Protrusive Dental Podcast

[Spear Education] Piper Classification and TMJ Imaging with Dr McKee – PDP080


Listen Later

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.

https://youtu.be/n4lRWAQeA5A
Check out full episode on YouTube

Protrusive 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.

If you want to Download the PDF version of the Piper Classification of TMJ Infographic we made, click here!

Piper Classification PDF

Dr Jim McKee is part of Spear Education – a platform that has taught me so much of my occlusion.

In this episode I asked Dr. Jim McKee:

  • What is the Piper Classification of TMJ?
  • What are the risks of having to rehabilitate someone where you haven’t the health of the TMJ? (19:22)
  • Are there any other useful TMD classifications? (21:01)
  • Is there any benefit of taking a Panoral radiograph? (24:48)
  • What is the difference between an MRI and CBCT for someone with a TMJ pathology? (26:51)
    • What type of imaging is best for TMD? (28:58)
    • What additional information can a CBCT provide above an MRI? (33:59)
    • How do we decide the most appropriate imaging technique? (35:22)
      • Dr McKee’s thoughts on idiopathic condylar resorption in adult patients? (32:58)
      • Should we be taking routine MRI/CBCT for TMJ health diagnosis? Or only for patients who have a joint based history? (36:62)
      • Is there a clinical way to determine which classifications patients are in (Piper III vs Piper IV)? (39:23)
      • Is TMJ disorder always a progressive disorder? (40:51)
      • How to manage asymptomatic clicks? (42:17)
      • Deviation or Deflection as part of full workup and imaging of the way to get the exact diagnosis? (44:07)
      • How does the Piper classification influence Restorative management? (47:12)
      • If you enjoyed this episode, check out TMJ Physiotherapy – When to Refer and How They can Help 

        Check out SPEAR EDUCATION, a two-day seminar, where Dr. Jim McKee teaches 25% of the course!

        ...more
        View all episodesView all episodes
        Download on the App Store

        Protrusive Dental PodcastBy Jaz Gulati

        • 4.7
        • 4.7
        • 4.7
        • 4.7
        • 4.7

        4.7

        20 ratings


        More shows like Protrusive Dental Podcast

        View all
        The Very Dental Podcast Network by Alan Mead

        The Very Dental Podcast Network

        392 Listeners

        Rugby Union Weekly by BBC Radio 5 Live

        Rugby Union Weekly

        403 Listeners

        The Diary Of A CEO with Steven Bartlett by DOAC

        The Diary Of A CEO with Steven Bartlett

        8,876 Listeners

        Feel Better, Live More with Dr Rangan Chatterjee by Dr Rangan Chatterjee: GP & Author

        Feel Better, Live More with Dr Rangan Chatterjee

        3,903 Listeners

        Modern Wisdom by Chris Williamson

        Modern Wisdom

        4,025 Listeners

        The Dental Head Start Podcast by Dr David Keir

        The Dental Head Start Podcast

        4 Listeners

        Dental Leaders Podcast by Prav Solanki & Payman Langroudi

        Dental Leaders Podcast

        2 Listeners

        Dental Digest Podcast with Dr. Melissa Seibert by Dental Digest Institute & Dr. Melissa Seibert: Dentist

        Dental Digest Podcast with Dr. Melissa Seibert

        267 Listeners

        The Good, The Bad & The Rugby by Platform Media

        The Good, The Bad & The Rugby

        262 Listeners

        Dentists Who Invest Podcast by Dr. James Martin

        Dentists Who Invest Podcast

        1 Listeners

        Huberman Lab by Scicomm Media

        Huberman Lab

        29,272 Listeners

        The Dental Implant Podcast by Dr Pav Khaira

        The Dental Implant Podcast

        4 Listeners

        The News Agents by Global

        The News Agents

        1,314 Listeners

        The Rest Is Football by Goalhanger

        The Rest Is Football

        647 Listeners

        The Rest Is Money by Goalhanger

        The Rest Is Money

        195 Listeners