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TMD Online Course Information
Our mission is to increase your confidence in recognizing, diagnosing and treatment of patients who have structurally altered TM joints, empowering practice growth by attracting patients and increasing your enthusiasm for dentistry
TMD Online Coaching Program
With TMD Online we have designed a two-year online curriculum to teach dentists to be more confident when TMD patients present in their practice.

This will be taught by Dr. Jim McKee using 10 different clinical modules with quarterly coaching webinars where Dr. McKee will share new case studies and assist you with your own TMD and Occlusion patients.  
Your membership will give also you access to quarterly coaching webinars for the next two years which will showcase different topics and case study presentations.
TMD Online Training Modules
Module 1: Introduction to TMD and Occlusion
Module 1: Introduction to TMD and Occlusion serves as the foundation for the material in this course. This module provides an essential overview of TM joint anatomy using MRI and CBCT imaging to build confidence in the diagnosis, treatment planning and discussing joint issues with patients. The information in this module will clarify many of the issues that create confusion in TMD and occlusion.

TMD Members Will Learn:
1. How to redefine occlusion to include not only the teeth but also the TM joints
2. Why it is important to understand the TM joint even if you do not knowingly treat TM joint patients
3. Understand vertical dimension at the tooth level and at the TM joint level
4. The relationship between the TM joints and the Class II occlusion patient
5. The relationship between the TM joints and the airway patient
6. Why some TM joint patients have pain

By the end of "Module #1: Introduction to TMD and Occlusion," members will have laid the groundwork for a comprehensive understanding of these interconnected subjects, setting the stage for further exploration and mastery in subsequent modules of the course.
Module 2: Understanding what our patients are telling us
Module 2: Understanding what our patients are telling us is the module in this course which helps dentists learn how to listen to what our patients are telling us. This module will also develop the skills necessary to ask clear questions which will encourage patients to share both the clinical and non-clinical information to help us understand the best treatment option for each individual patient.

TMD Members Will Learn:
1. How to create a practice that will attract high quality patients who are willing to function outside the insurance system to enjoy your specific diagnostic and treatment skill sets
2. The importance of obtaining an accurate history during the initial consultation
3. The six steps of an effective occlusal/TMD examination
4. How to create value for diagnostic records
5. How to document the findings of the initial consultation and the exam
6. How to develop a tentative diagnosis after each part of the examination

By the end of “Module #2: Understanding what our patients are telling us”, members will learn what questions to ask patients and how to understand the answers to these questions during the initial consultation. The clinical exam will be discussed in addition to implementing these concepts immediately in your practice.
Module 3: Comprehensive Diagnostic Records for TMD Patients
Module 3: Comprehensive Diagnostic Records for TMD Patients is a pivotal module that equips dental professionals with the skills and knowledge to obtain the necessary information to make an accurate diagnosis of TM joint condition. This module will help both dentists and patients understand why accurate diagnostic records are the patients best chance for a successful treatment outcome.

TMD Members Will Learn:
1. How to understand the diagnostic information necessary for each individual patient
2. How to develop a fair fee for diagnostic records
3. How to develop verbal skills that will lead to increase diagnostic records case acceptance
4. How to obtain occlusal records for accurate positioning for MRI and CBCT imaging
5. To Understand analog and digital options for diagnostic study casts
6. To Understand how diagnostic nerve blocks will change your practice

By the end of this module, “Module #3 Comprehensive Diagnostic Records for TMD Patients”, members will be confident in gathering comprehensive diagnostic records which will allow for a more accurate assessment of the TM joints and the occlusion. This module will help determine which patients could benefit from TM joint imaging given the suspected structural alterations in the TM joints.
Module 4: TM imaging - Part 1 Mastering MRI imaging
Module 4: TM Imaging - Part 1 Mastering MRI Imaging for TMD will teach participants when to consider ordering MR imaging and how to order MR imaging. There will be a strong emphasis on how to interpret MR imaging and how the information can influence the treatment plan. This module will help to reinforce why MR imaging is the gold standard for evaluating the soft tissue in the TM joint.

TMD Members Will Learn:
1. How to create a TM joint imaging network  
2. The value of the anatomic information in the MRI and how it can impact the risk factors in treatment planning
3. An MRI protocol that provides a logical approach to determining a condylar treatment position
4. How to fabricate interocclusal records to allow for imaging in different condylar positions to assess the condyle-disk interface
5. How to discuss a non-insurance MRI fee with your imaging center
6. How to evaluate MRIs through live reading of TM joint MRIs

By the end of this module, “Module 4: TM imaging-Part 1 Mastering MRI imaging”, members will be confident ordering MR imaging as well as understanding structural changes to the TM joint. The MRI will allow dentists to talk to patients more confidently about the inherent risk factors that are present if the disk does not cover the condyle. MR imaging will allow you to have a more accurate prognosis discussion which helps develop trust in the doctor-patient relationship.
Module 5: TM imaging - Part 2 Mastering CBCT imaging
Module 5: TM Imaging-Part 2 Mastering CBCT Imaging will teach participants when to consider ordering CBCT imaging and how to obtain imaging. There will be a strong emphasis on how to interpret CBCT imaging and how the information can influence the treatment plan. This module will help to reinforce why CBCT imaging is the gold standard for evaluating the hard tissue in the TM joint.

