Spinal Manipulation Under Anesthesia Training for Dentists

This training caters to MDs, DOs, DMDs, DDS, NPs, RNs and other licensed healthcare professionals. The course is specifically designed for practitioners who have not been trained in spinal manipulation and want to add this nonpharmacologic pain management approach to their practice.

High-velocity low-amplitude (HVLA) spinal manipulation is an evidence-based, office-based manual therapy technique that applies a controlled, quick thrust to a specific dysfunctional joint. It is the primary osteopathic approach taught in this course for treating conditions such as sacroiliac dysfunction, lumbar facet syndromes, and disc-related pain that have not responded to conventional treatments.

The course covers treatment of sacroiliac joint dysfunction, palpable somatic dysfunction of the thoracic spine, range of motion loss, lumbar pain, sacrum-related pain, and lower back pain with or without leg pain. Pain sources addressed include muscle spasm and myofascial trigger points, joint lumbar facet degeneration and arthritis, and nerve-related radiculopathies and entrapment.

Yes, these are very safe procedures to perform with no real complications associated with proper training. The course teaches you to identify both relative and absolute contraindications, develop the psychomotor skills to minimize force and amplitude, and use sound clinical reasoning to determine when manipulation is or is not appropriate for each patient.

The Spinal Manipulation Therapies course is a 2-day, 16-hour program (8 hours per day). The format includes didactic instruction on clinical reasoning and evidence-based approaches combined with extensive hands-on practice to develop the technical skills required for safe and effective manipulation delivery.

A board-certified physician expert will teach this course, with other licensed healthcare professionals assisting where needed. The faculty provides direct supervision during hands-on practice to ensure you develop proper technique and biomechanics.

The course covers functional diagnostic testing including seated straight raise, supine straight leg raise, Kemp's Extension Test (rotate and lateral flux), deep tendon reflexes (patellar, Achilles), SI joint testing (Fortin finger test, FABER, SI compression), and muscle testing (hallux, eversion/inversion).

Absolutely. The course specifically covers pricing, packaging, and marketing strategies for incorporating spinal manipulation within your present practice. These procedures require no special equipment and can be performed in a standard office setting, making integration straightforward and cost-effective.

TMJ MUA is reserved for severe cases where office-based treatments — including splint therapy, physical therapy, injections, and manual mobilization — have failed to restore adequate jaw function. Under anesthesia, the protective muscle guarding is eliminated, allowing the practitioner to mobilize adhesive restrictions and fibrotic bands within the TMJ capsule that are inaccessible in the conscious patient.

TMJ manipulation under anesthesia may fall within dental scope in states that authorize dentists to perform TMJ surgical and interventional procedures. The procedure requires ASC access and anesthesia coordination. Verify your state dental board's specific guidelines regarding MUA procedures. Empire's certification documents your advanced TMJ manipulation training for facility credentialing.

Properly selected patients — those with confirmed TMJ adhesive capsulitis or fibrotic restriction causing limited jaw opening — typically experience significant improvement in jaw opening range, reduction in TMJ pain, and improved jaw function following MUA. Success depends on proper patient selection and aggressive post-MUA rehabilitation to maintain the mobility gains achieved during the procedure.

In most states, dentists are authorized to administer botulinum toxin and dermal filler injections within the head, neck, and associated structures. Some states define this scope broadly to include cosmetic applications, while others limit dental injectable use to therapeutic and functional purposes. Empire recommends confirming your state dental board's specific guidelines. Our training provides the clinical certification recognized by dental boards nationwide.

Dentists have superior knowledge of facial anatomy, nerve pathways, and injection techniques compared to most other healthcare professionals entering aesthetics. Your daily experience with local anesthesia, precise needle placement, and patient management in the facial region gives you a significant head start. Empire's course builds on these existing competencies to add aesthetic-specific protocols, product knowledge, and treatment planning skills.

Dental practices that add aesthetic injectable services typically generate $100K-$300K+ in additional annual revenue, often from their existing patient base. Botox and filler treatments have high profit margins, create recurring revenue through maintenance appointments, and attract new patients who become dental patients as well. The crossover appeal is significant — patients who trust you with their smile naturally trust you with their facial aesthetics.