TDO User Meeting & Scientific Session

Fall 2014

When: Thursday October 2, 2014 8 a.m. to 4 p.m.
Where: Paradise Point, San Diego, CA 92109
Who: All TDO’ers and even non-TDO’ers are welcome!

Dr. Peter Attia, MD

Peter is the President and co-founder of the Nutrition Science Initiative (NuSI), a California-based 501(c)(3). Peter is also a physician and former McKinsey & Company consultant, where he was a member of both the corporate risk and healthcare practices. Prior to his time at McKinsey, Peter spent five years at the Johns Hopkins Hospital as a general surgery resident, where he was the recipient of several prestigious awards, including Resident of the Year and the award for Excellence in Teaching, and the author of a comprehensive review of general surgery. Peter also spent two years at the National Institutes of Health as a surgical oncology fellow at the National Cancer Institute under Dr. Steve Rosenberg, where his research focused on the role of regulatory T cells in cancer regression and other immune-based therapies for cancer.

Peter is a 2012/2013 recipient of the French-American Foundation Young Leader’s Fellowship, which recognizes the most promising leaders in the United States and France under the age of 40.

Peter is the author of the popular blog, The Eating Academy (

Peter earned his M.D. from Stanford University and holds a B.Sc. in mechanical engineering and applied mathematics from Queen’s University in Kingston, Ontario, Canada, where he also taught and helped design the calculus curriculum.

Talk 2: It was the best of times, it was the worst of times

How do we fix healthcare in this country? At one end of the continuum, the most intimate interactions with patients – the human elements – appear broken. Why is this so? More importantly, can this be fixed?

At the other end of the continuum, there is a structural elephant in the room that is the root cause of why ours is the only country spending 18% of our GDP on healthcare, despite not getting the value we’d expect.

This talk weaves two narratives into one story – two ends of the same book. The first narrative describes what Peter calls the two “best, worst experiences” of his life, the events that you’d never want to relive though, in retrospect, you realize you’re better for having endured them. These events changed the way Peter thinks about human interactions.

The second narrative takes a stark look at the flow of money into and out of the U.S. healthcare system and comes to a startling conclusion: there is no system on earth that would ever function properly with the incentives underpinning this system.

Our healthcare system can be fixed, but to do so we have to change the way we approach it from both ends of the spectrum.

Talk 1: The history of the cholesterol-heart hypothesis: 60 years of ambiguity

Most of the dietary recommendations made in the United States are not firmly grounded in well-controlled science. The implications for this are profound, especially at a time when two-thirds of Americans are overweight, and obesity and its related diseases – diabetes, heart disease, cancer, and Alzheimer’s disease to name a few – are claiming the lives of more people each year. In this presentation, Peter takes a close look at one such pillar of dietary wisdom, the recommendation that Americans minimize their consumption of dietary cholesterol and saturated fat in an effort to reduce heart disease.

The Evolution from Occlusion & TMJ to TMD & Orofacial Pain

Presenter: Dr. Charles McNeill, DDS

Course Description:

Historically the field of temporomandibular disorders (TMD) has been based on testimonials, clinical opinion, and blind faith rather than science. The common premise became that optimum health was dependent on very specific and precise morphologic criteria. Due to the concerns of many today regarding professional credibility and intellectual honesty, the need for a scientific foundation to support various belief systems is of paramount importance. In fact, therapeutic approaches to TMD and orofacial pain are undergoing a major evolution away from the traditional mechanistic dental concepts of the past to the more current biopsychosocial medical concepts. The mind-set change requires a shift from a singular approach, in which cause and effect are thought to be known, to a multidisciplinary one in which cause is often uncertain, variable, and convoluted.

Because little is known about the natural course of TMD or which signs or symptoms will progress to more serious conditions and because all treatment approaches claim equal success, a special effort should be made to avoid aggressive, irreversible therapy. All management approaches must have a favorable risk-benefit ratio, be cost effective, and be evidenced based. The emphasis is on reversible management that facilitates the patient’s own natural healing capacity and with the patient being involved in the physical and behavioral management of their own problem.

Course Outline:
  • Occlusion history: from Gysi’s gothic arch tracings to gnathological principles, neuromuscular concepts, occlusal equilibration, full mouth rehabilitation, orthodontics & surgery (Technic to Biomechanic & Biophysiologic Advantage).
  • TMJ history: from Hippocrates, Costen, Shore, Beyron, Gelb, Ricketts, Farrar, Witzig, Boering, Westesson, Rocabado, Greene and Laskin, Dworkin, Rugh, Mohl, Clark, Okeson, Stohler and Univ. Based Centers (Eminence to Evidence).
  • Influential TMD Organizations and Journals: AES, AACD, AAOP, ABOP, AADR, IADR, AUTOPP, NIDCR, NIH, and Cranio and the Journal of Orofacial Pain
  • Current TMD Concepts: Etiological factors, force loading, sleep, bruxism and acute TMD diagnostic and management guidelines
  • Orofacial Pain Interdisciplinary Management: Trigeminal pain mechanisms, trigeminal pain pathways, neuroplasticity, and common comorbid conditions

Dr. Charles McNeill, DDS

DR. CHARLES McNEILL is a Professor Emeritus and the Director of the Center for Orofacial Pain at the University of California, San Francisco. He is a Diplomate of the American Board of Orofacial Pain and a Fellow of the American College of Dentists and the International College of Dentists. Dr. McNeill is a member of the OKU Dental Honor Society and is an Honorary member of the American Academy of Oral Medicine. He is a member and former President of both the American Academy of Restorative Dentistry and American Academy of Orofacial Pain and is a past-editor of the Journal of Orofacial Pain. He has authored many articles, abstracts and book chapters, edited four books and lectured extensively on the subjects of TMD, orofacial pain and occlusion.

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