Stay away from TMD! [SPLINTEMBER] PDP039

Published: Sept. 16, 2020, 3:44 p.m.

Why do some patients have painful joints, whereas others get headaches?\n\n\n\nAnd why do MOST of our parafunctional patients not get any symptoms at all? \n\n\n\nWhy do some peoples teeth wear away, whilst others teeth are riddled in cracks?\n\n\n\n\nhttps://www.youtube.com/watch?v=amdss07uN9s\n\n\n\n\nNeed to Read it? Check out the Full Episode Transcript below!\n\n\n\nIn this episode, I talk about the pros and cons of devoting your career in Dentistry to treating Temporomandibular disorders. \n\n\n\nTreating 'TMD' can be a complex field because it deals with all the complexities of chronic pain. However, it can be a very rewarding area. I also discussed why the umbrella term of 'TMD' is not really specific enough. We can do better as a profession to understand the diagnoses within 'TMD' a little better.\n\n\n\nProtrusive Dental Pearl: check out the Otter app for transcribing your voice, lectures or any audio/video! This is great for anyone who wants to convert audio in to notes, for students, and for content creators.\n\n\n\nI have uploaded the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) PDF file on to the Protrusive Dental Community group as promised to the listeners.\n\n\n\nIf you enjoyed this episode, check out Myth Busting Occlusion and TMD with Dr Barry Glassman.\n\n\n\n\n\n\n\nClick here for Full Episode Transcription:\n\n\n\nOpening Snippet: Hey, I mean it. Stay away from TMD. Hello everyone and welcome to the second episode of splintember this one's called stay away from TMD. Now it's an interesting title and I appreciate that and I really really gave it a lot of thought before I came to this title because I wanted to take Splintember in a certain direction.\n\n\n\nJaz\u2019s Introduction:Now if I dived straight into talking about different appliances, different splints without first covering the context of the temporomandibular joint anatomy, the muscles the teeth and there I even say the occlusion and the role that has in it probably lacked a lot of direction and context right? So I\u2019m going to go back to basics. I'm going to talk about anatomy and its relevance to the different so-called temporomandibular disorders that we see and hopefully that will tie in with the future episodes and you can sort of follow along in a more logical manner. So that\u2019s what this is about.So the reason I pick the title stay away from tmd is because I genuinely mean it like, stay away. Do you really want to get involved in tmd patients unless you genuinely have a passion for it and you have a genuine passion for treating chronic pain now it\u2019s a serious question because it is something that you need to be waking up on Monday morning going to work and you gotta say to yourself okay today I\u2019m excited to go into work today to see my six patients who all have severe chronic pain and they\u2019ve been going from one specialist clinic to another specialist clinic and they\u2019re finally going to see me and I\u2019ll solve all their problems. This is really complex dentistry and it\u2019s very niche density so that\u2019s what I mean by chronic pain and tmd. Do you really want a practice built around thatAnd of course don\u2019t take my word for it if it\u2019s something you generally want to do then that\u2019s totally cool but what I found is that I molded my practice and the type of care that I provide I don\u2019t advertise on my patient-facing website or in any sort of public-facing YouTube sort of content I make for patients that I like to treat tmd or that sort of stuff it\u2019s something that I don\u2019t advertise myself because I don\u2019t want to be swamped with these patients because they are challenging and complex a lot of these patients are chronic pain patients which is a whole different field. In fact a member of the public or a prospective patient actually commented on the first splintember episode on my YouTube channel and she commented saying \u2018hey I\u2019m not a dentist but I\u2019d like to know are you going to be covering the treatment of an anteriorly displaced disc?\u2019 So I sort of said no I\u2019m not going to be covering this it...