What Happens When Occlusal Splints Don’t Work? – PDP118

What happens when conservative care fails? What if you have prescribed patient education and the ‘best’ occlusal appliance and none of it is working? That’s where surgery MAY be indicated for certain diagnoses. Listen or Watch my podcast with Professor Andrew Sidebottom Maxillofacial surgeon (who is limited to the management of TMJDs) to help us make timely and appropriate referrals to provide the best possible outcome for our patients. https://youtu.be/7m30jvUPlMA Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse Protrusive Dental Pearl: Head over to the Protrusive Dental Community Facebook group where I posted an 8-minute walk-through video on how to screen which patients are at risk for getting a bite change or AOB after an occlusal appliance and how you can minimize that risk. The highlights of this episode: 12:47 Why you need to provide Conservative Care first 15:57 TMD is a Spectrum 19:21 Early Surgical Intervention? 21:42 Acute disc displacement without reduction 26:40 Imaging used when managing TMD patients 35:10 Pain Management 41:03 Arthroscopic procedure for TMD 50:29 How much does TMJ Surgery cost in the UK? 53:22 Successful management of temporomandibular disorders Check out these studies as mentioned on the podcast. Orofacial Pain Prospective Evaluation and Risk Assessment StudyDownload A Real-Time screening tool to aid management of Post-Traumatic Stress Disorder in facial traumaDownload Temporomandibular-joints-in-asymptomatic-and-symptomatic-nonpatient-volunteers-prospective-15-year-follow-up-clinical-and-MR-imaging-studyDownload Also check out Prof. Andrew Sidebottom’s website for more information and download leaflets. Check out the Tubules Congress in Heathrow October 2022 If you enjoyed this episode, check out Stay away from TMD! [SPLINTEMBER]