The “Live From ICCMO in Denver” video captures the exciting discussions and valuable insights shared at the International College of Craniomandibular Orthopedics (ICCMO) conference. As practitioners and thought leaders in the field of neuromuscular dentistry and temporomandibular joint (TMJ) disorders gathered to reconnect, they reflected on their previous meeting in Calgary and looked forward to exploring new developments and strategies in TMJ management. From launching a podcast to delving into innovative techniques, the conference highlighted the growing need for continuous learning and collaboration in addressing complex TMJ and craniofacial issues.
Reconnecting and Moving Forward
Dr.’s Priya and Alex began by reflecting on the progress made since the last conference and the exciting opportunities the event in Denver presented. One of the key topics of discussion was the launch of a podcast aimed at bringing neuromuscular dentistry insights to a wider audience. As speakers shared their enthusiasm for upcoming episodes, they eagerly anticipated contributions from experts like Dr. Ben Sutter and Prabhu Raman, whose expertise would further enrich the conversation. Notably, one speaker is also collaborating with Dr. Sutter on a study that involves gathering patient feedback—a crucial element in advancing the field by understanding real-world results and patient outcomes.
Nasal Ballooning and Innovative Techniques
An intriguing technique introduced at the conference was nasal ballooning, presented by Cindy Stein. This method aims to open sinus cavities, which could potentially offer relief for patients suffering from conditions like sinus pressure and related TMJ issues. While the concept generated interest, there was also a sense of caution, with speakers acknowledging that more research and practical experience are needed to fully understand its effectiveness and potential risks.
Understanding TMJ Disorders: A Holistic Approach
TMJ disorders can manifest in a variety of ways, from ear pressure and body imbalance to posture issues and jaw pain. The discussions emphasized the complexity of diagnosing TMJ disorders and the importance of excluding other medical conditions before arriving at a definitive diagnosis. This comprehensive approach ensures that patients receive the most accurate diagnosis and effective treatment.
There was a shared recognition of the need for better education in the dental field regarding TMJ issues, particularly when it comes to understanding the relationship between jaw alignment, posture, and overall health. The speakers stressed the importance of continuous learning and professional development, especially since the field has evolved significantly since 2018. Collaboration and community support among practitioners have been instrumental in ensuring that everyone—from seasoned professionals to newer practitioners—has the resources to succeed in treating these often complex conditions.
The Need for Continuous Monitoring and Personalized Care
While many patients experience significant benefits from TMJ management, the speakers noted that external factors, such as accidents or changes in dental work, can necessitate additional treatments. Continuous monitoring of patients is essential to maintain stability and address potential misalignments over time. A selective, personalized approach to patient care was advocated, particularly when dealing with more complex cases, such as those involving torn discs, which may require consultations with oral surgeons for surgical intervention.
Treating Children with TMJ and Jaw Pain
Another key focus of the conference was on treating children under 12 who experience jaw pain, particularly those with Class 2 malocclusion, headaches, and neck pain. The speakers discussed using a combination of dental stops, physical therapy, myofunctional therapy, and addressing issues like tethered tongues to help alleviate symptoms and promote healthy jaw development. One success story highlighted how expansion appliances, used at an early age, helped improve jaw positioning and relieve pain. However, it was emphasized that proper orthodontic alignment in later phases is crucial for long-term success.
Navigating Orthodontic Challenges and Professional Boundaries
Orthodontic treatments, particularly for TMJ and craniofacial issues, were a topic of discussion, with the speakers acknowledging the challenges of treating both children and adults. They explored the complexities of coordinating care with orthodontists, particularly when there are professional boundary issues or differing treatment philosophies. In addition, the connection between TMJ disorders and anxiety was explored, noting that patients with TMJ issues often experience heightened anxiety, especially in cases involving teeth grinding.
Addressing Sleep Apnea and Anxiety Cycles
The relationship between breathing issues, such as sleep apnea, and TMJ disorders was another critical point raised. It was discussed how sleep apnea can exacerbate teeth grinding and contribute to a cycle of anxiety, further complicating TMJ treatment. One promising treatment discussed was the SPG (sphenopalatine ganglion) block, which has shown promise in alleviating both pain and anxiety in patients. The speakers stressed the importance of addressing airway and breathing issues to break the anxiety-pain cycle and improve overall patient well-being.
Conclusion: A Personal Touch
To close the conference, the speakers shared a personal anecdote about attending a Bruno Mars concert in Las Vegas, underscoring the importance of balancing professional dedication with moments of personal enjoyment. It was a fitting end to an event that emphasized the importance of community, continuous learning, and holistic care for those dealing with TMJ disorders and related issues.
The ICCMO conference in Denver proved to be a valuable opportunity for networking, learning, and exploring new treatment options in the field of neuromuscular dentistry. With a focus on education, collaboration, and innovation, the event showcased the dedication of professionals who are committed to improving the lives of patients suffering from TMJ disorders.