TMD Members Will Learn:
1. How to assess the hard tissue in the TM joint   
2. How to determine if there was normal maxillary and mandibular growth or if there is a growth deficiency in the mandible, the maxilla or both.
3. How to assess airway anatomy at the nasal level, the oro-pharyngeal level, and the pharyngeal level.
4. How to assess the upper cervical spine to recognize misalignments
5. How to assess the risk for future occlusal changes
6. How to discuss CBCT radiation concerns with the patient in a concise manner

By the end of this module, “Module 5: TM Imaging-Part 2 Mastering CBCT Imaging”, members will understand how to use CBCT imaging in conjunction with MR imaging to assess risk factors at the TM joint level, the airway level, and the upper cervical spine level. Understanding the hard tissue anatomy will help develop confidence when developing and presenting treatment plan for patients.
Module 6: Treatment planning the TMD/occlusion patient
Module 6: Treatment Planning The TMD/Occlusion Patient is a pivotal module to help the participant develop an organized thought process for patients with joint or occlusal problems. There will be a treatment planning flowchart that can be used to ensure a predictable treatment outcome. This module will combine the information gained in the initial consult, the clinical exam, and the diagnostic records to confidently develop treatment plans for any patient.

TMD Members Will Learn:
1. A workflow to address hypoplastic maxillae
2. A workflow to address hypoplastic mandibles
3. A workflow to address treatment options at the tooth level
4. A workflow to understand when treatment plans require phasing
5. A workflow to determine a fair fee for the treatment plan
6. A workflow to present treatment plans to patients that leads to an increased case acceptance

By the end of this module, “Module 6: Treatment Planning The TMD/Occlusion Patient”, members will learn workflows to develop treatment plans based upon each individual patient’s unique circumstances, temperament, and treatment objectives. This module will significantly increase the case acceptance rate for both simple and complex treatment plans.
Module 7: Mastering Occlusal appliance therapy
Module 7: Mastering Occlusal Appliance Therapy will address one of the most questioned procedures in dentistry. Occlusal appliance therapy is a confusing topic for many dentists. This module will teach occlusal appliance design, fabrication, and insertion. In addition, there will be a discussion about when to use an occlusal appliance, how often to use an occlusal appliance and when occlusal appliance therapy is completed.

TMD Members Will Learn:
1. How an appliance can influence the TM joint
2. Different appliance designs for different clinical scenarios
3. Which appliances are contraindicated based upon the condition of the TM joint
4. Analog and digital methods of appliance fabrication
5. How to insert and adjust an occlusal appliance
6. How to maintain occlusal appliances after the insertion appointment

By the end of this module, “Module 7: Mastering Occlusal Appliance Therapy”, members will have an increased confidence when recommending occlusal appliance therapy. In addition to the clinical aspects of this module, there will also be important information regarding setting a fee for occlusal appliance therapy and how to discuss insurance coverage for occlusal appliance therapy with patients.
Module 8: Real World TMD Case Studies
Module 8: Real World TMD Case Studies will be a treatment planning module that will show numerous cases studies with both successful and unsuccessful treatment outcomes. This module will incorporate both the non-technical and technical aspects of each case study so participants can learn how to effectively present treatment to patients.

TMD Members Will Learn:
1. How to use the information obtained in the diagnostic records appointment to facilitate treatment planning.
2. How to decide if a treatment plan is more effectively presented as phased treatment or complete treatment.
3. How to charge a fair fee for the treatment provided
4. How to discuss poor treatment outcomes with patients
5. How to treat phased treatment plans and complete treatment plans
6. How to realize when it is best to refer a patient out of your office

By the end of this module, “Module 8: Real World TMD Case Studies”, members will experience the process of developing a treatment plan and the consequences that can occur when a treatment plan is not developed before beginning treatment. This module will be an enjoyable module to see both TMD and restorative cases that will be similar to cases seen everyday in all our practices.
Module 9: An Evidence Based Approach to TMD/occlusion
Module 9: An Evidence Based Approach To TMD/Occlusion will provide a scientific basis for the treatment decisions that we make on a daily basis. This module will examine some of the key articles in TMD and occlusion that have influenced our profession in a positive and a negative manner. This module will integrate clinical cases that support the literature being reviewed.

