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Seminar In Paradise




Christmas Week 2019

Dec. 22 - 29, 2019


RCCL'   Allure of the Seas

Presented by
Dr. Sowmya Ananthan 


16 CE Credits
  given during days at sea



Orofacial Pain is the branch of dentistry that deals with the evaluation, diagnosis and management of orofacial pain disorders. This includes a wide array of disorders such as post-operative pain, temporomandibular disorders, neuropathic pain or headaches. Sometimes malignancy may manifest as orofacial pain.


An orofacial pain clinician is able to evaluate and diagnose by conducting a thorough interview and examination, reviewing the imaging studies, laboratory tests.  The astute orofacial pain clinician is often a consultant to other dentists and physicians.


After completing this post-graduate level course, you will learn to:

         Have an understanding of the various types of orofacial pain disorders

         Understand basic pain physiology

         Diagnose various types of temporo-mandibular disorders including arthrogenous  and myogenous TMD's

         Have an understanding of various types of neuropathic pain disorders such as neuralgias, neuropathies and burning mouth syndrome

         Understand the relationship between sleep and pain

         Understand how headache disorders may manifest as a toothache

         The psychology of the chronic pain patient

         Avoid legal entanglements by accurate diagnosis and treatment






  • Introduction to orofacial pain

    Differential diagnosis of the orofacial pain patient:

    Various categories of Orofacial Pain

    Myofascial toothache

    Neuropathic toothache

    Neurovascular toothache

    Toothache due to sinusitis/ malignancy


    This lecture will serve as an introduction to the field of orofacial pain and the various sources of pain in the orofacial area, other than those coming from the teeth. For instance, myofascial trigger points can refer pain to the teeth and gingiva and can be mistaken for a toothache and may lead unnecessary endodontic treatments or even extractions.


    We will cover various other sources of orofacial pain such as mid-face migraines, post-traumatic trigeminal neuropathy, etc. These topics will be covered in more detail in the following lectures.



    Temporomandibular Disorders:

    TMJ Biomechanics

    Arthrogenous TMD

    Myogenous TMD


    TMJ Arthritides

    (Includes diagnosis, imaging, lab studies and management)


    These lectures will cover basic TMJ anatomy and biomechanics, review the masticatory muscles, disc displacement disorders, subluxation (closed vs. open locks), retrodiscitis, arthralgia, myofascial pain. We will also go over the conservative management of each condition, including appliance therapy.


    We will discuss the various arthritides that can affect the TMJ such as, rheumatoid arthritis, psoriatic arthritides as well the sero-negative arthritides.


    After this presentation, the dentist should be able to diagnose and differentiate between the various presentations of TMD's.


    Neuropathic Pain:

    Trigeminal Neuralgia

    Glossopharyngeal Neuralgia

    Trigeminal Neuropathy

    Burning mouth syndrome

    Post-herpetic Neuralgia


    Neuralgias such as trigeminal neuralgia and glossopharyngeal neuralgia will be covered in these lectures. Differential diagnosis will be covered as trigeminal neuralgia is commonly mistaken for acute pulpitis. The pathogenesis and management of trigeminal neuralgia will be covered.


    Post-traumatic trigeminal neuropathy, which is a common condition of persistent, continuous pain after multiple dental treatments such as endodontic treatment, implant placement will be discussed in this lecture. We will cover how to document these cases, perform sensory testing and management, including when to refer.


    Burning mouth syndrome: this condition can manifest as constant burning pain on the tongue or other parts of the mouth. We will discuss how to work these patients up, including how to differentiate between idiopathic burning versus other disorders that can cause burning such as candidiasis, elevated blood glucose levels, etc. Management of this condition will also be discussed in detail.


    Post-herpetic neuralgia, which is a sequela of an attack of the Herpes Zoster virus and can lead to debilitating pain especially in the elderly and the immune compromised patient, will be covered in this lecture.


    Neurovascular pain:

    Migraine headaches

    Cluster headache

    Trigeminal autonomic cephalalgias: Hemicrania continua and Paroxysmal Hemicrania


    SNOOP paradigm- You may save a life following this paradigm!


