TMJ A to Z: Initial Management Strategies, Approaches and End-Stage Disease

TMJ A to Z

Initial Management Strategies, Approaches and End-Stage Disease

November 14, 2015 Jordan Medical Education Center (JMEC) Law Auditorium

Perelman School of Medicine at the University of Pennsylvania 3400 Civic Center Blvd, Philadelphia, PA 19104

www.dental.upenn.edu/TMJ2015

TMJ A to Z

Initial Management Strategies, Approaches and End-Stage Disease This symposium is designed to guide the practitioner from the initial presentation of temporomandibular joint internal derangement and myofascial disease through primary treatment strategies and second-line treatment options. Speakers will utilize evidence-based diagnosis, treatment, and decisionmaking algorithms to review these commonly encountered conditions of the temporomandibular joint. Clinical pearls and practice-ready approaches will be presented from experts in the field. The morning topics will focus on initial evaluation techniques with an emphasis on differential diagnoses and “red flags� which may indicate when further testing is indicated and when other conditions should be considered. Advanced imaging techniques as well as their utilization and limitations will be explored. Non-surgical treatments will be examined including the appropriate use of occlusal guards, physical therapy and medication strategies. The afternoon lectures will focus on second-line therapies for recalcitrant and end-stage disease, with an emphasis on officebased interventions including trigger point injections and arthrocentesis. Finally, open surgical indications will be considered and an update on the most recent advance in alloplastic joint replacement will be discussed.

EDUCATIONAL OBJECTIVES >U pon completion of this symposium, the participant will be able to identify criteria used to diagnosis TMJ osteoarthritis, internal derangement and myofascial pain disorder as well as develop a differential when other conditions should be considered >U nderstand the rationale for evidence-based treatment plans for patients with TMJ OA/ID and myofascial pain. >R eview and become familiarized with second line office-based therapies for myofascial pain and osteoarthritis for the TMJ >R ecognize when appropriate end-stage open surgical interventions are indicated

PROGRAM 7:00 am

Registration and Breakfast

8:00 am

Welcome and Introductions

AM SESSION MODERATOR

8:15 am

Patient Exam, Diagnosis and Differential: When is TMJ not “TMJ”

Gary Warburton, DDS, MD University of Maryland Medical Center

9:00 am

TMJ Imaging: Panorex, CT, MRI – Where to Begin and End

9:45 am

BREAK

10:15 am

Non-Surgical Treatment: NSAIDs, Occlusal Splints and Beyond

11:00 am

TMJ Physical Therapy

11:45 am

LUNCH

PM SESSION MODERATOR

Barry H. Hendler, DDS, MD

Helen Giannakopoulos, DDS, MD

Laurie A. Loevner, MD Division of Neuroradiology, University of Pennsylvania Health System

Thomas P. Sollecito, DMD, FDS RCSEd Penn Dental Medicine/Penn Medicine

Diana Hearn, PT, DPT, OCS

Penn Therapy and Fitness, Good Shepard Penn Partners, Thomas Jefferson University

Thomas P. Sollecito, DMD, FDS RCSEd

1:00 pm Myofacial Pain Second-Line Options: Botox and Trigger Point Injections

Helen Giannakopoulos, DDS, MD Penn Dental Medicine/Penn Medicine

1:45 pm TMJ Surgical Options: Arthroscopy, Arthrocentesis, and Open Treatments

Eric J. Granquist, DMD, MD Penn Dental Medicine/Penn Medicine

2:30 pm

BREAK

3:00 pm

Future of TMJ Surgery

3:45 pm

Case Presentations & Panel Discussion

4:30 pm

Reception

Peter D. Quinn, DMD, MD Penn Dental Medicine/Penn Medicine

SPEAKERS Gary Warburton, DDS, MD

University of Maryland Medical Center Dr. Warburton trained in oral & maxillofacial surgery in the United Kingdom, and completed his training at the University of Maryland Medical Center and the R Adams Cowley Shock Trauma Center.

Prior to coming to the University of Maryland Medical Center, he earned his dental surgery and medical degrees from Manchester University in the United Kingdom, where he obtained numerous academic honors and awards including the Alpha Omega Prize for Clinical Excellence.

He is a Fellow of the Faculty of Dental Surgery of the Royal College of Surgeons of England. In addition to his Oral & Maxillofacial Surgery training on both sides of the Atlantic Ocean, he completed a Fellowship in Clinical Research at the National Institutes of Health, and wrote numerous articles. He holds a Faculty appointment at the University of Maryland Medical Center, and he is the Chief of Maxillofacial Trauma at Sinai Hospital. He is a member of the American Association of Oral & Maxillofacial Surgeons, the Maryland Society of Oral & Maxillofacial Surgeons and the Academy of Osseointegration.

Laurie A. Loevner, MD

Division of Neuroradiology, University of Pennsylvania Health System After completing her residency at University of Michigan, where she served as chief resident, Dr. Loevner pursued a two-year fellowship in neuroradiology at the Hospital of the University of Pennsylvania. In 1995, she joined the radiology department at Penn, where she currently divides her time between clinical care and teaching/research. Her clinical passion and expertise lie in skull base and head and neck imaging. The scope of her responsibilities encompasses all aspects of diagnostic imaging in neuroradiology, as well as interventional procedures. One of the most unusual procedures she performs is the minimally invasive CT-guided deep skull base biopsy: Under imaging guidance, she advances small-gauge needles through the face into the skull base and the back of the head.

