Real World Occlusion: It’s Not Just the Teeth

     Wednesday, November 17, 2021
Time: 6:30-8:00pm 

Credits: 1 CE Hour*



Gerard Kugel, DMD, PhD:is an associate dean of research and a professor of at the department of prosthodontics and operative dentistry at Tufts University School of Dental Medicine. He also maintains a private practice in Boston, MA.


Noshir Mehta, DMD:;is associate dean of global relations, professor in the Department of Public Health and Community Service, and senior adviser to the Craniofacial Pain, Headache and Sleep Center at Tufts University School of Dental Medicine.

A dentist’s guide to function, esthetics and stability of the Maxillomandibular and Craniofacial Complex

In most dental occlusal concepts, the primary difference is one of condylar versus muscular positions. This is consistent with the textbook images of sagittal condylar positions or the diamond shapes of the lateral excursive movements. However, these concepts do not take into account the three-dimensional structures of the craniofacial skeleton due to the relative difficulty of many dentists in visualizing how the muscles, TM Joints and the teeth all function in harmony. Risk indicators of occlusal disharmony include parafunction, trauma, posture, sleep architecture, psychological and neurologic inputs to the neuromuscular pathways. Finally, management of patient with Temporomandibular and Cranio-Cervical dysfunctions often require the use of intra-oral appliance therapy. Studies however have reported variable results. Historical perspective suggests that different appliances and different mandibular positions be needed for different types of disorders and that the “one for all” appliance may not be an effective strategy to pursue.

  • Learn how to perform a comprehensive TMD exam
  • Review the Do’s and Don’ts of changing vertical dimension
  • Understand how to diagnose and treat parafunction
  • Examine the role of parafunction and sleep disorders on the longevity of dental stability
  • List risk indicators of TMD that “call out to you” from your patient’s mouth before beginning any dental treatment
*Attend all 4 virtual sessions, and receive 4 CE Credits. 
You will receive an additional 3 CE credits for attending the live in-person course at Yankee 2022.