Fellowship in TMD,

Orofacial Pain and

Dental Sleep Medicine

INTERNATIONAL
FELLOWSHIP PROGRAM
150 International CE Hours
July - 2019
Philippines

Smile USA®
Center for educational excellence
815 Salem Ave Elizabeth NJ 07208, USA
www.smileusacourses.com
 Message from our Director
Dr. Shankar Iyer.,DDS MDS

We invite you to participate in the Masters clinical series presented by Smile USA®. The faculty has been selected
based on their proficiency in multi-disciplinary approach. Learn from their vast experience & expertise. Dr. Davis
Thomas is an expert in his field and he will not hold back information. Instead his main goal is to make sure you get
what you deserve with unbiased, fair, non-commercial, sound knowledge upon which you will build your career
dreams in TMD & sleep medicine."

TMD is an area of dentistry that is often confused with full mouth rehabilitation, neuro-muscular dentistry, bio-
functional concepts utilizing gadgets and devices that have minimal role in the science of creating harmony in the
stomotognathic system. This is an evidence based program that explores the myths and provides for a systematic
Dr. Shankar Iyer., DDS MDS, approach to managing TMD, Sleep Apnea and management of the worn dentition.
USA
Prosthetic Management I am confident that you will graduate as an astute practitioner who will rely upon the diagnosis of complex oro-facial
Course faculty conditions and develop custom treatment plans that will benefit your patients instead of providing arbitrary relief with
splints and stimulations.

Dr. Davis Thomas BDS, DDS, MSD, MSc Med

Is a licensed dental practitioner who is leading in the field of General Dentistry &oro-facial pain. His postgraduate training
focuses on treatment of complex cases of Craniomandibular Disorders, Oro-Facial Pain conditions and treatment of
Obstructive Sleep Apnea. His education in dentistry includes Bachelor of Dental Surgery (Kasturba Medical College of
Dentistry, Manipal, India), Doctor of Dental Surgery (New York University College of Dentistry), Masters in TMD and Oro-
Facial Pain (Rutgers University, New Jersey), Masters (MSc Med) in sleep medicine from University of Sydney medical school,
Australia & currently pursuing MSc in clinical management of pain, Univ. of Edinburgh, England. Dr. Thomas is the faculty in
charge of establishing a dental sleep medicine program at Rutgers University USA. Dr. Thomas has had years of experience
as a practicing dentist at several medical facilities in the United States before starting his own practice at Norwood Dental in
Oakhurst and Silver Ridge in Toms River, USA
Dr. Davis Thomas., BDS, DDS, MSD, MSc Med
USA
Course Director and Faculty
Private Practice
Clinical Asst Professor
Rutgers School of Dental Medicine

FELLOWSHIP IN TMJ / TMD / OFP / SLEEP MEDICINE

Surgical treatment of OSA: surgical Tx has gained considerable momentum in recent years. Procedures such as UPPP
(uvulo plato pharyngopalsty) , tongue ablation, tonsillectomies, plasty of individual tissues etc have been tried.
Generally, these ( especially UPPP) have been accompanied by very painful recovery. Surgery has the inherent risk of
rendering the patient not a probable candidate for CPAP. Surgical Tx is the last resort unless otherwise indicated.

Relation between OSA and Prosthodontics: OSA and Sleep Bruxism ( SB) are associated. There has been tremendous
interest in the past few decades to study the effects of SB on teeth, supporting structures, implants and prostheses.
More and more evidence are emerging on the deleterious effects of OSA/SB on prostheses and implants.

Technology: There has been a recent explosion of “tech” gadgets in the TMJ/TMD/ OROFACIAL PAIN field. Most of the
newer such tech gadgets are neither evidence( science) based or evidence based. They have this “in my hand’s
approach. There have been consensus statements from the ADA/FDA mostly against these unnecessary and
unproven diagnostic methods. These include jaw “trackers”, TMJ “scans”, Jaw analysers etc. Unfortunately these tech
gadgets do not substitute for the lack of actual clinical acumen of their users.
INTRODUCTION

Orofacial Pain (OFP) is approved by the CODA ( Commission On Dental Accreditation) as an emerging specialty in the United
States of America. It has already been recognized as a sub-specialty of Dentistry in several countries such as Canada, Brazil
and Israel. The complex nature of OFP conditions and the cross over to other branches of dentistry as well as Medicine make
the diagnosis and treatment of OFP conditions often cumbersome and difficult. The lack of coordination and consensus
amongst different organizations concerned with the management of these patients also make this a complex issue. This field
of Dentistry/ medicine is many a times corrupted by industry supported courses which are primarily intended to “push” a
product. Many of these so called tools and gadgets have no independent evidence based science and are not supported by
independent, peer-reviewed research The science of Sleep Medicine and treatment of sleep disorders have been going
through explosive advances in the past two decades. The significant morbidity and mortality associated with Sleep disorders is
well documented in the literature. There is a growing interest among the dental professionals to learn how to treat patients
with sleep disordered breathing with oral appliances. This course will help dentists understand the basics of Sleep medicine
and philosophies of treatment of Sleep Disorders. We hope that at the end of the course the dentist would have an in-depth
knowledge into the basics of sleep medicine, dental sleep medicine and a good understanding of when and how such a
treatment modality could be incorporated into Dental Practice.

