Craniomandibular Dysfunction (CMD) and Occlusion. The Salvador Congost Protocols
Craniomandibular Dysfunction (CMD) and Occlusion. The Salvador Congost Protocols
Course overview
Dive deep into the complex world of temporomandibular disorders, craniomandibular dysfunction, and functional occlusion with one of Europe’s leading pioneers in functional dentistry — Dr. Salvador Congost.
This comprehensive program guides you through the science, biomechanics, and clinical application of masticatory rehabilitation, blending physiology, bioesthetic principles, and advanced evidence-based protocols.
During the course, you will learn about:
The causes, classification, and clinical presentation of temporomandibular disorders (TMD) and craniomandibular dysfunction (CMD)
Functional biomechanics of the TMJ, including healthy vs. pathological chewing patterns and their impact on the masticatory system
Diagnosis and management of dysfunctional chewing systems, occlusal principles, and the use of splints for rehabilitation
Seated Condylar Position (SCP) protocols for stable occlusion
Fabrication and adjustment of MAGO (Maxillary Anterior Guided Orthotic)
Principles of stable occlusion, functional wax-up, long-term provisionals.
By the end of this program, you will be equipped with the knowledge, practical skills, and clinical confidence to assess, diagnose, and rehabilitate complex masticatory dysfunctions with precision and predictability.
Course lessons
Lesson 1. Temporomandibular Disorders and Craniomandibular Dysfunction: Causes, Classification, and Clinical Insights
Definition and classification of temporomandibular disorders (TMD)
Analysis of the multifactorial genesis of craniomandibular dysfunction (CMD), including anatomical, neuromuscular, and psychological factors
Review and discussion of representative clinical cases.
Lesson 2. Functional Biomechanics of the TMJ: From Physiology to Bioesthetic Practice
The biopsychosocial model of craniofacial function
Biomechanical principles of the TMJ in a bioesthetic approach
Step-by-step analysis of chewing physiology
Principles of healthy vs. pathological biomechanics: Does chewing make a difference?
Typical characteristics of functionally healthy chewing systems
Understanding maximal intercuspal position (MIP), centric relation, and seated condylar position (SCP).
Lesson 3. Diagnosis and Management of Dysfunctional Chewing Systems
Evaluation of unhealthy chewing systems
Biomechanics of the TMJ and occlusal principles in dysfunctional chewing
The unphysiological pattern of chewing
Anterior contact guidance and anterior proprioceptive control
Occlusion, chewing, and tissue adaptation
Understanding stable condylar position
Indications for splints: Centric splint and Michigan splint.
Lesson 4. Seated Condylar Position and MAGO: Clinical Protocols and Case Analysis
The journey of Seated Condylar Position (SCP)
Recording the centric relation
Utilizing the preliminary jig
Evaluation of MRI
Fabrication of MAGO (Maxillary Anterior Guided Orthotic)
Protocols for adjustment of MAGO and determination of static occlusion
Protocols for adjustment of MAGO and determination of dynamic occlusion
Tips for working with MAGO
SCP before, during, and after orthodontic treatment
Analysis of clinical cases.
Lesson 5. Stable Occlusion and Functional Rehabilitation of the Masticatory System
Principles of stable occlusion
What is stability?
How to develop stability
How to manage a stable treatment position
The role of occlusion and tooth morphology
Protocols for functional wax-up
Long-term provisionals in SCP and adjustment of final restorations
Functional rehabilitation of the masticatory system.
