Students are introduced to a neuromuscular viewpoint of TMJ dysfunction and symptoms that mimic TMJ dysfunction. The role of soft tissue contraction as the cause and/or effect is discussed. Appropriate treatment protocols are presented in relation to the findings of the total evaluation. Emphasis is on the need for a specific and detailed palpatory exam to evaluate the following:
- The degree of ischemic tenderness in the soft tissue palpated, which is referred pain from remote soft tissues.
- How much of the pain is from nerve entrapment in the soft tissues.
- How much of the pain is from joint compression caused by soft tissue contraction.
- How much of the biomechanical dysfunction is from hypertonicity in the soft tissues.
- To what degree are cranial distortions contributing to the pain and/or dysfunction.
An explanation and demonstration of treatment is followed by discussion of specific case histories and questions and answers.
Dennis’ experience includes 2 years as a neuromuscular specialist in a dental office as part of their TMJ practice. He gave TMJ dysfunction presentations at the World Congress on Alternative Medicine in Guatemala in 1995.
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