Volume 8 and Dental Sleep Medicine Clinic...Dental Practice-Based Research Network (PBRN) and is scheduled to finish at the end of 2018. We have you, our colleagues, to thank for your

TMD, Orofacial Pain, and Dental Sleep Medicine Clinic

Dear Colleagues: It has been a busy 2014-2015 for the Division of TMD and Orofacial Pain. When I look back at our accomplishments, we have made every effort and continue to set future goals to meet the Uni-versity of Minnesota School of Dentistry’s mission standards of service, research, and teaching. Our TMD, Orofacial Pain and Dental Sleep Medicine Clinic team continues to treat patients who suffer a wide range of orofacial complaints that include joint pain, jaw locking, muscle pain and tightness, headaches, nerve pain, sleep apnea, and movement disorders. Sometimes, instruction of self-care management is enough to reverse oral habits and to reduce pain. If not, clinical reasoning and evi-dence-based literature validates adding an appliance, physical therapy, and/or health psychology to the care plan. The patient is a vital part of the team, and every effort is taken to educate the patient about the problem and prognosis. At every visit, patient care is tailored to the individual and in-cludes an interdisciplinary team when needed. We work closely with dental colleagues, but we also collaborate with our medical colleagues in family practice, sleep medicine, ENT, rheumatology, neu-rology and neurosurgery. Our residents are also a key component of our patient care and the over-all success of our Division.

Along with clinic responsibility, our faculty continue to provide evidence-based education and di-dactic instruction in orofacial pain to undergraduate dentists, graduate students, and the profession-al community of dentists and physical therapists through Continuing Dental Education (CDE). To enhance classroom learning, predoctoral students are encouraged to learn TMD evaluation skills and to rotate in our clinic to observe evaluation and patient care management from experts in the field. As new undergraduate curriculum evolves, the Division of TMD and Orofacial Pain looks forward to further supporting these students by taking a greater role in their predoctoral training. Our faculty also make very effort to provide our program’s resident dentists with a broad under-standing of TMD, orofacial pain, and dental sleep medicine. The residents’ day-to-day clinical train-ing, under direct supervision of faculty dentists and collaboration with other team members, is sec-ond to none for their integration of didactic knowledge, clinical skill development, and critical thinking.

(continued on page 2)

October 2015 Volume 8

Greetings to

Colleagues

Page 1-2

Featured

Alumnus

Page 3

Division

Research

Page 4

Patient

Referral Form

Page 14

Our Recent

Publications

Page 11-12

Clinic

Update

Page 5

Graduate

Program

Page 6-10

Page 2 University of Minnesota TMD, Orofacial Pain, and Dental Sleep Medicine Clinic

As for research, the Division of TMD and Orofacial Pain has been invigorated by our newest faculty member, Dr. Estephan Moana-Filho. You can read about his exciting research to advance the field of orofacial pain. Besides faculty-driven re-search, our residents participate in clinical research as a component of their CODA-approved training program and as stu-dents within the Master of Science degree in Dentistry program. Faculty members mentor the graduate students as they formulate their research questions, collect data, analyze findings, interpret results, and prepare new information for publica-tion. It is research, the drive to produce new knowledge, that provides the foundation for clinic decision-making.

I hope you enjoy reading this year’s newsletter! As you know, Dr. Schiffman is usually involved in writing the annual greet-ing to our colleagues, but this year, he asked me to summarize our year and highlight our accomplishments on his behalf. Not only was he appointed full professor last spring, Dr. Schiffman is also working on a $1.2 million, NIH-funded grant, “Management of Painful TMD,” awarded this past April. This new grant will be completed in partnership with the National Dental Practice-Based Research Network (PBRN) and is scheduled to finish at the end of 2018.

We have you, our colleagues, to thank for your continued support of both our clinic and our teaching. We also have to thank our alumni, who have continued to carry the University of Minnesota spirit with them, to their appointments within academic, government/military, public and private institutions near and far. On behalf of the Division, I hope this finds you and yours in good health and good spirits!

Sincerely,

Greetings to Colleagues: (continued from pg 1)

The TMD family celebrated at U Garden Chinese Buf-fet on Friday, December 18, 2014, before most eve-ryone could take off for the semester break. Pictured left to right: Mary Brazil, Dr. Leesa Morrow, Kathy Olson, Cindy Sandquist, Andrea Medina, Dr. Eric Schiffman, Dr. Sarah Shueb, Dr. Flavia Kapos, Dr. Don Nixdorf, Dr. Shanti Kaimal, and Dr. Preetanjali Thakur.

This lunch is the annual “big reveal” of each per-son’s Secret Santa. Food, presents, and laughs were had by all; those already gone for the holidays, near or far, were missed!

