DentistryOnline courseSurgery
From Botox and arthrocentesis to total joint replacement — severe TMJ disorders with David Ângelo
Lisbon maxillofacial surgeon David S. Ângelo, whose research centres on TMJ disc regeneration and joint surgery, lays out a graded treatment ladder in TMJ Rehabilitation: The Complete Operative and Conservative Pathway. Five recorded lessons (about 5 hours) cover anatomy and biomechanics, classification and red flags, minimally invasive procedures, open surgery and disc replacement research, with real patient cases along the way.
- 5lessons
- ~5 hof video
- 6surgical approaches reviewed
What you’ll be able to do
- Describe TMJ embryology, histology and loading and how they explain disease
- Separate true joint pathology from mimics and spot signs of malignancy
- Deliver botulinum toxin injections with a sequenced protocol
- Carry out arthrocentesis and hydraulic pumping and give aftercare instructions
- Weigh discopexy, discectomy and alloplastic replacement against their risks
Inside the course
Structure and diagnosis
Bone, cartilage, synovium, ligaments and muscles are reviewed before epidemiology, imaging, current classification frameworks and the criteria that decide who is a candidate for intervention.
Minimally invasive care
Botulinum toxin indications, arthroscopy principles, hydraulic pumping and a full arthrocentesis walkthrough make up the conservative end of the pathway.
Open joint surgery
Preauricular, Al-Kayat, endaural, hockey-stick, retroauricular and RITHNI approaches are compared, along with an access designed to leave an almost invisible scar, disc repositioning and removal, total prosthetic replacement and complications.
Disc substitutes and case review
The final session looks at materials and biomaterials for disc replacement, results from an animal model and a group discussion of clinical cases.
Built for
- Oral and maxillofacial surgeonsOperative access options and replacement indications from a TMJ-focused surgeon.
- Functional and TMD-focused dentistsKnowing when conservative care ends and a surgical referral begins.
Curriculum
Inside the Joint Structure of the TMJ (1 h 12 min) 4 topics
- Embryologic origin and formative stages of the temporomandibular joint
- Histological architecture and tissue arrangement within the temporomandibular joint
- Comprehensive structural survey of the temporomandibular joint, covering: bony elements, synovial lining and articular cartilage surfaces, properties and function of synovial fluid, ligamentous structures that stabilize the joint, muscles that interact with and influence the joint
- Biomechanics, functional loading, and movement patterns of the temporomandibular joint
Making sense of temporomandibular disorders and their modern classification system (1 h 09 min) 8 topics
- Key structural and functional characteristics of a normally functioning temporomandibular joint
- How often temporomandibular disorders occur, how they are distributed across different groups, and what factors increase risk
- Methods for diagnosing TMJ disorders using clinical examination and imaging techniques
- Broad review of the various disease processes that can affect the temporomandibular joint
- Commonly applied frameworks for organizing and classifying temporomandibular disorders
- How to tell TMJ-related problems apart from other conditions that can mimic similar signs and symptoms
- Assessment of possible malignant disease in the TMJ region and warning signs suggestive of cancer
- Clinical principles and selection criteria for determining which patients are suitable for TMJ interventions and treatment options
Gentle, low-impact treatment approaches for disorders of the temporomandibular joint (1 h 02 min) 7 topics
- Application of botulinum toxin as a treatment option for temporomandibular disorders
- Indications and patient scenarios where botulinum toxin is a suitable choice in TMD management
- Detailed, sequential clinical protocol for delivering botulinum toxin injections to TMD patients
- Core principles and essential concepts of temporomandibular joint arthroscopy
- Temporomandibular joint hydraulic pumping method, outlined with each stage of the procedure
- Temporomandibular joint arthrocentesis, presented with a full, step‑by‑step technical guide
- Postoperative care recommendations and take‑home instructions for patients after these procedures
Operative management techniques for disorders of the temporomandibular joint (55 min) 7 topics
- Comprehensive review of operative entry pathways to the temporomandibular joint, covering the preauricular route, Al-Kayat extension, endaural access, inverted hockey‑stick incision, retroauricular approach, and the RITHNI method
- Presentation of an innovative access method specifically developed to produce a practically invisible scar after healing
- Examination of the clinical indications that support proceeding with TMJ surgery, as well as the contraindications and circumstances in which operative treatment should be avoided
- Operative strategies for treating the TMJ disc through repositioning and stabilization techniques (discopexy)
- Indications, technique, and therapeutic role of surgical disc removal (discectomy) in TMJ disorders
- Principles and indications for total prosthetic replacement of the temporomandibular joint
- Review of potential complications during and after TMJ surgery, and their relevance to surgical planning and patient care
The temporomandibular joint in focus: diagnostic strategies, future trends, applied case discussions, and final course review (34 min) 7 topics
- Surgical approaches for replacing the temporomandibular joint (TMJ) disc
- Review of the different materials currently employed as TMJ disc substitutes
- Examination of available biomaterials used in TMJ joint reconstruction
- Sharing and group discussion of clinical TMJ case reports
- Detailed analysis of operative protocols and long‑term results of TMJ disc replacement performed in an animal model
- Final synthesis of the main points with practical conclusions for clinicians
- Illustration of concepts through selected, real‑world clinical TMJ cases
Before you buy
The programme mentions six live sessions — why only five lessons?
The event was run as six live sessions, but the recording is organised into five lessons of about 5 hours in total.
Is idiopathic condylar resorption covered in its own lesson?
It is named as a course topic, but none of the five lesson outlines lists it separately, so expect it to appear within case discussions at most.
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 | Recorded live online course |
|---|---|
| Instructor | David S. Ângelo |
| Contents | 5 lessons |
| Duration | About 5 hours |
| Access | Lifetime, self-paced |
| Department | Dentistry |
| Delivery | Instant download · lifetime re-download |
Related products
Addiction Medicine
