Dr. Brian Shah, an expert in TMD & TMJ Patients and patient communication, discusses the confusion surrounding over-treating in relation to oral joints. They also talk about courses and resources for managing TMD patients, how to refer patients to Dr. Brian Shah's practice, and the importance of gratitude, knowledge, and continuous learning in dentistry.
Evaluating the temporomandibular joint (TMJ) is crucial in facial reconstructive surgery, addressing TMJ pathology is necessary and can be treated with various approaches.
Incorporating joint-based occlusion in orthodontic practices is important to consider the health and stability of the TMJ, allowing for more successful and stable orthodontic outcomes.
Deep dives
Importance of evaluating TMJ in facial reconstructive surgery
One of the main points discussed in this podcast episode is the importance of evaluating the temporomandibular joint (TMJ) in facial reconstructive surgery. The guest speaker, Dr. Brian Shaw, emphasizes the need to consider the TMJ when dealing with facial issues, such as anterior open bites and joint breakdown. He mentions that some oral surgeons dismiss the importance of the TMJ, but Dr. Shaw argues that addressing TMJ pathology is necessary and can be treated with various approaches, including arthroscopy, total joint replacement, and even disc removal (dysectomy) in certain cases.
Transforming orthodontic practices with joint-based occlusion
Another key point discussed is the importance of incorporating joint-based occlusion in orthodontic practices. Dr. Shaw highlights that orthodontics should not solely focus on tooth occlusion but should also consider the health and stability of the TMJ. He mentions the significance of understanding occlusion, particularly in cases where patients experience joint-related issues or display post-orthodontic complications. By incorporating joint-based occlusion, dentists can better manage and treat these patients, allowing for more successful and stable orthodontic outcomes.
Addressing patient anxiety and effective patient communication
The episode also addresses the topic of patient anxiety and effective communication when discussing surgery. Dr. Shaw emphasizes the importance of discussing surgery with patients in a compassionate and honest manner. He advises dentists to explain the seriousness of TMJ issues and the potential benefits of surgery, reassuring patients that these operations are highly predictable and can lead to significant improvement in their quality of life. Dr. Shaw also highlights the role of trust between dentist and patient, and how building good rapport, managing expectations, and providing comprehensive information can allay patient fears and make them more receptive to necessary treatments.
In the second part of this episode, our host Dr. Dennis Hartlieb and guest Dr. Brian Shah discuss Brian's background, the importance of patient communication and referrals, and where to find resources for managing TMD & TMJ Patients.