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The Occlusion, the TMJ and Orthodontic Treatment
Program Highlights
 Case Presentation and Discussion Segment
This course presents a comprehensive review of the management of orthodontic patients with temporo-mandibular disorders, as well as preventive considerations. A historical review is presented, in which the concept of ideal occlusion is discussed, as well as its relationship to temporo-mandibular disorders. A protocol for diagnosis and treatment planning, as well as splint therapy is discussed. This is followed by a working classification of TMJ disorders, and numerous case examples describing the management of each category within the classification.
Practical Segment
Each participant will continue diagnosing cases using the Dolphin Arnett-McLaughlin diagnostic module. Cases begun in each participant's office will be reviewed. The construction, placement and adjustment of splints will be demonstrated.
Program Format
What the Occlusion, the TMJ and Orthodontic Treatment course involves:
Case Presentation and Discussion Segment
- Historical Review - Pertinent aspects of the literature will be reviewed concerning occlusion and the temporo-mandibular joint.
- A detailed discussion of static (centric) occlusion and functional occlusion will be presented. The controversial subject of centric relation will be reviewed. During this lecture a classification concerning the skeletal and dental components of TMJ dysfunction will be presented.
- Diagnosis and Treatment Planning - The diagnostic process for the TMD patient is reviewed. The benefits and use of the articulator will be reviewed. A three phase treatment planning process is then presented.
- Splint Therapy - A discussion of splint therapy will be presented as it relates to management prior to orthodontic treatment, as well as to management during orthodontics.
- Molar Fulcruming Problems - Cases that present with average to high mandibular plane angles frequently show a molar fulcruming problem. Several of these cases will be presented and the mechanics of their treatment will be described.
- Lack of Vertical Posterior Support - Cases that demonstrate a collapsed vertical dimension will be shown and methods of treatment will be described.
- Management of Anterior Slides and Anterior Posturing - A number of cases in this category will be presented with comments concerning the use and misuse of functional appliances.
- Correction and Avoidance of Distal Displacement - Distal displacement of the condyle is frequently seen in patients with TMD. This subject is discussed and a number of cases within this category will also be presented.
- Management of Lateral Slides and True Skeletal Asymmetries - Discussion and case presentations concerning these two categories will be presented.
Practical Segment
- Diagnosis and Treatment Planning
using the Dolphin Arnett-McLaughlin diagnostic module
- Review of cases begun in each
participant's office
- Demonstration of the construction, placement and adjustment of splints
- Observation of treatment procedures in Dr. McLaughlin's clinic
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