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Feb 2025
1h 14m

TMD New Guidelines! Evidence Based Care ...

Jaz Gulati
About this episode

A Clinician’s guide to TMD Management

Walkthrough of the latest TMD Guidelines with the authors!

What’s the right approach when a patient presents with both acute and chronic painful jaw symptoms?

How can the latest RCS guidelines simplify your diagnosis and treatment process?

In this episode, Professor Justin Durham and Mrs. Emma Beecroft join Jaz to unpack the latest Royal College of Surgeons TMD guidelines designed specifically to help GDPs navigate these tricky cases. Together, they explore practical strategies for managing TMD, breaking down the step-by-step flowchart that makes handling these cases less intimidating.

From understanding the key principles to applying them in everyday practice, this episode will help you feel more confident in delivering better patient care for TMD.

https://youtu.be/R0NaBJr5g5E
Watch PDP213 on Youtube

Protrusive Dental Pearl: Important takeaway: Download the New TMD Guidelines 

The folder includes:

  • A patient version of the guidelines
  • A dentist version of the guidelines
  • The full guidelines document
  • Video of delivering an equilibrated soft bite guard using heat technique

Key Takeaways:

  • The guidelines for TMD are designed to simplify diagnosis and treatment.
  • Self-management is crucial for TMD patients and can lead to better outcomes.
  • Understanding the difference between muscle and joint pain is essential in TMD management.
  • Early intervention in TMD can lead to significant improvements for patients.
  • The importance of patient-centered care in managing TMD effectively.
  • TMD is a common issue that requires a collaborative approach among dental professionals.
  • The role of pain management in TMD is about improving quality of life, not just curing the condition.
  • Continuous education and training are vital for dental professionals dealing with TMD. Understanding the pathogenesis of TMD is crucial for effective treatment.
  • Stabilization splints can provide relief but should be used judiciously.
  • Effective communication can significantly impact patient pain experiences.
  • Tailoring treatment to individual patient needs is vital.

Highlights for this episode:

  • 00:48 Protrusive Dental Pearl
  • 05:20 Introducing the Guests: Prof. Justin Durham and Mrs. Emma Beecroft
  • 13:05 Stigma and Complexity of TMD in Dentistry
  • 17:01 Challenges of Navigating TMD Treatment Perspectives
  • 22:07 Diagnosing TMD: Tools and Techniques
  • 27:09 Simplified Approach to TMD Examination
  • 30:54 Muscle Palpation Pressure 
  • 32:20 Acute Limited Opening: Muscle vs. Joint Origin
  • 40:20 Diazepam for Acute Myogenous TMD
  • 54:58 Debating Soft vs. Stabilization Splints
  • 57:17 Patient-Centered TMD Management
  • 01:09:28 Conclusion and Resources

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance

This episode meets GDC Outcomes B and C.

AGD Subject Code: 200 OROFACIAL PAIN (Diagnosis and treatment)

Dentists will be able to –

  1. Explore the varied approaches to TMD care and how to align them with evidence-based practices.
  2. Emphasize the importance of self-management strategies and their role in improving patient outcomes.
  3. Advocate for a patient-centered approach, focusing on listening, communication, and individualized care plans.

If you loved this episode, be sure to check out this episode: TMD Full Exam with ‘The TMJ Doc’ Dr Priya Mistry – PDP064

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