TMD Members Will Learn:
1. What articles have influenced the profession in a positive manner
2. What articles have influenced the profession in a negative manner
3. How to discuss peer reviewed literature with general dentists
4. How to discuss peer reviewed literature with orthodontists
5. How to discuss peer reviewed literature with oral surgeons
6. How to discuss peer reviewed literature with your staff

By the end of this module, “Module 9: An Evidence Based Approach To TMD/occlusion”, members will have an increased level of confidence understanding the literature. The ability to understand the literature and the ability to discuss the literature will result in creating a level of expertise in your community which will result in increased referral to your practice.
Module 10: Implementing TMD/occlusion into your dental practice
Module 10: Implementing TMD/Occlusion Into Your Dental Practice will discuss both the clinical and managerial aspects of implementing TMD and occlusion into our practice. This module will provide forms for your practice that you can use as is or you can customize them to fit your practice. This module will allow you to make significant changes in your practice in a short period of time.

TMD Members Will Learn:
1. A practice model that will create a sustaining and profitable practice in any market
2. How to set a fair fee for your services that allows you to create a sustaining practice
3. How to explain the role of insurance in your practice to both patients and staff members
4. How to provide leadership in your practice through effective staff training
5. How to communicate with dentists in your community resulting in increased referrals
6. How to create a practice that will provide you a work-life balance which will increase your enjoyment in dentistry.

By the end of this module, “Module 10: Implementing TMD/Occlusion Into Your Dental Practice”, members will be ready to attract high quality new patients who are willing to function outside the insurance system. The module will provide the infrastructure in your practice to create a referral-based practice with a high rate of case acceptance and profitability.
TMD Online Bonus Package
BONUS 1: QUARTERLY TMD COACHING WEBINARS with DR. JIM MCKEE
Your membership will give you access to quarterly coaching webinars which will showcase different case studies and topics from Dr McKee's private practice.

During the webinars you can ask questions about the teaching material or submit digital records for one of your specific cases and Dr. McKee will help you plan and troubleshoot and design your patients cases. This will include help with CBCT and MRI scans.

Webinars will be live and interactive for an in-person experience.  We will encourage questions and discussions from the members to enhance the learning potential.

BONUS 2: A New Perspective On Occlusion Full Day Seminar Replay
This is a 7 hour seminar replay for the full day Occlusion Design online seminar with Dr. Jim McKee. This was an excellent seminar covering TMD in great detail including medical history, MRI and CBCT scans.

During this presentation, we will discuss traditional occlusal concepts that have proven success. We will also discuss traditional occlusal concepts that may be outdated given our increased knowledge in occlusion and TM joints. Additionally, we will also discuss managerial concepts such as fees, insurance coverage and the verbal skills for increased case acceptance. Combining the clinical and managerial information will provide a framework for implementation in your practice.

TMD Members Will Learn:
1. How to recognize high-risk occlusion and TM joint patient when considering restorative dentistry, implant dentistry, orthodontics, orthognathic surgery, or airway treatment
2. New concepts in occlusion and TM joint diagnosis and treatment planning and learn what historical occlusal/TMD concepts may need revision
3. Develop a treatment planning protocol that can be used for predictable treatment outcomes on both low-risk and high-risk occlusion patients
4. To understand the role of occlusal appliances, the design of occlusal appliances for each patient, how to explain occlusal appliances to patients and how to charge a fair fee for occlusal appliances
5. To understand the treatment planning options available when patient may need more that occlusal appliance therapy
Bonus 3: Mastery of Occlusal Equilibration Therapy
Bonus 3: Mastery Of Occlusal Equilibration Therapy will be a valuable resource for both the restorative dentist and the specialist. Equilibration can be a very predictable and conservative procedure. The key to predictable equilibrations is to assess the condition of the TM joints and to perform a trial equilibration. The purpose of the trial equilibration is to determine how much tooth structure will be removed and to evaluate the relationship of the anterior teeth upon the completion of the equilibration.

