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| 会議センター5F |
- 11 (SAT) Afternoon 15:10〜16:30
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GPとして患者のさまざまな症状を理解する（TMD、口腔習癖、咬合違和感）How to diagnose a variety of patient symptoms －TMD・Oral Habits・Occlusal Dysesthesia－
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- Glenn T. Clark
- U.S.A.
[PROFILE]
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Dr. Glenn Clark is a full Professor, Director of the Center for Orofacial Pain and Oral Medicine; Chair of the new Online Master’s degree program in Orofacial Pain and Oral Medicine offered at Univesity of Southern California (USC). Dr. Clark serves as the Chair of the Section of Diagnostic Sciences at the Ostrow School of Dentistry of USC. During his academic career, Dr. Clark has held various administrative posts including Director of the Clinical Research Center, Director of the Dental Research Institute, Associate Dean of Research, Chair of the Sections of Orofacial Pain, Oral Diagnostic Sciences and Oral Medicine. Dr. Clark began his research work focusing on both temporomandibular disorders and trigeminal motor function and dysfunction including bruxism, dystonia, and chronic myofascial pain disorders of the jaw system in human subjects. In 1986 Dr. Clark's expanded his research work to include studies on the diagnosis and treatment of Obstructive Sleep Apnea. This work has involved him as Principal Investigator on several National Institute for Dental Research grants. Dr. Clark has written over 195 research articles, review papers, or chapters in textbooks. He has served as editor or co-editor of 3 books on Temporomandibular Problems and of 2 books on Diagnostic and Surgical Arthroscopy. His most recent book is titled Orofacial Pain: A guide to medications and management (2012). Dr. Clark is past President of the Neuroscience Group of the International Association of Dental Research; the Southern California Association of Dental Research; and the Association of University Temporomandibular & Orofacial Pain programs. He has been awarded membership as a Diplomat of the American Board of Orofacial Pain (since 1996); he was voted alumnus of the Year of the UCLA School of Dentistry (1990). Dr. Clark was given the Pierre Robin Award for Academic Excellence (2001) by the Academy of Dental Sleep Medicine and in 2004 he was awarded fellowship in the American Academy of Oral Medicine. In 2005 he was given a lifetime achievement award by the American Academy of Orofacial Pain.
咬合感覚異常の診断とマネージメントに関する最新のアプローチ
[講演内容]
患者が咬合感覚の異常を訴えてきた際に何をすべきかについて講演する。その中で扱う設問の一部を以下に示す。
#1 咬合感覚異常に関与する可能性のある神経とレセプターは何か？
#2 咬合感覚異常を訴える患者において中枢性 (脳)の病変を認める頻度はどのくらいか？
#3 PDL(歯根膜)局所麻酔はいつ実施すべきか？
#4 神経感覚の異常にステントやスプリントは有効か？
#5 局所性の薬剤使用や注射は有効か？
#6 抜歯やインプラントで問題は解決するか？
#7 全身的な神経抑制剤の使用は有効か？
#8 咬合感覚異常を有する患者に対する診断および治療のアプローチ（サマリー）
Current approaches to the diagnosis and management of Occlusal Dysesthesia
[Abstract]
This lecture examines what to do when a patient reports occlusal dysesthesia. A partial list of questions that will be address in the lecture include:
#1: What receptors and nuclei are potentially involved in this dysfuction?
#2: How often do OD patients have a brain change?
#3: When do you perform focal PDL anesthesia?
#4: Will neurosensory stents/splints help?
#5: Will topical medications and local injections help?
#6: Will extractions and implants solve the problem?
#7: Will systemic neurosuppressive medications help?
#8: Summary of the diagnostic and treatment approaches for a patient with occlusal dysesthesia.
