TN-AGD Spring 2020 MasterTrack (Occlusion/TMD)
April 24, 2020 @ 8:00 am - April 26, 2020 @ 5:00 pm EDT
TMJ & Sleep Disorders Breathing in Children and Adults with a focus on Airway-Orthodontics William E. Harrell, Jr, DMD, C.DSM
Objectives of Course:
1. Review the Pediatric Task Force Committee’s recommendations for screening exams for Pediatric Sleep Related Breathing Disorders. The Reference Committee “C” and HOD of the ADA (San Francisco 2019) is recommending our Task Force’s work be adopted by the ADA.
2. To understand and document various facial biomarkers (3D Geometry and color) related to SRBD.
3. To understand the difference between Adult OSA and Pediatric Sleep Disorders.
4. To understand how TMJ Disorders and Sleep Disorders may be related. Bruxism as a part of Sleep Medicine is considered a movement disorder of sleep, like restless leg syndrome. Bruxism may be related to the patient trying to open up their airway at night.
5. Hands on Adjustment of Lower Splint TMJ Orthotic using Retrusive Bracing Occlusion.
6. Introduce the concept of occlusion put forward by Dr. Farrar of “Retrusive Braced Occlusion” for both TMJ splints and natural dentition.
7. Early diagnosis and airway treatment alternatives in children is critical if we are to have a chance of lessening or possibly even “curing” OSA and SRBD later in life. OSA and other obstructive sleep disorders may have their origins and signs (biomarkers) show up as early as 2 – 2 ½ years of age.
8. ConeBeam CT (CBCT) principals and uses in Airway focused therapy. 9. Is CR always the treatment position for all cases? 10. Presentation by 3dMD on future imaging of 3D and 4D imaging.
Friday April 24, 2020 Day 1 AM Introduction to Pediatric Airway Screening Biomarkers 3D facial Imaging CBCT Case studies PM TMJD The work of Drs. Bill Farrar and Bill McCarty will be presented Retrusive Braced Occlusion Videos of fresh cadaver material of various types of Internal Derangements. How TMJ Disorders and Sleep Disordered Breathing relate to each other TMJ Splints. (I use mostly Lower splints that are equilibrated directly in the mouth. Lowers are more amenable for Full Time Wear, speaking and are more comfortable).
Saturday April 25, 2020 Day 2 AM Case Studies and other material PM Hands on TMJ splint therapy Each Dr. is recommended to take a lower impression on themselves or a 3D IO scan. Send only lower to (a specific person at) Great Lakes Orthodontic Lab for fabrication of a lower 3 mm Biocryl splint to be trimmed but no occlusal adjustment. These splints will be mailed back to the Dr. to bring with them to the course. Must send in plenty of time to get them back for the course. Make sure they fit OK but do not adjust the occlusal as this will be done in the course. Articulation paper, slow speed hand pieces and acrylic burs will be provided.
Sunday April 26, 2020 Day 3 AM – 3dMD presentation Future of Imaging 3D and 4D