الصفحة الرئيسية / الاقسام / Condylography: Data Interpretation for Occlusal Rehabilitation
Condylography: Data Interpretation for Occlusal Rehabilitation

Condylography: Data Interpretation for Occlusal Rehabilitation

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Condylography: Data Interpretation for Occlusal Rehabilitation

Category: Functional Dentistry

Instructor(s): Gregor Slavicek

Course structure: Lessons: 18 lessons | Duration: 6 h 22 min

Course overview

Advanced course for dental professionals to deepen their understanding of condylography application in clinical practice!

 

Condylograph is a gnathological instrument that helps practitioners plan the treatment of rehabilitation cases and understand the functional dynamics of the lower jaw.

 

During the course with Prof. Slavicek, you will learn in detail about:


Condylographic data analysis of the mandible during mastication, speech, and bruxing
Condylographic data analysis of patients with muscle disorders, craniomandibular dysfunction (CMD) and temporomandibular dysfunction (TMD)
Protocols of condylographic data interpretation and application for treatment planning and successful occlusal rehabilitation.

Course lessons

Lesson 1. Enabling Therapeutic Strategies for Condylogram Interpretation

Defining the so-called Slavicek concept
Interpretation and enabling therapeutic decisions with condylogram
Comparison between the different condylography recording systems
Condylographic data for occlusal reconstruction
Defining the difference in terminology between condylograph, condylography, and condylogram
The aim of condylographic interpretation
The functional aim of the stomatognathic system
Expectation of condylogram.

 

Lesson 2. Physiological Conditions and Diagnostic Criteria of the Mandible

Mandibular movement under physiological conditions
Diagnostic criteria of craniomandibular dysfunction and temporomandibular dysfunction
Fundamentals of synovial joint movement
Physiology of synovial joint dynamics
Diagnostic criteria for the most common pain-related temporomandibular disorder
The six principles of temporomandibular dysfunction screening
Interpretation of a condylogram.

 

Lesson 3. Temporomandibular Joint Osseous Structure Radiographic Imaging

Morphological alterations of the osseous structures
Diagnostic criteria of craniomandibular dysfunction and temporomandibular dysfunction: 


Physical diagnosis
MRI, CT scan, panoramic X-ray
psychosocial status.


Condylar head alterations: 


Hypoplasia and hyperplasia
Subcortical cysts
Osteophytes.


Disc diagnosis for TMJ using MRI and CT scan.

 

Lesson 4. Analysis of Condylography of TMJ with Osseous Structural Changes

Condylographic interpretation with osseous structural changes of the TMJ
Morphological changes of osseous structures in condylography
Osteoarthritis of the TMJ: diagnostic and therapeutic goals
Etiology and pathogenetic pathways of arthritis with inflammation.

 

Lesson 5. Evaluation of Severe TMJ Osseous Structural Changes on the Condylography

Condylographic interpretation of trauma to the TMJ condyle
Condylographic interpretation of fracture with luxation
Condylographic interpretation of fracture without luxation
TMJ CT-imaging: analysis of morphological alterations
Merging condylographic data with CT and MRI imaging
Closed and open mouth MRI imaging of the TMJ
Evaluation of osteoarthritic changes on MRI and condylographic interpretation.

 

Lesson 6. Muscular Dysfunction in Orofacial Pain: Insights and Analysis

International classification of orofacial pain
Defining and classification of myofascial pain
Primary vs. secondary myofascial pain
Biopsychosocial model of pain
Impact of pain on mandibular movement and proprioception of the craniomandibular system
Analysis of mandibular range of motion (MROM)
Analysis of maximum bite force (MBF)
TMJ proprioception in condylography: evaluation of function and occlusion.

 

Lesson 7. Condylographic Interpretation of Mandibular Dynamics in Myofascial Pain Cases

Myofascial pain pressure threshold and functional impairment
Protocols for muscle and joint palpation
Analysis of mandibular range of motion in relation to muscular function
Condylographic interpretation of free protrusion and retrusion movements
Condylographic interpretation of free mediotrusion and mediotrusion right movements
Condylographic interpretation of free opening and closing movements.

