Join us in Chapel Hill for a Craniofacial Pain and TMJ mini residency

Join Terry Bennett, DMD, Mayoor Patel, DDS, MS, UNC’s Greg Essick, DDS, and Rose Nierman, RDH, in Chapel Hill, North Carolina for the 2019 Orofacial Pain Mini Residency! This craniofacial pain and TMJ mini residency will help you better care for your patients.

The Orofacial Pain Mini-Residency is a comprehensive 2-session, 40 CE Credit program designed to give dental practices the knowledge and guidance to fully incorporate orofacial pain treatment into their practice.

With an emphasis on hands-on learning, attendees gain the skills and confidence needed to be successful in all aspects of TMD & craniofacial pain treatment.

Session 1: June 28-30, 2019     Friday & Saturday 8:00 am – 5:00 pm

                                                        Sunday 8:00 am – 12:00 pm

Session 2: Aug 23-25, 2019       Friday & Saturday 8:00 am – 5:00 pm

                                                        Sunday 8:00 am – 12:00 pm

Meet the speakers

Greg Essick, DDS. Professor in the Department of Restorative Sciences and Director of the Dental Sleep Clinic at UNC. He is also author/co-author of over 120 journal articles and book chapters, the most recent pertaining to sleep medicine and pain.

Mayoor Patel, DDS, MS. He is a diplomate of ABCP, ABDSM, ABCDSM and ABOP. He is also a board member of ABCP and ABCDSM, and examination chair for ABCP. Dr. Patel’s practice is limited to dental sleep medicine and craniofacial pain.

Terry Bennett, DMD. Diplomate of ABCP, ABDSM and ABCDSM. Dr. Bennett is the former president of the AACP and his practice is limited to dental sleep medicine and craniofacial pain.

Rose Nierman, RDH. Founder/CEO Nierman Practice Management. Rose is the most experienced and recognized educator nationwide in CrossCroding. She makes medical billing fun and rewarding to learn.

What will be covered?

Session 1 consists of neuroanatomy, the concepts and fundamentals of pain, musculoskeletal disorders, neuropathic disorders, neurovascular disorders, and hands-on examination and documentation systems, and finishing with medical billing for TMD treatment.

Session 2 includes imaging, pharmaceuticals, and adjunct therapy for orofacial pain. Therapy for craniomandibular disorders, orthotic therapy, and a review of other common orofacial pain conditions is covered before diving into hands-on injection therapy, and closing with sleep and pain, and case studies.
Don’t forget to register today! We hope to see you in Chapel Hill, North Carolina!

The ABCs of Advanced Dentistry: Airway, Bruxism and Craniofacial Pain

It has become increasingly clear that there is a link between sleep apnea (airway), bruxism and craniofacial pain, in some patients and dentists should be knowledgeable in all three areas. Most dentists are not knowledgeable or well-versed in dental sleep medicine, etiologies of bruxism or craniofacial pain conditions. For this reason many dentists are unable to recognize the risk of sleep apnea, let alone manage patients with oral appliances.

The same goes for craniofacial pain and bruxism. While bruxism is often more noticeable, it is often overlooked. By understanding the unique connections between the airway, bruxism, craniofacial pain and other conditions, dentists can open their practice to more services for diagnosis and treatment options for their patients. Here are the ABCs of advanced dentistry are Airway, Bruxism and Craniofacial Pain.

Airway (Sleep Apnea)

Dental practices are in a unique position to identify patients at risk for conditions involving the airway, such as sleep disordered breathing (SDB). There are many levels of diagnosis a patient may receive once testing has been completed to evaluate a suspect compromised airway, which is where continuing education comes into play. Understanding the airway and how it can affect a patient’s sleeping patterns due to sleep apnea and other sleep disordered breathing conditions is vital in maintaining your patients’ health and improving service offerings.

Bruxism

The gnashing and grinding of the teeth that occurs without a functional purpose is called Bruxism, which can cause a lot of problems for our patients. Whether a patient has a nervous habit, is experiencing stress or is unknowingly grinding their teeth at night, bruxism can cause a lot of damage to not only their teeth, but their overall health as well. Due to the breakage of dental restorations, tooth damage, induction of temporal headaches and temporomandibular joint disorders (TMD) can occur.

