Break-Out Session ~ With Sharon Sauer

TMJ Temporal Mandibular Joint Dysfunction—

Ascending and Descending Perpetuating Factors

This break-out session will focus on temporomandibular joint (TMJ) dysfunction, exploring both ascending and descending factors that contribute to the persistence and complexity of this condition. Participants will engage in an interactive discussion about the anatomy and function of the TMJ, common symptoms such as jaw pain, limited movement and associated headaches, as well as the multifactorial causes of dysfunction.

Dr. Ira Shapira, DDS, FICCMO

Dr. Shapira’s practices in Highland Park, Chicago and focuses on the treatment of TMJ dysfunction, sleep apnea and related conditions. He employs a multifaceted, neuromuscular dentistry approach, utilizing advanced techniques such as:

• Custom oral appliances for bite realignment

• Neuromuscular orthotics

• Ultra low-frequency electrical stimulation (TENS)

• Epigenetic orthodontics (such as the DNA Appliance)

• Sphenopalatine Ganglion (SPG) Blocks and trigger point injections for pain management

He is also a leading advocate for teaching patients to self-administer SPG blocks for rapid pain relief and has been at the forefront of integrating cranial suture release and postural correction into TMJ care.

Teaching and Advocacy

Dr. Shapira is dedicated to education and has lectured internationally on TMJ and sleep disorders, most recently in Argentina and at ICCMO conferences. He is actively involved in efforts to improve medical coverage for TMJ patients and is committed to ongoing advancements in dental sleep medicine and anti-aging health.

Recognition and Testimonials

Patients frequently praise Dr. Shapira for his ability to resolve complex TMJ and sleep issues where others have not succeeded, often citing dramatic improvements in pain and function.

Summary

Dr. Ira Shapira is a leader in TMJ and sleep medicine, blending decades of experience with innovative, patient-centered care. His contributions to neuromuscular dentistry and interdisciplinary treatment have made a significant impact on both patient outcomes and professional education in his field.

Ira L Shapira DDS, D,ABDSM, D,ABPM, FICCMO, MICCMO

Neuromuscular Dentistry Section Editor: Journal of Advanced Dental Technologies and Techniques

Editor in Chief: CRANIO..Journal of Craniomandibular and Sleep Practice. (12/2021-12/31/2023)

Past Chair, Alliance of TMD Organizations

Diplomat, Academy of Integrative Pain Management

Diplomate, American Board of Dental Sleep Medicine

Diplomate, American Board Sleep and Breathing

Vice-President Regent, Master & Fellow, International College of CranioMandibular Orthopedics

Board Eligible, American Academy of CranioFacial Pain

Professor Neuromuscular Orthodontics and CranioMandibular Orthopedics University of Castellon

Dental Section Editor, Sleep & Health Journal

Past CranioFacial Pain Section Editor, CRANIO: Journal of Craniomandibular and Sleep Practice

Member, American Equilibration Society

Member, Academy of Applied Myofunctional Sciences

Member, Academy of Cosmetic Dentistry

Life Member, American Dental Association

Brief introduction to TMJ anatomy, function, and the spectrum of temporomandibular disorders, including pain, joint noises and movement limitations. Attendees will review clinical scenarios to identify perpetuating factors in complex TMJ cases and discuss multidisciplinary approaches to management, including physical therapy, behavioral interventions, and dental appliances.

By the end of the session, participants will better understand the interplay between ascending and descending factors in TMJ dysfunction and gain practical tools for assessment and management that can be applied in their own practice settings.

This session is designed to foster collaboration, deepen understanding and equip attendees with actionable strategies for addressing the complexities of TMJ dysfunction from a holistic perspective.