
This course has been taught and presented in a few locations. Due to its popularity, I decided to put it online to help as many dental health workers as possible.
Why did I put this course together? During my career in Maxillofacial surgery in the UK, I had many patients with symptoms of TMJ. I do feel that this condition is not taken seriously by some clinicians, furthermore most of us are lost with this collection of symptoms and presentations, that we may not know what to do to help our patients.
In this easy to navigate and relatively short course, you can get the same material and information to help your patients, that would otherwise be presented in a physical course. I have not yet seen a course for the practising clinician to treat TMJDS. I intend to get you to see, understand and treat what is presented in front of all of us everyday in a correct manner. With over 10000 patients seen and treated individually, I have gained an experience that is summarised in a course you can absorb in a day. While I do not claim to be the oracle in the TMJDS universe, my course is intended to the practicing clinician. This will include dentists and dental nurses, maxillofacial residents, neurologists and ENT doctors.
Sometimes patients will present to GI doctors with IBS symptoms, who may also have TMJDS symptoms.
Sections of the course
Intro who am I
what is TMJDS
Patient presentation
History taking, questions to ask
Etiology
Diagnosis
Treatment plan
Final notes
Further dissection of the different conditions within TMJDS.
In this lecture I will give an outline of what you will learn.
This is the main lecture of the course when the course runs physically. Here we have all the main aspects and objectives, so it is a summary of most of the information before and some photos and radiographs. Most of these will be dealt with in detail in later lectures.
Starting the journey of what constitutes Temporo-Mandibular joint dysfunction syndrome
First few minutes with the patient
Like any other medical condition, I will emphasise what you need to pay attention to when taking history from the patient.
Second part of this lecture.
Listening to the patient and asking questions
Understanding which pain relates to TMJDS and which does not. Please look out for the radiographs in the presentation of lecture 22. I have put the radiographs here as well.
Discussing symptoms the patient will tell you and what differential diagnosis they may have.
Listen carefully to what the patient says, it will give you hints.
Is Bruxism=TMJDS?
Here I will discuss the myths surrounding symptoms and occlusion. Occlusion is important and may trigger symptoms, but is it the culprit always?
In this section, the student will learn a technique I developed to test if the meniscus is displaced. It was compared to the results of MRI's of the TMJ in a number of patients and was confirmed to correlate. This technique will help the student diagnose the anterior displacement of the meniscus without the resource-intensive MRI of the TMJ's.
How to examine the TMJ and the surrounding relevant muscles.
My mirror test to diagnose anterior displacement of the meniscus with reduction (Click).
Short video how a locked jaw (Anterior displacement of meniscus with no reduction looks like).
Wait and think before you start a non-reversible treatment.
In this short video, you will get my simple treatment algorithm. For beginners in this subject, this is a simple way to aid you in deciding what is the best possible approach to treat the patient. Open the file while watching the video.
Do you need to treat every click? What is the best way to treat a click.
When to prescribe a bite raising appliance (BRA) and when not to.
I made 360 degree videos of the BRA's I use in my practice.
Dealing with the patients that may also have other symptoms, though sometimes they present solely with these symptoms.
What drugs do I use with my patients?
The first section of the treatment with Botulinum toxins
This is a short video to show how and where to inject Botulinum Toxin. Botox 1 unit = 2.5 units of Dysport = 1 u of Xeomin.
In this short video, you will learn where to inject and how to identify the positions of your injection points.
You can not cure everyone, notes to help you diagnose early those who might make your life miserable.
Final remarks. Also some publications by me. The full text of one of the articles is included with the treatment algorithm.
In this easy to navigate and relatively short course, you can get the same material and information to help your patients, that would otherwise be presented in a physical course. I have not yet seen a course for the practicing clinician to treat TMJDS.
I intend to get you to see, understand, and treat what is presented in front of all of us every day in a correct manner. With over 10000 patients seen and treated individually, I have gained an experience that is summarised in a course you can absorb in a day. While I do not claim to be the oracle in the TMJDS universe, my course is intended for the practicing clinician. This will include dentists, dental nurses, maxillofacial residents, neurologists, and ENT doctors.
This course will also help you be aware of failures in restorative dentistry, especially veneers, crowns, bridges, and fillings. It will help you understand why virgin unrestored teeth might show symptoms. As well as understand what to do to prevent or reduce failures and understand symptoms before starting irreversible treatments. This course avoids complicated academic theories and concentrates on practical easy to learn steps to help your patients.
Sometimes patients will present to GI doctors with IBS symptoms, who may also have TMJDS symptoms.