Protrusive Dental Podcast #22 – Myth busting occlusion and TMJ

Posted on 15 May 2020
Content available to premium subscribers only
75 mins CPD/CE
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In this episode of Protrusive Dental Podcast, Dr. Barry Glassman discusses the role of teeth/occlusion/malocclusion/restorative, and if they really have a role to play in TMD/pain.

Aims and objectives:

  • Understand macro trauma, and micro trauma relevant to TMJ pathology
  • What is Barry's message?
  • What does he mean by 'occlusion does not matter unless you're occluding?'
  • Why MIP is pathological - we discuss confirmation bias in dentistry
  • Can we reliably stop parafunction? - what adjunctive support therapies are prescribed for complex orofacial pain patients?
  • Can you use an AMPSA with a patient with degenerative joint disease?
  • The first 20 mm of opening is pure condylar RO - NOT! It's not pure rotation!
  • What is an enthesis and why is that relevant?
  • Can you give an anterior only appliance to someone with clicking?
  • Why might a patient say their click has now stopped?
  • To myth-bust common beliefs held about TMJ and occlusion
  • To revisit TMJ anatomy, with respect to clicking joints
  • Understand the role of anterior-midpoint stop appliance for managing parafunction
  • The role of macro trauma and micro trauma in TMJ pathology

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