Insights on Temporomandibular Disorder (TMD) from an Orthopaedic Perspective

I am going to say something controversial, but we kind of all know it’s true: The management of Temporomandibular disorders is like the Wild West. There are either no rules, or the rules are based on poor quality data. https://youtu.be/mvWdkd74Khg Watch PDP172 on Youtube In this episode, we're joined by Dr. Patrick Grossmann, a retired orthodontist with 30 years of experience in TMD treatment using an orthopaedic approach. Together, we'll unravel the complexities of TMD, discussing different viewpoints in TMD management. Whilst Dr Grossmann and I do not fully agree on everything (typical Dentists!) it is helpful to understand the ‘working out’ and philosophy of a treatment modality. Protrusive Dental Pearl: TMD History Form - which I send to all my patients before they come to see me for a TMD consultation. Premium members scroll down on the App to download (or check the Protrusive Vault). Otherwise download from https://www.protrusive.co.uk/tmd-history Need to Read it? Check out the Full Episode Transcript below! Check out Dr Grossmann’s course on February 17th in London: https://www.cephtactics-dental.com/short-courses/p/tmd-splint-day-course A message from Dr Grossmann: “As of September 1st, I shall for the first time be offering a one-on- one (in person) 2 day intensive course in London. The course will cover ALL important aspects of TMD for the general practitioner as well as a half day ‘hands on’ session with the participant’s own splint. This will include using the splint for myofascial pain dysfunction syndrome as well as internal derangements-clicking/ locking. Moreover the importance of a night time appliance (Garcia) will be addressed and evidence for its efficacy. For details on this course please email: patrick@patrickgrossmann.co.uk If you liked this episode, you will also like Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Click below for full episode transcript: Jaz's Introduction: In this episode I'm joined by Dr. Patrick Grossmann. He's now retired but he treated TMD for 30 years. He was an orthodontist and the way he treated it was an orthopedic approach. Now I've learned from Patrick but I've also learned from lots of other great clinicians and some of the things that were said on the podcast by Patrick I disagreed with. Jaz's Introduction:So you'll see me interjecting now and again, but I disagree with respect because I feel as though TMD, especially with the lack of clear guidelines and evidence available. I mean, long term high quality data. I mean, if you look at all the systematic reviews, they all say we need. better quality data. I think there's totally a place for all the things that Patrick says in the episode and his treatment philosophy, it's nice to understand it, but I also offer some alternative opinions. So it's up to you as a clinician to make up your mind in terms of which Camp you want to follow and what aligns best with your values, your patient's values, and your clinical experience. Hello, Protruserati. I'm Jaz Gulati, and if you're watching this episode, that means that Patrick Grossmann kindly approved it for publish. I felt like I had to interject at certain points to give my viewpoint. And whilst I hope that served the listener, I do understand that this was a very heavy TMD topic. It can get very confusing. I definitely wouldn't have understood this episode very well as a young dentist, but to get the exposure is really good to this kind of stuff. And the more seasoned clinicians who are into TMD, I think this one, you're going to be really, really finding this one very stimulating in terms of the different facets the conversation goes in and both the beauty and the frustration of having so many different treatment philosophies.