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Continuing Dental Education

Diagnosis and Nonsurgical Management of Orofacial Disorders in Dental Practice: TMD, Lichenoid and Precancerous Lesions, Oral Burning

Mark Drangsholt, DDS, MPH, PhD; Peggy Lee, BDS, MSD, PhD, and Milda Chmieliauskaite, DMD, MPH

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This course is presented in person only.


Course Description

Patients visiting dental offices present with a growing number of complex orofacial complaints. This course will highlight orofacial conditions commonly encountered in practice and the management of these disorders using multiple modalities.

Demystifying TMD: Perhaps no other health condition has more misconceptions than “TMJ”, among health care providers and the public. BOTOX, occlusal appliances (including mandibular advancement devices), NTI, surgical orthodontics, medications, acupuncture, physical therapy, and trigger point injections are all in current use to treat TMJD. Which ones should you use? In this presentation, we will show a practical, evidence-based approach used successfully at the University of Washington.

Radiography to aid in diagnosis of TMD

Oral lesions – what are they, and which ones to biopsy or refer?

Oral Burning Disorders – How to diagnose and manage?

Course Topics

  • TMD Diagnosis and Management – A New, Simplified Approach for Primary Care [Drangsholt]
  • Use of PANO, CBCT and MRI to Diagnose TMD and Orofacial Conditions [Lee]
  • Use of Local Anesthetic Injections into Muscles in Orofacial Pain [Drangsholt]
  • Use of Neurotoxin(BOTOX) in Pain Management [Drangsholt]
  • Common Mucosal Lesions including Lichen Planus and Leukoplakia Lesions and more [Chmieliauskaite]
  • Common Oral Burning and Dysesthesias [Chmieliauskaite]


Dr. Mark DrangsholtMark Drangsholt received his DDS degree from the University of Washington in 1984 and completed a general practice residency at Michael Reese Hospital and Medical Center in Chicago in 1985. He began a general dental practice in Kent, Washington, in 1985 where he continued to practice from half to full time until 1995. He returned to the University of Washington and earned his M.P.H. in Epidemiology in 1992, a certificate in Oral Medicine in 1995 and completed his PhD in Epidemiology in 2004. He was appointed as a tenure-track assistant professor in 2006 , was promoted to associate professor with tenure in 2009, and full professor in 2012. He was appointed Chair of the Department of Oral Medicine in 2010, and continues in that role. He served on the American Board of Oral Medicine from 2012 to 2021, serving in multiple roles including president. He received the Distinguished Alumni Award from the University of Washington School of Dentistry in 2019.

Dr. Milda ChmieliauskaiteMilda Chmieliauskaite is an Assistant Professor at the University of Washington School of Dentistry and the Graduate Program director in the Oral Medicine MSD/residency program.

She obtained both her Doctor of Dental Medicine (DMD) and Master of Public Health (MPH) degrees from the University of Pennsylvania. She completed her postdoctoral residency training in Oral Medicine at the Hospital of the University of Pennsylvania, serving as Chief Resident her second year.

Dr. Chmieliauskaite currently teaches predoctoral and postdoctoral students clinically in the Oral Medicine clinical services and lectures didactically on topics within oral medicine, and orofacial pain. Her scholarly work focuses on oral medicine, orofacial pain and public health. In addition, Dr. Chmieliauskaite is an Attending at the University of Washington Medical Center.

She is a Diplomate of the American Board of Oral Medicine and an active member of the American Academy of Oral Medicine chairing a committee and serving as a board member.

Dr. Peggy LeePeggy Lee is the head of the oral radiology division at the UW Dental School. Dr. Lee has a broad background in both clinical and basic science. After graduating from dental school, she completed her M.S.D. in Oral Medicine at UW. She earned her PhD in the Department of Microbiology at the UW Medical School studying HIV, followed by postdoctoral research in immune system development.

Dr. Lee returned to the UW Dental School in 2004 to teach radiology and re-focused her research on clinical and translational studies. She was instrumental in developing the Oral Radiology Residency program at the UW and now serves as program director. In addition to training radiology residents, she also teaches radiology (including 2D and 3D imaging) for predoc dental students and specialty graduate students.

Dr. Lee has carried out multiple research projects on subjects including TMD, appropriate usage of screening radiographic examination, and sleep apnea. More recently, she has collaborated with the ultrasound engineer to study applications of ultrasound imaging including identifying thin cortical bone related to orthodontic treatment, 3D ultrasound to monitor changes in masticatory muscle after Botox treatment for TMD pain patients, and fusion 3D ultrasound with CBCT images for nerve imaging. She also had a research grant, in collaboration with the UWMC Diagnostic Imaging Sciences Center, applying functional MRI to identify brain activity markers associated with chronic TMD pain.

Dr. Lee has been a member and officer of the IADR Diagnostic Science Group, the AAOMR Research and Technology Committee, and currently serves on the Research Advisory Committee at University of Washington School of Dentistry. She is a reviewer for Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, JADA, and the Journal of Dentomaxillofacial Radiology. Dr. Lee has published numerous peer-reviewed articles and has given presentations at national and international conferences, continuing dental education courses, and study clubs on CBCT applications in implant planning and oral facial disorders.


  • The faculty of the UW Department of Oral Medicine have no relevant financial relationships to disclose.
  • The staff of the University of Washington Office of Continuing Dental Education have no relevant financial relationships to disclose.

Course Logistics

Friday, September 29, 2023

The Mountaineers Club
7700 Sandpoint Way NE
Seattle, WA 98115

Dental Professionals

8:30am – 4:30pm Pacific Standard time

TUITION: – price includes lunch
Until September 27; after, $25 more
$199/Dental Hygienist, Dental Assistant and Office Staff
$278/Current Dental Alumni Member

* This course is eligible for a 10% tuition discount if you are a current member of the UW Dental Alumni Association.

7 hours


Conflict of Interest
In accordance with the ADA CERP Standard V., everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the course.

As a continuing education provider, University of Washington Continuing Dental Education is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses.

Cancellation and Refunds
For this in person lecture, a registration refund will be issued for cancellations received by Wednesday, September 27, 2023. Registration will remain open until Wednesday, September 27, 2023 – however we will accept walk-in registrations the day of the class, Friday, September 29, 2023 with an additional $25 late fee. NO REFUNDS will be accepted after Wednesday, September 27, 2023. Cancellations must be received in email to The cancellation request must include: the name of the course, name of the person registered, name of the person requesting the cancellation, and the reason for the cancellation.

By providing my information, I consent to receive communication via mail, email, fax, and phone from the University of Washington Continuing Dental Education office. The Continuing Dental Education office will not share your information with anyone.

Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of Washington does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution.

The University of Washington Continuing Dental Education cautions continuing dental education participants that there are potential risks of using limited knowledge when incorporating new techniques and procedures into the practice of dentistry, especially when the continuing education course has not provided supervised clinical experience and/or competency tests in the techniques or procedures.

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University of Washington
Continuing Dental Education
Box 357137
Seattle, WA 98195-7137

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The University of Washington 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.

This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between the University of Washington and ACDE member schools.

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The University of Washington is a member of the Association for Continuing Dental Education.

University of Washington designates this activity for 7 continuing education credits.