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TMD care grounded in research, not doctrine — Okeson, Klasser and Gottesman in 11 lessons
If you want jaw-pain treatment decisions that rest on published evidence rather than a single occlusal philosophy, American school of evidence-based treatment of temporomandibular disorders gathers three well-known US voices: Jeffrey P. Okeson, Gary D. Klasser and Lawrence Gottesman. Eleven lessons (11 h 45 min) cover differential diagnosis, causes, joint stability, muscle and intracapsular disorders, splint therapy and the medical conditions that can hide behind facial pain.
- 11lessons
- 11 h 45 minof video
- 3instructors
What you’ll be able to do
- Tell muscle pain from joint pain and spot heterotopic or referred pain
- Weigh the part played by stress, bruxism and occlusal change in a patient’s symptoms
- Find a musculoskeletally stable condylar position with bilateral manipulation
- Choose when an occlusal appliance will help and when it will not
- Manage disc displacement with and without reduction
- Apply DC-TMD criteria and a structured clinical examination
Inside the course
Okeson on diagnosis and aetiology
The opening lessons classify TMD, test which pain disorders are likely to respond to dental therapy, and look at how PTSD, long-term stress and acute occlusal changes influence the masticatory muscles.
Treatment principles and splints
Myalgia models, Botox for local muscle pain, stabilisation appliances, placebo effects and the doctor-patient relationship are covered, followed by intracapsular disorders and a Q&A on hard versus soft splints, mandibular advancement devices and nerve injury.
Klasser’s examination and classification lessons
Two long sessions build a biopsychosocial view of pain, then detail history taking, palpation, provocative tests, imaging and the RDC and DC-TMD systems, finishing with osteoarthritis and a multi-step management approach.
When systemic disease is involved
The last lesson turns to small fibre neuropathy, genetic testing, joint hypermobility, Chiari malformation and paraneoplastic syndromes that can present as orofacial pain.
Built for
- Orthodontists and prosthodontistsEvidence on condylar stability before changing a patient’s bite.
- Dentists seeing chronic facial painA diagnostic sequence that flags patients who need a medical referral.
Curriculum
Diagnosis of TMD and orofacial pain (1 h 24 min) 9 topics
- Muscle pain and TMJ pain: differential diagnosis
- Classification of TMD
- Types of heterotypic pain
- Diagnostic criteria for referred pain
- How to identify pain disorders that are likely to respond positively to your therapy from those that will not
- How to differentiate TMD from other sources of orofacial pain
- The relationship between occlusion and temporomandibular disorders
- Adaptability of the maxillofacial system
- Deep localized pain
Etiological factors of TMD (44 min) 6 topics
- Effect of stress on orofacial pain
- Post Traumatic Stress Disorder (PTSD)
- Prolonged stress: impact on the human body
- Effect of occlusion on muscle pain
- An acute changes in the occlusal condition
- Chronic response from occlusal alteration
Orthopedically stable occlusal interrelationship (47 min) 6 topics
- The most favorable and orthopedically stable interrelationship between occlusion and the condylar position for orthodontic-prosthodontic therapy
- The concept of musculoskeletally stable position
- Determination of TMJ stability
- The bilateral mandibular manipulation technique
- Condylar stability vs occlusal stability
- Effect of occlusion on TMD
The mechanisms of development of orofacial pain (34 min) 5 topics
- Muscle pain as a consequence of anatomical variation
- Obstructive sleep apnea syndrome and bruxism: relationship and mutual influence
- Rhythmic muscle activity and pain
- Delayed onset of local muscle soreness
- Spasm: definition
Principles of orofacial pain treatment (55 min) 8 topics
- Model of muscle pain development
- Spastic activity of the masticatory muscles
- Botox in the treatment of muscle pain
- When to refer a patient to a related specialist
- Local myalgia: definition, etiology, clinical symptoms, treatment tactics
- The importance of the patient’s psychological state in the treatment of orofacial pain
- Application of a stabilizing splints
- Indications for stabilizing equipment
Occlusal equipment in the treatment of TMD (37 min) 5 topics
- Bruxism and its relationship with occlusion
- The appropriate use of occlusal appliance therapy for muscle pain and joint pain
- The importance of doctor-patient interaction in the treatment of TMD
- When does an occlusal appliance reduce the patient’s TMD symptoms?