 

Lesson 8. Interpretation of Severe Muscular Dysfunction and Discoordination

Superimposition of all mandibular movements on the condylograph
Positive impact of dental structures and occlusion on mandibular movements
Involvement of the neuromuscular system in mandibular movement
Interpretation of mandibular movement on the condylograph.

 

Lesson 9. Hypermobility and Ligamentous Laxity of the TMJ

Symptomatology of muscles and tendons
Pathological pathways of tendinosis and tendonitis
Healing of ligaments: complete healing, functional repair, and healing with defects
Hypermobility and over-rotation of the TMJ.

 

Lesson 10. Mobility of the Lower Compartment of the TMJ

Increased mobility of the lower compartment of the TMJ
Analysis and superimposition on a condylograph of:


Protrusion and retrusion
Free mediotrusion and mediotrusion to the right and left
Free opening and closing movements.


Condylographic analysis of guided protrusion and retrusion
Condylographic analysis of guided mediotrusion and mediotrusion to the left.

 

Lesson 11. Characteristics of Condylography During Masticatory Movement

Condylographic interpretation of guided protrusion, retrusion, and bruxism left and right
Condylographic interpretation of mastication left and right
Condylographic interpretation of all free movements of the TMJ
Evaluation of the initial stages of internal derangement
Risk factors of disc displacement with reduction (DDWR) and without reduction (DDWoR).

 

Lesson 12. Internal Derangement: Disc Displacement and Joint Noise

Articular disc imaging: position, form, and structure
Disc position in physiological and displaced conditions
Disc shape and position in open and closed mouth
MRI analysis of changes in soft tissue components of the TMJ
Typical condylographic and clinical signs of anterior disc displacement with reduction (aDDwR)
Dynamics of anterior disc displacement with reduction (aDDwR). 

 

Lesson 13. Systematic Description of Condylographic Interpretation

Systematic description of condylographic interpretation of free open and close movements
Systematic description of condylographic interpretation of protrusion and retrusion movements
Systematic description of condylographic interpretation of free left mediotrusion movements
Condylographic interpretation of speech and chewing movements.

 

Lesson 14. Joint and Ligament Noise Interpretation in Condylographs

Reciprocal clicking noise interpretation in condylography
Joint noises due to anterior disc displacement with reduction (aDDwR) and without reduction (aDDwoR)
Ligamental noise: differential diagnosis during recording
Anterior disc displacement without reduction (aDDwoR) during:


Mediotrusion movement
Open and close movements.

 

Lesson 15. Impact of Occlusion on Mandibular Function and Movement

Defining occlusal parameters
Analysis of altered occlusal function
Morphological occlusal parameters
Occlusal involvement and signs and symptoms of craniomandibular dysfunction and temporomandibular dysfunction
Justification of oral rehabilitation and occlusal restoration.

 

Lesson 16. Occlusal Rehabilitation Based on Condylographic Interpretations

Indications and advantages of full mouth oral rehabilitation
Gnathological instruments application in occlusal rehabilitation
Condylography interpretation for occlusal rehabilitation cases.

 

Lesson 17. Occlusal Function Visualized with Hinge Axis Movement

Angle classification and anterior dental relation during chewing movements
Impact of occlusion on the status of patients
Analysis of all hinge axis movements
Bilateral chewing and atypical chewing patterns
Class 2 malocclusion impact on mandibular movement.

 

Lesson 18. Condylographic Interpretation During Speech, Mastication, and Bruxing

Posterior and anterior guidance
Impact of occlusion on mastication
Speech and occlusion
Occlusal function in retrusion and protrusion
Pathogenetic link and reduced chewing muscle activity
Maintaining and re-establishing occlusal chewing surfaces and lingual morphology of upper anterior teeth.

 

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