Advanced TMD Problem Solving with Clayton A. Chan, DDS

"Advanced TMD Problem Solving for the Complex Cases"
Course Description: “Treating the Complex Cases – Beyond the Basics”

Prerequisite Course: All Previous Programs

Keys to the Next Level

Advancing ones knowledge how to resolve your patients’ problems is a significant step toward building a successful practice. Having the confidence and ability to handle the complex cases is based on additional information to diagnose and manage cases skillfully. Mastering the complicated pain cases where there are many factors involved takes that foundational knowledge and skill to the “Next Level” of implementation.

Do you have patient’s who experience unresolved masseter muscle soreness, yet their headaches and limited cervical range of motion are resolved? Or cervical and facial pain has been resolved, but ear congestion feelings still remains? The cases are on trajectory, orthotic occlusion is balanced, clench strength is great, range of motion normal, Chiropractic/Physical Therapy modalities have been implemented – What’s Next? Have you interpreted your scans correctly?

Dr. Chan teaches his protocols to get these answers and insights how he handles his difficult cases that need more answers than the usual and typical techniques of EMGs and ascending/ descending issues.

Each student will bring 2 challenging cases for presentation and analysis. A standardized protocol will be prepared prior to the course.

Course Objectives:
  • Answer questions and concerns the NM clinician has after acquired training in occlusion, TMD, instrumentation and restorative procedures, but still has unresolved muscular problems with the patient.
  • Review cases – Doctors bring photos, models and records for review to the class.
  • Key principles to handle dual bite cases.
  • Discuss the importance of Occlusal Plane angulation and its effect on the head and neck.
  • Etiology of the Class I, II and III tongue posture
  • Head posture and it’s correlation to the sacral/pelvis relationship
  • Fundamentals in treating the complex cases
  • Detecting the unrecognized Class IV interference
  • The importance of proper maxillary cast orientation with the laboratory – It matters and has great implications on masticatory resolution.
  • A time with Dr. Chan in problem solving, case review, interaction and reassessment of protocols, techniques and methodology.
  • Review NM Bite Taking Protocols
  • Review Micro-Occlusion Protocols
  • Review of Bite Management Protocols
  • Advance K7 Scan Interpretation and EMG/CMS scan management with clinical case solutions.
You Will Learn:
  • The criteria to establishing muscular comfort and occlusal stability.
  • How to analyze and plan effective treatment for every type of occlusal scheme and problem.
  • How to handle cases that are not completely resolving, complex cases, etc.
    – Broad arch forms that appear simple – Class I dental
    – Anterior open bites
    – Occlusal plane problems
    – Maxillary retracted arches
    – Cross bites
    – Maxillary retro-inclined problems
    – Dual bite problems
  • How to get better results in eliminating symptoms in Phase I stabilization therapy.
  • Optimization of the Trajectory using the Chan Protocol
  • What is a Class IV Interference
  • How to transition the bite effectively to a restorative Phase II treatment.
  • Advanced Examination & Analysis
  • Musculoskeletal Signs & Symptom Evaluation
  • Growth and Development

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