Detalhes do curso

Aulas do curso

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Detalhes

11 aulas (17h 12m)

inglês

Aula 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.

Aula 2.MRI evaluation of the TMJ

– MRI image: physical aspects of a high-quality image

– TMJ imaging protocol

– Features of fluid visualization on MRI

– MRI diagnosis of TMJ pathology

– Normal TMJ anatomy on MRI

– Signs of TMJ collagen destruction

– Partial disc displacement: radiological signs

– Complete disc dislocation

– Types of disc dislocation and their radiological signs

– Radiological signs of dystrophic TMJ diseases.

Aula 3.Оcclusal plane and the TMD

– Growth and development of maxillofacial region: predisposition to the formation of pathology

– Рostural changes with mismatch of the upper and lower jaw

– Correction of the occlusal plane: goals and objectives

– Criteria for the analysis of the occlusal plane

– Levers of class I and II: the relationship with the development of pathology

– Classification of the condyle position by Gerbert

– Condyle compression: definition, causes and diagnosis by CBCT

– Isotonic bruxism: clinical manifestations, etiology and diagnosis

– Postura: importance for making a correct diagnosis

– Deprogramming method by NEFF

– Methods of orthodontic treatment: how to avoid condyle compression

– Methods of articular disc reduction.

Aula 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

– 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 osteogenesis for mandibular widening: indications and techniques

– Virtual surgical planning (VSP) of surgeries

– Maxilla osteotomy: technical aspects

– Methods of improving nasal breathing during orthognathic surgery

– Surgery first before orthodontic treatment: indications, contraindications and risks

– 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.

Aula 5.Common TMJ Conditions that can Adversely Effect Dental, Orthodontic, and Surgical Treatment

– Evaluation of the state of the TMJ: main criteria

– Anterior displacement of the articular disc

– Mitek Mini anchor technique: indications

– TMJ pathologies leading to condyle growth:

- Condylar hyperplasia type I (1A and 1B)

- Condylar hyperplasia type II (osteochondroma).

– Protocol for the treatment of type II condylar hyperplasia

– 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, trauma, tumors, ankylosis: causes, MRI diagnostics and treatment tactics

– Craniofacial deformities: surgical tactics

– Connective tissue diseases and autoimmune disorders.

Aula 6.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.

Aula 7.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.

Aula 8.Large Bimaxillary CCW in TMJ patients with disc displacement & osteoarthrosis without TMJ surgery. Is it stable?

– TMJ pathology: determining the need for surgery

– Intra-articular TMJ disorders in patients with maxillofacial deformities

– Articular disc reposition: effectiveness in the prevention of degenerative diseases of the TMJ

– Mobility or position of the disc: the most significant parameters

– Causes of relapses after surgery

– Changing the position of the condyle during surgery

– How to avoid condyle torque

– Virtual planning of TMJ surgery

– Performing sagittal split osteotomy without condyle compression

– Performing passive rigid fixation without condylar damage

– A comprehensive protocol for the treatment of distal occlusion in a patient with a hyperdivergent type of face.

Aula 9.Оcclusion and posture correlations. Differential diagnoses with other problems

– Flowchart of possible investigated correlations;

– Pathophysiology of postural alterations of the head;

– Repeatable scientific approach to postural analysis: ScanPosture system;

– The goals of the analysis: differential diagnosis between mouth, eyes and feet (and more);

– Clinical cases.

Aula 10.TMJ Stabilization. Part 1

– What are key disc, muscle, and joint change questions?

– What important factors describe the shape, cortex, and position of the TMJ?

– Does TMJ remodeling create surgical, orthodontic, and prosthetic relapse?

– How do condylar torque, bruxism, and low vitamin D cause condylar resorption and mandibular relapse?

– What publications have described medical management of the TMJ?

– Is late mandibular relapse secondary to condyle position change during surgery?

Aula 11.Relapses in the treatment of TMJ diseases: etiology, diagnosis, treatment

– What surgical techniques are associated with late relapse?

– How do bicortical screws cause late relapse of the mandible?

