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Bruxism: diagnosis and management. Adults and children
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Sadao Sato
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Mauro Farella
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Iacopo Cioffi
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Maria Clotilde Carra
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Claudia Restrepo
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Carlo Poggio
Dettagli del corso
Lezioni del corso
Lezioni del corso
Lettori
Dettagli
6 lezioni (11o 41m)
Inglese
Descrizione
-
Lezione 1.Sleep bruxism: from oromotor behaviour to comorbidity
– Definition of bruxism: differences between awake and sleep bruxism
– International classification of sleep disorders
– Types of bruxism: primary, secondary and comorbidity
– Types of activity of the chewing muscles during sleep
– Etiology of sleep bruxism: hypotheses
– Sleep bruxism and related conditions
– Snoring and obstructive sleep apnea: norm and pathology
– Characteristics of parasomnia
– Secondary forms of sleep bruxism
– Modern gadgets and their impact on sleep and bruxism
– The clinical significance of bruxism
– Principles of diagnosis and treatment of bruxism
– Bruxism and tooth wear
– The role of the dentist in the diagnosis and treatment of bruxism.
Lezione 2.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
– The slope of the canine guide: diagnosis and significance in bruxism
– 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 mandible position.
Lezione 3.Prosthodontic and interdisciplinary bruxism treatment
– Goals and objectives of prosthodontic treatment
– The concept of "non-invasive" in the treatment of bruxists
– Rehabilitation or aesthetic dentistry: treatment tactics for bruxism
– Indications for changing occlusal relationships
– Full crowns or partial adhesive restorations: selection algorithm
– Digital bruxism treatment protocol: benefits
– Total prosthetic rehabilitation: clinical examples
– Occlusion: a role in bruxism treatment planning
– An interdisciplinary approach in the treatment of bruxism
– Occlusion on implants: risks of bruxism.
Lezione 4.How to identify and manage yellow flags to improve management of patients with awake bruxism and temporomandibular disorders
– Pathophysiology of pain
– Awake bruxism as the main determining factor of TMD
– The concept of central and peripheral sensitization
– Psychological models of pain
– Risk factors for the development of TMD
– The relationship of bruxism and TMD
– Depression: signs and symptoms
– The effect of occlusion on TMD
– Signs of awake bruxism
– Approach to the treatment of patients with bruxism: a decision-making algorithm.
Lezione 5.Bruxism in children. A change of a paradigm
– Etiology of bruxism in children
– Neurotransmitters and sleep bruxism in children: correlation
– Clinical classification of bruxism
– Occlusion and the psychobiosocial model
– Effects of sleep bruxism: positive and negative
– Factors of the development of bruxism:
- Modern gadgets
- Airway obstruction: asthma
- Medicines.
– Assessment of bruxism: anamnesis collection and clinical examination
– Instrumental examination: polysomnography and electromyography
– Principles of treatment of bruxism:
- Psychological therapy
- Occlusal splints and functional devices
- Diet
- Screen time
- Improvement of airway patency
- Physiotherapy treatment.
Lezione 6.Bruxism and orthodontics: an overview
– The concept of bruxism: awake and sleep bruxism
– Risk factors for awake bruxism
– Pathophysiology of the masticatory muscles activity
– Sleep bruxism: risks of development and consequences
– Chronological wheel of Bruxism
– Methods of diagnosis of bruxism: clinical criteria
– The severity of bruxism and worn dentition: the relationship
– Changes in the pH of the oral cavity: external and internal factors
– Bruxism: diagnostic difficulties
– Occlusal splints: advantages and disadvantages
– Principles of treatment of bruxism
– Michigan splint: the principle of operation.
Il corso include le seguenti lezioni:

Lezione 1
Sleep bruxism: from oromotor behaviour to comorbidity
Maria Clotilde CarraMostra il programma della lezione
0:01
Introduction and Definitions of Bruxism
5:02
Classification: Sleep‑related Movement Disorder
8:03
Primary, Secondary and Comorbid Bruxism
10:28
RMMA: Masticatory Muscle Activity During Sleep
17:56
EMG Patterns and Episode Types (Phasic/Tonic/Mixed)

Lezione 2
Occlusion concept based on bruxism function of the masticatory organ
Sadao SatoMostra il programma della lezione
0:01
Introduction and historical background of bruxism
9:43
Limbic hypothesis: bruxism as stress behaviour
19:26
Brax Checker device and occlusion concepts
29:09
Sleep bruxism physiology: RMMA and autonomic sequence
38:52
Sleep lab results: sympathetic–parasympathetic dynamics

Lezione 3
Prosthodontic and interdisciplinary bruxism treatment
Carlo PoggioMostra il programma della lezione
0:01
Introduction & scope: prosthodontics in bruxers and TMD
6:19
Long‑term bruxism case: night guards and non‑restorative management
13:53
Evidence review and diagnostic priority: do not change occlusion
16:48
Aesthetic case: provisional vertical opening, veneers and crowns
25:30
Patient motivation and oral‑health‑related quality of life
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