AN ADVANCED AND COMPREHENSIVE PROGRAM ON TEMPOROMANDIBULAR DISORDERS and OROFACIAL PAIN
May 18 - 22, 2009
A one week, 35 hour, complete experience in the area of TMD and orofacial pain.
by The University of Kentucky Orofacial Pain Center Faculty
Jeffrey P Okeson, DMD Reny de Leeuw, DDS, PhD Donald Falace, DMD Charles R Carlson, PhD Juan Yepes, DDS, MD, MS Anne Harrison, PT, PhD Barbara Phillips, MD Lyle Carlson, PhD
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About the Course:
The management of temporomandibular disorders (TMD) and orofacial pain is a complex problem
in dentistry. This complexity arises from the many problems that can be associated with masticatory
function. In order to effectively manage TMD and orofacial pain disorders the clinician must be able to
recognize these disorders from other orofacial pain disorders so that correct treatment can be
selected. This course will be a comprehensive review of the multiple factors that relate to TMD and
orofacial pain disorders. Treatments based on sound scientific principles will be presented. Emphasis
will be placed on diagnosis so that correct therapy will be selected for each patient. The role of each
dental and medical specialty in the management of orofacial pain will be discussed. This course will
benefit all practitioners interested in managing temporomandibular disorders and orofacial pain. In
addition, participants will be provided an introduction to the management of patients with snoring and
obstructive sleep apnea by the use of oral appliances.
What You Will Learn:
To differentiate temporomandibular disorders from other orofacial pain disorders.
To understand the relationship between occlusion, bruxism and temporomandibular disorders.
To understand the relationship between psychological factors and orofacial pain disorders.
To understand the relationship between cervical disorders and orofacial pain disorders.
To take a comprehensive pain history and complete a thorough examination for temporomandibular
disorders and orofacial pain disorders.
To understand the role of imaging in the diagnosis of temporomandibular disorders.
To understand the role of appliance therapy in managing temporomandibular disorders.
To understand the role of the clinical psychologist in managing orofacial pain disorders.
To understand the role of the physical therapist in managing orofacial pain disorders.
To understand the role of pharmacology in managing orofacial pain disorders.
To understand the role of oral appliances in the treatment of snoring and obstructive sleep apnea.
Schedule to Lecture Topics
Monday, May 18, 2009
8:30 AM Welcome, Introduction and Orientation to program
9:00 AM Understanding orofacial pain and temporomandibular disorders
Considerations of the differential diagnosis of orofacial pain
Jeffrey P Okeson, DMD
10:15 Break
10:30 AM History and examination of the TMD / orofacial pain patient
Reny de Leeuw, DDS, PhD
12:00 Lunch
1:00 PM Understanding pain referral in the head and neck
Etiologic considerations of temporomandibular disorders
Jeffrey P Okeson, DMD
2:45 PM Break
3:00 PM Understanding the psychology of orofacial pain
Charles R Carlson, PhD
4:30 PM Questions and Answers
Tuesday, May 19, 2009
8:30 AM Physical self regulation for the chronic orofacial pain patient
Charles R Carlson, PhD
10:00 Break
10:15 AM The controversies associated with orthopedic stability: What is
the best joint position?
Jeffrey P Okeson, DMD
12:00 Lunch
1:00 PM The role of occlusion in temporomandibular disorders
Jeffrey P Okeson, DMD
2:45 PM Break
3:00 PM The biomechanics of normal and abnormal TMJs function
Jeffrey P Okeson, DMD
4:30 PM Questions and Answers
Wednesday, May 20, 2009
8:30 AM Sleep and Sleep disorders
Barbara Phillips, MD, Director of UK Sleep Laboratory
10:00 Break
10:15 AM Diagnostic and therapeutic use of local anesthetic blocks for
orofacial pain.
