A systematic approach to the diagnosis and treatment of TMD patients will be presented and demonstrated on a Live Patient in this 2-day, 14 CE credit course. Proper protocols 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, Clayton Chan, DDS is a leading Neuromuscular Dental educator, author and clinician, with over 35 years of experience and expertise in the evaluation and treatment of TMD patients with a proven track record of clinical success.

 

Course Overview - Day 1:

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Lecture - Protocols for performing a full workup and taking a bite

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• 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 

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• 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 Dental 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

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• What the doctor needs to provide the lab to get a good fitting and functional orthotic

• What the doctor should and shouldn't 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

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Course Overview - Day 2:
 

Lecture - Proper techniques to Coronoplasty a Neuromuscular Orthotic 

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• Concepts and principles for a physiologic occlusion

• Simplified system of prematurity classification

• Occlusal adjustment techniques

• Management of functional excursion

• J5 Dental TENS 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 

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• 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 

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 14 CE credits

Early Bird Tuition $2,050 doctor/$750 team 

Regular Tuition $2,250 doctor/$850 team 

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Formats available:

Live, In-Person

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