The Puzzle of Non-Odontogenic Pain - How to Account for Pain When You Can't see a Cause:   (SOLD OUT)

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.

Learning objectives:
• 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.

  • Course Code: T13
  • Time: 11:00am-1:59pm
  • Location: Renaissance Main Floor, Solana B
  • CE Credit: 3
  • Audience:
  • Seating Taken:
Rich Hirschinger

Rich Hirschinger, DDS

Dr. Rich Hirschinger is in private practice treating patients with orofacial pain and obstructive sleep apnea at his office in Beverly Hills. He graduated from the University of Southern California School of Dentistry in 1985, and practiced dentistry for 10 years after which separate hand and back injuries forced him to sell his practice. After receiving a Masters in Business Administration from the USC Marshall School of Business in 2001, he founded and After a few other life-changing events, he completed a 2-year full-time residency in Orofacial Pain and Dental Sleep Medicine at the UCLA School of Dentistry in 2012 and became a Diplomate of the American Board of Orofacial Pain the same year. In 2013, Officite acquired He started his private practice in May 2013, serves as a Clinic Supervisor at UCLA in the Orofacial Pain and Dental Sleep Medicine residency, and became a Fellow of the American Academy of Orofacial Pain in 2014. He is the inventor of gentle jaw, a passive stretching device that relieves patients of facial muscle pain. And he practices without a high-speed handpiece.
Conflict Of Interest: Gentle Jaw