From Simple Occlusal Adjustments to Treating Occlusal "Neurotics"

Dr. Barry Glassman, From Simple Occlusal Adjustments to Treating Occlusal
Speaker: Dr. Barry Glassman
Category: TMJ and Occlusion
CE Credits: 2.25
Format: MP4 Video
We have all dealt with a post restorative complaint and corrected it by adjusting a “high spot” that was inadvertently created during the procedure. Almost without fail a single adjustment resolves th...more
  • 5.0 (2 Reviews)
  • Running Time: 1.5 hours
  • Released: 9/16/2020
  • Expiration Date: 6/30/2025
  • Review Date: 6/30/2022
CE Details
Credit Details
This electronically delivered self-instructional program is designated for 2.25 hours of CE credit by Farran Media.
AGD Code: 180.

The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.


We have all dealt with a post restorative complaint and corrected it by adjusting a “high spot” that was inadvertently created during the procedure. Almost without fail a single adjustment resolves the complaint.

We have all dealt with patients who were hyper aware of their occlusion. Some of those patients get labeled as “occlusal neurotics.”

This CE course, then, is geared for the general dentist with the goals to improve daily occlusal adjustments in restorative therapy as well as to learn how to deal with more complex occlusal issues.

There is a continuum of disease that starts with a single tooth awareness that progresses to jaw discomfort and awareness that a bite is “uncomfortable” to a patient totally focused on their “bite” often seriously effecting the quality of their lives. The later stages of this disorder is termed “occlusal dysesthesia.”

There are many literature references to this somatic disorder. It is difficult to assess the frequency of the disorder. Because it is a continuum, many patients have a degree of the disorder and are therefore vulnerable to proceeding to a more serious, life altering form of the disease. The disorder is associated with a vicious cycle between an increased trigeminal signal and the reticular activating system. Appropriate treatment to interfere in this vicious cycle will be thoroughly explored.

What steps do you take when a patients says things like----

1. “My bite is uncomfortable.”
2. “I don’t know where to bite – I keep trying to find the right place.”
3. “I have two bites.”
4. “I was fine and comfortable, but after my bite changed with that bridge I am in pain and have headaches.

Do you ask your patient, “Do you grind your teeth at night?” After you adjust a restoration, do you have a a patient to tap their teeth and ask “How does that feel?

These questions can be problematic, and improved ways to assess the same information will be reviewed.

Occlusal dysesthesia (OD) can be a serious disorder that in some cases has been associated with long term mental illness and suicide. OD is not a genetic disorder, and we as dentists can not only prevent this disorder from becoming a serious negative force in a patient’s life but can also be responsible for its progression.

Only dentists can recognize and treat this disorder, and the treatment does NOT involve occlusal adjustments. This course will help the restorative dentist place occlusion in the proper perspective and clarify goals of therapy in terms of occlusion.

Description of Speaker:
Barry Glassman, DMD, maintained a private practice in Allentown, PA, which is limited to chronic pain management, head and facial pain, temporomandibular joint dysfunction and dental sleep medicine. He is a Diplomate of the Board of the American Academy of Craniofacial Pain, a Fellow of the International College of Craniomandibular Orthopedics and a Diplomate of the American Academy of Pain Management. He is a member of the American Academy of Orofacial Pain and the American Headache Society.

Also known as “drbglass” on Dr. Glassman has contributed many articles, online CE courses and message board posts on

Educational Objectives:
Upon completion of this course, participants should be able to achieve the following:
  • Learn how to evaluate "high spots"
  • Learn when and how to "treat" high spots.
  • Understand when and if the bite being "off" matters
  • Learn how to treat those that are "too aware" of their bite.

The speaker declares that neither he nor any member of his family have a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this continuing dental education program nor has a financial arrangement with any product or service mentioned in this course. The speaker discloses that he has a financial interest in consulting dental professionals in the subject matter that he is lecturing on.

CE Reviews


5.0  (2 Total Reviews)
 1 people would recommend this course to a friend.
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
User: DrSoccer
Date: 10/24/2020
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
I like knowing big picture things, and this exposed me to things that were a blind spot for me before. It was a great course.
A must watch for every dentist
User: velogeek
Date: 9/27/2020
There are no absolutes in our treatment decisions and outcomes. Fortunately our patients are very adaptive to our restorative outcomes. The problem is what do we do when they are not. This is the core of what Barry is addressing, and is critical for all of us to understand.
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Farran Media is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at For any questions, please contact Howard Goldstein, DMD, Director of Continuing Education at
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This activity meets the educational criteria required for verifiable Continuing Professional Development under the General Dental Council Lifelong Learning scheme and represents 2.25 hours of verifiable CPD.

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For any questions, please contact Howard Goldstein, DMD, Director of Continuing Education at
To reap the full benefits of this CE course, the presenters (Howie Horrocks and Mark Dilatush) have agreed to create a marketing plan specifically tailored to your practice and your specific market area. Having your marketing plan printed and open while you view the course material, will greatly individualize your learning experience.
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