Oral splints: diagnosis, design and treatment protocols

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23 lezioni + 1 gratis (8o 14m)

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Descrizione

This is a course on splint therapy in the concept of Slavicek!

 

During the course you will learn how to:

 

– Conduct muscle and occlusion examinations

– Make a functional diagnosis

– Determine indications to a specific type of a splint

– Plan TMD treatment using a splint

– Reposition the mandible and change the VDO.

 

The course is for prosthodontists, orthodontists and functional dentists.

Lezione 1.Splints - the crutches of dentistry. Intro and basic thoughts

– 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?


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 2.Historical review - the literature up to 1995

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 3.Convergence of diagnostics, divergence of therapy, indications for intraoral splints

– What does treatment strategy include

– Stages of TMJ treatment using splint

– Detailed indications for splint therapy.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 4.Concepts and terminology

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 5.Systematic assessment - main concern and occlusal index

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 6.Comparative muscle palpation

– Objective information

– Muscle palpation

– Groups of muscles. Types of movement

– Masticatory, tongue and neck muscles

– Comparative muscle palpation.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 7.TMJ palpation

– Ligamental structures of TMJ

– Macroscopic anatomy of TMJ

– Incongruent structures

– Combined translation and rotation

– Stability of TMJ

– Border movements

– TMJ palpation points.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 8.Neurological screening

– Cranial nerves

– Anatomy of cranial nerves

– Questionnaire for cranial nerves examination

– Headache and migraine symptoms.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 9.Analysis of functions - chewing function

– Determining and measuring chewing function

– Assessment of performance

– Appliances and devices for chewing function assessment

– Steps of chewing function assessment.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 10.Analysis of the functions – bruxing

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 11.Occlusion and posture - clinical screening

– Screening of posture and balance

– Relation to splint therapy

– Adapted Meersseman test

– Hypermobility syndrome

– Chronic pain syndrome.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 12.Problem list and treatment strategy

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 13.Construction elements and decision making

– Individual elements of oral splints

– Designing the occlusal surface of splints

– Deciding making about splint guide elements.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 14.Production of splints in the articulator

– Basic manipulations and principles of manufacturing splints in the articulator

– Digital and manual protocols for splints manufacturing.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 15.Clinical application: looping in and adaptation

– Success factors for treatment using splints

– Individual splints

– Splint adaptation and grinding

– Surveillance and monitoring of treatment.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 16.Verticalization rail

– Changing the VDO as an element of splint therapy

– Application of multilayer splints

– Verticalization strategy. Vertical splints.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 17.Splints with a focus on myofascial problems, myorelaxation splints

– Systematic assessment of the occlusion and muscles condition

– Myorelaxing splints. Elimination of myofascial problems.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 18.Basics of reciprocal clicking - including condylography

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 19.Splints with a focus on the temporomandibular joint - anterior disc displacement with reduction

– Pathophysiology of TMJ with displaced articular disc

– Dynamics of dislocation and correction of the articular disc

– Treatment of anterior disc displacement with reduction.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 20.Basics of chronic joint blockade - including condylography

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

– Differential diagnosis of anterior disc displacement without reduction.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 21.Splints with a focus on the temporomandibular joint - 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 22.Distraction and compression - definition and therapeutic use

– TMJ compression. Compression degree

– TMJ distraction

– What is synovial fluid for?

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


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 23.Special rails

– 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.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Lezione 24.Walking back, final treatment strategy and therapeutic position

– Retrospective method of the therapeutic position determination

– How to proceed to the next necessary treatment procedures.


Recommended for: Functional dentists, Prosthodontists, Orthodontists.

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Lettori 1

Founder, CEO and owner of Orehab Minds GmbH, Stuttgart. Honorary member of the Romanian Dental and Maxillo-Facial Prothetic Society, the Italian Association of Gnathology. Visiting Professor of the First Moscow State Medical University. Honorary Professor of the Ukrainian State Medical Academy.
 

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