AAOP Podcast #15 – Dr. Craig Miller: Burning Mouth Disorder and What Most Clinicians Overlook

AAOP Podcast # 14 with Dr. Dawn Buse: Behavioral Approach to Migraine Managemen

AAOP Podcast #13 with Dr. Marcela Romero Reyes: New Approaches in Headache Medicine

AAOP Podcast #12 with Dr. Fernando Exposto: An Update on Referred Muscle Pain

In this new episode we will be discussing with Dr. Fernando Exposto, DDS, MSc, PhD about muscle pain and pain referral. Dr. Fernando Exposto is currently a Postdoctoral Fellow and Clinical Instructor at Aarhus University in Denmark. He obtained his PhD degree in Health Sciences at the same university in 2019. He graduate from dental school at ISCSEM in Lisbon (Portugal)in 2007. He completed a Master in Dental Sciences, Danube University (Austria) from 2007 to 2011. In 2015, he graduated from the 2 year CODA approved program in Orofacial Pain at the University of Kentucky (USA). From 2016 to 2018 he completed a Master in Headache Disorders at the Copenhagen University (Denmark). Dr. Exposto is a Diplomate by the American Board of Orofacial Pain since 2016.

References:
Comparison of masseter muscle referred sensations after mechanical and glutamate stimulation: a randomized, double-blind, controlled, cross-over study. / Exposto, Fernando; Udagawa, Gen; Naganawa, Takuya; Svensson, Peter. In: Pain, Vol. 159, No. 12, 01.12.2018, p. 2649-2657.

Comparison of Pain-Generated Functional Outcomes in Experimental Models of Delayed-Onset Muscle Soreness and Nerve Growth Factor Injection of the Masticatory Muscles./ Zhang Y, Exposto FG, Grigoriadis A, Lobbezoo F, Koutris M, Zhang J, et al. Journal of oral & facial pain and headache [Internet]. 2020 Sep [cited 2021 Feb 13];34(4):311–22.

Further evidence for overlaps among chronic pain conditions : But no news about causal relationships. / Svensson, Peter; Exposto, Fernando.
In: Journal of Oral and Facial Pain and Headache, Vol. 34, No. Suppl., 2020, p. s6-s8.

AAOP Podcast #11 with Dr. Schiffman: TMD Research, Patient Care, and Diagnostic Criteria

Dr. Eric Schiffman, DDS, MS, is a Professor and the Director of Clinical Research at the University of Minnesota School of Dentistry, as well as a Diplomate of the American Board of Orofacial Pain. Dr. Schiffman has over 35 years of experience treating orofacial pain patients. He has received over $17 million in research funding from the National Institutes of Health (NIH) and has over 60 peer-reviewed publications, 12 book chapters and 3 patents – with another pending. He has lectured locally, nationally and internationally on topics pertaining to the prevalence, etiology, diagnosis, and management of patients with TMD and orofacial pain. Past research as a NIH study principal investigator includes developing and publishing validated Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for the most common TMD – for use in both the clinical and research settings. Past research in TMD management includes assessing the long-term effectiveness, in patients with symptomatic TMJ closed lock with limited mouth opening, of medical management compared to comprehensive rehabilitation with and without TMJ surgery. He has also researched the longitudinal impact of TMJ intra-articular disorders on jaw pain, function and disability. In addition, in the NIH-funded National Dental Practice-Based Research Network (PBRN), he assessed the management of TMD patients by dentists in their practices. He currently has a NIH Small Business Innovation Research (SBIR) grant to develop and test a new version of the Restful Jaw device – a device attached to the dental chair that is designed to support the jaw during dental procedures including the surgical removal of third molars. Finally, he is a co-owner of the inter-disciplinary Minnesota Head and Neck Pain Clinic where he manages TMD and orofacial pain patients in the Saint Paul location.

AAOP Podcast #10 – Behavior, Bruxism and Botulinum toxin: A conversation with Dr. Karen Raphael

In this episode Dr. Karen Raphael shares her research on the areas of psychological comorbidities in chronic pain, the relationship of sleep bruxism and temporomandibular disorders as well as the use of botulinum toxin in the management of orofacial pain conditions.
Dr. Karen Raphael is a PhD-level psychologist and epidemiologist whose work over the last 35 years has focused on the role of psychosocial and stress-related factors in medically unexplained pain. As she was completing postdoctoral training in psychiatric epidemiology at Columbia University, she met Dr. Joseph Marbach, an orofacial pain specialist and renowned clinical researcher. Most of their close collaboration for a dozen years until his passing in 2001 involved studying processes underlying chronic temporomandibular disorders.