– How does the medial pterygoid muscle affect relapse?

– Is a long BSSO or short BSSO split desired and why?

– What is done presurgery, during surgery, and after surgery to stabilize the TMJ?

– Do medications control bite correction relapse?

– Do splints stabilize or injure the TMJ?

O curso inclui aulas:

Aula 1

Physiologically Driven Full Mouth Restoration

Jay Harris Levy

Aula 2

MRI evaluation of the TMJ

Dania Tamimi

Aula 3

Оcclusal plane and the TMD

Claudia Casanova Arambula

Aula 4

Occlusal plane and orthognathic surgery

Larry Wolford

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conferências 7

Cirurgião oral e maxilofacial especializado em cirurgia ortognática, reconstrução facial e cirurgia da articulação temporomandibular. Cofundador do FAB (Face Airway Bite) Software com Nemotec. Prática privada no Arnett & Gunson Facial and Dental Institute, Santa Barbara, Califórnia.

Mais de 40 anos de experiência clínica e de pesquisa em cirurgia corretiva de mandíbula e estética facial. Desenvolvedor de sistema abrangente de análise cefalométrica integrando avaliação de tecidos moles com avaliação esquelética para diagnóstico e planejamento de tratamento superiores. Criou FAB Software fornecendo planejamento virtual de tratamento 3D para ortodontistas e cirurgiões, permitindo importação de todas as modalidades 3D (escaneamentos intraorais, fotos 3D, dados DICOM) para diagnóstico, simulação de cirurgia virtual e impressão de splints cirúrgicos e modelos. Em cooperação com KLS Martin, desenvolveu sistema de fixação com placas e parafusos Arnett Orthognathic Surgery 2.0 projetado especificamente para grandes avanços e rotações anti-horárias abordando deformidades esquelético-faciais comuns.

Autoridade internacional em cirurgia ortognática tendo lecionado extensivamente mundialmente. Nomeações acadêmicas em múltiplas instituições prestigiosas: Assistant Professor no Department of Orthodontics na Loma Linda University; Clinical Assistant Professor na USC School of Dentistry; Senior Lecturer em Oral and Maxillofacial Surgery na UCLA School of Dentistry; Clinical Professor no Department of Oral and Maxillofacial Surgery na University of Texas Health Science Center at San Antonio; Visiting Professor na Universidad del Desarrollo School of Dentistry, Santiago, Chile.

DDS com honras pela University of Southern California School of Dentistry. Certificado em Oral and Maxillofacial Surgery com honras pela University of California, Los Angeles (UCLA). Coautor com Dr. Richard McLaughlin de "Facial and Dental Planning for Orthodontists and Oral Surgeons," livro didático estabelecendo abordagem integrada para diagnóstico e planejamento cirúrgico. Autor de numerosas publicações revisadas por pares sobre análise cefalométrica, avaliação de tecidos moles, técnicas cirúrgicas e cirurgia da ATM. Foco de pesquisa inclui cirurgia de reconstrução facial, ortodontia cirúrgica, gerenciamento de via aérea e estabilidade a longo prazo dos resultados da cirurgia ortognática.

Cirurgião oral e maxilofacial especializado em reconstrução da articulação temporomandibular (ATM), cirurgia ortognática, cirurgia de apneia obstrutiva do sono e correção de deformidades craniofaciais. Professor Clínico na Texas A&M University College of Dentistry, Departamentos de Cirurgia Oral e Maxilofacial e Ortodontia. Prática privada em tempo integral no Baylor University Medical Center, Dallas, Texas.

Mais de 46 anos de experiência clínica, docente e de pesquisa em cirurgia maxilofacial complexa. Reconhecido internacionalmente como o cirurgião líder mundial em cirurgia de revisão da ATM e cirurgia ortognática, tendo completado mais cirurgias de revisão do que qualquer outro cirurgião globalmente. Patrocinou e dirigiu um Fellowship Program in TMJ and Orthognathic Surgery no Baylor University Medical Center por 28 anos (até recentemente), treinando centenas de cirurgiões orais e maxilofaciais de todo o mundo. Inovador e desenvolvedor de numerosas técnicas cirúrgicas, filosofias e protocolos de tratamento baseados em evidências usados mundialmente em cirurgia da ATM, cirurgia ortognática e cirurgia de apneia do sono.

