Full color videotapes produced by Dr. Mark A. Piper may aid you in understanding your disorder. Included are:

Pathology of the Temporomandibular Joint and its Classification
65 minutes
2 hours C.E. credit
$169
This video is really two tapes in one with details of TMJ pathology, tissue by tissue, as well as a clinical classification system for internal derangements. It will enhance any practitioner's understanding of basic and advanced concepts, and lays the groundwork for other videos in the series by Piper and Schellhas. The classification system of internal derangements as presented by Dr. Piper is a landmark in the field and it will help you to logically treat your TMJ patients. This is a video tape from which you will never stop learning.

Doppler Diagnosis of Internal Derangement
60 minutes
2 hours C.E. credit
$199
Now, for the first time on video, you can have a complete basic course on doppler auscultation as presented by Dr. Mark Piper, the developer of the technique. You will experience first-hand how to master the doppler and you will soon appreciate why this is an important screening examination that you can offer your patients with TMJ problems. The key to learning doppler auscultation is repetition, and with your own tape of Dr. Piper's examples you can get doppler started in your practice. This course is not available from any other clinician. Take advantage of this unique opportunity today.

Microsurgical Reconstruction of the TMJ
45 minutes
2 hours C.E. credit
$179
Did you ever want to see the internal functioning of the temporomandibular joint in vivo, without having to depend on artistic renderings? Now Dr. Piper brings you live video recordings of the temporomandibular joint as seen through an operating microscope. As a surgical technique tape it will help you to understand and see the correction of TMJ problems with the most advanced procedures currently available. As a teaching tool for doctor, staff and patients, this video may have no equal and is a must for surgeons and non-surgeons alike.

Unstable Occlusion from Temporomandibular Joint Internal Derangement
30 minutes
2 hours C.E. credit
$129
Anyone who treats occlusal abnormalities recognizes that some bites are not stable. Find out how to unlock the mechanisms accounting for unstable occlusions, anterior open bites, mandibular recession, and altered facial growth patterns. These concepts of occlusal and facial skeletal change related to TMJ abnormalities may be the most important new findings to face dentistry in the 1990's. If you treat the occlusion, this may be the best professional video tape you will ever buy.

The Temporomandibular Joint: Basic Science and Imaging
86 minutes
2 hours C.E. credit
$179
This color video tape presents a thorough discussion of the normal and deranged temporomandibular joint (TMJ). The role of injury in the pathogenesis of internal derangement of the TMJ is presented. The clinical expressions of TMJ disorder are discussed in detail in the first 41 minutes of the tape and TMJ imaging procedures are discussed in the remaining 44 minutes. The tape features a brief review of basic radiography and tomography of the TMJ's and facial skeleton, followed by the description of two-compartment thin needle arthrography and videofluoroscopy. Magnetic resonance (MR) imaging is emphasized, beginning with an introduction to basic MR physics and terminology. Variations of normal joint anatomy are presented, along with the radiological/pathological stages of internal derangement. Avascular necrosis (AVN) and related bone marrow pathologies are presented, along with complications of permanent TMJ implants. The tape includes a discussion of "crippled occlusion" due to TMJ disease, and concludes with a discussion of the role of imaging in clinical practice.

Imaging of Head and Neck Pain
50 minutes
2 hours C.E. credit
$159
In this color video tape, an overview of common, yet frequently overlooked pathology which causes head and neck pain is presented with emphasis on computed tomography (CT) and magnetic resonance (MR) imaging. The tape begins with the normal and abnormal cervical spine, including cervical disc degeneration, spinal cord pathology and abnormalities involving a craniovertebral junction. A brief introduction to central nervous system (CNS) conditions which result in head and neck pain is presented. Paranasal sinus disease and imaging with CT and MR is discussed. An overview of pain-producing temporal bone pathology is presented. Painful temporomandibular joint (TMJ) disease states are discussed in this tape. The salivary glands, maxillofacial malignancies and pathways of tumor and infection spread are reviewed. The intent of this tape is to introduce the viewer to common pain-producing head and neck disorders and presents a logical and cost-effective method of utilizing pertinent high-tech imaging studies in clinical practice.

Sequential Anatomy of the Temporomandibular Joint: An Aid to Understanding Magnetic Resonance Imaging
$250
In this computerized video tape, a three-dimensional rendering of the anatomy of the temporomandibular joint is presented. Horizontal, coronal and sagittal sections are taken from a three-dimensional view of the joint to demonstrate specific anatomical structures. Fresh, unembalmed specimens of the joint are manipulated to demonstrate the function of the joint and lateral pterygoid muscle. Nine MR images of joints with normal, fibrosed to fossa (closed lock) and anterior displaced discs are shown. Nine MRI's of the TMJ in the coronal plane are shown with cuts oriented to the temporal bone so the condyle moves back and forth through the plane of orientation. Then the plane of orientation is indexed to the condyle so the fossa and eminence move back and forth. This computer manipulated, three-dimensional demonstration of the detailed anatomy of the TMJ facilities an understanding of the anatomy, function, pathofunction and imaging of the TMJ in a unique video tape.

About Your Trainers

Mark A. Piper, M.D., D.M.D.
Dr. Piper is a graduate of the Harvard School of Dental Medicine and received his medical degree from Vanderbilt University. Having served residencies in both general and maxillofacial surgery, he is in private practice in St. Petersburg, Florida. Dr. Piper is a member of the Center for Advanced Dental Study and has been a visiting lecturer at The Pankey Institute in addition to numerous other medical and dental groups. His research interests include microscopic surgical reconstruction of the TMJ and the relationship between TMJ degeneration and occlusal disorders.

Kurt P. Schellhas, M.D.
Dr. Schellhas is a graduate of the University of Minnesota School of Medicine, where he served a residency in Diagnostic Radiology followed by a fellowship in Neuroradiology. An internationally recognized authority in maxillofacial imaging, Dr. Schellhas has presented numerous scientific papers at major meetings and publishes extensively in medical and dental journals. A member of the American Society of Neuroradiology, he is Director of Neuroimaging at the Center for Diagnostic Imaging in Minneapolis.

Parker E. Mahan, D.D.S., Ph.D.
Dr. Mahan received his D.D.S. degree from Emory University and his Ph.D. degree in Physiology from the University of Rochester. He has taught at Emory University School of Dentistry for 16 years and at the University of Florida School of Dentistry for 21 years. He served 13 years as Chairman of Basic Dental Sciences and 8 years as Director of the Dental Occulusion and Facial Pain Center at the University of Florida.

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