Recognizing the TMJ Patient

Synopsis: The TMJ patient can present with many faces in the growing child, adolescent and adult. Facial asymmetries, dental asymmetries and dental mal-occlusions can all have their origins from a temporomandibular joint internal derangement.

Early childhood trauma to the lower jaw, as simple as a bunk to the chin, can lead to growth and developmental disorders of the mandible due to TMJ structural injury.

Subsequent development of facial/skeletal deformation, dental mal-occlusions and facial pain issues can also develop, which can express themselves progressively into the adult life of the patient.

Medical Doctors involved in the diagnosis and treatment of head, neck and facial pain and all dentists, whether general dentists or specialists, should have the basic knowledge and skills to perform a front line TMJ examination and make a front line diagnosis.

Specifically, skeletal, and Angle’s class II type malocclusions, anterior open bites, changing or unstable bites and asymmetrical and or changing skeletal profiles very often have temporomandibular joint internal derangements associated with them.

Further diagnosis of the TMJ’s, with CT scan and MRI are indicated for formal diagnosis of any joint pathology in order to incorporate and account for it when treatment planning any type of dental work. The stability of the facial profile and bite will always be dependent on the corresponding stability of the jaw joint foundation.

This Presentation Will Introduce Attendees To The Concepts And Techniques Necessary To:

  • Recognize the face and profile of a TMJ patient in the growing child, adolescent and adult
  • Recognize the occlusion/ bite of a TMJ patient
  • Recognize pain patterns of the TMJ patient
  • Recognize the TMJ patient from a Panorex X-ray
  • Recognize the TMJ patient from a full mouth series set of X-rays
  • Know how to recognize the patient who requires further advanced TMJ diagnostics
  • Understand the significance of basic TMJ MRI interpretation.
  • Treatment planning the TMJ patient

Clinical cases will be presented demonstrating the above information as relates to the young growing child, adolescent and adult.

This seminar can be offered in a one hour, half day and full day format with a specific topic and amount of information covered adjusted accordingly.

For Medical, Dental and Legal Professionals

Dr. Gittelson is available to give presentations to both small group and large audiences on TMJ, facial pain and implant related topics. These presentations can range in time from one hour to half day to full day format.

Dr. Gittelson is also available for consultation, professional opinion and expert review and testimony regarding TMJ, facial pain and implant related issues.