From our Family to Yours: Holiday Lunch 2014


Curt Bergey, D.D.S., M.S. was awarded

his certificate of residency in TMD & Orofacial Pain, as well as his Master’s degree, from the University of Minnesota in 1999. His interest in the treatment of patients suffering from orofacial pain was spawned several years earlier as a resident at the Naval Postgraduate Dental School at Bethesda, Maryland. As he sat in the classroom with Dr. Maureen Lang, Past President of the American Academy of Orofacial Pain, they both quickly realized that this was an area of knowledge that was lacking from their dental school curriculum. Several years later, while serving as the Director of the General Practice Residency in Dentis-try Program at the Naval Medical Center Portsmouth, Virginia, he came to the reality that his knowledge in the evaluation and management of these complex patients was still lacking, which gave him the inspiration to pursue advanced education in orofacial pain.

At the time, the U.S. Navy Orofacial Pain Community, led by Dr Dale Ehrlich, had trained residents at the University of Florida, University of Kentucky and UCLA. Dr. Bergey was the first to attend the University of Minnesota. It was the amal-gamation of their training and expertise at the various university-based training programs that ultimately led to the develop-ment of the TriService Orofacial Pain Center, at the Naval Postgraduate Dental School. Dr. Bergey was drawn to the pro-gram at the University of Minnesota due to the strength of the faculty, Drs. James Fricton, Eric Schiffman, Gary Anderson and John Schulte, as well as the reputation of the Neuroscience Department. Current evidence indicates that many patients have other co-morbid diagnoses outside of the masticatory system such as PTSD, TBI, IBS or fibromyalgia that either mas-querade as facial pain or affect their orofacial pain complaints. Thus, the average orofacial pain provider requires a distinct blend of knowledge and skills. Rotations were established to allow residents to understand when to enlist the support of behavioral, rehabilitative and other medical services such as ENT, PT, physical medicine/ rehabilitation and neurology to meet the multi-faceted needs of patients suffering from chronic persistent pain. The training at the University of Minnesota TMD & Orofacial Pain Program is patient-centered with a balance of didactic teaching, clinical rotations, and research, to develop the skills required to be successful in any practice setting, whether it be university-based, private practice or the De-partment of Defense.

Following his completion of the Orofacial Pain Program at the University of Minnesota, Dr. Bergey was stationed at the Na-val Medical Center Portsmouth, Virginia, where he maintained a busy orofacial pain practice and was actively involved in teaching, serving as a consultant to the Oral and Maxillofacial Surgery and the General Practice Residency in General Den-tistry Residency Programs. He went on to serve as the Orofacial Pain Residency and Fellowship Program Director at the Naval Postgraduate Dental School from 2008-2009. He then served as the Specialty Advisor in Orofacial Pain to Surgeon General of the U.S. Navy from 2009-2011, finally retiring from the Navy in 2012, after 30 years of continuous service.

At the time of his retirement, due to a critical shortage of orofacial pain providers in the U.S. Navy, Dr. Bergey returned to Naval Medical Center Portsmouth, where he has maintained a busy orofacial pain and dental sleep medicine practice. He is President-elect of the American Board of Orofacial Pain and serving on the ABOP Written Examination Committee. Dr. Bergey is grateful for the opportunity to train with the exceptional staff at the University of Minnesota.

Collaboration with UMPhysicians and Clinics Faculty members Donald Nixdorf, DDS, and clinical psychologist Leesa Morrow, PhD, have joined a multidisciplinary consultative team in the University of Minne-sota Department of Neurosurgery Facial Pain Clinic. Other members of the team include faculty from the University of Min-nesota Neurosurgery, ENT, and Pharmacy Departments. The clinic meets one Wednesday per month to evaluate facial pain patients who present complex diagnostic challenges. All members of the team examine each patient. The team meets at the end of each clinic to discuss patients and design a customized treatment plan for each patient.

Curt R. Bergey, DDS, MS President-Elect,

American Board of Orofacial Pain

Featured Alumnus


Senior Faculty Continue to Further ResearchDrs. Eric Schiffman and Donald Nixdorf’s research with the National Dental PRN has continued. Dr. Schiffman is leading the study “Assessing the Management of Temporomandibular Muscle and Joint Disorders (TMD) Pain Patients,” that seeks to identify the factors that contribute to practitioner’s treatment decisions for TMD patients. Dr. Nixdorf continues to serve as the Deputy Director of the Midwest Region, and leads research within the network as well. The PREDICT Study aims to identify predictive factors for severe pain following root canal treatment and to understand the economic impact of both acute and persistent pain associated with such treatment. These two studies are planned to roll out in 2016, so if you are interested in participating, please sign up to be part of the Network: nationaldentalpbrn.org/enrollment and notify your regional coordinator: nationaldentalpbrn.org/contact about your interest.

