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PSNS III: Dental (SEA)

May 7-8th, 2021 2-Day Course ($500)


PSNS Treatment III: Manual Therapy for Dental Procedures 



     PSNS (Parasympathetic) Treatment III Manual Therapy Approach for Dental Procedures is a 2-Day, lab-based course that explores the manual therapy approach to preparing the cranial-facial-mandibular field for dental work to include surgical procedures. The main goal of manual intervention in this field is to minimize the aberrant effects of that work and to reduce pain, inflammation, and dysfunction in the area after the work has been completed. These treatments are designed  to guide proper function and growth / regrowth of the craniofacial field. Specific procedures that will be covered are Orthodontia (braces, Invisalign), Palate changes, Mandible lengthening / shortening, and tooth removal and related procedures.

     The muscles, bones, ligaments, sutures, teeth, nerves, and fascia will all be considered in regard to the cranial-facial-mandibular field as these structures are manipulated or otherwise affected by dental work. This class bridges the gap between surgical intervention and exercise-based therapies to maximize results and return to function.


    Neural Dynamic Reintegration© is a 2-hand technique that relies on palpatory and provocation test feedback obtained during stimulation of autonomically innervated structures. This feedback guides appropriate and effective treatment to undermine aberrant reflex arcs that cause autonomic dysregulation that often result in pain and specific clinical symptomatology including a lack of serous mucous production or chronically increased or decreased local blood flow. This course will utilize this approach extensively.


Target audience: Healthcare providers including, but not limited to:

MD, DO, PT, AT, DC, MT, RN, OT, ND and other licensed or certified healthcare providers.

16 contact hours 


Instructor: Neal O'Neal, PT 

Class is held 9-6 Friday and Saturday. 


Fees: $500/student, Course limited to 12 students.


Learning Objectives: Upon course completion, the participant will be able to-

1) Enumerate the embryological derivation of the teeth, maxilla, and mandible and the muscles that insert, originate, or affect said structures.

2) List the Cranial Nerves that have Parasympathetic and General Visceral Afferent neurons and their relevant course through the head, neck, and face.

3) Identify, palpate and test irritation and aberrant motion of the maxilla, mandible and hyoid.

4) Demonstrate and describe effective use of NDR, Cranial Mobilization, and Fascial Release as an appropriate treatment of cranial-facial-mandibular dysfunction pre- and post-dental procedure to maximize function and minimize long-term dysfunction,

5) Perform appropriate Global and Regional provocation tests for the head, jaw, face, hyoid, and neck.


PSNS III: Orofacial Field

  1. Anatomy and Physiology 

    • Structures

      • Embryology​

    • Autonomic Feed

      • Sympathetic (SNS) Feed

        • Chain Ganglia 

          1. Symptomatology

      • Parasympathetic (PSNS) Feed 

        • CN III, VII, IX, X

          1. Symptomatology

          2. Innervated Structures

      • General Visceral Afferents (GVA)

        • Head, Face, and Neck

  2. Somatic or Peripheral Feed (PNS)

  3. Global and Regional Provocation Tests

  4. Testing for Irritated Structures

  5. Treatment

    • Somatic Approaches​

      1. MFR, Counterstrain​

    • Neurological Approaches

      1. Neural Dynamic Reintegration 

      2. Chapman’s Neurolymphatic Technique

      3. Ganglia Treatment


Materials Provided: A binder of the course materials will be provided to each student to follow along and take notes during the lecture and lab portions of the class.


Purpose: The purpose of this class is to maximize function of the dental area before, during and after dental procedures including orofacial surgery to improve outcomes. The manual therapist will learn to successfully decrease the symptomology caused by dysfunction of the PSNS and how to balance that treatment with treatment of the SNS in this area. 

Expected outcomes are to develop effective delineation and treatment strategies based upon a greater integration of knowledge of the anatomy, physiology, and embryology of the autonomic nervous system and recent evidence concerning the role of inflammation.


This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence as to the interworking of the parasympathetic, sympathetic, and neurohormonal axis of the body as well as new evidence of epigenetic changes that effect function secondary to inability to mesh parasympathetic center signaling.

Course cost: $500.






9am – 10:30am       Dental Treatment Strategies of the Orofacial Field (Lecture)

10:30am –  12pm     Clinical Anatomy of the Orofacial Field

12pm – 1pm             Lunch

1pm – 1:45pm          Global and Regional Provocation Tests (Lab)

1:45pm – 3:45pm     Neural Dynamic Reintegration (Lab)

3:45pm – 6:00pm    Fascial Release Cranial-Facial=Mandibular Structures (Lab)



9am - 10:30am        Clinical Embryology and Neurology of Orofacial Field

10:30am - 12pm       SNS and PSNS Symptomatology

12pm - 1pm              Lunch

1pm - 4pm               Functional Provocation Testing and Treatment

4pm - 6pm              Cranial Approach in the Cranial-Facial-Mandibular Field

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