Perspectives on Management of TMJ Disease, with Dr. Michael Miloro

Everyday Oral Surgery

Treating TMJ and TMD in patients can be a daunting prospect for oral surgeons, especially if they weren’t exposed to the relevant treatment procedures during residency. But that doesn’t mean general care can’t be improved upon. In today’s episode, Dr. Michael Miloro joins us to share his expertise on the management of TMD and TMJ and how he believes we can ensure better education among dental students going forward. Find out why Dr. Miloro is such a big proponent of having a multidisciplinary team before learning how he and his colleagues prioritize individualized, conservative, reversible, and minimally invasive patient care. Our conversation also unpacks the evidence-based literature on the topic, how the studies can be improved upon, and why we need to invest in better education at the dental student level in terms of TMD and myofascial pain. To hear Dr. Miloro’s informative advice and thought-provoking insights on TMD, TMJ, and how to give the best patient care possible, tune in now!

Key Points From This Episode:

• An overview of the shortcomings in the academic literature on TMD.
• The challenges of TMJ and TMD diagnosis and treatment.
• Dr. Miloro’s philosophy for treating patients who have TMD or TMJ.
• Why he believes in individualized, conservative, reversible, minimally-invasive patient care.
• The benefits of being treated in a multidisciplinary setting with a team of specialists.
• Arthrocentesis; how the procedure can help patients with TMD or TMJ.
• Determining whether a patient is a good candidate for arthrocentesis.
• Insight into what helps make arthrocentesis effective and what to avoid during the procedure.
• What Dr. Miloro considers before undertaking a discopexy or discectomy.
• Four reasons why Dr. Miloro doesn’t like the idea of disc repositioning.
• Clinical tips for doing a discectomy and a breakdown of Dr. Miloro’s approach.
• How many of his patients typically need a unilateral versus bilateral discectomy.
• Benefits and drawbacks of a modified condylotomy and when to consider it.
• What it’s like treating patients long-term with the support of a team.
• Dr. Miloro’s answers to our rapid-fire questions!

Links Mentioned in Today’s Episode:

Dr. Michael Miloro on Linkedin — https://www.linkedin.com/in/michaelmiloro/

UIC College of Dentistry — https://dentistry.uic.edu/

Dr. Michael Miloro’s email — [e-mail]

TMD (Temporomandibular Disorders) — https://www.nidcr.nih.gov/health-info/tmd

‘Temporomandibular Joint Disorder Management in Oral and Maxillofacial Surgery’ — https://pubmed.ncbi.nlm.nih.gov/27889533/

KLS Martin — https://www.klsmartin.com/en/

KLS Martin 35% Discount Code — StuckiFavs

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [e-mail]

Dr. Grant Stucki Phone — 720-441-6059