TMJ stabilization and remodeling: occlusal plane, posture, MRI and splints
The lecturers of the training are specialists in 4 areas of dentistry, which is why this course fully reveals the issues of working with TMJ.
Gold lecturer staff:
– Larry Wolford
– Piero Silvestrini Biavati
– Jay Harris Levy.
Our doctors will talk about the key points of TMJ stabilization and remodeling:
– Physiologically driven full mouth restoration
– Relationship between the occlusal plane and TMD
– Gnathological treatment of TMJ diseases
– Surgical repositioning of the occlusal plane and treatment of upper airway obstruction.
Lesson 1.Physiologically driven full mouth restoration
– The concept of static and dynamic occlusion
– Principles of occlusion, postural and respiratory stability
– The role of the orthodontist in total rehabilitation
– Occlusal splints in total prosthetics
– Passive muscle tone: influence on the posture and orientation of the TMJ
– Centric relation: dependence on the position of the head
– The theory of the sliding skull and the system of postural control
– Function of occlusal tires and front positioners
– Sensory-motor integration: influence on the closure of teeth
– Theory of interdental mechanoreceptors
– Principles of using occlusal splints as a temporary prosthesis
– The relationship of occlusion and airways.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 2.The 4 fundamentals of gnathological treatment, advance, align, open, distract
– Etiological factors of gnathological problems: influence of skeletal bones, teeth and muscles
– Anatomy and pathophysiology of TMJ
– Functional changes in TMJ pathology
– Extension of the mandible: anatomical justification of the treatment method
– Goals of normalization of the mandibular position
– Postural changes and the position of the TMJ: the relationship
– Restoration of the VDO: tasks
– Indications and advantages of the distraction method.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 3.Оcclusion and posture correlations. Differential diagnoses with other problems
– Postura and posturodontics: the concept of the human body
– Causes and mechanism of development of postural changes
– Scientific approach to postural analysis: ScanPosture system
– Differential diagnosis of "mouth-eyes-feet"
– Algorithm of actions in detecting postural changes: strabismus, scoliosis
– Indications for postural analysis in dental practice.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 4.Occlusal plane and orthognathic surgery
– Chin surgery: bone and alloplastic augmentation
– The technique of chin surgery
– Mandibular subapical osteotomy: indications and methods
– Mandibular sagittal split osteotomy: tools, advantages and modification of the technique
– Relapses of the mandible position after orthognathic surgery: causes.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 5.Maxillary osteotomy. Improving nasal breathing
– Orthognathic surgery and TMJ problems
– Posterior displacement of the lower jaw
– Third molars: the timing of extraction before orthognathic surgery
– Methods of prevention of postoperative complications
– Distraction mandibular osteogenesis: indications and techniques
– Virtual surgical planning (VSP) of surgeries
– Maxillary osteotomy: technical aspects
– Surgical maxillary expansion
– Methods of improving nasal breathing during orthognathic surgery
– Patient management in the postoperative period.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 6.Surgery first approach. Surgical change of the occlusal plane
– Surgery first before orthodontic treatment:
- Indications
- Contraindications
- Risks.
– Occlusal plane: definition
– Change of the occlusal plane
– Indications for surgical change of the occlusal plane
– Advantages of clockwise rotating of the maxilla-mandibular complex
– Counter-clockwise rotation of the maxilla-mandibular complex: functional and aesthetic changes.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 7.TMJ surgery. Condylar hyperplasia
– Evaluation of the state of the TMJ: main criteria
– Anterior displacement of the articular disk
– Mitek Mini anchor technique: indications
– TMJ pathologies leading to condyle growth:
- Condylar hyperplasia type 1 (1A and 1B)
- Condylar hyperplasia type 2 (osteochondroma).
– Protocol for the treatment of type 1 condylar hyperplasia
– Protocol for the treatment of type 2 condylar hyperplasia
– Clinical cases.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 8.Total TMJ prosthetics. Reactive arthritis
– The space-opening technique for disk repositioning with Mitek anchor (Dallas procedure)
– Causes of progressive condyle resorption in growing and adult patients
– Adolescent internal condylar resorption (AICR): pathophysiology and treatment methods
– Total TMJ prosthetics: indications and surgical technique
– Virtual surgical planning of treatment
– Reactive arthritis: causes, MRI diagnostics and treatment tactics
– Clinical cases.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 9.Trauma, tumors, ankylosis. Craniofacial deformities
– Trauma: causes, MRI diagnostics and treatment tactics
– Tumors: causes, MRI diagnostics and treatment tactics
– Ankylosis: causes, MRI diagnostics and treatment tactics
– Craniofacial deformities: surgical tactics
– Hemifacial microsomia: treatment protocol
– Treacher Collins syndrome: treatment protocol
– Juvenile idiopathic osteoarthritis: treatment protocol
– Connective tissue diseases and autoimmune disorders
– Сlinical cases.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Lesson 10.Diagnosis and Management of Upper Airway Obstruction and Sleep Apnea
– Obstructive sleep apnea syndrome: classification, symptoms and diagnosis
– Zones and effects of upper airway obstruction: nose, mouth, oropharyngeal region
– Cephalometric factors of obstructive sleep apnea
– Appliances for the treatment of sleep apnea: an overview
– Surgical treatment of upper airway obstruction
– Removal of nasal conchae: radiological assessment and indications
– Adenoid tissue hypertrophy: surgical tactics
– Modified UPPP technique
– Macroglossia: glossotomy technique
– Posterior respiratory space: ways to increase
– Counter-clockwise rotation of the maxilla-mandibular complex for the treatment of sleep apnea
– TMJ pathologies associated with sleep apnea
– Orthognathic surgery and additional manipulations for the treatment of upper airway obstruction and sleep apnea.
Recommended for: Orthodontist, Oral and Maxillofacial Surgeons, Prosthetist, Gnathologist, General Dentist.
10 lessons (11h 22min)
