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RIABILITAZIONE OCCLUSALE

Teaching Staff

ROSALIA MARIA LEONARDI - Module GNATOLOGIA - MED/28 - 3 CFU
TEACHER NOT YET ALLOCATED - Module ORTODONZIA - MED/28 - 5 CFU

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Learning Objectives

• GNATOLOGIA
  

  The course aims to teach the pathophysiology of temporomandibular joint and masticatory muscles, as well as the most frequent causes of facial pain not of dental origin

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Detailed Course Content

• GNATOLOGIA
  

  Gnathology in dental practice

  Anatomy , neurophysiology and biomechanics of the TMJ and the complex skull - cervicospinale – mandibular

  Anatomy , biomechanics and neurophysiology of the masticatory muscles

  Pathophysiology of disk

  The jaw movements physiological

  Evidence-based gnatology

  Malocclusion and implications gnathological : classification and differential diagnosis

  The basic concepts of posture and its relationship with the occlusion and the stomatognathic

  The Classification of Diseases of ' temporomandibular joint

  The pathologies condylus - Hernia of Intervertebral Disc

  Le Neuromuscular disorders

  The congenital disease

  Generative diseases

  Pathologies gnathological interdisciplinary

  The pain definition, physiology , clinical differential diagnosis

  Principles of diagnosing diseases of ' temporomandibular joint

  The medical gnathological (compiling and collecting history data )

  The diagnosis according to the criteria RCD / TMD

  The clinical examination and objective occlusion and functions of ' articulation temporomandibular joint

  Examinations and physical tests and muscle

  Laboratory Tests Standard and complementary

  Examination electroghathosleepgraphic indications , method , semiotics ghathographic

  General principles of treatment of dysfunctional disorders : analysis and individualized treatment plan gnathological

  Cognitive behavioral therapy physiotherapy

  pharmacological approach occlusal splints

  Integrated treatment : indications and methods of control

• ORTODONZIA
  

  I. CRANIOFACIAL GROWTH:

  • Stomatognatic growth period: I period; II period (embryonic or organ-genetic one); III period ( fetal or period of improvement); IV period (post-natal growth)
  • ENLOW and FROST ossification principles
  • Aged-correlated changes of facial aspects
  • Anatomic regions as a function of craniofacial growth:
    1. Neurocranium
    2. Medial third of the face
    3. Lower third of the face

  II. OVERVIEW OF CRANIOFACIAL GROWTH

  • Growth prevision- Overlapping of cephalometric layouts- Dento-facial development theory
  • Dento-facial development theory:
    a. BROADBENT and of BOLTON relationship
    b. BRODIE
    c. BJORK and his seven points for growth prevision
    d. COBEN
  • Type of growth:
    e. According to TWEED
    f. According to JARABAK
  • Gnomonic growth theory, logarithmic spiral theory and neurotropism theory:
    g. According to THOMPSON, to MOSS, to RICKETTS, to SALENTIN;
    h. Stomatognatic growth according to RICKETTS: general overlapping, sectorial overlapping, model of growth prevision
  • Functional matrix theory (MOSS): definition, classification
  • VAN LIMBORG Theory

  III. EVOLUTION AND DEVELOPMENT OF DENTAL OCCLUSION

  • Pre-dental period and deciduous teething period: location of physiological rest, free interocclusal space, central occlusion, occlusion type by BAUME, differences between deciduous dental arch and adult dental arch.
  • Mixed teething period: eruption of permanent incisors, eruption of premolars and canines, lee-way space of Nance, order and period of eruption of canines and premolars, UGLY-DUCKLING syndrome.
  • Permanent teething period: dental arch shape, ideal arch, individual ideal arch:
    a. According To BONWILL and HAWLEY
    b. According To SCHWARTZ
    c. According To BURDIE
    d. According To BRADER
    e. According To SCHULHOF
    f. According To RICKETTS
  • Ideal Occlusion:
    g. According To RAMFLORD
    h. According To RICKETTS
    i. According To ANDREWS
    j. According To SLAVICEK

  IV. ETIOLOGY OF DYSGNATHIA:

  • • Introduction, classification of etiologic causes, orthodontic health education and prevention of etiologic causes of Dysgnathia during: - predental teething, - deciduous teething, - mixed teething and -permanent teething

  V. CLASSIFICATION OF DYSGNATHIA:

  • ANGLE classification
  • Skeletal classification of BALLARD
  • Classification according to Cagliari’s School
  • Classification according to Milan’s School (GIANNI)
  • RICKETTS Classification
  • MC NAMARA Classification
  • SLAVICEK Classification
  • Classification according to Catania’s School

  VI. BIOMECHANICS OF DENTAL MOVEMENTS

  • Introduction
  • Alteration of periodontal ligament under the action of an orthodontic strength
  • Alteration of alveolar bone under the action of an orthodontic strength
  • Time of dental movements
    1. Tipping
    2. Torque
    3. Extrusion
    4. Intrusion
    5. Rotation
    6. Body movements
    7. Up-righting
    8. Anchorage: introduction, a. intraoral, a. extraoral, a. system by RICKETTS

  VII. DIAGNOSIS

  • Clinical examination
    - Medical histories
    - Compilation of orthognatodontic medical record
  • Instrumental examinations
    - Dental impression survey for studying models
    - BOLTON index
    - Dental class
    - Labial-lingual occlusal relationship
    - Alveolar-dental discrepancies
    - SPEE curve
    - Dental centre lines
  • Radiographic examination
    - Panoramic radiographic
    - Cranium latero-lateral Teleradiography
    - Cephalometric analysis of TWEED, STEINER, CAGLIARI, JARABAK, RICKETTS, DELAIRE.

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