons who want to treat patients from a high-risk group without fear. It is a course on the border of dentistry and broadly understood medicine, emphasizing cooperation between specialists in many fields.
Before the training, during watching webinars, you will learn how to read a radiological image on panoramic photos, CBCT and magnetic resonance imaging. You will learn the secrets of the function and dysfunction of the articular disc and the cooperation between the dentist and the physiotherapist. Other pre-course webinars will teach you about vertical occlusal dimension, centric relation, anatomy an physiology of TMJ.
Thanks to proper theoretical preparation before the course, we will be able to focus on mostly on the workshops onsite.
We start our hands on with advanced examination of the joint (with joint sound analysis), muscles, and cervical spine, posture by physiotherapist Julia Rutkowska.
Then we will introduce you to comprehensive diagnostics and ethiopoathogenesis of TMD, which is the basis for effective treatment.
The radiology day conducted by the duo Łukasz Lassmann and Marcin Sobotka is workshop with computers and many hours of analysis of radiological images with an emphasis on CBCT and MRI.
The invaluable Maria Radziwilska will introduce you to pre-prosthetic orthodontic preparation, articular pre-orthodontic preparation, orthodontics in CR, surgical support of orthodontics with corticotomy and implants.
You will be introduced to the world of apnea by dr Jarosław Sova, an ENT specialist and Łukasz Lassmann. During the workshop, you will perform registration for the anti-apnea TAP splint.
Maria Radziwilska will show you the methods of early prevention of malocclusion, controlling the growth of the face with orthotropy.
The fifth day is a speech therapy, physiotherapy and speech therapy treatment performed by the duo Maria Radziwilska and Julia Rutkowska. Examination, treatment and collaboration in the case of patients with TMD and impaired position and function of the tongue is a way to avoid trouble and relapse.
The last day is a treatment based on complex algorithms of splint therapy, pharmacotherapy, physiotherapy and targeted action on systemic diseases contributing to TMD.
Each of you receives a 3-piece splint, which you adjust during the training.
And the icing on the cake – group work with diagnostics and establishing a treatment plan for patients with TMD.
See you soon!
Lecturers TMD TEAMWORK 6 Days
Łukasz Lassmann
Julia Rutkowska
Marcin Sobotka
Maria Radziwilska
Jarosław Sova
9:00 – 10:30
- The concept of the synovial temporomandibular joint
- Temporomandibular joint pain map – what is the sensitivity, specificity and can a treatment plan be based on it? Is it worth doing a complete pain map according to Rocabado?
- DC / TMD examination as a global standard.
- Rotation / Translation – is there really a clear demarcation? Is there purely rotational movement?
- Limitation of the mobility of the mandible – what are the norms and the resulting disorders
- Analysis of the opening of the mandible – deviation – deflection
- Diagnosis of acute displacement of the articular disc
- Trismus analysis – muscle or joint?
- TMJ Biomechanics
- Constricted Chewing Pattern (CCP) and Long Centric
- Compression and decompression in TMJ – what does it result from and what are its effects?
- Analysis of different type of joint sounds
11:00 – 12:30
Demonstration
Examination of the temporomandibular joint and mandibular mobility according to Master
Level: TMD / FMR exam chart.
Workshop
12:30 – 14:00
- Masticatory muscles – webinar summary, controversies related to the function and examination of the masticatory muscles.
- What are trigger points and what is their importance in dentistry?
- The influence of cervical vertebrae (C1-C2), tongue, body posture and sleep apnea on joint and bite disorders – a curiosity or a standard of treatment? Controversies in the world of science.
- The theory of examining the first cervical vertebrae and a summary of the radiological evaluation of the cervical spine – that is, the use of readily available cephalometry to assess many functional parameters.
- Basic tongue examination in a dental patient.
14:00 – 15:00 Lunch
15:00 – 17:30
Workshop
Examination with Master Level: TMD / FMR screening.
Muscles, joints, apnea tendency,, cervical vertebrae, posture, tongue position and function,
risk assessment.
9:00 – 10:15
Costen’s syndrome and otolaryngological symptoms related to TMD
Incisal and canine guidance – does it really help ?
A jump from a mechanistic to biopsychosocial approach
Pain Pathophysiology: Nociception, Pain, Suffering and Pain Behavior.
Characteristics of chronic pain
Effect of mental disorders (stress, depression, PTSD) on TMD
10:15 – 10:45 coffee break
11:00 – 12:15
Occlusion and TMD – the dispute of the century.
TMD traumatology
Bruxism and TMD – why clenching is worse for the joint than grinding?
How do cysts form in the condyles?
12:15 – 12:30 coffee break
Anatomical disorders and predisposition to disc dislocation.
Idiopathic condyle resorption and the influence of systemic disorders on TMD
The influence of sleep disorders, genes and language dysfunction on TMD.
13:30 – 14:30
Lunch
14:30 – 16:00
Diagnostics of muscle disorders in TMD:
– protective co-contraction
– Local myalgia
– Spasm
– CNS modulated myalgia
– Myofascial pain
– Fibromyalgia
How do you know if the problem is a joint or a muscle? Differentiation.
16:00 – 16:30
Przerwa kawowa
16:30 – 17:30
From co-contraction to centrally induced myalgia. How to avoid a vicious circle and how to break it.
The latest research and diagnostic and treatment algorithm for muscular disorders in TMD.
