Temporomandibular Joint Disease

October 14 and 5 2017 in Portland (Hillsboro), Oregon.  “​Evaluation and Treatment of the TMD Patient Utilizing a Physical Therapy/Dental Coordinated Approach” is a 2-day lecture and lab-based course developed by Mr. Esser. This course presents the fundamental principles underlying the most common temporomandibular joint dysfunctions.  Physical therapists, physical therapist assistants, dentists, and dental assistants are welcome to attend.



Evaluation and Treatment of the TMD Patient Utilizing a
Physical Therapy/Dental Coordinated Approach:
A Clinical and Evidence-Based Program

Course Dates:  October 14-15, 2017

Presenter:  Bill Esser, PT, MS, CCTT
Course Location / Hours:  Portland-Area (Hillsboro), OR / 8 am-5 pm

Course Description

Evaluation and Treatment of the TMD Patient Utilizing a Physical Therapy/Dental Coordinated Approach” is a 2-day lecture and lab-based course developed by Mr. Esser. This course presents the fundamental principles underlying the most common temporomandibular joint dysfunctions and the relationships between occlusion, the TMJ, the cranium, and the upper cervical spine. The course provides an algorithmic approach (LPTMJ format) for evaluation of the TMJ and upper cervical area. Accurate evaluation is key to appropriate treatment planning for this complex patient population, incorporating both physical therapy and dentistry. Treatment techniques presented will include manual therapy for the TMJ and upper cervical area, TMJ splinting, and therapeutic exercise for the TMJ and upper cervical area.   ​

Learning Outcomes

  • Understand the basic anatomy and function of the temporomandibular joint and upper cervical area and their role in temporomandibular symptomology.
  • Properly evaluate the head and neck for primary TMD causative factors and determinants for using a team approach to care.
  • Be able to classify TMJ dysfunction into the appropriate classification system to assist in treatment planning.
  • Appreciate the role dentistry and physical therapy play in the care of patients with TMD.
  • Implement a coordinated treatment plan incorporating dental and physical therapy concepts to achieve optimal outcome for the TMD patient.

Who should attend?:  This 2 day course is appropriate for Dentists, Dental Hygienists, Chiropractors, Physical Therapists, and Physical Therapy Assistants.  All levels of experience are welcome.  We are an approved CE provider by the WA and OR State Licensing Board for Dentists/Dental Hygienists and PT/PTA’s.


Register: 

Online:   th_register-button

Download Paper form to fax or mail:   Registration Form TMD Course Oct 14 and 15 2017

More Details:  Click here for Directions/Location/Details


Course Dates:  Saturday October 14 and Sunday, October 15, 2017
Instructor:  Bill Esser, PT, MS, CCTT
Contact Hours:  15
Course Details:  Syllabus/Schedule

Class Time:  7:30-7:55 am registration / 8 am (prompt start)-5:00 pm

Registration Fee:  $475 prior to September 25, 2017/$550 on or after September 26, 2017.

Pre-Requisites:  None.
Location:
Courtyard Marriott Portland Hillsboro
3050 NW Stucki Place  Hillsboro  Oregon  97124  USA 

 

 

 

 

 

 

 

 

The Need for Multidisciplinary Treatment for TMD

An understanding of the interrelationship of the masticatory system, the temporomandibular joints, and the head and neck is imperative when evaluating and planning treatment for patients with temporomandibular dysfunction. Dentists, physicians, physical therapists, and medical professionals often have only a selective understanding of one area of the head and neck, limiting evaluation and treatment planning for patients with TMD. Consequently, a vast majority of patients with TMD may not be adequately evaluated for the cause of their dysfunction, appropriate treatment planning using a multidisciplinary approach fails to be implemented, and patients suffer unnecessary ongoing pain and further joint damage. Current research supports intervention for TMD dysfunction versus the often-held belief that little can be done for the patient with TMD:

The majority of patients do not improve without intervention and progress to further dysfunction. (1)

Acute close-locked patients should be unlocked immediately and stabilized with a splint by a dentist or physical therapist. (2)

Youth who suffer direct trauma to the jaw resulting in disc displacement often experience changes in growth of the mandible, facial asymmetry, clicking in the joint and early degenerative changes. (3), (4)

Adults who ignore years of clicking and popping can progress to acute close-lock conditions, degenerative joint disease and chronic pain. (5)

Faced with the complexity of this population, dental and medical care providers find that a coordinated team approach is the key to successful outcomes. This course provides evidence-based and clinically applicable skills to help you understand the role you can play on that multidisciplinary team. ​

1. Donald T. Brown, DDS, M.S.: Elmer L. Gaudet Jr. DDS Temporomandibular Disorder Treatment Outcomes: Second Report of a Large-Scale Prospective Clinical Study, MSD Journal of Craniomandibular Practice, October 2002, Vol.20, No. 4

2. Sembrano et al. Is there a role for arthrocentesis in recapturing the displaced disc in patients with closed lock of the temporomandibular joint?, Udine, Italy Department of Maxillofacial Surgery, Faculty of Medicine, University of Udine. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. Vol. 105 No. 3 March 2008

3. H. David Hall, DMD, MD. Intra-articular Disc Displacement Part II: Its Significant Role in Temporomandibular Joint Pathology. J Oral Maxillofac. Surg 53: 1073 – 1079, l995

4. Gidarakou et al. Comparison of Skeletal and Dental Morphology in Asymptomatic Volunteers and Symptomatic Patients with Bilateral Disc Displacement with Reduction.

Angle Orthodontist, Vol 72, No 6, 2002

5. Brook IR, Leeds LDS, Grander RM. Long-term prognosis for the clicking jaw. American Journal of Pain Management. 1988; 00065:668-678.