Sadao Sato Online School
Sadao Sato Online School
Course overview
Sadao Sato Online School is:
8 leading experts in the occlusal plane concept
22 online-lessons
4 training modules:
Cranio-mandibular orthodontics. Early orthodontic therapy
Treatment of maloclussions using the occlusal plane concept
TMD bruxism orthodontic treatment
MEAW and alternative techniques.
This course combine prosthetics, orthodontics and functional dentistry.
Course lessons
Lesson 1. Cranio-mandibular orthodontics. Concept and principles. Introductory lesson
The evolution of cranio-mandibular orthodontics: a shift in concepts and paradigms
Occlusion medicine: new field of healing art based on bruxism as a stress management function
Mandibular position: most important subject in Cranio-Mandibular Orthodontics
Occlusal Plane: VDO and POP as an essential element
Occlusion Concept: sequential guidance
Malocclusion and TMD
Centric Relation (CR)
Reference Position (RP): physiological and deranged
Mandibular positioning.
Lesson 2. Cranio-mandibular orthodontics. Concept and principles
The evolution of cranio-mandibular orthodontics: a shift in concepts and paradigms
Occlusion medicine: new field of healing art based on bruxism as a stress management function
Mandibular position: most important subject in Cranio-Mandibular Orthodontics
Occlusal Plane: VDO and POP as an essential element
Occlusion Concept: sequential guidance
Malocclusion and TMD
Centric Relation (CR)
Reference Position (RP): physiological and deranged
Mandibular positioning
Clinical cases: class 2
Clinical cases: open bite
Clinical cases: closed lock joint.
Lesson 3. Therapeutic position concept in orthodontic treatment
The history of gnatology: the therapeutic position of the mandible
The concepts of «reference position» and the centric relation
Determination of the central relation
Diagnosis of the reference position: the algorithm
Choice of treatment tactics: decision-making algorithm
The concept of the reference position
The positioning mechanism of mandible
Occlusal support: the value for mandible positioning
Elements of the cranio-mandibular system
Planning the position of the condyle depending on the pathology
Determining the therapeutic position
Problems of class 2: retrusion guidance
Principles of pathology treatment in class 2
Treatment of complex clinical cases: restoration of hearing
Causes of relapses and methods of prevention.
Lesson 4. Significance of occlusal plane control in orthodontic treatment
Types of occlusal plane: GOP, AOP, POP
Angle of Disocclusion (AOD): calculation of the value
Occlusal plane and mandibular adaptation
Skeletal class 3 development
Influencing factors to occlusal plane during treatment: рosterior discrepancy
Mechanics of class 3 treatment
Development of class 2 high angle malocclusion
Tasks, principles and sequence of class 2 treatment
Arch form analysis: active and passive centric
Retrusive guide
Treatment of an open bite with chronic rheumatoid arthritis of the TMJ: a clinical example.
Lesson 5. Early orthodontic treatment based on sequential occlusion concept
The concept of two-stage orthodontic treatment
The advantage of early class 2 treatment
The principle of adaptation and compensation:
Adaptation phases
Compensation mechanisms.
Changes in occlusion during development: the effect of third molars
The retrusive guide and the retrusive barrier: morphological features of the first molars
The influence of the retrusive guide on the class 2 development
The concept of early orthodontic class 3 treatment
Indications for extraction of temporary incisors
The use of bite turbos in growing patients in class 2 treatment
Vertical compensation of class 3
Double arch wire mechanics.
Lesson 6. Open bite and Class 3. Etiological consideration and treatment approach
Vertical incisal disocclusion. Etiology
Vertical incisal disocclusion diagnosis
Changes in the occlusal plane during growth
Factors influencing the occlusal plane
Posterior discrepancy
Class 3. Etiology
Treatment protocol for Class 3 (with fully erupted third molars)
Open bite treatment protocol
Class 3 open bite treatment protocol
Class 2 open bite treatment protocol
Secondary open bite due to osteoarthritis
Secondary open bite treatment protocol
Class 3 and open bite treatment mechanics
Clinical cases.
Lesson 7. Class 2 malocclusion. Mandibular repositioning therapy
The relationship between the occlusal plane and malocclusion
Class 2: dentoalveolar and skeletal forms. Characteristic
The choice of class 2 method of treatment depending on the clinical case
Сlass 2 treatment planning
Traditional approach to class 2 treatment
Indications and contraindications for premolars extraction
Rules for the use of elastics
Mandibular repositioning in class 2 treatment
Retrusive guidance for class 2
Leveling: simple or strategic
Class 2 treatment with TMD
Clinical cases.