Loevner’s research focuses on molecular MR imaging to evaluate squamous cell carcinomas of the head and neck. She began to focus on head and neck cancer research after receiving an RSNA Scholar Grant. Currently, Loevner is evaluating the use of diffusion and perfusion MR imaging for predicting treatment response in head and neck squamous cell carcinomas. She is working with graduate students and specialized clinicians to understand the molecular basis of the responses, so that future therapies can be tailored to each patient. She also participates in thyroid cancer research, and has published on quality control and clinical outcomes using a multidisciplinary framework that includes specialized radiologists and clinical specialists.

Thomas P. Sollecito, DMD, FDS RCSEd Penn Dental Medicine/Penn Medicine

Dr. Sollecito is Professor and Chair of Oral Medicine at the University of Pennsylvania School of Dental Medicine and Professor of Oral Medicine in Otolaryngology: Head and Neck Surgery, University of Pennsylvania School of Medicine. He is also an attending physician in Oral Medicine at the Hospital of the University of Pennsylvania and a University Associate at Children’s Hospital of Philadelphia. He completed his DMD degree program at the University of Pennsylvania, School of Dental Medicine where he graduated with honors. He is a fellow in Hospital Dentistry and a Diplomate in Special Care Dentistry and a Diplomate in Oral Medicine. Formerly, he was the Director of the Oral Medicine Residency Program and formerly served as the Interim Dean at the University of Pennsylvania School of Dental Medicine. He has served as President of the Eta Chapterof OKU and President of the American Academy of Oral Medicine. He is a Section Editor of the Compendium Journal, and is a reviewer for the Journal of the American Dental Association and is presently serving on the ADA Council of Scientific Affairs. He has authored numerous papers and chapters related to various topics in Oral Medicine.

Diana Hearn, PT, DPT, OCS

Penn Therapy and Fitness, Good Shepard Penn Partners, Thomas Jefferson University Dr. Hearn is Musculoskeletal Team Leader for Penn Therapy and Fitness, Good Shepherd Penn Partners (GSPP) at Penn Medicine at Radnor. She has over 30 years of clinical experience in the Physical Therapy profession. She has dedicated continual post professional development as follows: Orthopedic Certified Clinical Specialist; APTA CI credentialing program; and Doctorate in Physical Therapy from Arcadia University. She has completed manual therapy course certification classes from University of St Augustine. Her special interests in patient treatmemt include manual therapy with a focus on management of spinal and TMD dysfunction.

She is team leader for TMD program development within GSPP establishing clinical care guidelines and competency training for staff. She is adjunct faculty in the Department of PT at Arcadia University, and guest lectures in local PT programs in TMD education. She is currently active in TMD research in connection with the University of Pennsylvania Dental School. She has also presented on TMD at PPTA and APTA conferences.

Helen Giannakopoulos, DDS, MD Penn Dental Medicine/Penn Medicine

Dr. Giannakopoulos is Assistant Professor of Oral and Maxillofacial Surgery-Clinician Educator in the Department of Oral and Maxillofacial Surgery and Pharmacology at Penn Dental Medicine; and an Attending of the Department of Maxillofacial Surgery at the Hospital of the University of Pennsylvania and Children’s Hospital of Philadelphia. Dr. Giannakopoulos is also the course director for Anesthesia, Pain, and Medical Emergencies at Penn Dental Medicine. She received her DDS degree from the University of Illinois College of Dentistry and her MD degree from the Medical College of Pennsylvania, Hahnemann University, and completed postgraduate training in Oral and Maxillofacial Surgery at Penn Dental Medicine.

Eric J. Granquist, DMD, MD

Penn Dental Medicine/Penn Medicine Dr. Granquist is Assistant Professor of Oral & Maxillofacial Surgery/Pharmacology. He received his DMD from the University of Connecticut and his MD from the University of Pennsylvania. Dr. Granquist also completed his training in Oral and Maxillofacial Surgery at the University of Pennsylvania. In addition to his clinical teaching responsibilities, Dr. Granquist has active practices at the Hospital of the University of Pennsylvania, Penn Presbyterian Hospital, and the Philadelphia VA Medical Center. His research interests include facial trauma, maxillofacial infections, and TMJ disorders.

Peter D. Quinn, DMD, MD

Penn Dental Medicine/Penn Medicine Dr. Quinn is the Schoenleber Professor of Oral & Maxillofacial Surgery/Pharmacology at Penn Dental Medicine and also serves as Vice Dean for Professional Services for Penn’s Perelman School of Medicine and Senior Vice President for Clinical Practices of the University of Pennsylvania for the University of Pennsylvania Health System. Dr. Quinn served as Chair of the Department of Oral & Maxillofacial Surgery/Pharmacology at Penn Dental Medicine from 1986 to 2008. His primary research interests are in the alloplastic reconstruction of the temporomandibular joint and vascular malformations of the maxillofacial skeleton maxillofacial skeleton. He was a principal investigator in a ten-year clinical trial for the development of the only FDA-approved stock prosthesis for reconstruction of the temporomandibular joint. Dr. Quinn has completed a surgical atlas for temporomandibular joint surgery, which has been published by Elsevier.