Jeffrey P Okeson, DMD
12:00 Lunch
1:00 PM Considerations of cervical pain input in orofacial pain patients;
Evaluation and management by the physical therapist
Anne Harrison, PT, PhD
2:30 PM Break
2:45PM Differential diagnosis of myogenous disorders
Management of Muscle pain disorders
Jeffrey P Okeson, DMD
4:30 PM Questions and Answers
Thursday, May 21, 2009
8:30 AM Pharmacologic considerations in orofacial pain
Reny de Leeuw, DDS, PhD
10:00 Break
10:15 AM Imaging of the TMJs and associated structures
Juan Yepes, DDS, MD, MS
12:00 Lunch
1:00 PM Medical hypnosis for the chronic orofacial pain patient
Lyle Carlson, PhD
2:00 PM An update of bruxism
Donald Falace, DMD
3:00 PM Break
3:15 PM Appliance therapy for TMD
Jeffrey P Okeson, DMD
4:30 PM Questions and Answers
Friday, May 24, 2009
8:30 AM Managing snoring and sleep disorders in the dental practice
Donald Falace, DMD
10:00 Break
10:15 AM The management of intracapsular disorders
Jeffrey P Okeson, DMD
12:00 Lunch
1:00 PM The non-odontogenic toothache; Diagnosis and management
Jeffrey P Okeson, DMD
3:00 PM Break
3:15 PM Topics selected by participants
4:30 PM Adjournment
Topics and timing subject to change
The program will be given on the Campus at the University of Kentucky in Lexington, Kentucky. The
tuition of this one week 35 lecture hour program is $1395.00. You can sign up for this program by
contacting Elaine Stafford in the Department of Continuing Education at 859-323-8187 ex 815 or E-
mail at ejstaf1@email.uky.edu.
About the faculty
Jeffrey P. Okeson, DMD - Program Director
Dr. Okeson is a 1972 graduate of the University of Kentucky College of Dentistry. After a hospital
based dental internship with the Public Health Service, he joined the faculty of the University of Kentucky
in 1974. In 1977, he founded the Orofacial Pain Center. His textbook, Management of
Temporomandibular Disorders, is presently in its fifth edition and is used in most dental schools in the
United States. It has been translated into seven languages for use in other countries. Dr. Okeson has
also authored the sixth edition of Bell’s Orofacial Pains. In addition to these two texts and more than
200 other publications, Dr. Okeson is the editor of the American Academy of Orofacial Pain’s
guidelines on orofacial pain. He is past President of the American Academy of Orofacial Pain and
presently President of the American Board of Orofacial Pain. Dr. Okeson has been very active
nationally in the development of graduate training in the area of orofacial pain. He presented more then
700 invited lectures on the subject of TMD and orofacial pain in 48 states and in 45 foreign countries.
Reny de Leeuw, DDS, Ph.D. – Chief, Division of Orofacial Pain
Dr. de Leeuw is a graduate of the University of Groningen, School of Dentistry in Groningen, The
Netherlands. She completed a five-year Ph.D. Program at the University of Groningen in 1994. Her
dissertation investigated the long-term outcome of osteoarthrosis and internal derangements of the
TMJ. She has published several research articles on this topic in international journals. She completed
a three-year Certificate Program in Orofacial Pain at the University of Kentucky Orofacial Pain Center.
Dr. de Leeuw joined the faculty full-time in 1998. Her present research interests are in the analysis of
brain activity in chronic orofacial pain patients using functional MRI.
Charles R. Carlson, Ph.D. ABPP - Director of Behavioral Medicine
Director of Research
Dr. Carlson received a Ph.D. in Clinical Psychology from Vanderbilt University in 1983, and completed
a clinical residency at the University of Mississippi Medical Center in 1984. He came to the University
of Kentucky in 1988 where he is currently a professor in the Departments of Psychology and Oral Health
Science; he is also presently serving as the chair of the Psychology Department. He is an active
researcher in the area of orofacial pain and has published articles in the Journal of Orofacial Pain, Pain,
and Journal of Consulting and Clinical Psychology. His primary interests are (a) the role of the
autonomic nervous system in the mediation of pain in the shoulder and neck regions; (b) the
relationships among heart rate variability, diaphragmatic breathing, and end-tidal carbon dioxide level
in orofacial pain; and (c) the development of self-regulation therapies for effective long-term
management of orofacial pain conditions.
Donald A. Falace, DMD
Dr. Falace graduated from the University of Kentucky College of Dentistry in 1970 and then joined the U.
