Registration costs include course materials for 6 CEs, breakfast, refreshments, and parking.
REGISTRATION: Register through our online portal.
Current Topics in TMD/TMJ
Friday, Nov. 1
8:30 a.m. Registration – Galagan Lobby, 1st Floor (Continental Breakfast)
9:10 a.m. Welcome & Opening Remarks
9:15 a.m. Ms. Jones presents with jaw and muscle pain, now what do I do?, Clark Stanford, DDS, PhD, MHA, Dean and Professor
Overview: Understanding oral facial pain is often confusing. Understanding some of the common pain pathways leads to a better understanding of the role of emotions overlaid on pain pathways in the brain. Let’s be honest, jaw pain has many causes, and this creates confusion. To clarify the causes and management strategies we need a firm understanding of a diagnostic process guiding us to a better diagnosis. In this program the evidence-based diagnostic criterion TMD exam (DC/TMD) will be reviewed with handouts and course material that will well prepare you for the next encounter in your office.
At the end of this program, participants should be able to
- Identify the common overlapping pain pathways used for therapeutic interventions.
- Identify simple vs. complex TMD conditions whereby recognizing when single versus multimodal approach are needed.
- Utilize a diagnostic decision tree (Clinical Decision Support System) to diagnose the most common muscle pains and joint disc derangements seen in the TMJD/TMD signs and symptoms.
10:15 a.m. Snap, Crackle, Pop: Medication Management of TMD, Amy Greenwood, PharmD, Clinical Assistant Professor
Overview: The CE course will focus on the oral and topical pharmacotherapy options for management of TMD. Patient considerations when choosing a TMD medication regimen will be discussed.
At the end of the program, participants should be able to:
- Identify non-pharmacologic interventions.
- List the pharmacologic options for TMD pain management and patient medial history considerations about each.
- Identify medications that predispose individuals to TMD.
11:15 a.m. Bruxism: An Update for the Clinician, Leonardo Marchini, DDS, MSD, PhD, Professor and Department Executive Office of Preventive and Community Dentistry
Overview: This CE course will describe bruxism definition, prevalence, etiology, and diagnosis. The course will then focus on what are the consequences of bruxism, its management options, and a few case scenarios will be discussed.
At the end of the program, participants should be able to:
- Describe the definition, prevalence, and etiology of bruxism.
- List the methods used for bruxism diagnosis.
- Cite the consequences of bruxism and its management options.
1–2 p.m. The Role of Physical Therapy in the Management of Patients with TMD and Cervicogenic Pain, Kolleen Shields, Senior Physical Therapist, UI Health Care
Overview: For many patients with temporomandibular dysfunction, a multidisciplinary evaluation approach is necessary to uncover the complex contributing factors associated with their complaints in order to provide comprehensive treatment. Physical therapists are highly skilled in evaluation of joint and musculoskeletal disorders including the TMJ and cervcial spine and can provide interventions to decrease pain, improve tissue and joint mobility, restore strength and optimize joint mechanics.
At the end of the talk, participants should be able to:
- Determine when it is appropriate to send patients to PT/what to add to a consult.
- Know what evidence-based interventions are beneficial.
- Expectations of length of PT treatment.
2–3 p.m. Where Does Surgery Fit in TMD Management? - Presenting by Zoom
Michael Han, DDS, FACS; Associate Professor and Residency Program Director, Department of Oral and Maxillofacial Surgery, University of Illinois Chicago College of Dentistry
Overview: While surgical modalities exist for TMDs, their roles are often misrepresented and often result in confusion, frustration, and sometimes misguided treatment. The extremely broad and heterogenous nature of "TMDs", coupled with widely varying schools of thought further muddies the role of surgery in TMD management. This presentation aims to summarize what can and cannot be achieved with surgical management modalities for TMDs, based on available scientific evidence.
At the end of the talk, participants should be able to:
- Describe the diagnostic framework of TMDs, and identify conditions potentially amenable to surgical management.
- Describe the available surgical modalities for management of TMDs.
- List the anticipated therapeutic benefits of the different surgical modalities as well as their risks.
3–4 p.m. Panel Discussion – Panelists: Clark Stanford, Amy Greenwood, Leo Marchini, Mary Duffy, Kolleen Shields
Overview: This panel discussion will focus on the management of various acute/initial TMD scenarios in a normal/healthy patient and conversely of chronic TM patients without pain reports elsewhere in their body.
At the end of the program, participants should be able to:
- Identify initial treatment options for patients with acute/initial TMD.
- Differentiate chronic TM patients and treatment options.
- Determine when a patient should be referred for a consult on surgical-based treatment options.
GENERAL INFORMATION
The College of Dentistry will make every reasonable effort to assure that requested continuing education programs are provided but assumes no liability for failure to deliver beyond the refunding of fees paid to The University of Iowa. The University of Iowa reserves the right to limit registration to the size of the available classroom or clinical space. Sponsorship of this course does not imply subject matter, product, or technical endorsement.
REGISTRATION: You may register using our online portal: https://apps.dentistry.uiowa.edu/CodCERegistration/
CANCELLATIONS/REFUNDS: Fees paid will be refunded less a $45 per person processing fee following notice of cancellation. Refunds will not be granted for cancellations received after the course begins.