*Recording of the lecture available 
until 19 February*

Come and join Prof Ambra Michelotti
the EOS 2023 Distinguished Teacher
in an interactive webinar lecture 
for postgraduate students, titled:
'How to handle TMD patients in Orthodontics'
.
This online lecture is intended for students only. EOS Postgraduate Members can register for free. Students who are not currently members of EOS are entitled to one free year of Postgraduate Membership by registering for this lecture.

The lecture will consider the following: 
1) Make the TMD diagnosis and differential diagnosis with other orofacial pains 
2) Perform clinical examination of patients presenting orofacial pain and/or dysfunction 
3) Management of patients with TMD pain and dysfunction
This webinar represents 3 hours of Continuing Professional Development (3 CPD points).

Speaker BioProfessor Ambrosina Michelotti graduated in Dentistry (DDS) in 1984 and received the Honorary Degree in Dentistry at the University of Malmo (Sweden) in 2018. In 1991 she's got the degree of specialist in Orthodontics. She is full professor in Orthodontics and Clinical Gnathology. She is full professor and director of the post-graduated School in Orthodontics and responsible of the Master course on “Orofacial pain and Temporomandibular Disorders” at the University of Naples Federico II. She has authored or co-authored more than 170 papers published in Italian and international journals, and co-author of several book chapters. She also gave numerous lectures at international congresses. Her research interests are mainly focused on clinical orthodontic, the basic physiology of the jaw muscles, on the etiology, diagnosis and management of temporomandibular disorders and on the relationship between the jaw musculature and orthodontics.She was the president of the European Academy of Craniomandibular Disorders (2010), President of the Neuroscience group of IADR (2011); President of SIDA (società italiana di disfunzioni ed algie temporomandibolari; 2012-2013); President of the RDC/TMD Consortium at the International Association od Dental Research (2013-2014); President elected of the European Society of Oral Physiology (2024).Editor in Chief of the Orthodontic and Craniofacial Research journal, Associate Editor of the European Journal of Oral Science, Associate Editor of the Journal of Oral Rehabilitation, member of the Editorial Board of the European Journal of Orthodontics and referee of several national and international journals.

Learning Objectives
  • Potential risk factors, including the role of occlusion and orthodontics, will be analyzed with a focus on the biopsychosocial model. 

  • The classification according to the diagnostic criteria for TMD (DC/TMD) and to the International Classification of Orofacial Pain (ICOP) will be explained. 

  • The flow chart for the clinical examination of the patient to assess TMD signs and symptoms will be provided.  

  • Finally, the management of the patient presenting TMD signs and symptoms before or during the orthodontic treatment will be analyzed by presenting clinical cases.

Abstract  The relationship between occlusion and temporomandibular disorders (TMD) represents one of the major controversies reported in the scientific literature. Nevertheless, sound evidence from large population-based surveys point toward weak and inconsistent associations, supporting that the role of the occlusion in the etiology of TMD should not be overstated. Also, despite the type of device, traditional orthodontic treatment seems to play a neutral role with regards to the onset of TMD: in particular, this therapeutic approach has been reported not to prevent or to increase the risk of TMD development.  Orthodontists should be aware of the multifactorial etiology of TMD and should be instructed regarding the available tools to manage patients before, during, and after any orthodontic intervention. Indeed, in our everyday clinical practice, it is not uncommon to find patients who report with a history of orofacial pain. Therefore, a routine TMD-related examination before the commencement of orthodontic therapy appears to be crucial. It is mandatory to start by taking a thorough history and a comprehensive TMD examination to assess pain intensity, interference in function due to pain, and distress. As a general rule, it is not recommended to initiate an orthodontic treatment until the pain is managed. Furthermore, whenever TMD signs and symptoms appear during an orthodontic treatment it is generally suggested to stop the active treatment and to manage the pain with full available methods. Orthodontic treatment can be continued as previously planned or, if necessary, modified according to the patient's conditions, when the patient is pain-free.

AGENDA

Friday 10 February 2023, 15:00-18:30 CET. 

Recording available until 19 February on demand.

15:00 CET
Opening remarks

15:05 CET
Part 1 - Definition, epidemiology and risk factors

16:00 CET
10 minute break

16:10 CET
Part 2 - Diagnosis and clinical examination

17:10 CET
10 minute break

17:20 CET
Part 3 - How should orthodontic treatment be managed if the patient presents signs and symptoms of TMD
before/during/after treatment?

18:30 CET
Questions and Answers


REGISTRATION

Free for EOS member students.

The registration fee for non-members is £30.00 incl. 20% VAT and includes one free year of Postgraduate Membership
Read about the membership benefits here.

If you cannot make the livestream on Friday 10 February but do not want to miss it, 
you can register to access the recording for a week until Sunday 19 February.

Contact us

 +44(0)2078085623

 EOSevents@tfilodestar.com

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