L1. January 12-13 , 2024.

EVIDENCE-BASED INTRODUCTION — OCCLUSION AND CONTROL OF PARAFUNCTIONAL FORCES

• The Model Change:

  • Evidence-Based Medicine and Dentistry

  • The Four Agreements

• Overview and Nomenclature

• Epidemiology

• Classification

• Temporomandibular joint disorders/dysfunction.

  • Classification

  • Evaluation

  • Joint pain

  • Disc complex disorders

  • Joint diseases (DJD)

  • Congenital and acquired disorders

• Myofascial pain disorders (muscle disorders):

  • Classification

  • Evaluation

• Differential diagnosisPractical Craniofacial Anatomy

• Evaluation and Assessment:

  • History - The key role and specific “techniques”

    • Review of the critically important History Taking Process

    • Develop an appropriate treatment plan addressing each diagnostic component on the problem list with consideration of cost/risk benefits. 

    • Incorporate risk assessment of psychosocial and medical factors into the development of the individualized plan of care

    • Obtain informed consent

    • Establish a verbal or written agreement, as appropriate, with the patient emphasizing the patient’s treatment responsibilities

  • Diagnostic studies

  • Physical Examination

  • Diagnostic imaging

• Differential diagnosis

• Worrisome or dangerous conditions – Red flags

• Role of Occlusion and Introduction to Appliance Therapy

  • Appliance therapy in trigeminally mediated pain conditions

  • Theories of appliance therapy with intracapsular disorders

• Occlusal dysesthesia

• Hands-on sessions – physical examination, diagnostic imaging

• Case Studies

January 17, 2024

Virtual 7:30- 10:00 PM

Introduction to How to Read a Paper

V1. February 16-17, 2024

Two full day virtual session

Lit Review Continued and Critically Important Basic Physiology

V1. MARCH 8, 2024

• Neuroanatomy – pain pathways and transmission

• Pain physiology – peripheral sensitization, central sensitization, pain neuromatrix

• ICOP classification and Red Flags

• Diagnostic Studies

• Intracapsular disorders

• Clinical Evaluation

L2. April 12-13, 2024

In person

• DENTAL SLEEP MEDICINE AND INJECTION THERAPY

  • Comprehensive Review Dental Sleep Medicine

    • Dental Sleep Medicine Review:

      • Basic Concepts

      • Anatomy and pathophysiology of sleep disordered breathing

      • Appropriate screening and use of Home Studies and Questionaires

      • Comprehensive craniofacial exams

      • Classification of disorders and Diagnosis

        • Non obstructive

        • Obstructive

      • Risk Benefit decision in treatment decision making

      • Indepth evaluation and treatment options for Upper Airway Resistance Syndrome

      • Review of all potential treatment modalities including in-depth evaluation of positive airway pressure options

      • Appliance Therapy/ Bite Registration/ Vertical Dimension

      • Combination Therapy

      • Supportive Therapy (Nasal – positional – other)

      • Sleep and Pain

      • Practice Management

      • Complications 

      • Case studies

    • Injection therapy:

      • Trigeminal nerve injections

      • Trigger point injections

      • Ganglion Injections (Sphenopalatine Ganglion)

      • Ligament insertion injections

V2 - May 10, 2024

DIAGNOSTIC PRINCIPLES OF IMAGING AND PHARMACOLOGY

• Pharmacology and Pharmacotherapy

• Imaging Basics

  • Appropriate use of the Panograph and Dental Radiographs

  • MRI Basics

  • CBCT Basics

V3. June 7, 2024

OROFACIAL PAIN, INTRACAPSULAR REVIEW, AND MIGRAINE

• ICOP Review

• Oral and maxillofacial pathology, oral medicine disorders and orofacial pain

• Review of treatment of Internal Derangements

• Review of treatment of Degenerative Joint Disease (Including RA and Psoriatic)

• Idiopathic Condylar Resorption

• Migraine and Trigeminal Autonomic Cephalgia Continuum.

V4. July 12, 2024

CURRENT BRUXISM CONCEPTS AND A MIGRAINE TAC INTRO WITH DR. PAUL MATHEW

The contribution and interpretation of orofacial structural variation (occlusal and skeletal) to orofacial pain, headache, and dysfunction

• History of Bruxism Concepts

• Clinical Implications of the Concurrent Definitions of Bruxism

• Malocclusion and Skeletal asymmetries and their role in diagnosis and pathology

• Deep Dive into Migraine

• Migraine and Autonomic Cephalgias

L3. August 15-17 2024

In person

PSYCHOLOGY AND PAIN — AUTOGENIC TRAINING - PAIN AND SLEEP - HISTORY TAKING LIVE and IMAGING ROLE IN DIAGNOSIS: DRS. MICAH SADIGH, PAUL MATHEW, AND STEVE SCRIVANI

THURSDAY AUG 15 1-6 PM.: INJECTION SERIES (SPG, LIGAMENT INSERTION, TP, AND BOTOX (DR. PAUL MATHEW)

FRIDAY AND SATURDAY

The psychological mechanism of sleep and its impact on pain

• Pain, Anxiety, and Depression: An exploration of their Synergistic Confluence

• Thoughts, Emotion, Meaning: The Dynamics of Chronic Pain

• Treating the Challenging Patient

• Live Hands HISTORY TAKING

• Autogenic Training Session — A review of idiopathic insomnia

• Continued Neuroanatomy and physiology of pain

• Differential Diagnosis combining history, diagnostic studies and physical exam

• A new perspective of “TMD”

• Comprehensive Introduction into Imaging

  • Review of options

    • Dental

    • Panograph

    • MRI

    • CBCT

    • Brain Scans

    • CT

  • Why and When?

  • Prescription Writing

  • Referral Patterns

V5. September 13, 2024

UNDERSTANDING THE ROLE OF EMBRYOLOGY IN THE DEVELOPMENT OF THE TRIGEMINAL NERVE AND TMJ - JOINT AND ORAL SURGERY REVIEW - AND COGNITIVE BEHAVIORAL THERAPY

• Embryological Development of the TMJ and the Trigeminal System

• Trigemino-cervical Dive Reflex

• Surgical Review

  • Joint surgery options

  • Orthognathic surgery

  • Imaging for evaluation

V6. October 11, 2024

ADVANCED SLEEP MEDICINE

• Overview of sleep physiology and pathophysiology of obstructive sleep disorders

• Sleep disorders and pain

• Central Sleep Apnea

• Non obstructive sleep disorders including UARS and insomnia

• Oral appliance Therapy Review

• The role of Sleep Hygiene in Sleep disorders

• Critical Review of HST advantages and disadvantages — use in titration

• In depth look at supportive therapy including nasal breathing support

• Lit review including current respiratory effort, AHI, hypoxic burden and ventilatory burden

V7. November 8, 2024

SUPPORTIVE THERAPY FROM PATIENT MANAGEMENT TO COMPLIMENTARY MEDICINE

• Physical medicine

• Nutritional medicine

• Review of systemic inflammatory state and management

• Review of patient management and the pyshcolgical effect on patients

• Placebo discussion

• Acupuncture

• Complementary medicine

  • Chiropractic Therapy

  • Myofunctional Therapy

• Case Studies

L4.December 13-14, 2024

In person

• Post-course educational exercise

• Educational exercise review

• Post-course review session

• Topic/literature review presentations

• Case Studies

• COURSE COMPLETION DINNER