Inventor de múltiplos dispositivos cirúrgicos e próteses articulares totais incluindo sistemas de substituição articular total específicos do paciente TMJ Concepts. Desenvolveu protocolos cirúrgicos para gerenciar patologia da ATM complexa incluindo desarranjos internos, doença degenerativa articular, anquilose, reabsorção condilar e deformidades congênitas. Pioneiro na reconstrução simultânea da ATM com cirurgia ortognática alcançando oclusão funcional e estética facial em procedimentos de estágio único. Palestrante internacional apresentando em grandes conferências mundialmente sobre inovações em cirurgia da ATM, cirurgia ortognática de revisão e cirurgia de via aérea para apneia do sono.

DMD. Cirurgião Oral e Maxilofacial certificado por conselho. Recipiente dos prestigiosos William J. Gies Award e W. Harry Archer Award, duas das honras mais altas em cirurgia oral e maxilofacial, reconhecendo contribuições importantes para a especialidade. Coautor de dois livros didáticos sobre distúrbios da ATM e cirurgia ortognática. Co-editor de dois livros didáticos adicionais. Autor de mais de 45 capítulos de livros. Publicou mais de 225 artigos científicos revisados por pares e mais de 150 resumos científicos. Investigador Principal ativo em múltiplos estudos de pesquisa aprovados pelo IRB no Baylor University Medical Center incluindo resultados para reconstrução da ATM com componentes de liga de titânio, hipersensibilidade a metais em pacientes com ATM e tratamento de artrite idiopática juvenil. Extenso registro de publicações documentando resultados a longo prazo da reconstrução da ATM, protocolos de cirurgia ortognática e tratamento de condições craniofaciais complexas. Pacientes viajam de todo o mundo para Dallas para cirurgias de revisão da ATM e ortognáticas complexas. Votado entre cirurgiões maxilofaciais líderes no mundo por colegas. Listado em Who's Who in the World.

Radiologista oral e maxilofacial especializada em diagnóstico por imagem avançado, interpretação de TCFC e radiologia diagnóstica para casos complexos. Prática privada em Orlando, Flórida, dedicada exclusivamente a consultas de radiologia oral e maxilofacial.

Mais de 20 anos de experiência em diagnóstico por imagem para planejamento de implantes, distúrbios da ATM, avaliação de vias aéreas e detecção de patologias. Atua como consultora de radiologia para práticas dentárias e instituições educacionais, fechando a lacuna entre odontologia e medicina através de análise radiográfica precisa. Professora Assistente Clínica Adjunta na Universidade do Texas e Diretora de Educação no Institute of Advanced Maxillofacial Imaging.

Palestrante internacional ministrando cursos sobre interpretação de TCFC, diagnóstico por ressonância magnética para ATM e protocolos de imagem para implantodontia e planejamento de tratamento ortodôntico. Autora principal dos livros didáticos "Specialty Imaging: Dental Implants" e "Specialty Imaging: Temporomandibular Joint and Sleep-Disordered Breathing" e coautora de "Diagnostic Imaging, Oral and Maxillofacial" (Elsevier).

BDS pela Universidade King Saud, Riad, Arábia Saudita (1999). DMSc e Certificate of Fellowship em Radiologia Oral e Maxilofacial pela Harvard School of Dental Medicine (2005). Certificada pelo Conselho Americano de Radiologia Oral e Maxilofacial (ABOMR). Fellow do Royal College of Physicians and Surgeons (Glasgow). Membro do Conselho Editorial de Oral Surgery, Oral Pathology, Oral Medicine and Oral Radiology (OOOO), e revisora para DMFR, Oral Radiology, Head and Neck, Angle Orthodontist e American Journal of Orthodontics and Dentofacial Orthopedics.

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TMJ stabilization and remodeling: occlusal plane, posture, MRI and splints