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Online Frontline TMJ I Precourse Info

This is very important information regarding the American Academy of Facial Esthetics Frontline TMJ, Headache and Orofacial Pain Therapy Course. We need some important information before you attend the course.

Please fill out the Reservation Form provided HERE and submit along with a copy of your current state practicing license and the declarations/ cover page of your malpractice insurance.

Please fax or email these items to our office at:

Fax: 216-395-0110 or 216-672-5230   Email:

***If you have any questions about the course, please contact our office by calling 800.952.0521 Ext. 3 or via email.

Here is the agenda for Frontline TMJ, Headaches and Orofacial Pain Therapy:

  • Registration – 7:30 AM – Please be prompt
  • Intro – 8:00 AM
  • Hands-On Session – 8:30 AM – 12:30 PM
  • Course Review – 12:30 PM

Attendees will learn a number of therapies including trigger point injections which can be used with different pharmaceutical agents such as lidocaine and botulinum toxin .  Trigger point injection techniques are the same no matter which agent is injected. Healthcare professionals may only inject those pharmaceutical agents in which they have previous training in. If you decide to use botulinum toxin at the course and have not taken the AAFE’s Level I Botulinum Toxin course but have botulinum toxin training, then you will be required to submit your previous botulinum training course credentials to or you may fax it to 216-395-0110 prior to the course date. Should you have any questions, please contact Customer Service at 800-952-0521 Ext: 3.

Team Members We still have availability for you to bring additional staff members with you to the course.  In order to attend as a team member, your team members must not be a nurse, a doctor of any profession, or a possible injector. All names will be verified through the state boards and full tuition will be charged if this policy is not carried out. AAFE Members – your first team member is FREE.  All other team members admission cost is $395 per person.  Payment is required even if the team member sitting in on the course is your model patient. Please let us know as soon as possible if you plan to bring any additional team members.

Model Patients For the best learning experience, please bring your own model patients. If need be, it is likely that you will find a model patient at the course.  You can bring up to 2 patients per day.  Please let your model patients know that they must be available for approximately 3-4 hours, as this is a teaching course. The hands-on portion of the course will be arranged in Groups A, B and C and is dependent on meeting size. Groups will be determined the morning of the meeting.  Patients should arrive when the hands-on portion of the course begins or when you have a better understanding of what group you are in. If you choose not to bring a model patient, you may observe the hands-on portion of the course. You may also find a patient at the course.

No pets and no children in the classroom!

Checklists for Frontline TMJ Training Course: Please bring the following:

  • Digital camera to document patient prior to injections. (Camera phones work also)
  • Loupes/headlights if you use them in your practice.

Here are some tips for choosing a model patient for the Frontline TMJ, Headache and Orofacial Pain Therapy Training course:

  • Patients who have head, neck, and facial pain, TMJ syndrome,headaches, migraine, masseter, temporalis and any facial muscle hypertrophy, bruxism and clenching are welcome as patients.
  • Please advise your patients that it is recommended for them to wear loose fitting clothing for the hands-on portion of the course as assessments and injections occur in the head and neck region. As the attendee,if you plan on volunteering as a model patient, it is recommended for you to wear loose fitting clothing as well.
  • Patients with neuralgias will not be treated at this frontline facial pain course.
  • The model patient should not be needle phobic.
  • The model patient should be easy to anesthetize and be able to tolerate local anesthesia.
  • Patients must be in good health with no active skin infections in the areas to be treated.
  • Patients with neurological, autoimmune, long term systemic diseases and immunological diseases are not candidates for treatment at this course and will not be treated.
  • Patients who bruise easily because of medications or other disease processes are not good candidates for this course.
  • The model patient should not have any important life events coming up within two weeks of treatment. The model patient may have some bruising after treatment.
  • If you are unsure about whether a patient’s medical condition is a contraindication to trigger point, Botox and/or dermal filler therapy, please check with their physician prior to treating them at a course.

Botulinum Toxin for Therapeutic and Esthetics Pre-Treatment Instructions: In an ideal situation, it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result and/or great result, by reducing some possible side effects associated with the injections.  We realize this is not always possible; however, minimizing these risks is always desirable.

  • Avoid alcoholic beverages at least 24 hours prior to treatment.  Alcohol may thin the blood which will increase the risk of bruising.
  • Avoid anti-inflammatory or blood thinning medications ideally, for a period of two weeks before treatment.  Medications and supplements such as Aspirin, Vitamin E, Gingko Biloba, St. John’s Wart, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections.
  • Schedule Botox® appointment at least 2 weeks prior to a special event which maybe occurring, i.e., wedding, vacation, etc. It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided.

Every model patient must sign an informed consent prior to treatment. Consents will be provided at each course and there will be no exceptions.

We have the right to refuse treatment to any patient. If you have any questions about your patient, please email Dr. Malcmacher at All course completion certificates and continuing education credits will be awarded to attendees when all course tuition, team member verification, and course/product fees have been reconciled.


Please carefully review and read our Course Cancelation, Rescheduling and No-Show Policy.