Dr. Noshir R. Mehta

Topic: Dental Occlusion as a common thread in the assessment and management of occlusal Parafunction, Temporomandibular Disorders and Obstructive Sleep Apnea

Dr. Noshir R. Mehta BDS. MDS, DMD. MS is currently Associate Dean of Global Relations, Professor in the Department of Public Health and Community Service, and Senior Advisor to the Craniofacial Pain, Headache and Sleep Center at Tufts University, School of Dental Medicine in Boston, MA. Dr. Mehta was founding Director of the Craniofacial Pain Center for the past 37 years, teaches and continues to lecture both nationally and internationally. He has published extensively, is Editor of the sleep section for the Journal of Craniomandibular and Sleep Practice and sits on the editorial board of several other international publications. He is the senior author of the textbook "Head, Face and Neck Pain: Science, Evaluation and Management" published by Wiley 2009.


Outline

The lecture is based on a concept that the criteria for proper dental occlusion is not based on our normal concepts of Centric Relation, Centric Occlusion or Neuromuscular occlusion but rather a three-dimensional assessment of the individual patient’s maxillomandibular structures and symptomatology guiding the dentist in deciding optimal treatment positions. Successful management of most TMJ disorders, bruxism and obstructive sleep apnea ultimately stems from a clear understanding of functions of the whole head and neck complex. OBJECTIVES: At the end of the lecture the participant should be able to: Assess the patient’s occlusion based on a three-dimensional concept To understand the different symptoms of the patient related to this concept Understand the relationship of the head and neck to these dysfunctions Understand and be able to apply the concept to patients undergoing Mandibular Advancement for Obstructive Sleep Apnea while preventing the TMD side effects commonly seen in these patients.

Objectives

At the end of the lecture the participant should be able to: Assess the patient’s occlusion based on a three-dimensional concept To understand the different symptoms of the patient related to this concept Understand the relationship of the head and neck to these dysfunctions Understand and be able to apply the concept to patients undergoing Mandibular Advancement for Obstructive Sleep Apnea while preventing the TMD side effects commonly seen in these patients.