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Continuing Education for the Dental Profession in Colorado

Seminar #5

March 11, 2019

John R. Droter, DDS

TMD for the General Dentist – Why are you Clenching and Grinding? What is a Click?





There seems to be no consensus on what TMD is and more importantly how to treat it. The various TMD specialists all seem to disagree, so that as a non-TMD expert, most doctors come to believe doing the least amount is a prudent approach. This course will help you understand why there was so much confusion and disagreement in the past. You will also learn how you can identify, diagnose and treat specific types of TMD in your practice, that will benefit both your patients and the practice.


You will Learn:

Why so much confusion in the past?
Temporomandibular Disorders are not one disease. Understanding the different diseases that make up the umbrella term TMD will bring some clarity to the confusion.

  • Clenching and Grinding: What it is and what to do about it.
  • Identifying patients in your practice who grind and clench.
  • Grinding is different than clenching. How to identify each type.
  • There are three types of grinding patients, two types of clenching patients.
  • How to chose the correct night appliance specific for each condition.
  • How to treat the three different types of grinding.
  • How to stop clenching.
  • How to use a simplified occlusal orthotic to identify patients with Occlusal Muscle Disorder.

What is TMJ clicking?

  • All clicking temporomandibular joints are damaged.
  • The 5 different types of TMJ damage that can produce a clicking sound.
  • Most damaged temporomandibular joints do not need treatment.
  • The clinical implications of “The Click”.
  • How to identify dangerous clicks.
  • Identifying patients whose condition will be made worse by dental procedures.
  • The disease progression and treatment for the few clicks that need therapy.
  • Introduction into reading MRI and CT scans.