Short Post Graduate Courses in Clinical Oral Physiology

Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) A Clinical Examination Course at the Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University

Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

A Clinical Examination Course at the Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University

Objective:

To give the participants both theoretical and practical knowledge in the DC/TMD (1-day course) and DC/TMD calibration training (2-day course) with the overall aim that clinical examiners are standardized in their examination, diagnosis, and assessment procedures in the conduct of the Axis I Clinical Examination for DC/TMD.

Target groups:

1-day course: General dentists/clinicians who wish to use the DC/TMD in clinical practice.  

2-day course: Clinicians with a special interest in TMD and researchers who wishes to use the DC/TMD for scientific studies.

Course organization:

Course leader: Karina Haugaard Bendixen, e-mail: karina.bendixen@odont.au.dk

Course secretary: Hanne Langgaard, e-mail: hanne.langgaard@odont.au.dk

Course description:

Option one; 1-day course:

Lectures: General principles and detailed description of the DC/TMD examination procedures including the Axis I, Axis II, and the algorithms. An overview of the changes from RDC/TMD to the DC/TMD. Palpeter ® (palpometer for accurate muscle palpation).

Practical and hands-on: Demonstration of the DC/TMD and clinical training in TMD patients so that the individual examiners become familiar with DC/TMD specific examination methods, materials and sequencing of clinical examination procedures.

Option two; 2-day course:

The 1-day course + calibration training the second day. Each individual examiner compares with other examiners their DC/TMD examination findings with a Gold Standard Examiner. Calibration involves all course participants clinically examining the same TMD patients and some asymptomatic controls (in total 16 persons).

Course language:

English

Program:

Day 1

DC/TMD Training

 

9:00-9:15

Welcome and Registration

KHB

9:15-10:00

Introduction to DC/TMD

PS

10:00-10:45

DC/TMD - Diagnosis and Examination Methods (Part I)

KHB

10:45-11:00

Coffee Break

 

11:00-11:30

Palpeter® (Demonstration and hands-on)

PS

11:30-12:15

DC/TMD - Diagnosis and Examination Methods (Part II)

KHB

12:15-13:00

Lunch Break

 

13:00-14:00

Clinical Demonstration (over-the-shoulder)

KHB

14:00-16:00

Axis I clinical examination training (hands-on)

(4 teams of 1 X patient + 1 X teacher)

PS, LBH, EC, KHB,

BH

16:00-16:15

Coffee Break

 

16:15-17:00

Discussion/Evaluation incl. Multiple Choice Test and Course Certificate

KHB

 

Day 2

DC/TMD Calibration

 

8:00-8:30

Today`s Program

 

KHB

8:30-10:00

Calibration Session I

(4 teams of 1 X patient + 1 DN) (patients 1-4)

KHB, BH, DN 1, DN 2, DN 3

10:00-10.30

Coffee Break

 

10:30-12:00

Calibration Session II

(4 teams of 1 X patient + 1 DN) (patients 5-8)

KHB, BH, DN 1, DN 2, DN 3

12:00-12:45

Lunch

 

12:45-14:15

Calibration Session III

(4 teams of 1 X patient + 1 DN) (patients 9-12)

KHB, BH, DN 1, DN 2, DN 3

14:15-14:45

Coffee Break

 

14:45-16:15

Calibration Session IV

(4 teams of 1 X patient + 1 DN) (patients 13-16)

KHB, BH, DN 1, DN 2, DN 3

16:15-17:00

Discussion, Evaluation, and Course Certificate

KHB

 

Instructors:

KHB  Karina Haugaard Bendixen, DDS, PhD, Assistant Professor, Senior Clinical Instructor

PS  Peter Svensson, DDS, PhD, Dr Odont, Professor and head of Section of Orofacial Pain and Jaw Function

LBH  Lene Baad-Hansen, DDS, PhD, Associate Professor

EC  Eduardo Castrillon, DDS, PhD, Associate Professor and Clinical Instructor

BH  Bente Haugsted, Dental Nurse

DN 1, 2, and 3 three dental nurses  

 

Course Materials:

Orbach, R, Gonzalez Y, List T, Michelotti A, Schiffman E. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), Clinical Examination Protocol, Version June 2, 2013 (send to participants prior to participation by e-mail)

Suggested supplementary literature:

Benoliel R, Svensson P, Heir G, Sirois D, Zakrzewska J, Oke-Nwosu C, Torres S, Greenberg M, Klasser G, Katz J, Eliav E. Persistent orofacial muscle pain. Oral Dis 2011;17:23-41.

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992 Fall;6(4):301-55. Review.

Svensson P, Baad-Hansen L. The mechanisms of joint and muscle pain. J Am Dent Assoc 2010;141:672-674.

Svensson P. Painful issues in head pain classification. Pain 2011;152:713-714 (Invited commentary).