GENERAL INFORMATION MEETING PLACE The program will be held at the Jordan Medical Education Center (JMEC) Law Auditorium at Perelman School of Medicine at the University of Pennsylvania (3400 Civic Center Blvd, Philadelphia, PA 19104)

REGISTRATION FEES Your registration fee includes breakfast, lunch and coffee breaks as well as the reception on Saturday evening. Take advantage of specially reduced fees by registering in advance.

Early General

$375 by 9/14/15

General

$475 after 9/14/15

Alumni/Faculty $275 Other health care professionals/residents $225

HOW TO REGISTER > Register online at www.dental.upenn.edu/ TMJ2015, or > Complete the enclosed registration form and send with payment to: Penn Dental Medicine, Attention Office of Continuing Dental Education, 240 S. 40th Street, Philadelphia, PA 19104. Checks payable to Trustees of the University of Pennsylvania.

CANCELLATIONS/REFUNDS Written refund requests will be honored if received by the deadline date; telephone cancellations will NOT be accepted. Penn Dental Medicine is not responsible for the refund of any part of the tuition as a result of emergencies, unforeseen circumstances, events beyond its control, or no-shows. Refund Deadline Dates: On or before October 31, 2015, refund less $50 cancellation fee; after October 31, 2015, no refund.

CONTACT Pamela Rice Office of Continuing Education T. 215.573.6841 F. 215.573.3882 Email. pamrice@dental.upenn.edu PARKING Free parking is available with a voucher at the Perelman Center for Advanced Medicine. Vouchers will be available at the registration desk.

To park at the Perelman Center for Advanced Medicine: From Spruce Street, turn onto 34th Street which becomes Civic Center Boulevard. Turn left on East Service Drive and then turn left onto Health Sciences Drive and into the Perelman Center garage.

HOTEL RESERVATION Hotel rooms have been blocked for symposium participants at The Homewood Suites University City.

Reservations at the special symposium rate of $189.00 per night will be accepted until the cut-off date (October 30, 2015) or until the room block is sold out, whichever comes first. Call the hotel reservations directly 215.382.1111 or you may find a link on the symposium website, www.dental.upenn.edu/TMJ2015.

Make sure to indicate the symposium name TMJ2015 Symposium to receive the special meeting rate.

CONTINUING EDUCATION CREDITS Attendees of the symposium will receive up to 6.0 hours of CE credits.

Continuing education credits may not apply toward license renewal in all states. It is the responsibility of each participant to verify the requirements of his/ her state licensing board. Please check with your state licensing board to ensure that a particular course will meet your continuing education requirements. All formal CDE courses will include on-site credit award slips.

Penn Dental Medicine is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Registered Nurse Continuing Education
 Per Pennsylvania Code 21.133 and 21.134, the activity sponsored by the University of Pennsylvania School of Dental Medicine is an approved CE activity.

A certificate of completion will be provided at the conclusion of the activity.

REGISTRATION FORM Register by September 14, 2015 and SAVE Name (please print)______________________________________________________________________________________ (Please check one)

❍ General Dentist ❍ Periodontist

❍ Endodontist ❍ Prosthodontist

❍ Oral Surgeon ❍ Orthodontist ❍ Other (Please specify)____________________

Address___________________________________________________________________________________ City_____________________________________________ State__________ Zip________________________ Country___________________________________________________________________________________ Telephone___________________________________ Fax___________________________________________ Email_____________________________________________________________________________________

REGISTRATION Registration Type

Rates

❍ Early bird $375, before September 14, 2015 ❍ General $475, after before September 14, 2015 ❍ Alumni/Faculty $275 ❍ Other health care professionals/residents $225 Register Now Visit www.dental.upenn.edu/TMJ2015 for quick online registration, or complete this registration form and send with payment to: Penn Dental Medicine, Attention Office of Continuing Dental Education, 240 S. 40th Street, Philadelphia, PA 19104. Checks payable to Trustees of the University of Pennsylvania.

Hotel Reservations by October 30, 2015 Hotel rooms have been blocked for symposium participants at The Homewood Suites University City. Reservations at the special symposium rate of $189.00 per night will be accepted until the cut-off date (October 30, 2015) or until the room block is sold out, whichever comes first. Call the hotel reservations directly 215.382.1111 or you may find a link on the symposium website, www.dental.upenn.edu/TMJ2015. Make sure to indicate the symposium name TMJ2015 Symposium to receive the special meeting rate.

240 S. 40th Street Philadelphia, PA 19104 www.dental.upenn.edu

OUR SPONSORS BIOMET MICROFIXATION STRYKER KARL STORZ ENDOSCOPY Visit www.dental.upenn.edu/ TMJ2015 for opportunities to participate in the Symposium.

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