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The Physical Therapy Boardof Craniofacial Cervical Therapeutics CCTT Certification The examination is offered to qualified physical therapists at each annualscientific meeting of the American Academy of Orofacial Pain AAOP. Mission Statement To enhance the quality of care and service provided to the public through certification of Physical Therapists in the field of Orofacial Pain. Certification Development The examination blueprint and study guide outlines the specific content areas of knowledge that are included in the examination. The Puzzle of Temporomandibular Joint Disorders Pain at the temporomandibular region can develop from within or around the joint but can also be referred from the head the neck andor shoulder girdle.