Dr. Jamison Spencer Dental Sleep Medicine & TMJ Disorders Format: Virtual Taylorsville, UT

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  • Private practice: dental sleep medicine and TMD
  • Diplomate, American Board of Dental Sleep Medicine
  • Diplomate, American Board of Craniofacial Pain

Friday Courses
VFr305 - Parafunction or Protective Function: How Bruxism May Be Related to Sleep Apnea and What to do About It
Time: 10:30 - 11:30 AM
Room: ,
Type: Virtual    Handouts: No
Dentist Fee: $0.00  Other Fee: $0.00
AGD Code: 200

For decades we have blamed grinding and clenching of the teeth on 1. Stress and 2. Malocclusion. While certainly emotional stress and occlusal factors can play a role in the etiology of bruxism, particularly during a pandemic, it is clear that in many patients obstructive airway issues are a major driving factor.


In this inter-active presentation Dr. Spencer takes the audience on an evidence based journey, and makes a strong case that the so-called "parafunction" that wreaks havoc on our patient's teeth and on our best restorations may actually be "protective" in nature.  This understanding may help with the diagnosis and actual treatment of the true underlying etiology of the bruxism.


With the case made that clenching and grinding may be the brain's way to protect itself from suffocation, the lecture will then focus on how to protect the patient, protect their teeth, protect their restorations and protect the dentist's practice.


Learning Objectives:

1.     Review the literature regarding possible connections between bruxism and obstructive sleep apnea.

2.     Discuss use of night guards and oral appliances for sleep apnea and their effects on bruxism muscle activity.

3.     How to screen your patients for possible sleep apnea related bruxism, and when to refer for a sleep evaluation.

Saturday Courses
VSa339 - What's that Popping and Clicking? Understanding TMJ Internal Derangements and Centric Relation
Time: 3 - 4 PM
Room: ,
Type: Virtual    Handouts: No
Dentist Fee: $0.00  Other Fee: $0.00
AGD Code: 180

One of the most confusing areas of dentistry for dental professionals and their patients is temporomandibular disorders. Oftentimes patients, and even dental professionals, do not understand what is going on with regard to TM joint noises, joint pain and limited opening. Even the normal physiological and anatomical position of the TM joint is often misunderstood and terms like "centric relation" may mean one thing to one dentist and the exact opposite for another dentist.


In this presentation Dr. Spencer will lift back the curtain on internal derangements and centric relation, allowing the dental professional to become confident in their ability to clearly educate their patients with regard to popping and clicking, as well as the ability to know when a limited range of motion is most likely due to a non reducing disc displacement and what to do when this is suspected.


Learning Objectives:


  • Review the anatomy of the temporomandibular joint, normal function and internal derangements.
  • Discuss reducing disc displacements and when treatment may be indicated.
  • Discuss non reducing disc displacements, accurate diagnosis, and when treatment may be indicated.