Craniofacial Pain and Dysfunctions

Chairman:

Dr. Reda A. Abdel-Fattah

Reda A. Abdel-Fattah is a practicing dentist in Boca Raton, Florida, who emphasizes prevention, diagnosis, and the management of Orofacial pain and Temporomandibular Disorders as we;; as constructing oral appliances for Sleep-Disordered Breathing.  He is a graduate of Cairo University Faculty of Dentistry with an honor degree, and the University of Florida, School of Engineering with a Master of Science degree in Material Science and Engineering, emphasizing Biomaterials.  In addition, he graduated from Lynn University, Graduate School with a Master of Professional Studies degree, with aconcentration on Biomechanical trauma.  He is a member, fellow,  board certified, and diplomate in several organizations that are dealing with Orofacial pain and temporomandibular joint disorders.  Dr. Abdel-Fattah has written several books, articles and lectures extensively to health and legal professionals.

Course Objective:

This course is designed to introduce the participant to the field of pain and dysfunctions in the craniofacial regions. It discusses anatomical and biomechanical considerations as well as evaluation and management of TMJ disorders, Myofascial pain dysfunctions and Dental Sleep-Disordered Breathing, namely snoring and obstructive sleep apnea. Topics such as atypical toothache, atypical facial pain, and TMJ pain disorders are discussed.  The principals and clinical considerations for constructing oral appliances for TMJ disorders, snoring and obstructive sleep apnea will be presented.

Course General Outline:

  • Introduction to craniofacial pain and dysfunctions
    • Functions of the odontostomatognathic systems
    • Terminology
    • Symptoms of the craniofacial dysfunctions
    • Signs of craniofacial dysfunctions
    • Prevalence of symptoms and signs
  • Anatomical considerations of the skeletal tissue
    • Bone
    • Dentition
    • Cartilage
  • Craniomandibular soft tissue Matrix
  • Craniomandibular articulations
    • Anatomy
    • Joint Structure
    • Classification of joints
    • Distinguishing Characteristics of TMJ
  • Craniomandibular- Temporomandibular Biomechanics
    • Functional coordination
    • TMJ Structural congruity
    • Craniomandibular Fascia
    • Dental occlusion
    • Gnathological relationship
    • Temporomandibular joint biomechanics
    • Mandibular Biomechanics
  • Contributing factors in causation of temporomandibular disorders
    • Bioequilibrium and Dysbioequilibrium
    • Contributing Factors
      • Oral Para functions
      • Malocclusion
      • Macro-traumas
      • Psychological Factors
      • Developmental Factors
      • Drugs, Alcohol, Tobacco, Food and Vitamin effects
      • Systemic Disease
      • Infectious Arthritis
      • Neoplasms
      • Multiple Etiological Factors
  • Classification of Temporomandibular Disorders
    • Arthrogenous Disorders
    • Muscle Disorders
    • Ligament Disorders
    • Bone Growth Disorders
    • Nerve Disorders
    • Oral Diseases
    • Systemic Diseases
  • Evaluating Temporomandibular Disorders
    • Health history and its significance
      • Medical history questionnaire
      • Dental history questionnaire
        • Chief Complaints
        • History of the chief complaints
        • Past and present health history
    • Clinical Examination and Its Value
      • Examination equipment and room preparation.
      • Visual inspection.
      • Palpation.
      • Auscultation.
      • Percussion.
      • Functional testing.
    • Diagnostic Imaging and their Validity
  • Photography Dental Models Radiography
  • Differential Diagnosis of Orofacial and Temporomandibular symptoms and signs
  • Headache
    • Differential Diagnosis and Classification of Headaches Facial Muscle or Temporomandibular-originated Headaches
    • Primary headache:
    • Secondary Headache
    • Cranial neuralgias, central and primary pain and other headaches
  • Other Head and Neck Pains as related to TMD
    • Neck pain
    • Facial pain
    • Ear pain
    • Dizziness, Lightheadedness, and Vertigo
    • Tinnitus
    • Hearing loss or difficulty
    • Sinus problems
    • Throat problems
    • Eating difficulties
    • Vision Problems
    • Other Symptoms
  • Managing temporomandibular injury
    • General Philosophy in Management of Disorders of the Temporomandibular Articulation And Associated Structures.
      • Goals of Management
      • Phases of Management of Temporomandibular Injury
        • Phase I
        • Phase II
    • General categories of treatment:
      • Emergency treatment
      • Rehabilitative treatment
      • Adjunctive treatment
      • Corrective treatment
      • Sequence of management
    • Success of treatment
    • Possible causes of management’s failure
    • Oral Appliances for managing TMJ injuries and disorders
      • Functions of oral appliances
      • Classification of oral appliances
      • The rational for using an intraoral appliance
      • The modes of action of intraoral Appliances
      • Biomechanical analysis of appliance theories
      • Appliance selection
      • Construction of an oral appliance
      • Delivery of appliance
      • Post insertion instruction
      • Recording follow up office visit
    • Tramsdermal Medicinal Administration
    • Adjunctive Therapy
      • Pharmacological Therapy
      • Nutritional Support
      • Behavioral and Psychological Management
    • Corrective Management of Temporomandibular Injury and Disorder
      • Weaning off an oral splint
      • Long term use of an oral splint
      • Occlusal correction and stabilization
        • Occlusal adjustment and equilibration
        • Removable or Fixed Prosthetics
        • Removable or fixed Orthodontics
      • Surgical Management
      • Considerations before surgical intervention.
      • Surgical techniques

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