Pharmacotherapy of TMD
Breath
9:00 – 10:30
Dr Jarosław Sova
Sleep apnea and ENT aspects of treating dental problems
Definition, stages, Epidemiology
The effect of apnea on the body
How to recognize sleep apnea?
Initial assessment of the likelihood of apnea occurrence
Objective methods of quantitative research – polysomnography, polygraphy and others
Methods for determining the level of airway narrowing – DISE (pharmacologically induced
endoscopic diagnosis during sleep), other
Treatment of OSA
Types of treatment
Non-invasive treatment – CPAP air prostheses, respiratory devices
Surgical treatment: how to increase effectiveness – individualization
Selected examples – interactive case studies with participants
10:30 – 10:45
Coffee break
10:45 – 11:45
Łukasz Lassmann
The influence of the vertical dimensions of the occlusion on the airways
The link between bruxism and sleep apnea
Can a protective act for a bruxist increase the problem with sleep apnea?
Apnea probability assessment – analysis of the STOP-BANG examination and interview card
The relationship between occlusive dysfunction and sleep apnea.
Consequences of not treating apnea for the dentist.
11:45 – 12:15 Workshop
Bite registration for the TAP splint for the treatment of apnea
12:15 – 12:30 coffee break
12:30 – 14:00
Maria Radziwilska
The influence of soft tissues on the development of the facial skeleton. Orthodontics and breathing
Irigin of malocclusion
Craniofacial Growth Theories- Genes or Environment?
Breathing in orthodontics
The influence of language on the development of dental arches
Possible methods of managing growth and influencing airway capacity
Orthotropy
14:00 – 15:00 Lunch
15:00 – 16:30
Orthodontics in CR – how not to lose position after splint therapy?
Orthodontic preparation for prosthetic treatment.
Communication in the orthodontist-prosthetist team.
Treatment planning based on DSD.
16:45 – 18:00
Corticotomy.
How, why and in what cases should corticotomy be used?
Cases.
Orthodontic treatment of a periodontal patient.
The use of prosthetic implants in orthodontic treatment.
Łukasz Lassmann
9.00 – 10.30
8 reasons why the splint supports the treatment of TMD
Analysis of different types of splints:
Bite plane
Hydrostatic splint
Distraction splint
Soft splint
Stabilization splint
Repositioning splint
What should a stabilization splint look like?
Registration for the occlusal splint on a copper plate
Theory
Marcin Sobotka
11:00 – 12:30
Radiological anatomy of the temporomandibular joint
How to find individual anatomical structures in a panoramic image – what is the norm and what is pathology?
How to navigate between the individual components of the study to find as many details as possible that interest us – Are the individual survey techniques different? Which ones are better for assessing the articular disc and which are better for assessing the articular capsule or the ondylar process?
Basic and most common pathologies in the temporomandibular joint, their analysis and connection with the symptoms reported by the patient – Are the symptoms reported by the patient always reflected in the radiological image?
12:30 – 12:45
Coffee break
Workshop
12:45 – 14:00
Individual plane analysis by magnetic resonance imaging (MRI)
Reading and interpreting the MRI image (working with computers)
14:00 – 15:00
Dinner
15:00 – 16:30
Reading and interpreting the MRI image (working with computers)
16:30 – 16:45 coffee break
16:45 – 18:00 CBCT image reading and interpretation (working with computers)
9:00 – 10:30
Anatomy and biomechanics of the tongue. Correct swallowing pattern.
Correct resting position of the tongue. Basic speech therapy examination
10:30 – 10:45 Coffee break
10:45 – 11:30
Workshop – Basic speech therapy examination. Assessment of the resting position of the tongue. Assessment of the swallowing type.
Assessment of the frenulum of the tongue.
11:30 – 12:30
The role of a speech therapist in the process of dental treatment.
Therapeutic possibilities in the field of speech therapy.
How a malocclusion affects speech disorders.
Exercises for proper tongue resting position and proper swallowing.
12:30 – 12:45 Coffee break
12:45 – 13:30
Physiotherapeutic examination of a patient preparing for orthodontics.
Postural analysis.
Adaptive patterns in the body – which patient requires physiotherapy before orthodontics.
13:30- 14:00
Workshop – postural analysis
14:00 – 15:00 Lunch
15:00 – 16:00 (Julia Rutkowska and Maria Radziwilska)
Cooperation of a physiotherapist and a dentist in the process of orthodontic treatment.
Cooperation protocol.
Presentation of an exemplary patient
16:00 – 16:45
Protocols of cooperation between a physiotherapist and a dentist
– deprogramming
– prosthetics
– splint therapy
– dental and orthognathic surgery
9:00 – 10: 30
Step-by-step treatment algorithm for a patient with TMD
Relining the splint
Splint therapy protocol – depending on the need for further prosthetic or orthodontic treatment.
Splint equilibration
10:30 – 11:00 coffee break + check-out
11:00 – 12:15
Distraction therapy
Reposition and stabilization of a dislocated joint disc – does it make sense ?
Bite registration after splint therapy
12:15 – 13:30
Workshop:
Manipulation for disc reduction
Delivering and equilibration of the splint (work in pairs, each participant receives a 3-part splint)
13:30 – 14:30
Lunch
14:30 – 16:30
The most important part of the program:
Scenes: patient education using the “patient’s handbook”
Group work – scenes presenting specific clinical cases – diagnosis and therapeutic decisions
Every participant of TMD TEAMWORK will receive
Set of Webinars (access time 180 days)
Set of Printed Guidebooks
Set of Tools