Craniofacial Pain (TMD)

And now it comes full circle with craniofacial pain. Covering a wide spectrum of symptoms, Craniofacial pain can be exhibited in many areas of the head and neck. In particular, a majority of craniofacial pain complications can be associated with temporomandibular joint disorder (TMD). Because of this, an essential part of routine dental examinations for all patients should include evaluation for TMD. This includes the gold standard for the diagnosis of TMD, which is based on history, clinical examination, and imaging when appropriate.

There appears to be a relationship apparent in some individuals between the airway, bruxism and craniofacial pain. While it is not found in every patient, there still remain some individuals that require further attention because the connection seems apparent. As a dentist, it is important to understand that clenching or grinding of one’s teeth can be a way for the brain to protect itself from suffocation during sleep.

Each condition can be a sign for a deeper problem, but what do you do about it? Educate yourself. The more you know, the more you can help your patients if this apparent connection arises in various cases. And, while it might not occur in every case, it is vital that we understand it for those certain individuals suffering from all three conditions.  

Attend these dental sleep medicine, pain lectures before summer

Before you know it, summer will be here. While there are dental sleep medicine and craniofacial pain lectures all year long, we have some you might want to join before summer begins. I understand that summer is the time to travel and explore with your family. But why not get a few lectures in under your belt before jet setting across the world?

To help you get a better idea of what lectures are out there, I have put together a few for you to explore before June. Here they are:

March 29, 2019

Topic: Sleep disordered breathing and orofacial pain

Location: Chicago, IL

 

April 5-6, 2019

Topic: UNC Dental Sleep Mini Residency Session 3.

Location: Chapel Hill, North Carolina. 

 

April 26-27, 2019

Topic: The Appliance Course for Dental Sleep Medicine & TMD.

Location: Atlanta, Georgia. 

 

May 10-11, 2019

Topic: TMJ for the dental sleep practice & Injections/Botox.

Location: New York, New York.

 

May 17-18, 2019

Topic: Sleep & Pain Mini Residency 3 Session 2.

Location: Atlanta, Georgia.

 

I look forward to seeing you at an upcoming lecture! Please let me know if you have any questions about these dental sleep medicine and craniofacial pain lectures. See you soon!

How to help your patients with complications of TMD

While painful, temporomandibular joint disorders (TMD) refer to a cluster of conditions that are often characterized by pain in the temporomandibular joint (TMJ) or its surrounding tissues. The surrounding tissues might include the neck, head and even shoulders. Conditions involving the TMJ are so common among the adult population that up to 75 percent show at least one sign of TMD upon examination. To help your patients reduce or eliminate their pain, let’s take a look at some of the complications of TMD and how to educate your patients.

What are the other complications of TMD?

Evidence continues to be available about TMD and how it can be worsened by other conditions. Today, it has been shown that anxiety, stress, and other emotional disturbances may worsen TMD. Some of the common signs of TMD include:

  • Jaw pain.
  • Limited or painful jaw movements.
  • Headaches.
  • Neck pain or stiffness.
  • Clicking or grating within the joint.
  • Inability to open mouth without pain.

About 55 percent of patients with chronic headaches who receive referrals to a neurologist actually have signs of TMD. Without the education on TMD, patients are overlooking signs and symptoms and are missing treatment. As a dentist, you can put an end to the misdiagnosis of TMD by completing further education. You can also educate your patients on self-care techniques and referral for non-invasive treatment.

TMD treatment can help

Signs and symptoms of TMD improve over time with at-home care, and with oral appliance therapy from the dental office. Previous studies have even show that as many as 50 percent of patients improve in one year and 85 percent improve completely in three years.

Encourage conservative treatment before considering any invasive options. It is important to treat your patients properly without causing further complications.

Contact my office to learn more about TMD and available treatment options, as well as upcoming lectures for continuing your education.