Bite Registration, Orthotic Delivery, and Adjustments

for Successful Treatment of TMD Patients

Myotronics TMD Course

Dr. Clayton Chan | Las Vegas, NV


A systematic approach to the diagnosis and treatment of TMD patients will be presented and demonstrated on a Live Patient in this 2 day, 15 CE credit course. Proper protocols for effective management of the TMD patient for bite registration, fabrication of an optimum orthotic, laboratory delivery of the final orthotic and coronoplasty will be demonstrated on a live patient. It is highly recommended that you bring your team to support and implement the techniques learned in this course. The instructor, Dr. Clayton Chan, is a leading Neuromuscular clinician with extensive clinical experience in the diagnosis and treatment of TMD patients.  


Course Overview - Day 1

Lecture - Protocols for performing a full work up and taking a bite. 

Anatomy and Physiology of the Stomatognathic System – Establishing a Rational Basis  for Occlusal Therapy
The anatomy and physiology of masticatory muscles and their role in occlusal dysfunction.
The anatomy and physiology of the temporomandibular joints in function and dysfunction.
Pathology versus normality derived from observation and objective data of the teeth, muscles and joints.
Protocols to identify occlusal signs and symptoms that suggest pathology.
Case presentation and Scan Interpretation of Phase 1 treatment.

Demonstration – Live Patient Workup for taking a K7 Neuromuscular Bite.

Electrode application and EMG operation protocols
Diagnostic impressions of EMG – documenting muscle dysfunction vs. physiologic health (Scan 9,  11 & 12)
Understanding Jaw Tracking data, Operational protocols – Abnormal vs normal patterns (Scan 2, 3, 6, 8, 13)
Diagnostic impressions of Sonography – documenting degenerative joint disease vs. normal joint sounds (Scan 15 & 16)
Operation protocols of ESG data
Importance of J5 TENS – Myotrode placement, the indications, use, contraindications and operational protocols
Post Relaxation EMG impressions (Scan 10)
Operational protocols using Computerized Jaw Tracking for Effective Bite Registration (Scan 4/5) 
     Habitual (centric occlusion)
     Neuromuscular rest position
     Habitual path of closure vs. Neuromuscular path of closure
     Protrusive guidance
     Determining Myocentric - vertical dimension, frontal/lateral positioning
     Determining freeway space
When to grind and when not to grind?
Anterior hyper-occlusion or posterior hypo-occlusion?

How to Properly Communicate with the lab to eliminate problems and pitfalls. 
What the doctor needs to provide the lab to get a good fitting and functional orthotic
What the doctor shouldn’t do and should do when taking an impression for an orthotic
Bite registration materials of choice.
Evaluating impressions for accuracy before sending to the lab
Steps involved in making an optimum neuromuscular orthotic

Laboratory technician will make an Orthotic for delivery on Day 2 

Course Overview - Day 2

Lecture - Proper techniques to Coronoplasty a Neuromuscular Orthotic 
Concepts and principles for a physiologic occlusion
Simplified system of prematurity classification
Occlusal adjustment technique of occlusal adjustments
Management of functional excursion.
Myomonitor technique for recording and adjusting micro-occlusal contacts using articulating paper, occlusal indicator wax and Scan 12.

Demonstration -- Deliver the Orthotic from Day 1 showing proper Coronoplasty techniques 
The importance of Involuntary J5 TENS adjustment vs. habitual occlusal adjustment.
Computerized mandibular scanning/jaw tracking using Scan 4/5 with TENS to objectively confirm the Myo-trajectory
Assessing the objective recorded data (Scan 4/5) - Coronoplasty or orthosis?
Using EMG (Scan 12) to identify first tooth contact prematurity, timing and occlusal balance.
Operational protocols and use of Scan 12 EMGs
Determining the use and value of the high low chart using Scan 12
Reviewing the value of occlusal indicator wax.
Reviewing the micro occlusal adjustment protocols for orthotic delivery.
Using Scan 8 to verify a good chewing pattern with the orthotic 

Myotronics TMD Course

June 8-9, 2018


Registration Before
May 1, 2018


Registration After
May 1, 2018







Team member 










 *An attendance verification form will be awarded to team members
* This course offers 15 CE credits

 15 CE Credits




Clayton Chan, DDS

Dr. Chan earned his DDS degree from Loma Linda University. Author of a number of publications in the field of neuromuscular dentistry, Dr. Chan has lectured internationally on NM topics. He maintains an NM practice in Las Vegas and is the founder and Director of Occlusion Connections, a CE organization in Las Vegas that offers continuing education courses in NMD..


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Cancellation Policy
Since space is limited in order to create the best learning experience possible, cancellations received outside the 60 days prior to the course are subject to a cancellation fee of $300 per Doctor and $100 per team member. No refunds will be given if canceled within 60 days of the event. Cancellations must be in writing.

Myotronics Inc. reserves the right to cancel courses 60 days prior to the scheduled date of a course for any reason, including an insufficient number of participants. Should Myotronics cancel a course; Myotronics will refund the fees in full. Myotronics will not be responsible for any other fees, costs or consequential damages with canceling this Myotronics course or activity.
Myotronics recommends that participants do not make any non-refundable travel or lodging reservations more than 60 days before any event for which they have registered.
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