    Headaches that mimic toothaches, such as mid-face migraines, trigeminal autonomic cephalalgias will be discussed in this engaging lecture. We will discuss how to work these patients up, when to order imaging and management.


    We will also discuss the ominous signs of headaches and how to manage emergent conditions, including the SNOOP paradigm.


    Obstructive Sleep Apnea:

    OSA- definitions

    When to order a sleep study

    How to work up a patient for a mandibular advancement device

    How to manage a patient with both OSA & TMD's


    The warning flags that a patient may display of OSA will be discussed, including the interplay between sleep and pain. Screening and when to refer for testing will be discussed.


    Psychology of the orofacial pain patient:

    How overlying anxiety and depression can affect the chronic orofacial pain patient

    Learn about the modulatory system in the pain pathway- and how it can affect the patient's pain perception


    Learn how common psychological disorders such as anxiety and depression can affect the management of the orofacial pain patient.  Learn about the risk factors that can predispose a patient's pain perception and possibly cause them to develop chronic pain.


    Examination of the orofacial pain patient:

    Learn how to perform the cranial nerve screening

    Evaluation of the TMJ: Range of motion measurements, recording the gait of the mandible, palpation of the TMJ, auscultation of the TMJ

    Muscle Palpation


    (Hands-on prn)

    Examination of the orofacial pain patient will be covered in this engaging lecture- including cranial nerve screening, TMJ evaluation (listening for joint noises, measuring the range of motion, the gait of the mandible) Muscle palpation (including how to locate trigger points) will be covered. Lots of clinical pearls will be covered in this talk for you to use when you get back to your office.

click for full CV  (will open new Word Docx window)

Dr. Sowmya Ananthan is a graduate of the Rutgers School of Dental Medicine, earning both her DMD and MSD degrees there.  Prior to that, she earned a Bachelor of Dental Surgery (BDS) degree from India. She is a Diplomate of the American Board of Orofacial Pain and a Fellow of the American Academy of Orofacial Pain.


Dr. Ananthan teaches in the Division of Orofacial Pain at the Rutgers School of Dental Medicine, in Newark, NJ, where she supervises the residents providing clinical care to patients with complex orofacial pain problems. She has also been tasked with setting up the Dental Sleep Medicine program.


In addition to her teaching responsibilities at Rutgers, she is also an attending at Monmouth Medical Center in Long Branch, where she is the section chief for Orofacial Pain and Temporomandibular Disorders.


She treats patients at the Rutgers Health faculty practice in New Brunswick, NJ as well as in her private practice in Red Bank, NJ. She serves as a consultant for many insurance companies to provide Independent Medical Examinations.


Dr. Ananthan is an examiner with the American Board of Orofacial Pain and serves as a reviewer for many journals, in addition to being extensively published.


Her areas of research include the relationship between sleep and pain, novel therapeutic modalities such as topical medications for the treatment of neuropathic pain, new injection techniques such as the twin nerve block.


She is a mentor to many residents in the Master's program, helping them with their research projects and thesis preparation and defense. She has presented abstracts at many national and international level meetings.


Dr. Ananthan is a sought out speaker who lectures widely on orofacial pain topics. She has a knack for distilling information and presenting it in a manner that is easily understandable. Attendees of her various CE courses always leave with clinical pearls that they can use in their practices right away.


She is happily married and has two children. In her spare time, she loves spending time outdoors with her family and traveling to new destinations.



AGD Code:  200 - 16 CE hours


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                                     16 CE Credit

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Seminar: Please note, as of 8/15/19 there is a $100 non-refundable seminar fee.
As of two weeks prior to departure seminar fees are non-refundable.



Attending continuing education courses offered by Dr. TRAVEL SEMINARS, LLC does not necessarily qualify you to integrate new techniques or procedures into your practice. 

Course participants should rely on their judgment regarding their clinical expertise and seek further education when necessary before implementing any new procedure.