After serving on faculty at Columbia University (in Public Health, Psychiatry and the Dental School), she continued research on orofacial pain and other forms of medically unexplained pain at Rutgers/Newark Medical and Dental Schools, where she was promoted to Professor. Her work broadened to encompass areas ranging from translational pain psychophysics to pain epidemiology. She continued methodologically-driven work on biases in both patient reporting and clinical observation. Since 2009, Dr. Raphael has held a primary appointment at New York University College of Dentistry, serving as Professor in the Department of Oral & Maxillofacial Pathology, Radiology and Medicine. Her research on stress and muscle activity expanded to include use of polysomnographic studies and awake stress-reactivity studies to examine the role of bruxism in temporomandibular disorders. Dr. Raphael’s writings inspired an international consensus committee of orofacial pain experts to reconsider whether bruxism is a disorder requiring treatment.

In addition to serving as Principal Investigator on a dozen grants funded primarily by the NIH, Dr. Raphael has published approximately 100 peer-reviewed manuscripts and has served on numerous editorial boards and grant review committees. Her most recent funded research has examined potential bone-related risk from use of Botulinum Toxin to treat temporomandibular disorders.

AAOP Podcast #9 with Dr. Charles Carlson – Growth and Change: Self-Regulation and Orofacial Pain

Dr. Carlson discusses the role of psychology in the management of orofacial pain conditions. Dr. Charles R. Carlson, Ph.D., ABPP, obtained his Ph.D. in clinical psychology from Vanderbilt University in 1983 and completed a clinical residency at the University of Mississippi Medical Center in 1984. Since 1988, he has been a member of the Department of Psychology at the University of Kentucky where he is the Robert H. and Anna B. Culton Professor of Psychology in collaboration with the Center for Research on Violence Against Women; he also holds a joint appointment as a professor in the College of Dentistry and is currently the Director of Behavioral Medicine and Research at the Orofacial Pain Center in the University’s College of Dentistry.

Dr Carlson has been awarded the diplomate in clinical health psychology from the American Board of Professional Psychology. His research and clinical interests focus on self-regulation skills training for the management of pain in the head and neck regions. As an active scientist, he has published over 120 papers in journals including Pain, Journal of Oral & Facial Pain and Headache, Journal of Consulting and Clinical Psychology, and Psychophysiology.

AAOP Podcast #8 with Dr. Dennis Bailey – Pediatric and Adolescent Sleep: A Developing Area

Dr. Dennis Bailey discusses sleep disorders and airway issues in pediatric and adolescent patients. Dr. Bailey is a general dentist with a practice limited to the management of Sleep Related Breathing Disorders (Snoring and Sleep Apnea) utilizing oral appliances as well as Temporomandibular Disorders (TMD), Orofacial Pain and related headaches. He is a graduate of Indiana University School of Dentistry and completed a General Practice Residency at Miami Valley Hospital in Dayton, Ohio. He is a past president of the American Academy of Dental Sleep Medicine (1998-1999), is the founder and past-chair of the Oral Appliance Section and served on the Standards of Practice Committee for the American Academy of Sleep Medicine.

He frequently lectures both in the US and internationally and has authored numerous texts, articles and chapters on the topic of Sleep Medicine and on the use of Oral Appliances by the dentist for the management of snoring and sleep apnea. He is currently a visiting lecturer in the Orofacial Pain and Sleep Medicine Program at UCLA School of Dentistry and is the Co-Director of the Mini-Residency in Sleep Medicine for the Dentist. Dr. Bailey is a Past-President (2013-2014) of the Colorado Sleep Society and is the chair for the Sleep Medicine Committee for the American Academy of Orofacial Pain from 2012 to the present. He has Diplomate status in the American Board of Orofacial Pain and in the American Board of Dental Sleep Medicine and is a Fellow in the Academy of General Dentistry, the American Academy of Orofacial Pain and the International College of Dentists.