Division of TMD & Orofacial Pain Research

New Faculty Contributes to Division ResearchSince joining the Division of TMD and Orofacial Pain as a new faculty member in August 2014, Dr. Estephan Moana-Filho is working to broaden the scope of research performed by our division. His expertise in the fields of psychophysics, sensory testing, and neuroimaging is being combined with the strengths of our senior faculty to explore an innovative research path to unravel brain-related mechanisms of orofacial pain disorders. His current research team is composed of Dr. Flavia Kapos, who became a post-doctoral associate and study coordinator in June 2015.

Dr. Moana is currently developing a study that aims at phenotyping patients with persistent dentoalveolar pain disorder (PDAP) with and without comorbid TMD in terms of:

● Sensory characteristics of intra- and extra-oral tissues using quantitative sensory testing (QST)● Pain regulatory systems through conditioned pain modulation testing● Brain functional and structural characteristic imaging features as measured by multi-modal magnetic resonance imag-

ing (MRI).

Dr. Moana will benefit from access to state-of-the-art facilities at the University of Minnesota Center for Magnetic Reso-nance Research (CMRR). He said, “We not only have one of the best MRI infra-structures in the world, but we also have MRI experts that are leaders in their field, right here at the University of Minnesota, Twin Cities campus. It is a unique op-portunity to be able to use these resources to advance innovative orofacial pain research.”

Dr. Moana’s research is also supported by the UMN School of Dentistry Lasby Fellowship, which supports distinguished visiting professors. In January 2015, Dr. Richard Gracely (University of North Carolina-Chapel Hill), a leading expert in pain research using psycho-physics, pain measurement, and neuroimaging, spent a month in Minnesota helping to develop the experimental protocol for Dr. Moana’s study. In Au-gust 2015, Dr. Moana hosted Dr. Maria Pigg (Malmo University, Sweden), a world-leading expert regarding intraoral QST, who conducted intensive training using standardized QST protocol for Dr. Moana’s team.

In addition to QST training, Drs. Moana and Kapos underwent calibration to use the newly proposed diagnostic criteria for temporomandibular (DC-TMD) with Dr. Eric Schiffman, in order to most accurately perform the study’s examination to the highest understanding of brain-related mecha-nisms of PDAP with and without TMD, and ultimately, support the devel-opment of better pain management strategies for these conditions. Dr. Estephan Moana & Dr. Maria Pigg


Clinical Perspective from Dr. Leesa Morrow PhD, JD, LP

Psychological treatment for patients with TMD related muscle and joint pain has become common place. Clinicians and researchers alike acknowledge that psychological stress, depression, anxiety and other psychopathological conditions can, and often do, complicate the course of TMD. Though it is less commonly recognized, psychotherapy has a role to play in the treatment of facial neuropathies, such as trigeminal neuralgia. All facial pain disorders, including those that are related to muscle tension, arthritis, inflammatory process, or neuropathy, are exacerbated when the patient is distressed. Many pa-tients clench their teeth when they are distressed. The physiological burden of clenching and other parafunctional behaviors can aggravate any facial pain disorder, regardless of its etiology. Research has clearly established that patients who are anx-ious or depressed perceive pain in a way that is amplified due to altered central processing associated with their psychiatric condition. Persons who are struggling with psychological disorders, or merely under extraordinary situational stress, often cope less well with their pain. Caring for facial pain patients in every sense that is relevant to their pain, necessarily, includes attention to their psychological condition. This is equally true for patients who have common TMD related disorders and for those that have less common facial neuropathies.

TMD & Orofacial Pain Clinic Update

Clinic Staff Update Often when alumni meet up with faculty at national associa-tion meetings, they ask about our clinic staff. Together, Cin-dy, Kathy, and Mary have 106 years of service in our clinic. That time period spans through all graduated residents, most of the faculty, and even retired faculty, Dr. Fricton and Dr. Schulte. So, for all you alumni and clinic friends, here is an update about our exceptional dental assistants and reception-ist; the clinic could not run without them.

Mary Brazil

Mary just started her 38th year of employment at the U of MN School of Dentistry, and plans to work a couple more years. She still loves her job and especially enjoys working with the residents. She has been married for 38 years, and her husband, Pat, is self-employed. Her daughter, Megan, is now 33 and married with one son, Logan (2), and a baby on the way, due April 2016. Shannon is 30 with 2 children, Bai-ley (10) and Cohen (3). In Mary’s free time she likes to read, babysit the grandkids, and help her children with their home improvement projects.