 

Course fee per participant:

1-day course: DKK 6000

2-day course: DKK 9000

 

Practical information about Aarhus:

www.visitaarhus.com

 

 

Introductory theoretical and hands-on course on extraoral and intraoral qualitative and quantitative somatosensory testing (QualST/QST)

Introductory theoretical and hands-on course on extraoral and intraoral qualitative and quantitative somatosensory testing (QualST/QST)

Objective:

To give an introduction to sensory examination of patients with orofacial pain and sensory disturbances for clinical and research purposes.

Target group:

Dentists and researchers with an interest in somatosensory function.

Course organization:

Course leader: Lene Baad-Hansen, e-mail: lene.hansen@odont.au.dk

Course secretary: Hanne Langgaard, e-mail: hanne.langgaard@odont.au.dk

Short Post Graduate Courses in Clinical Oral PhysiologyCourse description:

Lectures: General principles and detailed description of the background for qualitative somatosensory testing (QualST) and quantitative somatosensory testing (QST) and psychophysical principles. Also a detailed description of a standardized protocol and how to interpret the data. Introduction to Palpeter ® (palpometer for accurate muscle palpation).

Practical and hands-on: Demonstration of QualST and QST with exercises and hands-on QST testing in patients

Number of participants:

2-6

Course language:

English or Danish 

 

Program:

Day 1

 

 

9:00-9:15

Welcome and registration

LBH

9:15-10:00

Introduction to somatosensory examination

LBH

10:00-10:15

Coffee

 

10:15-11:00

The physiology of pain and sensory abnormalities

PS/LBH

11:00-12:00

Psychophysical principles

PS

12:00-13:00

Lunch

 

13:00-13:30

Demonstration: QualST and sensory mapping

LBH

13:30-14:30

Exercise: Mapping after local anesthesia or placebo

LBH

14:30-14:45

Coffee

 

14:45-15:15

Discussion and questions

LBH

15:15-16:00

Palpeter ®

SK

16:00

Introduction to Day 2 (what to read)

LBH

  

Day 2

 

 

8:30-9:30

Standardized QST (extra- and intraorally):

German Network protocol, Intraoral protocol adjustments, reliability

LBH

9:30-10:30

Practical details:

Guidelines, papers, verbal instructions

LBH

10:30-10.45

Coffee

 

10:45-12:00

Demonstration of QST on course participants

LBH, BH

12:00-13:00

Lunch

 

13:00-15:00

QST  in patients (hands-on)

LBH, BH

15:00-15:15

Coffee

 

15:15-16:00

What do the results tell us?

Scoring of QST, Somatosensory profiles, LossGain scores, Caveats

LBH

16:00-16:45

Discussion/evaluation and course certificate

LBH

16.45

Guided tour of Section of Clinical Oral Physiology

 

 

Instructors:

PS  Peter Svensson, DDS, PhD, Dr Odont, Professor and head of Section of Orofacial Pain and Jaw Function

LBH  Lene Baad-Hansen, DDS, PhD, Associate Professor

SK Simple Kothari, BDS, PhD student

BH  Bente Haugsted, Dental Nurse

Course Material:

Course material incl. handouts and detailed description of the QualST/QST procedures and examination protocols will be sent by email to participants prior to the course.

 

 

Suggested literature:

  1. Svensson P, Eliav E, Benoliel R. Quantitative sensory testing for pain responsiveness. In: Green CS, Laskin DM (eds). Treatment of temporomandibular disorders: Bridging the gap between advances in basic research and clinical patient management. Quintessence 2012.
  2. Svensson P, Drangsholt M, Pfau DB, List T. Neurosensory testing of orofacial pain in the dental clinic. J Am Dent Assoc 2012;143: e37-39.
  3. Futurmal S, Kothari M, Ayesh E, Baad-Hansen L, Svensson P. Development of a new palpometer with implications for assessment of deep pain sensitivity. J Dent Res 2011;90:918-922
  4. Svensson P, Baad-Hansen L, Pigg M, List T, Eliav E, Ettlin D, Michelotti A, Tsukiyama Y, Matsuka Y, Jääskeläinen SK, Essick G, Greenspan JD, Drangsholt M. Guidelines and recommendations for assessement of somatosensory function in oro-facial pain conditions – a task force report. J Oral Rehabil 2011;38:366-394.
  5. Baad-Hansen L, Pigg M, Ivanovic SE, Faris H, List T, Drangsholt M, Svensson P. Intraoral somatosensory abnormalities in patients with atypical odontalgia-a controlled multicenter quantitative sensory testing study. Pain 2013 (In press)
  6. Baad-Hansen L, Pigg M, Ivanovic SE, Faris H, List T, Drangsholt M, Svensson P. Chairside intraoral qualitative somatosensory testing: reliability and comparison between patients with atypical odontalgia and healthy controls. J Orofac Pain 2013;27:165-70.

