Pain and dysfunction involving the temporomandibular joint(s) (TMJ) and/or masticatory muscles are collectively referred to as a temporomandibular disorder (TMD). TMD is a common source of jaw, headaches and orofacial pain and contributes to functional limitations associated with chewing, talking, and yawning. Characteristics of patients experiencing TMD will be identified. An overview of clinical anatomy and mechanics of the TMJ will be covered.
The evidence-based examination for all common diagnostic subsets of TMD are discussed. An evidence-based informed treatment will be covered for each diagnostic subset of TMD. Treatments covered to include but not limited to patient education, behavioral modification, modalities, exercises, and manual procedures. Surgical and non-surgical treatments for disc displacements will be reviewed as well as post op physical therapy management.
The rationale for the use of the various oral appliances fabricated by dentists will be highlighted. Features of an oral appliance will be covered to determine if the oral appliance is an evidence-based design. Cervical spine considerations in the management of TMD and headache will be discussed. Team approach between the physical therapist and dentist/oral surgeon will be emphasized in this course.
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