Bruxism and Apnea Treatment
Bruxism and Apnea Treatment
Course overview
During this course you will obtain step-by-step protocols for the diagnosis and treatment of awake/sleep bruxism and sleep apnea in patients of all age groups. The training is suitable for dentists of all specialties.
Course lessons
Lesson 1. Prosthodontic and interdisciplinary bruxism treatment
Goals and objectives of prosthodontic treatment
The concept of "non-invasive" in the treatment of bruxists
Rehabilitation or aesthetic dentistry: treatment tactics for bruxism
Indications for changing occlusal relationships
Full crowns or partial adhesive restorations: selection algorithm
Digital bruxism treatment protocol: benefits
Total prosthetic rehabilitation: clinical examples
Occlusion: a role in bruxism treatment planning
An interdisciplinary approach in the treatment of bruxism
Occlusion on implants: risks of bruxism.
Lesson 2. Sleep bruxism: from oromotor behaviour to comorbidity. Introductory lesson
Definition of bruxism: differences between awake an sleep bruxism
International classification of sleep disorders
Types of bruxism: primary, secondary and comorbidity
Types of activity of the chewing muscles during sleep
Etiology of sleep bruxism: hypotheses
Sleep bruxism and related conditions
Snoring and obstructive sleep apnea: norm and pathology
Characteristics of parasomnia
Secondary forms of sleep bruxism
Modern gadgets and their impact on sleep and bruxism
The clinical significance of bruxism.
Lesson 3. Sleep bruxism: from oromotor behaviour to comorbidity
Definition of bruxism: differences between awake an sleep bruxism
International classification of sleep disorders
Types of bruxism: primary, secondary and comorbidity
Types of activity of the chewing muscles during sleep
Etiology of sleep bruxism: hypotheses
Sleep bruxism and related conditions
Snoring and obstructive sleep apnea: norm and pathology
Characteristics of parasomnia
Secondary forms of sleep bruxism
Modern gadgets and their impact on sleep and bruxism
The clinical significance of bruxism
Principles of diagnosis and treatment of bruxism
Bruxism and tooth wear
The role of the dentist in the diagnosis and treatment of bruxism.
Lesson 4. Occlusion concept based on bruxism function of the masticatory organ
Stress management function of the masticatory organ
The mechanism of formation of bruxism
Bruxism and gastric ulcer: a study
The concepts of allostatic response and allostasis
The concept of stress management
BruxChecker: diagnosis of bruxism
Abfractions: causes of development
The slope of the canine guide: diagnosis and significance in bruxism
Methods for monitoring bruxism activity
Muscle activity during sleep: a study
Occlusion design in bruxism: the concept of sequential occlusion
Change of the occlusal plane: a clinical example
Disbalance of the autonomic nervous system: the influence of bruxism and the mandible position.
Lesson 5. Bruxism in orthodontic treatment
The concept of bruxism: awake and sleep bruxism
Risk factors for awake bruxism
Pathophysiology of the masticatory muscles activity
Sleep bruxism: risks of development and consequences
Chronological wheel of Bruxism
Methods of diagnosis of bruxism: clinical criteria
The severity of bruxism and worn dentition: the relationship
Changes in the pH of the oral cavity: external and internal factors
Bruxism: diagnostic difficulties
Occlusal splints: advantages and disadvantages
Principles of treatment of bruxism
Michigan splint: the principle of operation.
Lesson 6. Technical assessment of masticatory muscle activity. Tricks and treats for researchers and clinicians
Bruxism and its biomechanical effects
Electromyographic signals vs. bite forces
Nature of electromyographic signals vs. other biosignals
Dealing with electrical signals: basics of electricity
Electromyographic acquisition
Biosignal processing, analysis and classification
Intra- and interindividual reproducibility
Field measurements of bruxism
Oral tasks and muscle contraction patterns
Muscle fatigue and activity fluctuation
Chewing frequency and electromyographic activity
Biomechanical comparison between chewing and bruxism
Masseter muscle behavior in different diagnostic groups
Occlusion and electromyography
Energy density in the temporomandibular joint
Mechanobehavioral score
Biomechanical effects of bruxism therapies.
Lesson 7. Bruxism as a cause of pain
Bruxism and pain: the complexities of relationships
Metamorphoses of ideas about bruxism
Criteria for the classification of bruxism
Assessment of bruxism: subjective and instrumental
Tactics of management of patients with bruxism
Analyze how are the events of sleep bruxism
Muscle pain vs joint pain
STAB: Standardized method for assessing bruxism
Bruxism management: advantages of using occlusal splints
Causes of muscle pain: vicious circle theory
Myofascial pain: the mechanism for the development of muscle pain
Physiology of synovial joints and the relationship with TMJ
Autogenic muscle inhibition.
Lesson 8. Sleep apnea. What are the dentist's roles and responsibilities?
Dental sleep medicine: a concept
Groups of sleep disordered breathing (SDB):
Obstructive sleep apnea syndrome (OSAS)
Central sleep apnea syndrome (CSAS)
Sleep-related alveolar hyperventilation.
Complications of obstructive sleep apnea
OSA diagnostics: polysomnography, polygraphy, apnea/hypapnea index
BAVENO classification
Identification of patients with apnea at a dental appointment: questionnaire
Principles of apnea treatment:
Behavioral therapy
Surgical treatment
Oral appliances.
The role of the dentist in the treatment of apnea
Intraoral devices for the treatment of apnea: monoblock and duoblock, titrable and non titrable
Categories of patients with apnea at a dental appointment
Criteria for dental evaluation of a patient with apnea
Mandibular advancement device (MAD): indications, advantages and working mechanism
CPAP vs MAD: which is more effective?
Side effects of MAD: long-term and short-term
OSAS and Bruxism: possible scenarios of interrelation
Neuroplasticity and methods of brain stimulation
Myofunctional therapy for obstructive sleep apnea
Clinical stage of MAD manufacturing and oral examination.
Lesson 9. Bruxism treatment: splint therapy, drug treatment, botulinum therapy
Bruxism definition. Types of bruxism
Epidemiology, physiopathology, diagnosis
Bruxism consequences
Is there a beneficial form of bruxism? When not to treat
Treatment of sleep bruxism:
occlusal therapy: yes or no?
sleep improvement techniques and counseling
drug management
nightguards
botulinum toxin
systemic comorbidities control.
Treatment of awake bruxism:
electromyography for diagnosis and education counseling
biofeedback techniques for habit reversal.