S. Public Health Service for two years as a dental intern. He completed a residency in oral surgery at
the University of North Carolina in 1975 and subsequently joined the faculty at the University of
Kentucky, where he is professor and Division Chief of Oral Diagnosis and Oral Medicine. His research
and clinical interests are in the areas of orofacial pain, medically compromised patients and sleep
disorders. Dr. Falace is widely published and is the author of two texts, Dental Management of the
Medically Compromised Patient and Urgent: Diagnosis and Management. In addition, he is an active
lecturer both nationally and internationally. Dr. Falace limits his clinical practice to patients with
orofacial pain, TM disorders, snoring and sleep apnea.
Juan F. Yepes, DDS, MD, MS
Dr. Yepes is an assistant professor in the Division of Oral Diagnosis, Oral Medicine and Radiology at
the University of Kentucky College of Dentistry. He holds a joint appointment in the Department of
Diagnostic Radiology at the University of Kentucky College of Medicine. In 2006, Dr. Yepes became a
Diplomate of the American Board of Oral Medicine and completed a MPH with emphasis in
epidemiology at the UK College of Public Health. Dr. Yepes is a reviewer for scientific journals, has
published in the peer reviewed press, and has built a reputation for his excellent lectures and
workshops.
Anne L. Harrison, PT, PhD
Dr. Harrison received a Master’s degree in Physical Therapy from Indiana Central University (Krannert
School) and her PhD in Gerontology at University of Kentucky. She is an Associate Professor in the
Division of Physical Therapy and Department of Rehabilitation Sciences at UK, and has over 20 years
of experience working with patients who have musculoskeletal problems and pain. She is also on the
faculty for the Graduate Center in Gerontology. In addition to teaching courses in orthopedic
examination and treatment and biology of aging, she conducts research in the area of arthritis
management and motor control in older adults.
Dr. Lyle W. Carlson, Ph.D.
Dr. Lyle W. Carlson is a clinical neuropsychologist who provides psychological assessment and
intervention for patients experiencing intractable pain. He completed a clinical psychology residency
and a post-doctoral fellowship in clinical neuropsychology at Walter Reed Army Medical Center,
Washington, DC. Prior to his arrival at the University of Kentucky, he was the Chair of the Department
of Psychology at Tripler Army Medical Center and managed the Army's only multidisciplinary chronic
pain program that included an orofacial pain component. As a part-time faculty member, he specializes
in the use of clinical hypnosis as an effective treatment strategy for those patients with neuropathic pain
conditions.
The tuition for this one week lecture Continuing Education Program is $1,395.00. If you have any
questions or would like to register for the program you can contact:
Elaine Stafford ejstaf1@uky.edu
UK College of Dentistry
Continuing Education
1117 S. Limestone
Lexington, KY 40503-1057
phone: 859-323-8187
or 859-323-8155
or email Jeff Okeson at okeson@.uky.edu



This year 20 individuals from 7 different states and 6 foreign countries
participated in the one week TMD and Orofacial Pain Mini-Residency Program
at the University of Kentucky, May 12-16, 2008. The participants were:
Seated in the Front row from left to right:
Philippe Wang, Quebec, Canada
Kevan Wong, Tauranga, New Zealand
Deena Rassenfoss, Burlington, Kentucky
Karla Pinho. Rio de Janeiro, Brazil
Pamela Cain, Crossville, Tennessee
Flordeliza Bieganek, Maple Grove, Minnesota
Jerome Wellbrock, Covington, Kentucky
Juan Yepes, Faculty
Standing in the back row from left to right:
Joseph Villafuerte, Rizal, The Philippines
Lee Kavanaugh, Dickson, Texas
Jeffrey Harvey, Fargo, North Dakota
Robert Piedalue, Red Deer, Alberta, Canada
Keith Norwalk, Genoa, Ohio
Jois De la Court, Nijmegan, The Netherlands
Nikos Krompas, Athens, Greece
Jeff Okeson, Faculty
Konstantinos Asimakopoulos, Athens, Greece
Shawn Adibi, Houston, Texas
Jack Meier, Perryburg, Ohio
Thomas Servos, Houston, Texas
Aryeh Gorenstein, Lancaster, Ohio
Stephen Schiffer, Alamosa, Colorado
Don Falace, Faculty
The Mini-Residency Class of 2008
A great week of learning and meeting new
friends from all over the world.
You may wish to consider joining the University of Kentucky Orofacial Pain Faculty next year for the Mini-Residency from May 18-22, 2009.
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