Lesson 8. Mandibular Lateral Displacement (MLD) Malocclusion
Characteristics of the Mandibular Lateral Displacement (MLD)
Diagnostics of the Mandibular Lateral Displacement (MLD)
X-ray examination
Cephalometric analysis
Relationship of occlusion pathology with the occurrence of TMD
Occlusal plane and Mandibular Lateral Displacement (MLD)
Treatment planning for Mandibular Lateral Displacement (MLD)
Biomechanics of orthodontic treatment of Mandibular Lateral Displacement (MLD)
Detailed protocol for the treatment of Mandibular Lateral Displacement (MLD)
Clinical cases.
Lesson 9. Low Angle Malocclusion
Cephalometric analysis
Malocclusion: causes and tactics
Growth and development of the skeleton: adaptation processes. Tilt angle control
Posterior discrepancy: the formation of vertical incisal disocclusion. Role of third molars
Vertical incisal disocclusion: treatment and prognosis
Options for class 3 malocclusion
Biological principles of pathology treatment: compensatory treatment
Occlusal cant correction: recommendations
Low angle class 3: characteristic features. Orthodontic Treatment Guide
Treatment of low angle сlass 3: approach and tactics
Adaptation and compensation: basic principles. Adaptation phases: types and mechanisms of compensation.
Lesson 10. Orthodontic treatment of high and low angle class 2 malocclusions based on CMS concept
Evolution of the human posture and facial skeleton
Principles of formation of malocclusion
The reasons for the formation of high angle class 2 and 3
The high and low angle class 3: the main differences and principles of treatment
Treatment mechanics of class 3: MEAW
Treatment concept for low angle class 3: increase vertical dimension of occlusion
Treatment mechanics of low angle class 2 malocclusion
Treatment of class 2 in combination with TMJ disease
Principles of treatment of high angle class 2.
Lesson 11. Benefits of orthodontics in treatment of malocclusion with TMD
Malocclusion: etiology and basic aspects
Methods of treatment of malocclusion
Craniofacial biology: principles of condyle growth
The relationship between class 2 and TMJ dysfunction
Stages of human skull development
Occlusion treatment: a decision-making algorithm
What is TMD?
The origin of concomitant symptoms of TMD
The sequence for the development of internal derangement
The idea of centric relation
Internal derangement: stages of development
Cranio-mandibular system: principles of operation in normal and pathological conditions
Orthodontic approach to the treatment of TMD: advantages
Protocol for the treatment of pathology in class 2 and TMD
Principles for the treatment of TMD.
Lesson 12. 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
Canine guidance
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 position of the lower jaw.
Lesson 13. Early treatment in Cranio-Mandibular Orthodontics
The relationship between orthodontics and prosthetics
Standard method of patient examination (complaints, anamnesis, detailed clinical examination)
Symptoms of TMJ muscle disorders in children
TMJ. Criteria for evaluating X-ray images
The structure and function of the TMJ in different periods of bite formation
Principles of diagnosis and treatment of class 2 and 3 in children
The obligatory use of diagnostic models when planning treatment in growing patients
Guidelines for the class 2 management in children. Choice of orthodontic appliances
3D mandibular reposition
Use of overlays in the treatment of class 2. Modeling and positioning of overlays in the oral cavity
Principles of treating children with TMD
Principles of class 3 treatment in children. Vertical compensation.
Lesson 14. Orthodontics in patients with Temporomandibular dysfunction
Why, after the completion of orthodontic treatment, when an ideal occlusion is achieved, TMJ symptoms develop
The Vienna concept of TMJ dysfunction treatment
The reasons for the appearance of wear facets with good disocclusion in the canine area
The limits of orthodontic treatment. Cranio-mandibular orthodontics
Orthodontic treatment planning taking into account the state of the temporomandibular joint
The main clinical signs of TMD
Mounting a model in the articulator - a mandatory step in treatment planning
Occlusal analysis: norm and deviations
Diagnosis of bruxism with a Bruxchecker
Prosthetic treatment of TMJ muscle disorders. Do we need a splint as a retainer.
Lesson 15. Cranio-mandibular orthodontics with aligners (Invisalign®)
Movement of teeth by aligners: biomechanical aspects
Optimal time of aligner therapy
Aligners and braces: comparison, advantages and disadvantages
Attachments: types and goals
Predictability of working with aligners: factors
Gingival-margin design of aligners
Form of attachments: influence on clinical effect
Principles of formation of pathological occlusion
Changing the position of the TMJ
Using mini implants
Features of planning on a clinical example.
Lesson 16. Clinical use of MEAW to treat different malocclusion
Variants of human phenotype development
Class 3 treatment:
Orthodontic camouflage
Combined treatment (orthodontics+surgery)
Vertical control.
