{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"[Spear Education] Piper Classification and TMJ Imaging with Dr McKee – PDP080","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/59cefae7\"></iframe>","width":"100%","height":180,"duration":3122,"description":"Stop taking OPGs/Panoral radiographs for TMD…they have limited benefit! In this episode I discuss the Piper Classification of TMJ with Dr Jim McKee from the Spear faculty. We also cover exactly when and why imaging of the TMJ may be beneficial (MRIs and CBCTs). I have found the Piper classification easy to implement and I hope this episode helps you understand it.\n\n\nhttps://youtu.be/n4lRWAQeA5A\nCheck out full episode on YouTube\nProtrusive Dental Pearl: Observe the patient’s path of opening. If someone’s jaw opening makes a ‘V’ shape, that’s a DEVIATION. If someone’s jaw opens, and then it goes all the way to one side, and it doesn’t go back to the middle, that’s a DEFLECTION.\nIf you want to Download the PDF version of the Piper Classification of TMJ Infographic we made, click here!\n\nPiper Classification PDF\nDr Jim McKee is part of Spear Education – a platform that has taught me so much of my occlusion.\nIn this episode I asked Dr. Jim McKee:\n\nWhat is the Piper Classification of TMJ?\nWhat are the risks of having to rehabilitate someone where you haven’t the health of the TMJ? (19:22)\nAre there any other useful TMD classifications? (21:01)\nIs there any benefit of taking a Panoral radiograph? (24:48)\nWhat is the difference between an MRI and CBCT for someone with a TMJ pathology? (26:51)\n\nWhat type of imaging is best for TMD? (28:58)\nWhat additional information can a CBCT provide above an MRI? (33:59)\nHow do we decide the most appropriate imaging technique? (35:22)\n\nDr McKee’s thoughts on idiopathic condylar resorption in adult patients? (32:58)\nShould we be taking routine MRI/CBCT for TMJ health diagnosis? Or only for patients who have a joint based history? (36:62)\nIs there a clinical way to determine which classifications patients are in (Piper III vs Piper IV)? (39:23)\nIs TMJ disorder always a progressive disorder? (40:51)\nHow to manage asymptomatic clicks? (42:17)\nDeviation or Deflection as part of full workup and imaging of the way to get the exact diagnosis?...","thumbnail_url":"https://img.transistorcdn.com/hLSIeRiYSp0oTfIk0BzEukFutShD18hH3f6fq4QHsWw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZmM0/ZTNjYzdiZDJhNGFj/MzBiYmU2NTUwNmM2/NzQ2My5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}