Bruxism and Apnea Treatment

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  • 8 премиум-уроков этого курса

Детали

8 уроков + 1 бесплатно (15ч 55мин)

14 CE Credits

14 CE Credits

Английский

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Описание

During this course you will obtain step-by-step protocols for the diagnosis and treatment of awake/sleep bruxism and sleep apnea in patients of all age groups. The training is suitable for dentists of all specialties.

Урок 1.Prosthodontic and interdisciplinary bruxism treatment

– Goals and objectives of prosthodontic treatment

– The concept of "non-invasive" in the treatment of bruxists

– Rehabilitation or aesthetic dentistry: treatment tactics for bruxism

– Indications for changing occlusal relationships

– Full crowns or partial adhesive restorations: selection algorithm

– Digital bruxism treatment protocol: benefits

– Total prosthetic rehabilitation: clinical examples

– Occlusion: a role in bruxism treatment planning

– An interdisciplinary approach in the treatment of bruxism

– Occlusion on implants: risks of bruxism.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 2.Sleep bruxism: from oromotor behaviour to comorbidity. Introductory lesson

– Definition of bruxism: differences between awake an sleep bruxism

– International classification of sleep disorders

– Types of bruxism: primary, secondary and comorbidity

– Types of activity of the chewing muscles during sleep

– Etiology of sleep bruxism: hypotheses

– Sleep bruxism and related conditions

– Snoring and obstructive sleep apnea: norm and pathology

– Characteristics of parasomnia

– Secondary forms of sleep bruxism

– Modern gadgets and their impact on sleep and bruxism

– The clinical significance of bruxism.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 3.Sleep bruxism: from oromotor behaviour to comorbidity

– Definition of bruxism: differences between awake an sleep bruxism

– International classification of sleep disorders

– Types of bruxism: primary, secondary and comorbidity

– Types of activity of the chewing muscles during sleep

– Etiology of sleep bruxism: hypotheses

– Sleep bruxism and related conditions

– Snoring and obstructive sleep apnea: norm and pathology

– Characteristics of parasomnia

– Secondary forms of sleep bruxism

– Modern gadgets and their impact on sleep and bruxism

– The clinical significance of bruxism

– Principles of diagnosis and treatment of bruxism

– Bruxism and tooth wear

– The role of the dentist in the diagnosis and treatment of bruxism.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 4.Occlusion concept based on bruxism function of the masticatory organ

– Stress management function of the masticatory organ

– The mechanism of formation of bruxism

– Bruxism and gastric ulcer: a study

– The concepts of allostatic response and allostasis

– The concept of stress management

– BruxChecker: diagnosis of bruxism

– Abfractions: causes of development

– The slope of the canine guide: diagnosis and significance in bruxism

– Methods for monitoring bruxism activity

– Muscle activity during sleep: a study

– Occlusion design in bruxism: the concept of sequential occlusion

– Change of the occlusal plane: a clinical example

– Disbalance of the autonomic nervous system: the influence of bruxism and the mandible position.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 5.Bruxism in orthodontic treatment

– The concept of bruxism: awake and sleep bruxism

– Risk factors for awake bruxism

– Pathophysiology of the masticatory muscles activity

– Sleep bruxism: risks of development and consequences

– Chronological wheel of Bruxism

– Methods of diagnosis of bruxism: clinical criteria

– The severity of bruxism and worn dentition: the relationship

– Changes in the pH of the oral cavity: external and internal factors

– Bruxism: diagnostic difficulties

– Occlusal splints: advantages and disadvantages

– Principles of treatment of bruxism

– Michigan splint: the principle of operation.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 6.Technical assessment of masticatory muscle activity. Tricks and treats for researchers and clinicians

– Bruxism and its biomechanical effects

– Electromyographic signals vs. bite forces

– Nature of electromyographic signals vs. other biosignals

– Dealing with electrical signals: basics of electricity

– Electromyographic acquisition

– Biosignal processing, analysis and classification

– Intra- and interindividual reproducibility

– Field measurements of bruxism

– Oral tasks and muscle contraction patterns

– Muscle fatigue and activity fluctuation

– Chewing frequency and electromyographic activity

– Biomechanical comparison between chewing and bruxism

– Masseter muscle behavior in different diagnostic groups

– Occlusion and electromyography

– Energy density in the temporomandibular joint

– Mechanobehavioral score

– Biomechanical effects of bruxism therapies.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 7.Bruxism as a cause of pain

– Bruxism and pain: the complexities of relationships

– Metamorphoses of ideas about bruxism

– Criteria for the classification of bruxism

– Assessment of bruxism: subjective and instrumental

– Tactics of management of patients with bruxism

– Analyze how are the events of sleep bruxism

– Muscle pain vs joint pain

– STAB: Standardized method for assessing bruxism

– Bruxism management: advantages of using occlusal splints

– Causes of muscle pain: vicious circle theory

– Myofascial pain: the mechanism for the development of muscle pain

– Physiology of synovial joints and the relationship with TMJ

– Autogenic muscle inhibition.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 8.Sleep apnea. What are the dentist's roles and responsibilities?

