Educating the Next Gen TMD Surgeons
Where are we going in oral and maxillofacial surgery (OMS) with the education of our residents in the proper protocol and techniques for temporomandibular joint surgery? Do all programs have the bandwidth to teach the surgical correction of temporomandibu
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Vincent E. DiFabio
Abstract
Where are we going in oral and maxillofacial surgery (OMS) with the education of our residents in the proper protocol and techniques for temporomandibular joint surgery? Do all programs have the bandwidth to teach the surgical correction of temporomandibular joint diseases, pathology, and trauma using minimally invasive surgery, microscopic surgery, and arthroscopic surgery? With mandatory reduced hours for teaching but increased knowledge and education demands on our OMS residents, how can this be beneficial to teach such complicated techniques? Where do we stand with predicting success and even diagnosis of these disease entities? Do we teach them in training programs? The answers to these questions thus form the basis for this chapter and on the future of training in OMS residency programs of TMJ disorders and surgical treatment via arthroscopic surgery.
16.1 Introduction Where are we going in oral and maxillofacial surgery (OMS) with the education of our residents in the proper protocol and techniques for temporomandibular joint surgery? Do all programs have the bandwidth to teach the surgical correction of V. E. DiFabio (*) Oral and Maxillofacial Surgery, University of Maryland School of Dentistry, Baltimore, MD, USA Monocacy Health Partners Dental Clinic, Frederick, MD, USA Private Practice of Oral and Maxillofacial Surgery, Frederick, MD, USA Private Practice of Oral and Maxillofacial Surgery, Washington, DC, USA e-mail: [email protected] © Springer Nature Switzerland AG 2019 S. T. Connelly et al. (eds.), Contemporary Management of Temporomandibular Disorders, https://doi.org/10.1007/978-3-319-99909-8_16
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V. E. DiFabio
temporomandibular joint diseases, pathology, and trauma using minimally invasive surgery, microscopic surgery, and arthroscopic surgery? With the mandatory reduced hours for teaching but increased knowledge and education demands on our OMS residents, how can this be beneficial to teach such complicated techniques? Where do we stand with predicting success and even diagnosis of these disease entities? Do we teach them in training programs? The answers to these questions thus form the basis for this chapter and on the future of training in OMS residency programs of TMJ disorders and surgical treatment via arthroscopic surgery. The AAOMS and ADA are lagging in changing the parameters of what the OMS residents are to learn when it comes to TMJ surgery or anything relating to the TMJ. Some programs do not teach any TMJ surgical correction, surgeries, or techniques. Other programs teach minimal TMJ techniques and procedures as they do not have the instructors to teach these complicated techniques, or they are inadequately trained in treating TMJ pathology or dismiss TMJ as “psychological.” How can one of the most prevalent problems in the USA, affecting millions of people (especially women), be ignored? Basic TMJ disorders, pathology, and treatment modalities are not taught except at the very basic level in dental schools. In OMS training programs, th
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