Dental Digest Podcast with Dr. Melissa Seibert

229. Mariella Padilla DDS, M.Ed - Demystifying the TMD Patient

Jul 8, 2024

Dr. Melissa Seibert interviews Mariella Padilla, discussing the complexities of diagnosing facial pain, managing TMD and chronic headaches, and exploring the use of topical anesthesia and medications for dental pain. They also delve into optimal medication delivery methods in the oral cavity.

41:28

Creator website

Episode guests

Mariella Padilla

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Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Proper evaluation and distinguishing between myalgia and myofascial pain are crucial for accurate diagnosis and treatment of TMD.

Diagnostic tests and patient descriptions are essential in differentiating odontogenic and non-odontogenic pain, emphasizing the importance of specific assessments.

Deep dives

Understanding TMD and Oral Facial Pain

TMD and oral facial pain are discussed in the episode, emphasizing the challenges faced by both patients and providers in diagnosing and treating these conditions. The importance of distinguishing between odontogenic and non-odontogenic pain is highlighted, with a focus on muscle pain as a common non-dental cause. The need for proper evaluation, including muscle assessment, is underscored to ensure accurate diagnosis and treatment. Differentiating between myalgia and myofascial pain is crucial, as each condition requires a specific treatment plan.

Intro

2min

Diagnosing and Managing Facial Pain: Dental vs Neurogenic Pain

20min

Managing TMD and Chronic Headache Patients

6min

Understanding Medication Overuse Headaches and Headache Classification

2min

Exploring the Use of Topical Anesthesia and Medications for Dental Pain

6min

Optimal Medication Delivery in the Oral Cavity

6min

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Specialty

Orofacial Pain Diplomate of the American Board of Orofacial Pain Fellow of the American Academy of Orofacial Pain

Practicing since

1990

Education

Doctor of Dental Surgery, University of Costa Rica, 1989 Specialty Certificate in Orofacial Pain, University of California, Los Angeles, 1998 Master of Education, Latin University, 2005

Professional memberships

American Academy of Orofacial Pain International Association for the Study of Pain American Headache Society American Dental Education Association

Dr. Padilla's Publications

Repurposing lectures and reviews into educational blogs J Dent Educ. 2023 06; 87 Suppl 1:895-896. . View in PubMed
Temporomandibular joint findings in CBCT images: A retrospective study Cranio. 2021 Dec 11; 1-6. . View in PubMed
Deploying a curated glossary: An orofacial pain wiki J Dent Educ. 2021 Dec; 85 Suppl 3:2016-2017. . View in PubMed
Efficacy of cannabis-based medications compared to placebo for the treatment of chronic neuropathic pain: a systematic review with meta-analysis J Dent Anesth Pain Med. 2021 Dec; 21(6):479-506. . View in PubMed
Efficacy of medications in adult patients with trigeminal neuralgia compared to placebo intervention: a systematic review with meta-analyses J Dent Anesth Pain Med. 2021 Oct; 21(5):379-396. . View in PubMed
Efficacy of topical interventions for temporomandibular disorders compared to placebo or control therapy: a systematic review with meta-analysis J Dent Anesth Pain Med. 2020 Dec; 20(6):337-356. . View in PubMed
Trigeminal neuralgia management after microvascular decompression surgery: two case reports J Dent Anesth Pain Med. 2020 Dec; 20(6):403-408. . View in PubMed
Clinical skills evaluation and examination center: From demos to competence validation J Dent Educ. 2020 Oct 02. . View in PubMed
A modern web-based virtual learning environment for use in dental education J Dent Educ. 2020 Sep 11. . View in PubMed
Efficacy of Antidepressants in the Treatment of Obstructive Sleep Apnea Compared to PlaceboA Systematic Review with Meta-Analyses. Sleep Breath. 2020 Jun; 24(2):443-453. . View in PubMed
Effects of respiratory muscle therapy on obstructive sleep apnea: a systematic review and meta-analysis J Clin Sleep Med. 2020 05 15; 16(5):785-801. . View in PubMed
Empathy Levels of Dental Faculty and Students: A Survey Study at an Academic Dental Institution in Chile J Dent Educ. 2019 Oct; 83(10):1134-1141. . View in PubMed
Prevalence of trismus in patients with head and neck cancer: A systematic review with meta-analysis Head Neck. 2019 09; 41(9):3408-3421. . View in PubMed
Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis J Oral Facial Pain Headache. 2019; 33(2):183–198. . View in PubMed
Use of platelet-rich plasma, platelet-rich growth factor with arthrocentesis or arthroscopy to treat temporomandibular joint osteoarthritis: Systematic review with meta-analysesJ Am Dent Assoc. 2018 Nov; 149(11):940-952. e2. . View in PubMed
Chilean Dentistry students, levels of empathy and empathic erosion: Necessary evaluation before a planned intervention: Levels of empathy, evaluation and intervention Saudi Dent J. 2018 Apr; 30(2):117-124. . View in PubMed
Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: a systematic review and meta-analysis Sleep Breath. 2018 09; 22(3):555-568. . View in PubMed
Effectiveness of Intra-Articular Injections of Sodium Hyaluronate or Corticosteroids for Intracapsular Temporomandibular Disorders: A Systematic Review and Meta-Analysis J Oral Facial Pain Headache. 2018 Winter; 32(1):53–66. . View in PubMed
Reconsidering the ‘Decline’ of Dental Student Empathy within the Course in Latin America Acta Med Port. 2017 Nov 29; 30(11):775-782. . View in PubMed
Medication Treatment Efficacy and Chronic Orofacial Pain Oral Maxillofac Surg Clin North Am. 2016 Aug; 28(3):409-21. . View in PubMed

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Dental Digest Podcast with Dr. Melissa Seibert

229. Mariella Padilla DDS, M.Ed - Demystifying the TMD Patient

Episode guests