TMD Members Will Learn:
1. How equilibrations can be both a subtractive and an additive treatment option
2. When to consider equilibration and how to explain equilibration to the patient
3. When to avoid equilibration
4. How to perform a trial equilibration to understand if equilibration can be a predictable procedure
5. How to explain equilibration to the patient
6. How to charge a fair fee for an equilibration

By the end of this bonus webinar, “Mastery Of Occlusal Equilibration Therapy”, members will learn how to recognize patients that may benefit from equilibration. Participants will also understand how to incorporate equilibration into a treatment planning workflow in a logical manner.
Bonus 4: Digital Dentistry: Virtual Articulation and Occlusal Analysis with Dr. Seth Atkins and Dr. Jim McKee
Join us for this cutting-edge webinar will introduce you to the world of virtual articulation and occlusal analysis. The ability to obtain diagnostic records in a digital format allows us to create a virtual mounting that can be used for treatment planning and case presentation. This virtual representation of our patient’s anatomy reaches accuracy levels not previously attainable using analog methods. The use of virtual articulation allows for the immediate sharing of information with any member of the interdisciplinary team involved in both treatment planning and clinical care. The ability to make occlusal changes on virtual study casts allows for an increased level of diagnostic efficiency and predictability. We look forward to showing you what the future will look like during this engaging webinar.
 
TMD Members Will Learn:
1. How to use a CBCT to transfer the position of the teeth to the virtual articulator
2. How to accurately transfer the position of the maxillary central incisors and the maxillary occlusal plane from the patient to the virtual articulator
3. How to accurately transfer the position of the mandible in a fully seated condylar position from the mouth to the articulator
4. How to print models for plasterless mounting on an analog articulator
5. How to perform an occlusal analysis on a virtual articulator
6. How to capture jaw movements and transfer these movements to the virtual articulator
 
By the end of this bonus webinar, “Virtual Articulation and Occlusal Analysis”, members will have a clear understanding of the new opportunities for improved accuracy for diagnostic records in the digital world. This module will exponentially increase the efficiency in your office through implementing digital technology.
Bonus 5: TM joint imaging from the Radiologist’s Perspective with Dr. Tom Predey
This bonus webinar, TM joint imaging from the Radiologist’s Perspective is an invaluable insight into TM joint imaging. Dr. Tom Predey, a national expert in TM joint MRI and CBCT interpretation, will share his insights into TM joint imaging. Dr. Predey will discuss the onset and severity of structural changes in the TM joint relative to other joints in our body. Dr. Predey is an engaging presenter who will bring an orthopedic perspective to the TM joint.
 
TMD Members Will Learn:
1. The radiologist’s perspective on temporomandibular disorders
2. How to work with a radiologist to calibrate the interpretation of TM joint anatomy
3. How to work with an imaging center to establish a fee for TM joint imaging
4. How to create an online portal to access imaging at any time
5. The equipment necessary to obtain diagnostic MRIs
6. How to find a radiologist to be part of your interdisciplinary team
 
By the end of the bonus webinar, “TM joint imaging from the Radiologist’s Perspective” members will have an increased level of confidence when talking about TM joint imaging and when creating an imaging network in your community. This module will help you implement TM joint imaging into your practice in a timely manner.
cONTINUING EDUCATION POINTS
Phelan Dental Seminars is an AGD Pace Program Provider.

You will receive CE points for each of the module and webinars. For Ontario dentists these points qualify for RCDSO Category 2 CE Points.
AGD Subject Code: , Course Type: self and Location: Self Instruction
Our mission is to increase your confidence in recognizing, diagnosing and treatment of patients who have structurally altered TM joints, empowering practice growth by attracting patients and increasing your enthusiasm for dentistry

With TMD Online we have designed a two-year online curriculum to teach dentists to be more confident when TMD patients present in their practice

About Dr. Jim McKee
Jim McKee is in private practice in Downers Grove, Illinois. Jim has a restoratively based practice with an emphasis on occlusion and temporomandibular joint disorders. In addition to private practice, Jim is a published author who has lectured national and internationally for over 25 years. Jim provides a new perspective on occlusion and TM joints that helps increase the predictability of occlusal, orthodontic, restorative, orthognathic and airway treatment options for both the patient and the dentist. He is the founder of the Chicago Study Club program and has extensive experience in directing study clubs in the United States and Canada. He is a Resident Faculty member at Spear Education in Scottsdale, Arizona. Jim is a past-president of the American Academy of Restorative Dentistry and the American Equilibration Society.
About Dr Stephen Phelan
Dr. Stephen Phelan is the founder of Phelan Dental Seminars. 

Stephen has a dental practice in Oakville, Ontario where he uses the techniques that are taught in his seminars daily to treat his patients. The focus of his clinical practice is cosmetic, implant and rehabilitation dentistry. He is very passionate about dental education and has spent hundreds of hours training with some of the best dental educators in the world including Drs. John Kois, Frank Spear, Peter Dawson, Dennis Tarnow, Daniel Buser, Jimmy Eubank, Jeff Morley, Bill Strupp, Otto Zhur, Marc Hurzeler and Pascal Magne. Dr. Phelan is the creator of the Porcelain Veneer Masterclass, Core Build-Up Masterclass,  Occlusion Design and Velocity Elite online training programs for dentists.