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Piper Appearances

Florida Dental Convention - Joint-based Foundational Occlusion: Diagnosis and Treatment Planning


Event: Florida Dental Convention

Location: Gaylord Palms Resort and Convention Center
6000 West Osceola Parkway
Kissimmee, FL 34746

Date: June 22, 2017

Times: 9:00 AM to 12:00 PM

For more information visit the FDA website at


This course will cover concepts of joint injury leading to alteration of the occlusion. Drawing from a database of 20,000 CT and MR imaged temporomandibular joints, Dr. Piper will explain how finite distortions of articular space soft tissue and bony dimensions can create dramatic changes in the occlusion. Mechanisms of injury to the temporomandibular joint foundation will be reviewed. The distinction between malocclusion that leads to internal derangements versus internal derangements that creates the malocclusion will be clarified. The clinical correlation between mechanically injured temporomandibular joints and Class II molar occlusion, apertognathia, occlusal asymmetry, and posterior dental working and balancing interferences will be demonstrated. Attendees will be given specific guidelines for diagnosing joint-based foundational malocclusion through the examination of both the static and the dynamic occlusion. Cone beam CT (CBCT) and the magnetic resonance imaging (MRI) scan findings will be related to projected future stability or instability of the occlusion and facial skeleton. Mechanisms of masticatory system pain relating to foundational instability shall be discussed. Scans in adult patients with joint-based foundational injuries will be referenced to explain why orthodontics, restorative dentistry, and orthognathic surgery cases may remain unstable. Special attention will be dedicated to mandibular condylar growth injury in children and the resulting development of severe malocclusion and skeletal distortion. This is a two-part lecture (C10 and C23) that is best attended as a full day. However, participants may take either the morning or the afternoon session.

Learning Objectives:

Understand how joint structures support the occlusion.
Learn how mechanical injuries within the temporomandibular joints can profoundly alter the occlusion in both children and adults.
Understand the clinical signs of joint-based foundational malocclusion through direct examination of the static and dynamic occlusion.
Integrate CBCT scanning and MRI to diagnose temporomandibular joint injuries, alteration of articular dimensions and resulting distortions of the occlusion.



Target Audience:

General/Restorative Dentists
Dental Laboratory Technicians
Oral and Maxillofacial Surgeons
Dental Staff


Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. (11/1/2015) to (10/31/2019)
Provider ID# 300133


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