In the past, if a doctor could not account for the source of a patient's odontogenic pain, treatment was provided including crowns, root canals and/or extractions. If the pain did not resolve even after an extraction, it was assumed the patient was crazy or the pain was not related to the scope of dentistry. The patient was then either referred to a physician or they just continued to live with their pain. During Dr. Hirschinger's presentation, you will see a video testimonial of a patient who had multiple root canals when the source of her pain was not the teeth. You will see a video testimonial of a patient with a 15-year history of "TMJ" treatment but the cause of her pain was not the joint, and how her pain resolved with the proper diagnosis and treatment. You will see a video of a patient who had pain in #19 for 28 years. You will learn about patients that had other dental treatment that did not to relieve their pain since the pain was not odontogenic, and you will learn how muscles can, and do, cause severe pain that can cause patients to be very debilitated since no doctor had properly diagnosed their pain as being caused by muscles.
• Identify the muscle referral patterns of the head and neck.
• Understand the rationale behind trigger point injections, and when lidocaine and Botox are and are not indicated.
• Recognize the signs and symptoms of trigeminal neuralgia, glossopharyngeal neuralgia, and nervus intermedius neuralgia.
• Understand the protocol of a gross neurological exam.
• Learn why most TMJ pain is not related to the joint.
• Recognize clear signs and symptoms of myasthenia gravis.
• Learn why the site and source of a patient with orofacial pain is usually never the same.
• Learn how to recognize various headaches according to the International Headache Society standards.
• Localize pain and be more certain of a diagnosis before irreversible dental treatment is rendered.
• How to quickly rule out occlusion as a cause of a patient's pain.