TMD, Orofacial pain, Occlusion. Diagnosis and Treatment. Updated protocols by Jeffrey Okeson

— Definition and classification of temporomandibular disorders (TMD)
— Scope of orofacial pain in dental practice
— Why TMD is a multidisciplinary problem
— Overview of orofacial pain. Causes of errors in the diagnosis stage. 

— Scope of orofacial pain in dental practice
— Why TMD is a multidisciplinary problem
— What every clinician must know before initiating treatment
— Understanding TMJ anatomy and function
— The role of knowledge of normal anatomy and biomechanics of the TMJ for the correct diagnosis and treatment planning of TMD and orofacial pain.

— Classification of Orofacial Pain
— Diagnosis of TMJ disorders and orofacial pain
— Differential diagnosis of orofacial pain
— Epidemiology and clinical relevance for daily practice. 

— Etiological factors of temporomandibular disorders
— Analysis of five known etiological factors involved in the development of TMJ disorders
— The multifactorial etiology of TMD
— How to differentiate TMD from other orofacial pain conditions
— How to determine whether TMD has an occlusal etiology. 

— Dental versus non-dental causes of orofacial pain
— Are occlusal factors related to TMD? If so, how?
— Identifying the predominant etiological factor in TMD and orofacial pain;
— The relationship between specific articular symptoms and various intracapsular disorders
— Diagnosis of TMD and dental versus non-dental causes of orofacial pain. 

— Are occlusal factors related to TMD? If so, how?
— How to determine whether TMD has an occlusal etiology?
— The role of occlusion in the occurrence of TMD
— The association of occlusion and the occurrence of TMD
— Identifying the predominant etiological factor in TMD and orofacial pain.

— Local trauma and analysis of deep pain input
— Patient adaptability with regard to:

- Biological factors
- Genetic factors
- Hormonal factors
- Psychosocial factors.

— Evaluation of acute changes in occlusal conditions
— The significance of orthopedic stability
— Emotional stress and its relationship to the occurrence of TMD
— Chronic regulation of the autonomic nervous system and its impact on the occurrence of TMD.

— How does occlusion relate to TMD?
— Acute changes in occlusal conditions after placement of a crown
— Chronic responses to occlusal conditions
— Analysis of occlusion and masticatory muscle disorders
— Occlusion and orthopedic stability.

— The relationship between occlusion and the development of TMJ disorders
— Skeletal-muscular stable position
— The optimum occlusal contact relationship
— The optimum orthopedically stable relationship
— The bilateral mandibular manipulation technique
— Does loss of orthopedic stability lead to TMJ dysfunction?
— The concept of orthopedic stability in the masticatory system
— The functional orthopedic treatment goals for all dental therapies.
 

— Understanding joint stability and occlusal instability
— Joint stability and orthopedic instability
— Evaluation of orthopedic instability and intracapsular disorder
— Analysis of malocclusion cases and determining orthopedic and occlusal stability.

— Cervical myofascial pain
— Cervical spine pain
— Evaluation of cervical mediates pain conditions
— Analysis and determination of the trigger points
— Referral patterns of pain and musculoskeletal disorders.

— The role of knowledge of neuroanatomy and neurophysiology of orofacial pain for a dentist
— The mechanism of pain
— Mechanistic model of the disease
— The role of the peripheral nervous system in the occurrence of pain
— Biopsychosocial model of the disease
— Differential diagnosis of orofacial pain.

— Is there a relationship between bruxism and pain?
— Pathophysiology of muscle pain
— Etiological factors of muscle pain
— The role of psychological factors in the development of muscle pain
— Different clinical manifestations of muscle pain. 

— Is there a relationship between bruxism and pain?
— Pathophysiology of muscle pain
— Etiological factors of muscle pain
— Masticatory muscle pain: What is it? What causes it?
— Defining spasm
— Management of temporomandibular disorders
— Classification of temporomandibular disorders
— Analysis of the clinical masticatory muscle model
— Analysis of clinical scenarios
— The role of psychological factors in the development of muscle pain
— Different clinical manifestations of muscle pain.

— What are the basic principles of managing masticatory muscle pain disorders?
—What are the basic principles of managing intracapsular pain disorders?
—Myospasm: etiology, diagnosis and clinical manifestations
—Myofascial pain: etiology, diagnosis and clinical manifestations
—Local myalgia: etiology, diagnosis and clinical manifestations. 

— Local myalgia: etiology, diagnosis and clinical manifestations
— Central mediated myalgia: etiology, diagnosis and clinical manifestations
— Fibromyalgia: etiology, diagnosis and clinical manifestations
— The role of the dentist in managing each of these muscle pain conditions.

— The functional orthopedic treatment goals for all dental therapies
— Which TMD patients benefit from an occlusal appliance?
— The effect of stabilization appliance on reducing patient symptoms
— Criteria for the design of the stabilization appliance.

— The effect of stabilization appliance on reducing patient symptoms
— When an occlusal appliance reduces symptoms, what should you do next?
— Occlusal stablization appliance therapy: selection, fabrication, and use
— Occlusal appliance therapy and long-term management considerations
— Analysis of clinical cases. 

— Etiology of disc derangement disorders
— Are disc derangement disorders always progressive?
— Sources of trauma resulting in derangement disorders
— Clinical signs and symptoms of disc derangement.

— Simple and effective way to use an anterior positioning appliance
— Disc displacement and dislocation treatment. Algorithm
— Treatment protocols of disc displacement with reduction
— Treatment protocols of disc dislocation without reduction
— Managment of derangements of the dondyle-disc.