Green, Yellow, Red: Joint Classification for Success

What you will learn

In this session, each participant will learn a patient classification system to streamline the evaluation, diagnosis and treatment of occlusal problems. They will be able to know when it is safe to work in Maximum Intercuspation, when Centric Relation will be the appropriate starting point, and when long term splint therapy will be required to stabilize the TM Joint prior to the restorative phase.

Meeting Goals/Objectives

  • How to recognize patients who pose a high occlusal risk.
  • How to know when it is safe to maintain a patient’s maximum intercuspation.
  • How to recognize and manage a patient whose TMJ is degenerating.
  • To clearly recognize the patients that will require phase one treatment requiring a splint, prior to the restorative phase.
  • To clearly recognize the patient with complex occlusal issues that does NOT require splint therapy prior to the restorative phase.

Pre-Meeting Prep

1. Review Chapter 12 – Classifications of Occlusion – In Dr. Dawson’s text, “Functional Occlusion From TMJ to Smile Design”.
2. Review the blog post from 8/26/15: “If a patient is in pain when loading, is the patient in CR?”
3. Review the blog post from 8/11/16: “A brief review of a healthy TMJ.”
4. Participants bring cases for discussion that involved making the determination of the health of a joint that they would like to share.

Meeting Schedule

1. Break into groups of 3 or 4 and answer the following questions:
a.) When do you currently make a splint for a patient?
b.) What are the different splints that you make? And what specifically are you treating with each appliance?
c.) Make a list of patient signs/symptoms when splint therapy would be necessary prior to phase II treatment.
d.) Make the case for why a splint is not necessary when working on a patient with a worn dentition, who also has 2 healthy, stable TM Joints.

2.  Watch Video

3. Answer discussion questions

4. With the entire group, have participants share the cases they brought as requested in the pre-meeting preparation email.

5. Have each participant make a list of some things they are going to start doing after this video, as well as some things they are going to stop doing.

Discussion Points/Questions

  • How do you identify the green patient?
  • How do you identify the yellow patient?
  • How do you identify the red patient?

CE Codes Breakdown

  • CE Credits Awarded: 2
  • COURSE SUBJECT CODES & HOURS: #200 (0.5L, 0.5P), #730 (0.5L, 0.5P)
    (L) Lecture
    (P) Participation/Discussion/Hands-On