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A Clinician's Guide to Understanding Cone Beam Volumetric Imaging (CBVI)
Rating: CE credits: 4 Cost: $59.00
Faculty: Dale A. Miles, DDS, MS, FRCD(C), Robert A. Danforth, DDS
Cone Beam Volumetric Imaging has many advantages over simple panoramic film and digital images, including enabling accurate visualization of head and neck structures and reducing X-ray doses. It has been rapidly adopted and is becoming the “standard of care” for several applications and preferred for others.
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Appliance Therapy
Rating: CE credits: 4 Cost: $59.00
Faculty: Steven R. Olmos, DDS
Once a diagnosis is made for a patient presenting with TM pain or disorders, orthotic selection and treatment can take place. It is essential to know which patients should be treated with oral appliances and which type of appliance should be used. Oral appliances are available that function as orthotics, move the mandible forward, and prevent clenching and grinding. Appropriate appliance selection must consider the indication as well as the advantages and any disadvantages of particular appliances. Oral appliances should be chosen that maximize treatment outcomes and minimize undesired side effects. Oral appliance therapy has been found to be highly effective in the treatment of TMDs.
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Clinical Examination
Rating: CE credits: 3 Cost: $49.00
Faculty: Steven R. Olmos, DDS
A thorough evaluation is required to diagnose whether a patient has a temporomandibular disorder (TMD) or a different problem. Only following a thorough evaluation including clinical examination, can a definitive diagnosis be made and a determination as to whether the patient can be treated with oral appliance therapy or needs to be referred to a specialist.
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Diagnosis of TMD and Associated Head Pain
Rating: CE credits: 3 Cost: $49.00
Faculty: Steven R. Olmos, DDS
A good diagnosis requires an understanding of the symptoms of TM dysfunction and associated head pain, and a thorough clinical examination. In order to understand the sympotoms and their severity, as well as the factors that must be included in a differential diagnosis, it is necessary to understand how the TMJ and the central nervous system (CNS) interact in response to noxious stimuli of the TMJ. Headaches are one of the more common symptoms of TMD but ar also common occurrences for other reasons. Differential diagnosis of headaches of TMJ and non-TMJ origin is critical for correct treatment and referral of patients for treatment if the headaches are not related to TMD.
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Functional Anatomy and TM Pathology
Rating: CE credits: 4 Cost: $59.00
Faculty: Steven R. Olmos, DDS
TMJ anatomy comprises the bones, ligaments, tendons and muscles of the region. Up to 75 percent of the population has at least one sign or symptom of temporomandibular dysfunction and 34 percent report having this. An understanding of the bones, ligaments, tendons, muscles, joint spaces, articular disc, synovial tissues and fluids, and the role of proteoglycans is necessary to understand the factors involved in TMJ health and disease.
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Sleep-Disordered Breathing
Rating: CE credits: 3 Cost: $49.00
Faculty: Steven R. Olmos, DDS
Sleep disordered-breathing is a common problem, and obstructive sleep apnea is a serious health issue that can be treated using surgery, CPAP and oral appliances therapy. Oral appliance therapy is a viable, non-invasive treatment for patients with mild to moderate OSA, and has a high success rate and good patient compliance. There are several keys to success in the treatment of these disorders. A definitive diagnosis and triaging is essential to ensure that appropriate patients receive oral appliance therapy. Appliance selection and diligent case management are required for successful treatment. Dental professionals are in a unique position to assess and treat patients with OSA using oral appliances.
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The Ideal TM Position
Rating: CE credits: 3 Cost: $49.00
Faculty: Steven R. Olmos, DDS
In order to successfully treat appropriate patients with oral appliances, it is necessary to know the ideal TM position for that patient. There are several positions that can be used as a bite registration. These all will record a static position but do not all record a position that can be tolerated by the majority of patients, or that is consistent at rest and during conscious effort. The phonetic "S" bite enables a bite registration that has been clinically proven to be accurate and reliable for fabricating appropriate oral appliances. Knowing how to take a phonetic "S" bite registration is the first step in oral appliance therapy for patients with TMDs.
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