27th Annual UK Orofacial Pain Alumni Symposium: Dystonia – An Overview and Management Considerations
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Course Description (Morning Session)
The morning session will begin with an evidence-based presentation by Dr. Henry Gremillion on head and neck dystonia. The differential diagnoses and management of pain and dysfunction in the head and neck requires a broad scope understanding of conditions affecting the motor and sensory functions of the trigeminal system and beyond. Movement disorders are relatively common in this region, yet poorly understood. Dystonia may affect a single body are or be generalized throughout multiple muscle groups. Dystonia affects men, women and children of all ages and backgrounds. Dystonia is a movement disorder that causes the muscles to contract and spasm involuntarily. Opposing muscles often contract simultaneously as if they are “competing” for control of a body part. The involuntary muscle contractions force the body into repetitive and often twisting movements as well as awkward, irregular postures.
There are multiple forms of dystonia to include orofacial movement disorders which encompass many subcategories to include sleep bruxism, focal oral dystonia such as oromandibular dystonia/oromandibular dyskinesia, and medication-induced extra-pyramidal syndrome (EPS). Symptoms include forceful contractions of the face, jaw, and/or tongue causing difficulty in opening and closing the mouth and often affecting chewing and speech.
Course Objectives for the Morning Session
At the conclusion of the presentation, each participant should be able to succeed at the following tasks:
- Be able to differentiate patients suffering with a dystonia from TMD patients
- Understand potential etiologic factors associated with dystonia
- Discuss management considerations for oromandibular dystonias.
Course Description (Afternoon Program)
The afternoon session will present considerations acquired malocclusions followed by a case presentation demonstrating the use of Ketamine with neuropathic pain. These presentations will be followed by a discussion of current controversies in selecting a favorable joint position.
Course Objectives for the Afternoon Session:
At the conclusion of the presentation, each participant should be able to understand and be able to:
- Discuss various etiologies of acquired malocclusions
- Describe five different joint positions used in dentistry today
- Appropriately select a proper joint position for your patient