DEPARTMENT OF GENERAL SURGERY AND MEDICAL-SURGICAL SPECIALTIES
Master's Degree in School of Dentistry
Academic Year 2017/2018 - 4° Year

RIABILITAZIONE OCCLUSALE

Teaching Staff

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

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
  

  Orthodontics Teaching Program IV year

  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

  o Medical histories

  o Compilation of orthognatodontic medical record

  • Instrumental examinations

  o Dental impression survey for studying models

  o BOLTON index

  o Dental class

  o Labial-lingual occlusal relationship

  o Alveolar-dental discrepancies

  o SPEE curve

  o Dental centre lines

  • Radiographic examination

  o Panoramic radiographic

  o Cranium latero-lateral Teleradiography

  o Cephalometric analysis of TWEED, STEINER, CAGLIARI, JARABAK, RICKETTS, DELAIRE.