An Update on the Anatomy and Clinical Pathology of TM Disorders and a Strategy for Advanced Occlusion Restoration

Friday, January 31, 2020



This course is intended to provide the clinician an accurate anatomical and physiological basis from which to make diagnostic and treatment decisions. Differential diagnosis and treatment protocols will be discussed in relation to various examination findings and conditions present. Since there are various TMD treatment methods and no universal agreement of standard protocol, it is important to have knowledge of anatomic and physiological foundations, as well as treatment needs and protocols.

Centric Relation: Past, Present and Future” could easily be called “Taking a Bite Out of History.' While presenting a chronological journey of our understandings in the field of occlusion and oromasticatory function, the course will present a comparison and contrast of the various generally accepted occlusal philosophies. More attention will be given to emphasizing the concurrences and concepts, rather than in trying to endorse a particular technique. As the basis of occlusal determinations should be anatomic and physiologic rather than philosophic, evidence will be shown that will allow the practitioner to make informed choices for his or her patients based on structural considerations and scientific principle.

Facial and dental esthetics will be discussed, and smile design and anterior tooth placement will be evaluated as an occlusal concept. Useful techniques for tooth configuration in individual restorations, as well as anterior guidance, quadrant dentistry, single arch and full mouth reconstruction, will be demonstrated. Various techniques will be demonstrated that will enable the practitioner to deliver a higher quality, more predictable service more efficiently and comfortably for the patient.



At the completion of this course, you will be able to:

  • Identify the typical anatomy and histology of the temporomandibular joint (TMD)
  • Describe unique characteristics of the TMD
  • Better understand symptoms of TMD based on the hard and soft tissues
  • Identify the changes that occur in the joint due to aging and understand how these affect the susceptibility for damage
  • Develop a basic differential diagnosis protocol for most common TMDs and utilize the treatment strategies
  • Manage strategies: When to treat, use palliative strategies, and when to refer. All can be appropriate strategies
  • Classify the biology of Oromasticatory System
  • Discuss differential diagnosis of orofacial pain and neuromuscular disharmony
  • Learn the 'real' determinants of occlusion, and realize why single teeth restoration is the basis of a healthy Oromasticatory System
  • Learn how to position the anterior teeth for maximum esthetic and function
  • Learn how to support the mandible in the proper path of closure by proper design of the posterior segments
  • Develop a technique for selecting a bite and maintaining it throughout a complex case.

Sign-Up Today!


Limited Space Available!

As a courtesy, please register for all courses at least two weeks in advance. For your convenience however, you may register up to 72 hour prior to the day of the course with no additional charge.

Note: an additional non-refundable fee of $35 per person, per course will be assessed to any registrations received 72 hours or less prior to the start of the course, including any walk-in registrations.

Tuition | Course Fee

$345 Dentist + 1* Allied Dental Personnel
$225 Allied Dental Personnel

*Information for allied dental personnel is required upon registration.
Unregistered allied dental personnel attended with dentist will be assessed the $225 course fee plus the $35 walk-in fee.

Course fee is due at time of registration.

We aim to accommodate walk-in registrations for all programs; although lecture room and hands-on training space is limited. Pre-registration is suggested to guarantee your space.

About Our Speakers


Charles Hoopingarner, DDS, is a 1973 graduate of UTHealth School of Dentistry at Houston who has maintained a private practice in Houston since then. Dr. Hoopingarner is an adjunct associate professor at UTSD and a clinical instructor at the Las Vegas Institute. He is a member of the American Academy of Orofacial Pain and has considered proper dental occlusion and craniomandibular function the basis for a proper patient care delivery system for the last 40 years.


Robert Spears, PhD, MS, currently serves as the Associate Dean of Academic Affairs and is a Professor in the Department of Diagnostic and Biomedical Sciences at The University of Texas School of Dentistry at Houston. Dr. Spears received his PhD from Texas A&M University Health Science Center and his MS in Anatomy from Baylor University. His research interests focus on inflammatory mediators and the interaction of elements of the immune and nervous system, particularly as it relates to TMD. Dr. Spears teaches the anatomical sciences and has been awarded Teacher of the Year multiple times, as well as receiving the prestigious American Association of Anatomists Basmajian Award.


Credit Hours

110 Basic Science - Lecture: Hours - 2
180 Myofacial Pain/Occlusion - Lecture: Hours - 2
180 Myofacial Pain/Occlusion - Hands-on: Hours - 2



Registration | 7:30 AM

Introduction | 7:50 AM

Presentation | 8:00 AM - 2:30 PM

Includes Continental Breakfast and Lunch


UTHealth School of Dentistry - Garza Classroom
7500 Cambridge Street
4th Floor Room 4340
Houston, TX 77054
(University doors open at 7:30 AM)

Click here for directions

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Contact Us
UTHealth School of Dentistry
PACE Center, Continuing Dental Education
7500 Cambridge St., Suite 6152
Houston, TX 77054
Ph: 713-486-4028
Fax: 713-486-4037