Kathy Olson

Kathy has worked in the clinic for 35 years. She has watched the clinic grow from infancy, saying, “In a way, it is my third child. It has been very fulfilling working with such great fac-ulty, staff, and residents, all of whom I consider ‘my family’. What a great opportunity to have friends all over the world! Each one has enriched my life.” Kathy has a daughter, Hei-

di, and a son, Adam, and 3 granddaughters, Aubrey (12), Lauren (8), and Savannah (3). Kathy and her husband, Scott, purchased her parent’s home in Arizona, and hope someday to become "snow birds."

Cindy Sandquist

Cindy has been at the helm (front desk) of our clinic for 33 years. A few years ago, she remarried and gained three step-daughters with her new husband. Along with her 2 children, Cindy and Jeff have a total of five adult children. Not surpris-ingly, Cindy is waiting for grandchildren, but until then, she and Jeff rescued an adorable dog from Kentucky, named Bel-la. In her free time, Cindy enjoys traveling with her family.

Mary, Kathy, and Cindy having a blast in Dr. Nascimento’s wedding photobooth (Oct. 2014)


Advanced Education Program in Orofacial Pain

May 2015 Graduation Photo Highlights The School of Dentistry’s annu-al commencement ceremony was held on Friday, May 15, 2015, at Northrop Auditorium. Pictured on the left are Dr. Eric Schiffman and his advisee, graduate Dr. Flavia Kapos. Pic-tured on the right are Drs. Donald Nixdorf (left) and Eric Schiffman (right) with their advisee, graduate Dr. Akanksha Gupta.

Welcome our New Program Director By Dr. Donald Nixdorf, DDS, MS

There is one thing we can believe: change is constant. As most of you know, I have been the director of our residency pro-gram for the past four years, inheriting it from Dr. Mariona Mulet, and together we led the Division’s efforts in fulfilling the standards for ADA accreditation of graduate programs (CODA) for our program. As the current Deputy Director of the Midwest Region of the National Dental Practice-Based Research Network (a.k.a. network), as well as conducting my own research and maintaining a clinical practice, I don’t have as much time to lead the continued evolution of the residency pro-gram. For this reason, Dr. Shanti Kaimal was asked and accepted the position as the new Director of our Advanced Educa-tion Program in Orofacial Pain.

Dr. Kaimal has a long history with the Division of TMD and Orofacial Pain. In 2002, she began working as a research fel-low on the NIDCR’s TMJ Implant Registry and Repository (TIRR), a NIH-funded project. During this time, she submitted and presented several abstracts and posters at both national and international meetings. The focused research in TMJ ena-bled Dr. Kaimal to obtain a seed grant characterizing inflammatory cells in TMJ tissues and sparked her interest in the clini-cal aspect of TMJ-related disorders. Dr. James Fricton saw her dedication, and he encouraged her to apply for the graduate program in TMD and Orofacial Pain, which she did, earning her certificate in June of 2011. She enjoyed the rigorous di-dactic and clinical training in TMD, orofacial pain, and dental sleep medicine, and appreciated the multidisciplinary team approach to patient management. Following her residency, she did a one-year clinical fellowship with Dr. Nelson Rhodus, Professor in the Division of Oral Medicine and Diagnosis. In July of 2012, Dr. Kaimal began her faculty position involving patient care and clinical teaching in the Orofacial Pain and Oral Pathology clinics.

Once a resident herself, Dr. Kaimal enjoys mentoring and teaching both undergraduate and graduate dentists, while provid-ing the leadership required to meet the rigorous standards of the University of Minnesota’s School of Dentistry and the Commission on Dental Accreditation (CODA). She already has new strategies and plans to enhance teaching and training in order to further benefit the Orofacial Pain Program and the patients who seek clinical care. As the new Director, Dr. Kai-mal will be working closely with Associate Program Director, Dr. Mariona Mulet, and the School of Dentistry’s Associate Dean of Academic Affairs, Dr. Keith Mays. Please help me welcome Dr. Shanti Kaimal into her new role as Program Direc-tor!


Dr. Alberto Herrero Babiloni Alberto Herrero Babiloni, DDS, is a 2nd year resident who graduated from the University of Valencia (Spain). Every day since his acceptance to the UMN Orofacial Pain Program he tries to learn as much as possible from his Minnesota family, including faculty, staff, and co-residents. In addition, he is working with Dr. Nixdorf in PDAP research and in the use of Botox for different neuropathic pain conditions. After almost 13 months in Minnesota, Dr. Herrero is still im-pressed by the quality of the Orofacial Pain Program and all the people that are part of it. He likes reading, live music, independent movies, and playing soccer every Sunday.

