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ORTHOdontics
PGI
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OCCLUSION AND TEMPOROMANDIBULAR JOINT DYSFUNCTION
INCLUDES:
ANATOMY OF THE TMJ
TYPES OF TMJ DISORDERS
TREATMENT MODALITIES OF TMJ DYSFUNCTIONS
_____________________________________________________________________________________________________________________
DDS.
FACULTY:
Goals: This series of lectures should enable the resident to:
1.
Know in depth the anatomy the temporo-mamndibular joint (TMJ) and its normal
2.
Acquire basic notions on the epidemiology, etiology, classification, and types of
temporo-mandibular joint disorders (TMD).
3.
Be familiar with the different types of treatment available for TMD.
4.
Assess the relation between TMD and orthodontic treatment.
Objectives: At the end of this series, the resident should:
1.
Diagnose a patient with TMD.
2.
Differentiate between normal and pathologic function.
3.
Know the etiology of TMD.
4,
Conduct a proper diagnosis.
5.
Evaluate the effect of any diagnosed TMD on the orthodontic treatment, and gauge the
of referring a patient before or during any orthodontic treatment.
6.
Manage any TMD as a complication from an orthodontic treatment.
7.
Be familiar with the available treatments for TMD.
Jose Johann Chidiac,
function.
the
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timing
COURSE DURATION AND SCOPE: This course is scheduled between October and February for the first year residents. It is given every Tuesday at a 1.5-hour
session between 1:30 p.m. and 3:00 p.m. and imparts fundamental knowledge on the occlusion and the function (normal and abnormal) of the temporomandibular joint that is pre-requisite to engage in clinical evaluation of patients with TMJ dysfunction.
POLICY ON EXAMINATIONS: 2 biannual examinations (progress and final) are given for this course. During it any number of progress tests or assignments may
be given. Their cumulative weight in proportion to the final
grade may not exceed 50%.
OCCLUSION AND TEMPOROMANDIBULAR JOINT DYSFUNCTION
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SUMMARY OUTLINE
- ANATOMY, HISTOLOGY AND EMBRYOLOGY OF THE TMJ
MOVEMENT
- FUNCTIONAL ANATOMY OF TMJ
- NEUROMUSCULAR SYSTEM-SENSORYMOTOR CONTOL OF
JAW
- TEMPOROMANDIBULAR RELATION
- TMJ DYSFUNCTION (MECHANICAL DISORDER)
- TMJ PATHOLOGY
- MASTICATORY MUSCLE DISORDERS
- PARAFUNCTION
- OROFACIAL PAIN
- IMAGING AND SPECIAL INVESTIGATIONS IN THE ASSESMENT
OROFACIAL PAIN AND ITS RELEVANCE IN DIAGNOSIS
- MANAGEMENT STRATEGIES FOR TMD
- OCCLUSAL SPLINT DESIGN AND CLINICAL APPLICATION
- PHYSOTHERAPY
- PSYCHOLOGICAL SIGNIFICANCE AND EVALUATION IN
OROFACIAL PAIN
- MEDICATION AND PAIN MANAGEMENT
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COURSE OUTLINE
1. ANATOMY, HISTOLOGY AND EMBRYOLOGY OF THE TMJ
2. FUNCTIONAL ANATOMY OF TMJ
3. NEUROMUSCULAR SYSTEM - SENSORYMOTOR CONTROL OF JAW
4. TEMPOROMANDIBULAR RELATION
A. Concepts
B. Clinical assessment
C. Classification
D. Epidemiology
MOVEMENT
OF
5. TMJ DYSFUNCTION (MECHANICAL DISORDER)
6. TMJ PATHOLOGY
A. Congenital disorders
B. Developmental disorders
C. Acquired disorders
D. Inflammatory conditions
E. Arthritis
F. Ankylosis
6. MASTICATORY MUSCLE DISORDERS
7. PARAFUNCTION
8. OROFACIAL PAIN
A. Acute
B. Chronic
9. OROFACIAL PAIN AND TMD
A. History
B. Interview
C. Physical examination
D. Differential diagnosis
10. IMAGING AND SPECIAL INVESTIGATIONS IN THE ASSESMENT OF
RELEVANCE IN DIAGNOSIS
OROFACIAL PAIN AND ITS
11. MANAGEMENT STRATEGIES FOR TMD
12. OCCLUSAL SPLINT DESIGN AND CLINICAL APPLICATION
13. PHYSOTHERAPY
14. PSYCHOLOGICAL SIGNIFICANCE AND EVALUATION IN OROFACIAL PAIN
15. MEDICATION AND PAIN MANAGEMENT
A. Analgesics
B. Anti-convulsants
C. Steroids
D. Anti-inflammatories
E. Anti-depressants
REFERENCES
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