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

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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?

– 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?