Dr. Preetanjali Thakur

Preetanjali Thakur, BDS, has been a part of our Division for the past 2.5 years. As a 2nd year resident, she appreciates the diversity in patient care. She feels confident in treating a range of simple and complex TMD patients with widespread pain and co-morbid conditions. She has been on rotations with other physicians to observe interdisciplinary care across different disciplines, including the Facial Pain Clinic. Dr. Thakur has attended Quintessence (AZ) and hypnosis meet-ings this year, and presented a poster on a case report while attending the AAOP annual meeting in Denver. She is put-ting together the draft for her thesis: “Association of pain intensity with stress, oral behavior and anxiety” under the supervision of Dr. Eric Schiffman. Dr. Thakur has thorough-ly enjoyed the didactic courses like biostatistics, which have improved her understanding of literature. She aspires to con-tinue working with her same enthusiasm.

Dr. Andres Cervantes

Andres R. Cervantes, DDS, graduated from the University of Costa Rica in 2010. After Dental School, he started a three year General Advanced Residency Program focused in Oral Surgery and Dental Implantology. Before his acceptance to the UMN Orofacial Pain Program, he worked for the Costa Rican National Health System with emphasis in Oral Surgery and treating patients with special needs under general anes-thesia. He is a marathon runner and completed five mara-thons, including the 2015 Boston Marathon and the 2015 Twin Cities Marathon. Dr. Cervantes is in his first year of the Orofacial Pain Program, and he values working with the multidisciplinary clinical team as he treats patients.

Dr. Saranya Varun

Saranya Varun, BDS, is from Chennai, India. She completed her Bachelors of Dental Surgery in 2009 at Vinayaka Mis-sions Dental College, India. After graduating from dental school, Dr. Varun completed a three year residency and in 2014 she received a Master’s degree in Oral Medicine and Radiology from Manipal University, India. Her areas of inter-est are oral mucosal diseases and chronic pain, which moti-vated her to pursue the Orofacial Pain Program here at the University of Minnesota. She intends to learn as much as possible from this illustrious team, and she would like to establish a clinical practice including Orofacial Pain treat-ment back home in India. Besides participating in the pro-gram, she is a Carnatic music enthusiast and dabbles with jazz drums.

Pictured from left to right: Dr. Preetanjali Thakur, Dr. Saranya Varun, Dr. Alberto Herrero Babiloni, and Dr. Andres Cervan-tes. Photo taken at McNamara Alumni Center.


201520152015 ResidentsResidentsResidents


2015 Fellowship Program

Dr. Mariam Siddiqui Dr. Mariam Siddiqui, BDS, is completing her training as a fellow in the Advanced Education Program in Oro-facial Pain. She is also pursuing her Masters in Clinical Research at the University of MN School of Public Health. She had the opportunity to observe the care and management of patients within the TMD, Orofa-cial Pain, and Dental Sleep Medicine Clinic and to par-ticipate in journal club, seminars, and other classes re-lated to orofacial pain. Dr. Siddiqui would like to en-roll in a doctoral program in epidemiology and contin-ue to pursue education in TMD and Orofacial Pain.

Congratulations to Dr. Pathamas Chantaracherd, DDS, MS

Prior to her return home to Thailand, Dr. Chantaracherd, DDS, MS, was offered a full-time faculty position at the Dental School of Western University, Bangkok, Thai-land. She also works as a TMD specialist at Mahidol University, which is ranked first in Thailand. Dr. Chantaracherd’s thesis article, “Temporomandibular joint disorders’ impact on pain, function, and disability,” was published in the Journal of Dental Re-search in March 2015, and was recently accepted for publication by the Mahidol Dental Journal in Thailand. She has been invited to speak at the annual conference of the Orthodontic Society and Research of Thailand. Dr. Chantaracherd is expected to progress to Assistant Professor in the dental school where she is currently faculty. She is pictured to the right (second from left) with her students in Thailand.

Congratulations to Dr. Thiago Nascimento, DDS, MS

On August 14, 2015, Dr. Thiago Nascimento, DDS, MS, successfully defended his thesis: “Migraine as predictor for pain intensity for TMD patients undergoing treatment.” Committee members included Drs. Mike John (mentor), Don Nixdorf, and Eric Schiffman. Migraine has long been reported to be more frequently associated with TMD. Howev-er, evidence is lacking whether migraine is a prognostic factor for TMD pain. Therefore, he investigated whether the presence of migraine at the time of diagnosis was associated with worse TMD pain intensity over a time period of 18 months when TMD patients undergo common non-surgical treatments. His findings point in the direction that a combined therapeutic approach, addressing both conditions simultaneously, could possibly lead to improved outcomes in these patients.



