How to evaluate TMJ before starting oral sleep appliance

Azusa Kuwashima

May 17, 2024

Index

00:30 ~What is Obstructive Sleep Apnea (OSA)
02:41~The Hidden OSA Patients you can see as a dentist (3 checkpoint)
05:34~Sleep Oral Appliance Clinical skill（Take impression, Take bite registration Decide starting jaw position）
07:52~CPAP vs OAT ( Comparison of Treatment Effectiveness) Efficiency & Compliance
10:00~TMJ evaluation for OSA patient
11:45~What should we have to do for Evaluation of Jaw Function
12:25~History taking
16:00~How to use exam set: Auscultation
19:57~CT scan
21:00~Range of Motion: Comfort, Active, Passive opening
25:41~Range of Motion: Lateral movement
26:17~Protrusive Movement
27:00~Lateral movement during protrusive movement
28:00~Evaluation of Jaw FunctionPalpation
29:23~Masseter (superficial/ deep)
34:00 ~Temporalois (Anterior /Middle /Posterior)
36:00 ~Lateral/dorsal capsule
37:16 ~Tongue/ Cheek ridging Attrition
39:07~Joint loading test
40:10~Teeth contacts
41:30~Form: Diagnostic Criteria for Temporomandibular Disorders Symptom Questionnaire (DCTMD Symptom Questionnaire)
42:42~TMD IS NOT AN ABSOLUTE CONTRAINDICATION FOR SLEEP ORAL APPLIANCE But If a patient has a TMD what should we do?
46:21~How to manage them if it happened
50:17~DOES ORAL SLEEP APPLIANCE TREAT TMD?
59:15~Case Report 2~8 weeks after the appliance delivery
1:09:39~Take Home Message Test

According to statistics, 37% of the US population has Obstructive Sleep Apnea (OSA), but 87% of these cases remain undiagnosed.
As a dentist, you may encounter hidden OSA patients or high OSA risk patients, including those with a history of TMD or bruxism. However, TMD also can be a potential side effect of using oral appliances.

While physicians decide if patients can be treated with oral appliances, dentists play a crucial role in assessing patients’ suitability for oral appliance treatment.
The goal of this lecture is to learn TMJ evaluation for OSA patients.

In this course, Azusa Kuwashima D.D.S.Ph.D. will share the essential steps to evaluate TMJ before starting oral sleep appliances to your patient.

Keywords:

Obstructive Sleep Apnea, TMJ evaluation, Temporomandibular joint disorder, Oral Sleep Appliance treatment

Diplomate of the American Board of Orofacial Pain, PhD. in Prosthodontics from Nihon University School of Dentistry in Matsudo, The UCLA Orofacial Pain and Oral Medicine

2013: Nihon University, Matsudo, Faculty of Dentistry
2019: Graduated from Nihon University, Matsudo, Faculty of Dentistry, and obtained a dental license in Japan
2015: Enrolled in Nihon University, Matsudo, Graduate School of Dentistry, specializing in Removable Prosthodontics
2016-2018: Attended the Orofacial Pain and Sleep Medicine Program at the University of California, Los Angeles
2019: Graduated from Nihon University, Matsudo, Graduate School of Dentistry, with a Doctor of Dental Science degree
2019: Obtained board certification from the American Academy of Orofacial Pain
2021: Obtained a dental license in the state of Texas, USA
2021: Established Kuwashima Pain Management, PLLC in Texas
2021: Employed at Texas TMJ Sleep and Facial Pain Clinic

$60.00