Making Conscious the Process of Mastery: Osteopathic Considerations for Dental Patients


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Part 1: Sunday April 24

Part 2: Sunday May 15

Each Zoom session will start at 7:00pm Eastern/4:00pm Pacific and last for 3 hours.  This is a livestream class (live attendance required).

Course Instructor:   Annette Hulse DO


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About the Course

  • This course focuses on diagnosis and assessment. There will be a small amount of anatomy and only minimal treatment techniques;  instead the focus will be on  the “finding” part of “treat what you find”.  We will be utilizing active learning techniques that you can use to expand your skills outside of formal coursework.
  • This online course is designed to help answer the question “What do I actually do with this dental patient?” when you are back in your office, as a complement to the OCA’s Orofacial and other facial/dental courses.  Using common findings in dental patients, we will explore the subtleties of osteopathic findings in these patients, what those findings might mean, and how to communicate with a dentist regarding those findings.
  • Because subtle findings are the key to good diagnosis and assessment, there will be an emphasis on learning to perceive ever-more-subtle nuances in the PRM and movement of “the face and the base”.  While a previous orofacial class is helpful, the emphasis on extending perceptive skills and self-learning can be useful to any osteopathic practitioner.
  • Residents who do cranial treatment on an at-least-weekly basis will be challenged but may find this course valuable;  special pricing is available for residents.
  • This is an active learning course with required homework.  Homework will be to assess several different patients for the findings outlined in class, and write up those encounters comparing and contrasting your findings.  Homework submission will be required for granting of CME.

Registration Fee:
OCA Member  $295.00
OCA Non-member  $395.00
Resident Members  $195.00

Course Instructor: Annette Hulse DO

Location: Virtual

The Osteopathic Cranial Academy is requesting that the AOA Council on Continuing Medical Education approve this program for 6 hours of Category 1-A AOA CME (pending).

PLEASE NOTE: If you register for this course and do not meet the eligibility requirements for it, your tuition payment will be refunded, minus a $25 processing fee. If you have any questions about your eligibility, please contact the OCA office before registering.

Who Can Attend

Doctors of Osteopathy (DO), Doctors of Medicine (MD) and Doctors of Dentistry (DDS, DMD) who have completed at least one approved 40-hour Introduction to Osteopathy in the Cranial Field course.

Course Instructor

Annette Hulse, DO is an osteopath in private practice in Los Altos CA, where she treats patients with chronic pain, TMJ dysfunction, and craniofacial disorders.  For many years, Dr. Hulse has worked directly with Dr. Darick Nordstrom DDS, who invented the ALF.  She also regularly co-treats with several ALF and other dentists around the Bay Area, and coordinates the Bay Area ALF Study Group.  She has treated several hundred ALF patients, in addition to patients with a number of other dental appliances.

Dr. Hulse is the immediate Past President of the Osteopathic Cranial Academy, a member of the OCA Board of Directors, and serves on the teaching faculty for the OCA.

Dr. Hulse is a graduate of the Massachusetts Institute of Technology, Stanford University, and Touro University College of Osteopathic Medicine.  She completed an internal medicine internship at Alameda County Medical Center in Oakland CA.


Course Schedule


Week 1:

Overview of the Dental Triad (osteopathy, dentist, myofunctional therapy) – 20 minutes

Brief Introduction to ALF and Other Dental Appliances – 15 minutes

Perception vs Palpation – 20 minutes

Discussion of Perception – 15 minutes

Common Osteopathic Findings in ALF/Dental Patients – 75 minutes

Review of Homework Assignment – 20 minutes

Q&A – 15 minutes


Homework submission required at least 24 hours before Week 2 class.


Week 2:

Review of Student Findings and Perceptions – 45 minutes

Common Osteopathic Findings in Complicated ALF Patients – 30 minutes

Communicating with the Dentist:  Translating Osteopathic Findings – 30 minutes

Clinical Considerations – 60 minutes

Q&A – 15 minutes

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