AAOP Podcast #7 with Dr. Dennis Bailey – Sleep Medicine: Beyond Oral Appliances

Dr. Dennis Bailey discusses the role of dentists in sleep medicine. Dr. Bailey is a general dentist with a practice limited to the management of Sleep Related Breathing Disorders (Snoring and Sleep Apnea) utilizing oral appliances as well as Temporomandibular Disorders (TMD), Orofacial Pain and related headaches. He is a graduate of Indiana University School of Dentistry and completed a General Practice Residency at Miami Valley Hospital in Dayton, Ohio. He is a past president of the American Academy of Dental Sleep Medicine (1998-1999), is the founder and past-chair of the Oral Appliance Section and served on the Standards of Practice Committee for the American Academy of Sleep Medicine.

He frequently lectures both in the US and internationally and has authored numerous texts, articles and chapters on the topic of Sleep Medicine and on the use of Oral Appliances by the dentist for the management of snoring and sleep apnea. He is currently a visiting lecturer in the Orofacial Pain and Sleep Medicine Program at UCLA School of Dentistry and is the Co-Director of the Mini-Residency in Sleep Medicine for the Dentist.

Dr. Bailey is a Past-President (2013-2014) of the Colorado Sleep Society and is the chair for the Sleep Medicine Committee for the American Academy of Orofacial Pain from 2012 to the present. He has Diplomate status in the American Board of Orofacial Pain and in the American Board of Dental Sleep Medicine and is a Fellow in the Academy of General Dentistry, the American Academy of Orofacial Pain and the International College of Dentists.

AAOP Podcast #6: Dr. Harold Menchel – Occlusal Appliances for TMD

Dr. Harold Menchel discusses the use of occlusal appliances in the management of temporomandibular disorders.
Dr. Harold Menchel limits his practice to Orofacial pain in Coral Springs Florida. He is faculty in the Department of Prosthodontics at NOVA Southeastern School of Dental Medicine. His Orofacial Pain training was under Drs. Parker Mahan and Henry Gremillion at the University of Florida Facial Pain Center.
He received his Diplomate American Board of Orofacial Pain in 2000
He is an international speaker, educator, and has published articles in peer-reviewed journals including JADA and Oral and Maxillofacial Clinics of North America. He reviews articles for JPD, JADA
Dr. Menchel is liaison to the American Medical Association for Orofacial pain coding and access to care.

Learning Objectives:

1. Discuss the evidence available in the literature for the use of occlusal appliances in temporomandibular disorders.
2. Summarize the different types of occlusal appliances for management of temporomandibular disorders.
3. Describe the clinical protocols for occlusal appliance therapy.

AAOP Podcast #5: Dr. Cristina Perez – Orofacial pain in Children and Adolescents

Dr. Perez completed her Pediatric Dentstry residency program in 2002, a certificate program in Pathophysiology of Temporomandibular disorders in children in 2006 before completing a residency program in Orofacial pain from 2008-2011 and from which she obtained a Masterâ?Ts degree. Dr. Perez has obtained board certification in both Pediatric Dentistry and Orofacial Pain making her dual trained and dual board certified. In 2011, Dr. Perez joined the University of Kentucky, College of Dentistry as assistant professor in the division of Pediatric Dentistry. She works with predoctoral students as well as residents in training. Her current areas of research are sleep disorders in children, TMD in adolescents, and pain management in children.

Learning Objectives:

1. Describe the differences between the pain experience between pediatric and adult patients
2. Discuss the diagnosis of temporomandibular disorders and orofacial pain in pediatric patients
3. Summarize the management options for temporomandibular disorders in pediatric patients

AAOP Podcast #4: Dr. Steven Bender – The Role of Dentists in Sleep Medicine

During this podcast, Dr. Bender will provide information that addresses the following Learning Objectives:
1. Define sleep related breathing disorders
2. Describe the risk factors associated with obstructive sleep apnea
3. Discuss the role of dentist in the management of sleep disorders

Dr. Steven D. Bender earned his Doctorate of Dental Surgery degree from Baylor College of Dentistry in 1986 and practiced general restorative dentistry for 14 years.

He then studied orofacial pain and temporomandibular disorders at the Parker E Mahan Facial Pain Center at the University Of Florida College Of Dentistry.  From 2000-2015, Dr. Bender maintained a private practice devoted to pain management of the head and face, as well as sleep medicine. Beginning in 2016, he transitioned to a full time faculty member of Texas A&M University College of Dentistry and assumed the role of director of facial pain and sleep medicine. He has earned Fellowship in the American Academy of Orofacial Pain, the American Headache Society, the International Academy of Oral Oncology and the American College of Dentists and he is a diplomate of the American Board of Orofacial Pain. He is a past president of the The American Academy of Orofacial Pain, The Fourth District Dental Society of Texas and the Dallas Academy of General Dentistry. In addition, he serves as a consultant for the United States Army.