– Dental sleep medicine: a concept

– Groups of sleep disordered breathing (SDB):

 

- Obstructive sleep apnea syndrome (OSAS)

- Central sleep apnea syndrome (CSAS)

- Sleep-related alveolar hyperventilation.

 

– Complications of obstructive sleep apnea

– OSA diagnostics: polysomnography, polygraphy, apnea/hypapnea index

– BAVENO classification

– Identification of patients with apnea at a dental appointment: questionnaire

– Principles of apnea treatment:

 

- Behavioral therapy

- Surgical treatment

- Oral appliances.

 

– The role of the dentist in the treatment of apnea

– Intraoral devices for the treatment of apnea: monoblock and duoblock, titrable and non titrable

– Categories of patients with apnea at a dental appointment

– Criteria for dental evaluation of a patient with apnea

– Mandibular advancement device (MAD): indications, advantages and working mechanism

– CPAP vs MAD: which is more effective?

– Side effects of MAD: long-term and short-term

– OSAS and Bruxism: possible scenarios of interrelation

– Neuroplasticity and methods of brain stimulation

– Myofunctional therapy for obstructive sleep apnea

– Clinical stage of MAD manufacturing and oral examination.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Урок 9.Bruxism treatment: splint therapy, drug treatment, botulinum therapy

– Bruxism definition. Types of bruxism

– Epidemiology, physiopathology, diagnosis

– Bruxism consequences

– Is there a beneficial form of bruxism? When not to treat

– Treatment of sleep bruxism:

 

- occlusal therapy: yes or no?

- sleep improvement techniques and counseling

- drug management

- nightguards

- botulinum toxin

- systemic comorbidities control.

 

– Treatment of awake bruxism:

 

- electromyography for diagnosis and education counseling

- biofeedback techniques for habit reversal.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

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Лекторы 8

Получена докторская степень в области анатомии и степень магистра в области ортодонтии.

Приглашенный профессор ортопедической стоматологии Истманского института гигиены полости рта, Рочестерский университет (штат Нью-Йорк) (с 2009 года по настоящее время), приглашенный профессор по междисциплинарному лечению в аспирантуре по ортодонтии в Миланском университете (2000- 2012, 2015-настоящее время) и приглашенный профессор в Университете Сиены (2016-настоящее время).

Член Исполнительного совета и Президент 2019-2020  Итальянской академии ортопедической стоматологии (AIOP).

Ассоциированный член Академии ортопедической стоматологии и советник Американского Ортопедического сообщества.

Автор многочисленных статей и докладчик на международных конгрессах. Основные темы: междисциплинарное планирование, окклюзия, лечение пациентов с дисфункцией ВНЧС, безметалловое протезирование, дентальная имплантология.

 

1971 Ассистент кафедры ортодонтии стоматологического колледжа Канагава.

1979  Доцент кафедры ортодонтии стоматологического колледжа Канагава.

1988 Доцент кафедры ортодонтии стоматологического колледжа Канагава.

1991 Президент Японского технического и исследовательского фонда МПД (MEAW).

1992 Активный член общества ортодонтов Энгля.

1996 Профессор кафедры ортодонтии стоматологического колледжа Канагава.

2002 Профессор  кафедры черепно-лицевого роста стоматологического колледжа Канагава.

2004 Приглашенный профессор Школы стоматологии Университета Тафтса, Бостон, США.

2010 Декан стоматологического университета Канагава, Йокосука, Япония.

2011 Декан колледжа Сёнан, Йокосука, Япония.

2014 Работа в научно-исследовательском институте медицины окклюзии, Стоматологический университет Канагава, Йокосука, Япония.

2014 Член факультета IDEA, Сан-Франциско, Калифорния, США.

 
Доктор стоматологических наук. Магистр наук. Доцент Парижского университета Дидро.
 
Профессор и заведующий кафедрой ортодонтии в Университете Отаго, Новая Зеландия. Директор исследовательской программы черепно-лицевых исследований. Признанный эксперт в области изучения функций челюстей, бруксизма и ВНЧС.
 

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