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Craniomandibular Orthodontics and Occlusion Medicine

The functional role of dental occlusion is intensively debated within the field of dentistry and oral medicine. Is occlusion associated to oral dysfunctions? Is it an etiological factor to temporomandibular disorders? Should it be altered to solve dysfunctions of the stomatognathic system and how? To address these points, a deep knowledge of the masticatory organ and its functions is necessary. The masticatory organ should be regarded as a functional element integral to the human organism. Thus, understanding its kinematics and relationships to its surrounding structures is crucial. Further factors challenge the modern dentist: contemporary humans live longer than archaic homo and their diet is based on soft and refined food, which alters the normal growth and development of the masticatory structures. Thus, chewing, once the primary function of the oral structures, seems to have lost its relevance. However, the effect of malocclusion and dysfunction on verbal expression, aesthetics, posture and non-masticatory habits, such as clenching and bruxing, is a matter of intense debate in modern dentistry and related disciplines.

Dental medicine is under continuous development. Novel scientific findings, technical and mechanical advancement contribute to the improvement of diagnostic and treatment approaches for orofacial dysfunctions, with increased tendency towards complex 3D image-based techniques. The complexity of the masticatory organ and the multifactorial nature of the disorders affecting it, call for an informed use of concepts and tools proper to interdisciplinary dentistry. Deep knowledge of anatomy, physiology and biomechanics are crucial for the correct implementation of diagnostic and therapeutic tools available within the realm of dentistry and related disciplines and, thus, for the successful treatment of the patients and their safety. Hence, continuous education is significant for the dentist. The main goal of this training programme is to provide the dental clinicians and technicians a cross-curricula, up-to-date, comprehensive education through its highly educated and experienced instructors.

Split into five 3-day modules, the programme includes theoretical and practical lessons and requires active participation of the attendees. The theoretical classes are aimed to inform about cranio-mandibular function and dysfunction. The practical lessons are meant to train the participant in all the phases of the functional diagnostic, including the interpretation of the clinical evidence.

  • Individualized clinical assessment of the patient's stomatognatic system: anamnesis, first visit, muscles and TMJ palpation, occlusogram, neurological screening, photos
  • Static and dynamic evaluation of the occlusion: impressions and casts, face bow, RP recording, mounting in articulator, static protocol, dynamic protocol, occlusal plane evaluation and CPM; bruxcheker
  • Clinical instrumental analysis: condylography with basic and functional movements, CPM; kinematic face bow mounting; cephalometry; functional evaluation.
  • Integration of all diagnostic findings: Gamma software Browser, list of the problems of the individual patient, diagnosis.
  • Introduction to therapy: treatment objective, treatment options, treatment planning, splint pre-therapy, MRI interpretation

The cranio-mandibular system: Anatomy, neuro-muscular system, evolution, phylogeneses and ontogenesis, cybernetic concept,functions of the masticatory organ,occlusio, functional geometry.

Reference position: Bite registration to define the position of upper jaw and lower jaw in relation to the TMJ
Discussion of different methods including theoretical and practical lessons

Condylar registration: Registration based on anatomic and true hinge axis using the jaw tracking system Cadiax Compact 2 and Cadiax 4 systems. The following clinical procedures are practiced between the participants: Customization and mounting of the mandible clutch (tray and functional occlusal clutch), Mounting of the condylograph face-bow system, Localization of the patient‘s individual true hinge axis by using both, a mechanic (graphic) and an electronic method. Registration of the dynamic condylar tracings of the mandibular movements, including standard open - close,medio - and laterotrusive movements, as well as speech,chewing and bruxism, Orthopedic standard analysis of the TMJ, ECPM position analysis of the mandible

The condylographic tracing: Standardized approach to the evaluation of the condylographic outcomes including differential diagnosis

Articulator programming: Patient-specific setting of the condylar housing at the sagittal and transversal plane, considering TMJ retral movement patterns

Articulator transfer: Mounting of the upper cast according to the true hinge axis and of the lower cast using the reference position record

Cephalometric: Analysis of the cephalometric data including: Identification of the landmark points and contours (including practice on the x-ray images using CADIAS software),  Data transfer of the condylar tracings to ceph, Skeletal types, individual norms, skeletal, dental and functional values, Concept of relative condylar inclination (RCI), Importance of occlusal plane inclination, Understanding of compensation mechanism, Discussion of the skeletal configuration of the patient, and its functional interpretation

Functional diagnostic of the anterior teeth

Condylar position measurement (CPM)

Correlations and differential diagnosis

Discussion on initial therapy

Principles of wax-up techniques: Discussion of dental class I, II, and III and cross bite, Practical exercises on dental class I cases

Case documentation: Presentation and discussion of patient cases

Summary and examination

 

 

Module A: 2-4 February 2024

Module B: 22-24 March 2024

Module C: 17-19 May 2024

Module D: 5-8 July 2024

Module E: 14-15 September 2024

Dentists who are interested in gaining training and expertise in Occlusion Medicine.

Craniomandibular Orthodontics and Occlusion Medicine

Language: English
Mode of study: Face to Face
Starting Date: January 2024
Duration: 9 months
Prerequisites: -

€7,500.00

Price includes VAT.

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