AAOP Podcast #3: Dr. Gary Klasser – Persistent Pain After Dental Treatment

Dr. Klasser discusses an overview of persistent pain following dental treatment.  Dr. Gary D. Klasser obtained his dental degree from the University of Manitoba (Canada) in 1980. Over the next 22 years, he enjoyed the practice of general dentistry from both a public health and private practice perspective until he returned to graduate studies in 2002. In 2004, he completed his training and graduated from the University of Kentucky with a Certificate in Orofacial Pain. In 2005, he completed a fellowship in Oral Medicine/Oral Oncology at the University of Illinois at Chicago (UIC). From 2005 – 2011, he was an Assistant Professor and Director of the Oral Medicine/Orofacial Pain clinic at the College of Dentistry in the University of Illinois at Chicago. He is currently a Professor in the Department of Diagnostic Sciences at Louisiana State University, School of Dentistry and is involved in clinical research and teaching. Dr. Klasser has published in a number of peer reviewed journals and has contributed chapters to various textbooks while serving as an editorial reviewer for a number journals. He is also co-editor of the 5th edition of the American Academy of Orofacial Pain book entitled: Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management.

Learning Objectives:

1. Describe the new terminology proposed by the International Headache Classification for neuropathic pain conditions affecting the orofacial pain region.
2. Summarize the different management options available for persistent facial idiopathic pain (PFIP) or painful post-traumatic trigeminal neuropathy (PTTN)
3. Explain the prognosis of persistent facial idiopathic pain (PFIP) or painful post-traumatic trigeminal neuropathy (PTTN)

To receive AGD PACE CE credit for listening to this session please complete the CE questionnaire. Upon completion of the questionnaire you may download your CE Form.

AAOP Podcast #2: Dr. Gary Heir- Orofacial Pain as an Emerging Specialty in Dentistry

Dr. Heir discusses current state, future outlook and implications of Orofacial Pain as an Emerging Specialty in Dentistry.  Dr. Heir is an internationally recognized expert on orofacial pain. He has published papers, chapters and abstracts on topics related to the field of temporomandibular disorders and orofacial pain, and serves on several editorial boards of peer-reviewed journals.
To receive AGD PACE CE credit for listening to this session please complete this CE questionnaire.

Learning Objectives:

1. Discuss the need for accredited Orofacial Pain Programs
2. Describe the impact of Orofacial Pain conditions in the quality of life of patients.
3. Elaborate the goals of Orofacial Management

To receive AGD PACE CE credit for listening to this session please complete the CE questionnaire. Upon completion of the questionnaire you may download your CE Form.

AAOP Podcast #1: Dr. Jeffrey Okeson – The Role of Dentists in Temporomandibular Disorders.

Dr. Okeson discusses the role of the Dentist in the diagnosis and treatment of Temporomandibular Disorders. Dr. Okeson is Professor, Chairman of the Department of Oral Health Science and Director of the College’s Orofacial Pain Center, which he established in 1977. Dr. Okeson has more than 240 publications in the area of occlusion, TM disorders and orofacial pain in various national and international journals. textbooks on TM disorders and orofacial pain, which have been translated into eleven different languages. Dr. Okeson is a very sought after lecturer on the subject of TMD and orofacial pain and has presented more than 1100 invited lectures on the subject of TMD and orofacial pain in all 50 states and in 54 different countries. He has received the campus wide University of Kentucky “Great Teacher Award”, the Provost’s Distinguished Service Professorship, the University of Kentucky Hall of Distinguished Alumni Award, the American Academy of Orofacial Pain’s Service Award, and the first ever “Distinguished Alumni Award” from the College of Dentistry. Dr. Okeson has also received “The International Dentist of the Year Award” from the Academy of Dentistry International. This is the highest award recognized by this Academy and was given to him in recognition of his worldwide efforts in providing education in the area of temporomandibular disorders and orofacial pain.

Learning Objectives:

1. Describe the etiological factors of temporomandibular disorders
2. Summarize the management options for temporomandibular disorders
3. Discuss the role of dental occlusion in temporomandibular disorders

To receive AGD PACE CE credit for listening to this session please complete the CE questionnaire. Upon completion of the questionnaire you may download your CE Form.