General Membership Meeting – The Puzzle of Non-Odontogenic Pain – How to Account for Pain When You Can’t See a Cause


Event Description

2 CE Units

About the topic:
In the past, if a doctor could not account for the source of a patient’s pain, treatment was provided including root canals and/or extractions. If the pain did not resolve even after an extraction, it was assumed the patient was crazy or the pain was not related to the scope of dentistry, and the patient was referred to a physician or they just continued to live with their pain. During Dr. Hirschinger’s presentation, you will see a video testimonial of a patient who had multiple root canals when the source of her pain was not the teeth. You will see a video testimonial of a patient with a 15-year history of “TMJ” treatment but the cause of her pain was not the joint, and how her pain resolved with the proper diagnosis and treatment. You will learn about patients that had other dental treatment that did not to relieve their pain since the pain was not odontogenic, and you will learn how muscles can, and do, cause severe pain that can cause patients to be very debilitated since no doctor had properly diagnosed their pain as being caused by muscles.

Learning objectives:
After taking the course, the participant should be able to: 1. Identify the muscle referral patterns of the head and neck. 2. Understand the rationale behind trigger point injections, and when lidocaine and Botox are and are not indicated. 3. Recognize the signs and symptoms of trigeminal neuralgia, glossopharyngeal neuralgia, and nervus intermedius neuralgia. 4. Understand the protocol of a gross neurological exam. 5. Learn why most TMJ pain is not related to the joint. 6. Recognize clear signs and symptoms of myasthenia gravis. 7. Learn why the site and source of a patient with orofacial pain is usually never the same. 8. Learn how to recognize various headaches according to the International Headache Society standards. 9. Localize pain and be more certain of a diagnosis before irreversible dental treatment is rendered. 10. How to quickly rule out occlusion as a cause of a patient’s pain.


Dr. Hirschinger attended dental school at USC from 1981-1985 and started his dental career in private practice a few months after graduation. He practiced general dentistry for 10 years until 1995 when he was injured and could no longer practice dentistry. He then decided to attend the USC Marshall School of Business, where Iheearned an MBA degree in 2001. He also created a website service for dentists at

He attended UCLA’s Orofacial Pain and Dental Sleep Medicine program in July 2010, which is a two-year, full-time residency. It was an unbelievable experience to find that you can treat patients without a dental drill, which means that chronic head and neck pain patients can and do get better without having their teeth drilled. He is also a Diplomate of the American Board of Orofacial Pain. He now devotes his practice towards head pain and sleep apnea.

Event Location

35 South 2nd St.
United States

Event Details

  • March 14, 2019
    6:00 pm - 9:00 pm
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