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COURSE
DESCRIPTION
Clinical
conditions, such as articular and muscular jaw disorders,
are a heterogeneous set of musculoskeletal disorders that
rarely occur in isolation, but rather as a cluster of problems
often with overlapping symptoms. The multifactorial nature
of these problems demand identifying inter-related diagnoses
and rendering a multidisciplinary management approach.
Regional
myofascial pain will be differentiated from global muscle
pain (fibromyalgia) and "daily headache", such as cervicogenic
headache and tension-type headache. The importance of differentiating
dental sources of tooth pain from non-dental tooth pain referred
from masticatory and cervical muscles or from neuropathic
pain (atypical odontalgia) will also be emphasized. The spectrum
of articular disorders from normal biologic variations to
dysfunctional displacement disorders through end-stage processes
of degenerative joint disease will be discussed.
These
variations will be presented in order to implement appropriate
management that promotes tissue repair and improves function
with minimal risk for the patient. Lastly, if signs or symptoms
are present, or develop during treatment, early assessment
and management need to be implemented.
COURSE
OBJECTIVES
Participants
will be able to meet the following objectives:
1.
Describe the diagnostic criteria for the two most common articular
and muscular conditions affecting the jaw.
2.
Order the appropriate diagnostic tests and consults for the
most common musculoskeletal disorders affecting the jaw.
3.
Differentiate disorders affecting the jaw from other medical
conditions that masquerade as myofascial disorders.
4.
Develop a problem-based, goal-oriented treatment plan for
the most common diagnoses.
5.
Assess and properly sequence dental care for the at-risk jaw
patient.
REQUIRED
READING LIST
1.
Orofacial Pain: Guidelines for Assessment, Diagnosis, and
Management; Quintessence Publishing Co., Chicago 1996
2.
Orofacial Pain: From Basic Science to Clinical Management;
Quintessence Publishing Co., Chicago 2001
For
additional information, please see the Course
Outline, or biographical information on instructors Charles
McNeill and Patricia Rudd.
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