Oral splints: diagnosis, design and treatment protocols

– Structures and functions of the Chewing organ

– What is our diagnostic and therapeutic focus?

– Individual clinical application of the splint

– The importance of the use of splints

– Synonyms for intraoral splints. Splint types and their characteristics

– Statistics about splints

– Dental splint prescription patterns

– What specialists use splints?

– Supposed modes of splint action

– Verticalization and Costen's syndrome

– The discus-positioning effect

– The muscle "pacifying effect"

– The bruxism effects. Splint materials

– The effect of removing interferences

– The congitive-awareness effect

– Disc dislocation

– "Re-capturing"

– Relieve of the TMJ.

– What does treatment strategy include

– Stages of TMJ treatment using splint

– Detailed indications for splint therapy.

– Splints indication referred to muscle disorders:

- neuromuscular dysfunction

- muscle spasm

- muscle spasticity

- muscle splinting.

– Splint as a device:

- nightguard

- stabilization splint

- positioning splint

- re-positioning splint

- reversible splint

- over the counter splints

- reflexed splints

- jig

- sandwich splint

- drum splint.

– Short term splints and long term splints.

– Systematic functional analysis

– Patient and expert: a possible and frequently observed discrepancy

– Subjective and objective of the treatment

– Medical anamnesis

– Questionnaires

– Occlusal Index

– Dialog and conversation.

– Objective information

– Muscle palpation

– Groups of muscles. Types of movement

– Masticatory, tongue and neck muscles

– Comparative muscle palpation.

– Ligamental structures of TMJ

– Macroscopic anatomy of TMJ

– Incongruent structures

– Combined translation and rotation

– Stability of TMJ

– Border movements

– TMJ palpation points.

– Cranial nerves

– Anatomy of cranial nerves

– Questionnaire for cranial nerves examination

– Headache and migraine symptoms.

– Determining and measuring chewing function

– Assessment of performance

– Appliances and devices for chewing function assessment

– Steps of chewing function assessment.

– Analysis of bruxing facets in oral cavity and on the cast model

– Instrumental clinical analysis of bruxism

– BruxChecker application. Analysis of the results

– Correlation between occlusal discrepancies and aggressive periodontitis

– Graduation and clinical classification of bruxism

– Fundamental paradigm of bruxism

– Digital services for bruxism evaluation

– Analysis and evaluation of data received.

– Screening of posture and balance

– Relation to splint therapy

– Adapted Meersseman test

– Hypermobility syndrome

– Chronic pain syndrome.

– Problems that may arise when treating with splints

– Involvement of occlusion on splint therapy

– Occlusal quality and occlusal functions

– Initial therapy and interim analysis

– Therapeutic sequence

– CMS system.

– Individual elements of oral splints

– Designing the occlusal surface of splints

– Deciding making about splint guide elements.

– Basic manipulations and principles of manufacturing splints in the articulator

– Digital and manual protocols for splints manufacturing.

– Success factors for treatment using splints

– Individual splints

– Splint adaptation and grinding

– Surveillance and monitoring of treatment.

– Changing the VDO as an element of splint therapy

– Application of multilayer splints

– Verticalization strategy. Vertical splints.

– Systematic assessment of the occlusion and muscles condition

– Myorelaxing splints. Elimination of myofascial problems.

– Reciprocal clicking. Symptoms and etiology

– Consequences of the reciprocal clicking for the TMJ

– Choice of therapeutic position for splint therapy based on the condylography data.

– Pathophysiology of TMJ with displaced articular disc

– Dynamics of dislocation and correction of the articular disc

– Treatment of anterior disc displacement with reduction.

– Risks of degenerative diseases of the temporomandibular joint developing with disc displacement

– Differential diagnosis of anterior disc displacement without reduction.

– What to do in case of anterior disc displacement without reduction

– Signals on condylography with a permanently displaced disc

– Treatment planning for anterior disc displacement without reduction.

– TMJ compression. Compression degree

– TMJ distraction

– What is synovial fluid for?

– What effect does mechanical pressure have on the structures of the TMJ.

– Special types of splints. Placebo splints

– Flat splints. Their effect on the position of the mandible in the absence of guidance

– Difference in efficiency of arbitrarily or kinematically manufactured splints.

– Retrospective method of the therapeutic position determination

– How to proceed to the next necessary treatment procedures.