Dr. Barbara Fonseca Alonso Barbara Fonseca Alonso, DDS, is a 2013 graduate of the Advanced Education Program in Orofacial Pain. Upon graduation, she returned to Spain where she utilizes her new TMD/Orofacial Pain expertise as she evaluates and treats patients in her family´s dental clinic. Dr. Fonseca lectures for the San Pablo CEU University’s TMD and Orofacial Pain Program, and is a Clinical Assistant Professor in the University Complutense of Madrid’s TMD and Orofacial Pain Program. In June 2014, she presented her research with a poster at the IADR annual meeting in Cape Town, South Africa. Even though she missed this year’s Twin Cities Marathon, she ran the 2015 Eindhoven Half Marathon in the Netherlands instead. (Pictured below on far left.)

Dr. Sarah Shueb Dr. Sarah Shueb, BDS, MS, completed the program in August 2014. Afterwards, she obtained extra clinical training with Dr. Nixdorf in the area of neuropathic pain and headaches. Her man-uscript titled, "What is the impact of acute and chronic orofacial pain on quality of life?" has been published in the Journal of Den-tistry. Currently, Dr. Shueb has been accepted by the University of MN for PhD training in oral biology, with an emphasis on neu-roscience, and Dr. Donald A. Simone acting as her mentor. She has recently submitted protocol for another research project, “Identifying criteria for diagnosis of persistent dento-alveolar pain disorder or other similar pain conditions: a systematic review," in cooperation with Drs. Justin Durham and Donald Nixdorf. (Pictured above on far right.)

Dr. Akanksha Gupta Dr. Akanksha Gupta, BDS, writes from her home in Los Angeles: "Graduation was an extremely exciting event for me this summer. I feel very accomplished to have completed the clinical training within the Orofacial Pain Program, but at the same time, sad to leave a great working environment. A comprehensive understanding of TMD, Orofacial Pain, and Dental Sleep Medicine concepts have been inculcated in me by the faculty during didactical and clinical training, and I feel very confident to practice my newly developed diagnos-tic and treatment skills. I am looking forward to coming back soon to defend my thesis titled “Assessing the Responsiveness of the Oral Health Impact Profile” with my advisor and mentor Dr. Mike John." (Pictured above “Gupta” in heading.)

Recent Alumni Highlights & Accomplishments

Dr. Flavia Kapos

After completing her residency, Dr. Flavia Kapos, DDS, passed the American Board of Orofacial Pain written examination and participated in the University of Washington Summer Institute in Clinical Dental Research Methods. In August, she was calibrated in the Diagnostic Criteria for TMD (DC-TMD) by Dr. Eric Schiff-man and trained in Quantitative Sensory Testing (QST) by Swe-dish visiting Professor and Lasby Fellow, Dr. Maria Pigg. Dr. Ka-pos is currently a postdoctoral associate, coordinating Dr. Esteph-an Moana’s study on sensory processing and neuroimaging in chronic orofacial pain. She will defend her master’s thesis: “Predictors of persistent TMD pain” this October under the ad-visement of Dr. Eric Schiffman. (Pictured above, second from right.)


Donations to the TMD and Orofacial Pain Foundations are greatly appreciated and assist us in accomplishing our mission of clinical care, education and research. Past donations have allowed us to provide funds for residents to attend continuing education courses, including those provided by the American Academy of Orofacial Pain (AAOP) and the Minnesota Dental Association (MDA). It has also allowed us to add books to our resident library and to do some refurbishing in our resident room. Finally we have used it to fund

Lunch and Learn sessions with the undergrad dental students to expose them to the opportunities in the area of TMD, orofacial pain, and dental sleep medicine. We are grateful for any assistance you can provide us. The School of Dentistry will provide you with a letter documenting your tax-deductible donation.




1. Mattscheck D, Law A, Nixdorf D. Diagnosis of non-odontogenic toothache. In: Hargreaves K, Cohen S, editors. Cohen's Pathways ofthe Pulp Expert Consult. 11th ed. St. Louis: Mosby; 2016.

2. Chantaracherd P, John MT, Hodges JS, Schiffman EL. Response to letter to the editor, "temporomandibular joint disorders' impact,research models, and implications for regenerative approaches". J Dent Res. 2015 Jun; 94(6): 864.

3. Chantaracherd P, John MT, Hodges JS, Schiffman EL. Temporomandibular joint disorders' impact on pain, function, and disability. JDent Res. 2015 Mar; 94(3 Suppl): 79S-86S. PMCID: PMC4336155.

4. Durham J, Touger-Decker R, Nixdorf DR, Rigassio-Radler D, Moynihan P. Oro-facial pain and nutrition: A forgotten relationship? JOral Rehabil. 2015 Jan; 42(1): 75-80.