Treatment with tooth extraction: techniques, recommendations
Stages of class 3 treatment
Biomechanical aspects of treatment
Functional adaptation of the mandible
Indications for the third molars extraction
The Mulligan Arch: technique and application advantages
Dentofacial discrepancy
Indications and contraindications for treatment in the MEAW concept
Condylography in treatment planning: advantages and disadvantages.
Lesson 17. Clinical application of orthodontic treatment according to the method of professor Sadao Sato in difficult clinical сases
Data from modern literature on maltreatment and complications dental treatment (side effect of technical revolution - invasive dental treatment; somewhere share the «simple» cases!)
Functional features (chewing, swallowing, speaking, etc.) patients with different types of facial skeleton
The concept of «functional space» and methods of its control in the course of complex dental treatment (concept Professor R. Slavicek and Professor S. Sato)
Signs of functional overload of teeth iatrogenic origin
Possibilities of orthodontic preparation of the oral cavity for prosthetics using the method of Professor S. Sato
Disadvantages of the «orthopedic method» for correcting anomalies
Functional diagnostics is the basis of safety in dentistry (examples of clinical use of condylography data, articulator and variator)
Joint planning of a new occlusal plane and formation of a «technical task» for the whole team specialists.
Lesson 18. Clinical cases of Class 2 high angle in growing patients, adults and with TMD: 12 years of experience with the Sato technique
Class 2: developmental factors, clinical criteria for diagnosis
Objectives of class 2 treatment and action plan
Third molar extraction: indications
Diagnostic pathology: orthopantomogram, teleroentgenogram, indices
Axiography: characteristics and advantages
Maxilla expansion: terms, methods and recommendations
Techniques for leveling the position of teeth
The mechanical aspects of the class 2 correction
Method of stabilization of premolars and molars
Occlusal plane restoration: recommendations
Retainers: recommendations and methods
TMJ dysfunction: features of orthodontic treatment.
Lesson 19. Clinical cases of Class 2 low angle: from diagnosis to follow up in growing patients, adults and patients with TMD
Class 2 development. The difference between the low angle and high angle
Objectives and goals of treatment: planning methodology
Instrumental and index evaluation. Assessment of the cervical vertebrae
TMJ dysfunction: diagnosis and assessment of the joint condition
Functional appliance: goals and objectives
Treatment of patients with TMJ dysfunction: methods and limitations
MEAW: methodology, advantages and disadvantages
Distalization: indications, technique
Features of treatment of teenagers and adults
Treatment tactics in different clinical situations.
Lesson 20. Diagnosis and Treatment of Class 3 Malocclusion using Gummetal archwires
Class 3 characteristics
Angle of inclination of the lateral occlusal plane
Evolution of the postura of the body
Hyperdivergent growth: characteristics and options
Posterior discrepancy effects
High and low angle class 3: differences
Principles of treatment of high angle class 3
Gummetal: characteristics and features
Stages of class 3 treatment
Gummetal Arch bending: recommendations
Features of the treatment of class 3 open bite
Treatment of low angle class 3: concept
Dental alveolar compensation and decompensation.
Lesson 21. 3D characteristics of mandibular lateral displacement malocclusion and its treatment with Gummetal arches
Asymmetry: diagnosis and treatment planning
Mandibular lateral displacement: characteristic
The effect of occlusion on the general condition
3d morphological characteristics of the lateral mandible displacement
Functional characteristics of pathology
Influence of the mandible position on the position of the temporal bone
Therapeutic position: treatment planning
Early treatment of mandibular lateral displacement
Prevention of morphological problems
Increasing the vertical dimension of the occlusion: techniques
Asymmetric activation of the Arc Utility
Diagnosis of airway volume.
Lesson 22. Early orthodontic treatment controlled by occlusion. Sadao Sato concept
The main goals of early orthodontic treatment
Phases of orthodontic treatment
Principles of the development of the facial skeleton
Functional and skeletal adaptation
Factors of development of the skeletal class species: the role of the posterior occlusal plane
MLD: key features
Transversal and sagittal disorders: causes
Displacement of the articular disc: types
Oral respiration: causes and effects on jaw development
Features of treatment at an early age
Maxillary expansion: indications and contraindications
Overlays: advantages and materials
Сlass 2: features of treatment
Functional appliances: advantages and disadvantages
Condyle growth concepts
The mechanism of mandible adaptation
Methods of early orthodontic treatment
Maintaining the correct bite position: principles
Criteria for the use of braces
Adaptation phases
VDO change: recommendations
Mistakes in treatment and prevention methods.