Persistent Jaw Pain, Bite Changes, and Failed Splint Therapy
How to reassess a case that is not improving. Learn a repeatable clinical sequence for revisiting the complaint, reviewing the appliance objective, reassessing jaw findings, and deciding when a different direction is needed.
Reserve your free spotThe same pre-recorded lecture is offered at each scheduled time. This is not a live presentation.
When the patient is not improving, the answer is not always another adjustment.
This case-based lecture brings together the complete 2027 pathway. Dr. Bis will show dentists how to reassess a patient who continues to report pain, clicking, locking, headaches, changing contacts, or appliance discomfort despite apparently reasonable care.
The session focuses on revisiting the complaint, reviewing the appliance objective, reassessing jaw findings, reconsidering muscle and dental pain, and determining whether the treatment plan should be modified or stopped. Two or three practical cases will demonstrate where the reasoning changed and why the next step was different.
For dentists, this is the patient who keeps returning without clear progress. The goal is to create a more confident, structured way to step back, collect the right information, and make better decisions without losing patient trust.
Three clinical learning objectives.
Identify common reasons a patient may fail to improve.
Reassess a complex case using a repeatable clinical sequence.
Decide whether to modify, discontinue, monitor, collaborate, or refer.

Dr. Agatha Bis
Founder, BIS Institute
Dr. Agatha Bis has over 30 years of clinical experience, with a strong clinical focus on TMJ and TMD management, diagnosis, and treatment planning.
Her teaching emphasizes understanding the underlying cause of clinical problems so dentists can make more informed treatment decisions.

FREE REGISTRATION
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Choose your time.
Register for this free, pre-recorded clinical lecture. Select the viewing time that works for you. After registering, check your email for the viewing-room link and access instructions. If you do not receive it, please contact BIS Institute.
The Difficult Case Reassessment Worksheet
A practical worksheet to help you organize the complaint, reassess the diagnosis, review treatment objectives, evaluate changes in symptoms and function, and decide when a new direction is needed.
After watching the lecture, you will be able to download this complimentary resource from the lecture viewing room.
Some cases need more than another checklist or another small adjustment.
1:1 Clinical Mentorship offers the opportunity to organize records, review findings, and work through difficult clinical decisions with experienced guidance.
This is the academy’s highest level of support for dentists facing persistent pain, changing bites, failed splint therapy, or cases that are not improving as expected.
Primary support: 1:1 Clinical Mentorship · Secondary support: Clinical Confidence Membership
Inquire about mentorship ↗Explore the membership ↗
Know when another adjustment is not the answer.
Join Dr. Bis for a free prerecorded dental CE lecture about persistent jaw pain, bite changes, failed splint therapy, and how to reassess a case that is not improving.
Register for the lecturePre-recorded lecture · 8 AM, 12 PM, 5 PM, or 8 PM EST