5. Fricton J. The need for preventing chronic pain: The "big elephant in the room" of healthcare. Glob Adv Health Med. 2015 Jan; 4(1): 6-7. PMCID: PMC4311557.

6. Law AS, Nixdorf DR, Aguirre AM, Reams GJ, Tortomasi AJ, Manne BD, Harris DR, National Dental PBRN Collaborative Group.Predicting severe pain after root canal therapy in the national dental PBRN. J Dent Res. 2015 Mar; 94(3 Suppl): 37S-43S. PMCID: PMC4336154.

7. Moana-Filho EJ, Bereiter DA, Nixdorf DR. Amplified brain processing of dentoalveolar pressure stimulus in persistent dentoalveolarpain disorder patients. J Oral Facial Pain Headache. 2015 Fall; 29(4): 349-362.

8. Nixdorf DR, Kapos FP. Orofacial pain diagnosis: How to prepare when seeking a diagnosis for orofacial pain. TNA Quarterly: FacialPain Assn Journal. 2015; 2: 20-25.

9. Nixdorf DR. The pain puzzle: Q's, A's, and mapping the maze. Northwest Dent. 2015 Jul-Aug; 94(4): 25, 27-9, 31.

10. Nixdorf DR, Law AS, John MT, Sobieh RM, Kohli R, Nguyen RH, National Dental PBRN Collaborative Group. Differential diag-noses for persistent pain following root canal treatment: A study in the national dental PBRN.Northwest Dent. 2015 Jul-Aug; 94(4): 33-40.

11. Nixdorf DR, Law AS, John MT, Sobieh RM, Kohli R, Nguyen RH, National Dental PBRN Collaborative Group. Differential diag-noses for persistent pain after root canal treatment: A study in the national dental practice-based research network. J Endod. 2015 Apr; 41(4): 457-463. PMCID: PMC4380676.

12. Nixdorf DR, Law AS, Lindquist K, Reams GJ, Cole E, Kanter K, Nguyen RH, Harris DR, Collaborative Group ND. Frequency, im-pact, and predictors of persistent pain following root canal treatment: A national dental PBRN study. Pain. 2015 Sep 1.

13. Shueb SS, Nixdorf DR, John MT, Alonso BF, Durham J. What is the impact of acute and chronic orofacial pain on quality of life? JDent. 2015 Oct; 43(10): 1203-1210.

14. Stemig M, Myers SL, Kaimal S, Islam MS. Estrogen receptor-alpha polymorphism in patients with and without degenerative diseaseof the temporomandibular joint. Cranio. 2015 Apr; 33(2): 129-133.

15. Durham J, Nixdorf DR. Healthcare pathway and biopsychosocial impact of persistent dentoalveolar pain disorder: A qualitativestudy. Int Endod J. 2014 Dec; 47(12): 1151-1159.

16. Edwards JP, Peterson EJ, Durham J, Nixdorf DR. Methotrexate pharmacotherapy for implant-related temporomandibular joint pain:A case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Aug; 118(2): e44-7.

17. Fricton J. Temporomandibular disorders: A human systems approach. J Calif Dent Assoc. 2014 Aug; 42(8): 523-33; discussion 531,533-5.

2014—2015: List of Publications (from most recent)

18. Idiyatullin D, Corum CA, Nixdorf DR, Garwood M. Intraoral approach for imaging teeth using the transverse B1 field componentsof an occlusally oriented loop coil. Magn Reson Med. 2014 Jul; 72(1): 160-165. PMCID: PMC3873378.

19. Law AS, Nixdorf DR, Rabinowitz I, Reams GJ, Smith JA,Jr, Torres AV, Harris DR, National Dental PBRN Collaborative Group.Root canal therapy reduces multiple dimensions of pain: A national dental practice-based research network study. J Endod. 2014 Nov; 40(11): 1738-1745. PMCID: PMC4254176.

20. Look JO, Hodges JS, Schiffman EL. Response to letter to the editor--temporomandibular joint closed lock. Int J Oral MaxillofacSurg. 2014 Oct; 43(10): 1303-1304.

21. Peck CC, Goulet JP, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC, de Leeuw R, Jensen R, Michelotti A, Ohrbach R, Pe-tersson A, List T. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2014 Jan; 41(1): 2-23. PMCID: PMC4520529.

22. Rener-Sitar K, John MT, Bandyopadhyay D, Howell MJ, Schiffman EL. Exploration of dimensionality and psychometric propertiesof the pittsburgh sleep quality index in cases with temporomandibular disorders. Health Qual Life Outcomes. 2014 Jan 21; 12: 10-7525-12-10. PMCID: PMC3902412.

23. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A,Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, De Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF, International RDC/TMD Consortium Network, International association for Dental Research, Orofacial Pain Special Interest Group, International Association for the Study of Pain. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD consortium network* and orofacial pain special interest groupdagger. J Oral Facial Pain Headache. 2014 Winter; 28(1): 6-27. PMCID: PMC4478082.

24. Schiffman EL, Velly AM, Look JO, Hodges JS, Swift JQ, Decker KL, Anderson QN, Templeton RB, Lenton PA, Kang W, FrictonJR. Effects of four treatment strategies for temporomandibular joint closed lock. Int J Oral Maxillofac Surg. 2014 Feb; 43(2): 217-226. PMCID: PMC3946573.

The University of

Minnesota is an

equal opportunity

educator and employer.

Photographs are used with permission

by owner.

Edited and published by: Andrea Medina

This publication/material is available in alternative formats upon request.

Direct requests to:

Andrea Medina, TMD & Orofacial Pain,

[email protected], 612-624-3130.


2014—2015: List of Publications (continued)

Pictured below: Minneapolis side of Mississippi River in October 2015

Printed on recycled and recyclable paper with at least 10 percent postconsumer material.


Photo Highlights Pictured below: University of Minnesota East Bank Campus

Pictured below: 2015 AAOP Meeting, Denver, Colorado Pictured below: 2015 Residents with fall colors

Pictured below: Poster Presentation at 2015 AAOP Meeting

P i c t u r e d on left: M e t r o T r a n s i t G r e e n Line and t r a n s i t stop locat-ed outside of Moos Tower.

Pictured on right: A s n o w y night on East Bank, where engi-n e e r i n g s t u d e n t s create an a n n u a l LED light display.


The University of Minnesota TMD, Orofacial Pain, and Dental Sleep Medicine Clinic serves patients who are referred by dentists and medical professionals from all over the state. We provide a high standard of care to those who suffer with jaw, neck, and/or tooth pain; additional symp-toms may include headache, related ear pain, facial pain, loss of TMJ mobility, and TM joint locking. Patients may have pain with eating, talk-ing, or flossing and brushing. Our dentists also see patients referred by sleep physicians, and provide Dental Sleep Medicine evaluation and treat-ment using customized orthotics for those diagnosed with obstructive sleep apnea. Our comprehensive clinic includes an interdisciplinary team of dentists, physical therapists and health psychologists to assist patients in reducing pain, improving function, and promoting healthy behaviors. During the initial consultation, patients will be carefully evaluated and a treatment plan will be designed. The referring doctor will receive a copy of the evaluation, diagnosis, and treatment plan.

All care is provided under medical insurance. We have contracts with several major medical insurance companies to minimize the out of pocket expenses for the patient. A referral form is below for your convenience, or you can access form online at www.tmdclinic.umn.edu

The success of our clinic is a direct result of the continuous support and referrals from practicing professionals throughout the state. These refer-rals are essential to our clinical training, research endeavors, and professional goals. In turn, we want to assure you that we take our role in the care of your patients very seriously. Thank you.

University of Minnesota TMD, Orofacial Pain, and Dental Sleep Medicine Clinic Referral

Dentists:

TMD & Orofacial Pain

Gary Anderson, DDS, MS

Cory Herman, DDS, MS

Shanti Kaimal, BDS, MDS

Estephan Moana, DDS, MS, PhD

Donald Nixdorf, DDS, MS

Eric Schiffman, DDS, MS

Dental Sleep Medicine

Gary Anderson, DDS, MS

Cory Herman, DDS, MS

Shanti Kaimal, BDS, MDS

Estephan Moana, DDS, MS, PhD

Health Psychologist

Leesa Morrow, PhD, JD, LP

Physical Therapists

Karen Decker, PT

Patricia Weber, PT

Clinic Mailing address:

6-440 Moos HS Tower 515

Delaware Street SE

Minneapolis, MN 55455

Telephone: 612-626-0140

Fax: 612-626-0138

Email: [email protected]

Website:

www.tmdclinic.umn.edu

Patient Name:

Patient Telephone:

Referring Doctor (first and last name):

Doctor’s Office Mailing Address:

Doctor’s Office Telephone:

Doctor’s Office Email:

Primary Concerns:

Please forward any relevant patient records to us, including x-rays. Thank you!

University of Minnesota

TMD, Orofacial Pain, and Dental Sleep Medicine Clinic

Documents

Volume 8 and Dental Sleep Medicine Clinic...Dental Practice-Based Research Network (PBRN) and is scheduled to finish at the end of 2018. We have you, our colleagues, to thank for your