TMJ conditions form only a portion of OFP diagnoses. This course is meant to describe the basics of OFP/ TMJ/ TMD and give
the principles of evidence based Diagnosis and Treatment plan for these conditions. At the end of the four packed modules,
the participants should have a broad understanding on the principles of diagnosing and treatment planning of different
Orofacial Pain conditions and also Obstructive sleep Apnea. Throughout this course we have done our level best to avoid ANY
commercial interests, so participants can focus on gaining solid knowledge as opposed to getting “sucked” into commercial
bias.

STUDY OBJECTIVES

1. To understand the basic principles of diagnosis and differential diagnosis of orofacial pain conditions.
2. To identify common TMJ/TMD issues and to gain in depth knowledge on their management. Know principles of TMJ
appliances.
3. Understand the different types of headaches, classification of headaches and identify red flags in headaches.
4. Understand the principles of occlusion and discuss the myths of occlusion
5. Identify the non-dental causes of tooth aches
6. Understand Myofascial pain and referral patterns of pain to teeth and associated structures and management of the same
7. Learn about neuropathic dental pains
8. Discuss the value of such techniques as jaw tracking, jaw vibration, scans etc in an evidence based, literature based manner
9. Gain in depth knowledge about Sleep disorders and learn the diagnosis and management of Obstructive Sleep Apnea
10. To Treat cases that have been in remission with prosthetic rehabilitation.
11. To recognize when to treat and when not to treat wear and its association with TMD
MODULE 1 - July 2019 MODULE 2 - September 2019
Day 1 - 19th July Day 1 - 12th September
1. Basic Theories of Pain: definitions; terminology; concepts and 1. Neurovascular OFP
theories of Pain; Measuring pain; neurophysiology of pain; 2. Neuropathic OFP
anatomy and neurophysiology of orofacial pain 3. Trigeminal autonomic cephalalgias
2. TMJ anatomy and physiology ; Biomechanics of TMJ; Diagnostic
modalities; TMJ imaging; Imaging for OFP Day 2 - 13th September
3. Hands on: Clinical examination of TMJ/ Orofacial Pain patient 1. Evaluation of OFP Patient: CLINICAL hands on
2. Appliance Therapy for TMD/ Splints: evidence based and
Day 2 - 20th July anecdotal
1. TMJ dysfunction; TMD’S; Internal derangements 3. BRUXISM
2. Myofascial Pain; understanding trigger points
3. Basics of Sleep Apnea for Dentists: relation to OFP Day 3 - 14th September
1. Understanding trigger point injections: hands on
Day 3 - 21st July 2. Diagnostic blocks
1. Non-dental tooth aches 3. Advanced Imaging for TMD/OFP
2. Dental occlusion: evidence based ; myths; controversies
3. Role of occlusion in TMD’s
4. TMJ science for re-constructive dentists/ prosthodontist
5. Joint vibration; scans for TMJ; Joint tracking etc etc

MODULE 3 - December 2019 MODULE 4 - March 2020

Day1 - 1st December

th
Day 1 - 15 March
1. TMJ arthritis; arthritides 1. Understanding sleep studies: PSG
2. Pharmacology of OFP 2. Appliance therapy for OSA
3. Mandibular movement disorders 3. Impressions, Bite registration for MAD’s: clinical component/
4. Surgical management of TMD’s hands on

Day 2 - 2nd December Day 2 - 16th March

1. Advanced TMJ techniques 1. delivery of sleep appliance/ adjustments/ follow up protocol;
2. Clinical cases: D/D and Mx of OFP cases clinical/ hands on
2. Management of TMD symptoms, complications of appliance Tx
Day 3 - 3rd December
1. Sleep medicine Basics for dentists Day 3 - 17th March
2. role of dentists in sleep medicine 1. Summary review of Sleep medicine
3. Sleep Breathing disorders / OSA 2. Practice management in dental sleep medicine
4. Evaluation of the Sleep apnea Patient: Hands on ( clinical) 3. Adjunctive therapy for sleep disorders
5. Airway evaluation for OSA

Fee: $ 5,100
Patients will have to be provided by the participants
Upon request patient may be made available.

Venue: Sofitel Philippine Plaza, Manila, Philippines

Time: 8:30 am - 5:30 pm on all days

For complete details visit

www.smileusacourses.com
For Registration contact :
Dr. Joyce Ambray +639178487170 / Mr. Oliver Mendoza +63 917 3121678
Email: [email protected]
Mr.Balaji - Smile USA® Liason Manager Asia
Phone:+91-8056089342, Email: [email protected]