- Placebo effect in the treatment of TMD
Intracapsular TMJ problems: treatment (28 min) 5 topics
- Anatomical and pathophysiological basis for intracapsular TMJ problems
- TMJ ligaments: structure, functions
- Articular disc displacement with reduction: clinical manifestations
- Articular disc displacement without reduction: clinical symptoms and tactics
- Principles of treatment of intracapsular disorder
Problems in the treatment of orofacial pain and TMD. Q&A session (49 min) 9 topics
- Increasing contacts and their effect on muscle pain
- The use of Botox for local myalgia
- Mandibular Advancement Devices (MAD)
- Taking impressions of patients with significant limitations in mouth opening
- Damage to the inferior alveolar nerve: possibilities of regeneration
- Hard splints vs soft splints: research and results
- Questions about using Bruxchecker
- Differential diagnosis of TMD
- Habits that affect TMD
Temporomandibular disorders: clinical examination and differential diagnosis (1 h 49 min) 12 topics
- What is pain?
- Biopsychosocial model: components
- Neuromatrix theory
- Classification of orofacial pain
- Musculoskeletal dysfunction: definition
- Epidemiology of musculoskeletal pain
- Etiology of musculoskeletal disorders
- Rules for choosing treatment tactics
- Factors of development of musculoskeletal dysfunction: Predisposing factors, Initiators, Aggravating factors
- The concept of primary and heterotopic pain
- Anamnesis collection and examination: LOQFDIV-survey
- Clinical examination: Otoscopy, Range of motion in the cervical spine, Palpation of muscles and joints, Palpation of the lymph nodes, Provocative tests, Movement of the lower jaw, Intraoral examination, X-ray diagnostics, Serological examination, Local anaesthesia
TMJ and Muscle Dysfunctions: diagnostic and treatment protocols (1 h 51 min) 19 topics
- Musculoskeletal dysfunction: definition
- Classification systems for musculoskeletal dysfunctions: RDC-TMD, DC-TMD, Extended DC-TMD
- Masticatory muscles: a model of pain formation
- Causes of muscle dysfunction
- Local muscle soreness: causes
- Myospasm of the masticatory muscles
- Myofascial pain: causes
- Source of pain and localization
- Constant continuous muscle pain
- Fibromyalgia: diagnostics
- TMJ diseases: Disorders of the condyle-disc complex, Inflammatory disorders
- The role of ligaments in the development of diseases
- Displacement of the articular disc with and without reduction
- Inflammatory disorders: etiology
- Osteoarthritis: manifestations and key points of treatment
- Invasive treatment: indications
- Principles of treatment of TMJ dysfunctions
- Manual therapy
- Multiple “P” approach
General somatic pathology and diseases of the TMJ: an integrated approach to diagnosis and treatment (1 h 43 min) 10 topics
- Components of orofacial pain
- Small fiber neuropathy (SFPN)
- Concomitant pathology: Genetic factors, Purchased factors
- Diagnosis of neuropathy: trepan-biopsy
- Genetic testing in dentistry
- Retromyalgia: principles of diagnosis: Match test, Joint Hypermobility test
- Chiari malformation: clinic
- Myofascial pain syndrome: diagnosis
- Principles of treatment of polyneuropathy
- Paraneoplastic syndrome
Before you buy
Does this overlap with Okeson’s larger TMJ toolkit?
Partly. Okeson’s lessons here cover similar ground on occlusion, pain and appliances, but this course adds Klasser and Gottesman on classification systems and systemic disease.
Is one lesson a question-and-answer session?
Yes, lesson 8 is a recorded Q&A of about 49 minutes on practical treatment problems.
Do I get CME credit or a certificate?
No. Clinicapedia provides the educational content only — no CME or CE credits, MOC points or certificates of completion are included with this product.
Specifications
| Format | Online video course |
|---|---|
| Instructors | Jeffrey P. Okeson, Gary D. Klasser, Lawrence Gottesman |
| Contents | 11 lessons |
| Duration | 11 h 45 min |
| Access | Lifetime, self-paced |
| Department | Dentistry |
| Delivery | Instant download · lifetime re-download |
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