Introduction to Advanced Imaging/MRI of the TMJ Patient

Course Description:

This Two day lecture/hands on presentation will introduce attendees to the concepts and techniques necessary for recognizing the patient that has a TMJ problem requiring advanced imaging, specifically MRI for proper diagnosis and treatment.

It is well established that the ability to control the occlusal forces placed on either an implant or tooth supported prosthesis is critical to the long term success of the restoration as well as the maintenance of the implant bone interface. In order to be able to control occlusal forces predictably, the TMJs must be functioning properly. The TMJs are the positioning elements of the mandible during closure. If the TMJs are not stable, the occlusion will also not be stable. If the TMJs are not stable, even the best dentistry will fail.

Therefore, it is extremely important to be able to recognize the patient who has a TMJ problem upon presentation to your office. Once identified, these patients require advanced diagnostics, specifically, MRI to determine if the jaw joints are stable enough to support and sustain any proposed dental work. Upon completion of this presentation, attendees will have the skills and armamentarium necessary to recognize the patient that has a TMJ problem, order an MRI of the TMJs, do a basic read of the MRI, and present their findings in an organized manner to your patient.

DAY 1 PRESENTATION

Learning Objectives:

• Review of Jaw Joint Anatomy
• How To Recognize The Face And Profile Of The TMJ Patient
• How To Recognize The Occlusion Of A TMJ Patient
• How To Recognize The TMJ Patient From A Full Mouth Series Of X-Rays
• How To Recognize The TMJ Patient From A Panorex X-Ray
• How To Recognize The Patient Who Requires Further Advanced TMJ Diagnostic Imaging
• Understand The Significance Of Basic TMJ MRI Interpretation From A Restorative Point Of View.
• How To Recognize Pain Patterns Of The TMJ Patient,
• How To Recognize the Signs and Symptoms of COMPLEX REGIONAL PAIN SYNDROME, CRPS/RSD and Its Significance To Dentistry
• Introduction To Regional Diagnostic Nerve Blocks

DAY 2 PRESENTATION

Learning Objectives:

• Introduction to TMJ MRI protocol
• Introduction to various types of MRI images and sequences used in TMJ MRIs
• Introduction on how to read TMJ MRIs
• Treatment Planning the TMJ Patient based on MRI
• Photographic template and protocol for case presentation

Hands on:

Read live MRI images on Windows computers. For Mac users please have Parallels installed.

Attendees will also learn how to create PowerPoint patient presentations.
Each attendee will receive a USB stick to use during the course and keep with detailed lecture notes, photographs, patient forms, all information necessary to begin ordering and reading TMJ MRIs, including ICD 10 and CPT codes, and actual MRIs to practice reading. Also included is information on how to communicate the TMJ MRI protocol with the radiologist.

All attendees will need to bring a laptop with PowerPoint 2010 or above installed on Windows or Mac.
Upon completion of this presentation, attendees will have the skills and armamentarium necessary to recognize the patient that has a TMJ problem, order an MRI of the TMJs, do a basic read of the MRI, and present their findings in an organized manner to your patient.

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