Myth Busting Occlusion and TMJ – PDP022

I recorded this a few weeks ago and recently finished editing it (always enjoy chatting with Barry G) – I was pretty much ‘shy’ and dare I say ’embarassed’ to post this/make it public because in the grand scheme of things, our world is being rocked by Covid-19 at the moment and we have so much to worry about… But then two people independently sent me a photo on Instagram of them at home watching my YouTube/IGTV interviews I posted recently telling me they are learning so much from the guests on Protrusive. If this video or any of my content can get you to chill on your sofa and learn while you #stayathome – then that would be awesome. Need to Read it? Check out the Full Episode Transcript below! Sending my best wishes to all – stay home as much as reasonably possible 🙏🏼I hope all this will reunite our profession. https://www.youtube.com/watch?v=n1Bla9N9PS8 In this episode: – Jaz shares a Parable of the 12 Blind Men relevant to TMD and makes a mess of it!– We discuss if the role of teeth/occlusion/malocclusion/Restorative really has a role to play in TMD/pain?– What is macro trauma and micro trauma, and how is it relevant to TMJ pathology?– What is Barry’s message? What does he mean by ‘Occlusion does not matter unless you’re occluding?’– Why MIP is pathalogical– We discuss Confirmation bias in Dentistry– Can we reliably stop parafunction?– What adjunctive support therapies are prescribed for complex oro-facial pain patients?– Can you use an AMPSA with a patient with Degenerative Joint Disease?– The first 20mm of opening is pure condylar RO- NOT! It’s not pure rotation!– What is an Enthesis and why is that relevant?– Can you give an anterior only appliance to someone with clicking?– Why might a patient say their click has now stopped? YouTube Link: www.jaz.dental/YouTube Click below for full episode transcript: Opening Snippet: Welcome to the Protrusive Dental podcast the forward thinking podcast for dental professionals. Join us as we discuss hot topics and dentistry clinical tips, continuing education and adding value to your life and career with your host, Jaz Gulati... Jaz's Introduction: Hello, everyone. Welcome to Episode 22 with Dr. Barry Glassman. He likes me to call him Barry, as you'll see. So this is a my first ever full intro and outro video podcast. And I'm glad to see Barry, he also featured in episode eight, which if you haven't listened to it, it's a great episode, I urge you to check it out. Episode eight was all about anterior midpoint stop appliances, and do they cause a OBS. So if you haven't heard that already, it's really great. You can hear Barry's passion in that in what he believes. And I guess I want to give you some context, in terms of what you're about to watch or listen to if you listen on the podcast between the conversation between myself and Barry. Basically, what Barry teaches and what he's all about, and I heavily recommend going on one of his courses because it's a different way to see occlusion and basically the crux of it is, is that it's not the occlusion, or the malocclusion that causes a lot of problems. Let's call this let you know whether it's chipping or things breaking TMD, which is a very loose term. It's not because of the occlusion per se, it's because of occluding. And what Barry always says on his courses, nouns don't hurt people, verbs do. So the occlusion is not as important as the occluding. So if you've got someone who's like a 17 and a half minute a day chewer, then they're not likely to cause that much problems when in terms of destroying their teeth, or TMD. Because essentially, what we're talking about is the relationship between parafunction and causing repetitive micro trauma in the temporomandibular joint is quite, we will discuss a fair bit of anatomy at the end. So it's actually a good revision for that. And I'd actually encourage people to if you're listening on the audio podcast version,