 

Course fee:

DKK 7500

Practical information about Aarhus:

www.visitaarhus.com

 

 

Update on bruxism and portable electromyography (EMG) assessment hands-on course

Update on bruxism and portable electromyography (EMG) assessment hands-on course

Objective:

To get updated scientific evidence based information of bruxism (definition, epidemiology, etiology, assessment, and management).

Target group:

Dentists and researchers interested in bruxism (assessment, diagnostic and management options).

Course organization:

Course leader: Eduardo Castrillon, e-mail: ec@odont.au.dk

Course secretary: Hanne Langgaard, e-mail: hanne.langgaard@odont.au.dk

Course description:

Lectures: Latest scientific evidence supporting the actual concepts of definition, epidemiology, etiology, assessment and management of bruxism. 

Practical and hands-on: Demonstration of how to use a portable EMG recorder combined with contingent electrical stimulation (CES) as a tool to help diagnostic, management and research on bruxism.

Number of participants:

2-15

Course language:

English or Spanish

 

Program:

Day 1

 

 

9:00-9:30

Registration, welcome and practical information

EC

9:30-10:30

Update on: What is known so far on bruxism?  Part I

  • Definition
  • Epidemiology
 

PS

10:30-10:45

Coffee break

 

10:45-11:45

Update on: What is known so far on bruxism?  Part II

  • Etiology
  • Assessment
 

EC

11:45-12:15

Lunch Break

 

12:15-13:15

Update on: What is known so far on bruxism?  Part III

  • Diagnostic
 

EC

13:15-14:00

Update on: What is known so far on bruxism?  Part IV

  • Management options
 

EC

14:00-15:00

Clinical cases

EC

15:00-15:15

Coffee break

 

15:15-16:00

Update on: What is known so far on bruxism?  Part V

  • Introduction to portable EMG and CES
  • Scientific background
 

EC

16:00-17:00

Update on: What is known so far on bruxism?  Part V

  • Clinical demonstration of portable EMG and CES device and hands on. There will be a chance for some participants to wear the device during the night.
 

EC / BH / LD

 

Day 2

 

 

9:00-10:00

Discussion about experiences from wearing the EMG and CES device

Analyses of the data obtained.

EC

10:00-10:45

Update on: What is known so far on bruxism?  Part VI

Consequences

EC

10:45-11.00

Coffee break

 

11:00-11:45

Other possible applications of portable EMG device

  • EMG on Mandibular Advance Device (MAD)
 

EC / LD

11:45-12:30

Final remarks

Discussion

Conclusion

Evaluation

EC

 

Instructors:

PS  Peter Svensson, DDS, PhD, Dr Odont, Professor and head of Section of Orofacial Pain and Jaw Function

EC  Eduardo Castrillon, DDS,MSc, PhD, Associate Professor

BH  Bente Haugsted, Dental Nurse

LD Lilja Dagsdottir, PhD student

Course Material:

Course material incl. handouts will be sent by email to the participants prior to the course.

 

 Suggested literature:

  1. Svensson, P., and Lavigne, G.J. Sleep related bruxism. In: Kushida CA (ed) (2013). Encyclopedia of Sleep (Elsevier)
  2. Jadidi, F., Castrillon, E.E., Nielsen, P., Baad-Hansen, L., and Svensson, P. (2012). Effect of contingent electrical stimulation on jaw muscle activity during sleep: A pilot study with a randomized controlled trial design. Acta Odontol. Scand.
  3. Lobbezoo, F., Ahlberg, J., Glaros, A.G., Kato, T., Koyano, K., Lavigne, G.J., De Leeuw, R., Manfredini, D., Svensson, P., and Winocur, E. (2012). Bruxism defined and graded: an international consensus. J Oral Rehabil.
  4. Raphael, K., Janal, M., Sirois, D., and Svensson, P. (2013). Effect of Contingent Electrical Stimulation on Masticatory Muscle Activity and Pain in Patients with a Myofascial Temporomandibular Disorder and Sleep Bruxism. J Orofac Pain 27, 21–31.
  5. Svensson, P., Jadidi, F., Arima, T., Baad-Hansen, L., and Sessle, B.J. (2008). Relationships between craniofacial pain and bruxism. J Oral Rehabil 35, 524–547.
  6. Svensson P, Jadidi F, Arima T, Baad-Hansen L. Pain and bruxism. In: Paesani D (ed). Bruxism theory and practice. Quintessence 2010, pp. 309-324.
  7. Yachida, W., Castrillon, E.E., Baad-Hansen, L., Jensen, R., Arima, T., Tomonaga, A., Ohata, N., and Svensson, P. (2012). Craniofacial pain and jaw-muscle activity during sleep. J Dent Res 91, 562–567.

 

Course fee:

DKK 6000 per participant

Practical information about Aarhus:

www.visitaarhus.com