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11 Lektionen (17S 12M)

Englisch

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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?

Lektion 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?

Der Kurs beinhaltet die nächsten Lektionen:

Lektion 1

Physiologically Driven Full Mouth Restoration

Jay Harris Levy

Lektion 2

MRI evaluation of the TMJ

Dania Tamimi

Lektion 3

Оcclusal plane and the TMD

Claudia Casanova Arambula

Lektion 4

Occlusal plane and orthognathic surgery

Larry Wolford

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Dozenten 7

Oral and maxillofacial surgeon specializing in orthognathic surgery, facial reconstruction, and temporomandibular joint surgery. Co-founder of FAB (Face Airway Bite) Software with Nemotec. Private practice at Arnett & Gunson Facial and Dental Institute, Santa Barbara, California.

Over 40 years of clinical and research experience in corrective jaw surgery and facial aesthetics. Developer of comprehensive cephalometric analysis system integrating soft tissue assessment with skeletal evaluation for superior diagnosis and treatment planning. Created FAB Software providing 3D virtual treatment planning for orthodontists and surgeons, enabling import of all 3D modalities (intraoral scans, 3D photos, DICOM data) for diagnosis, virtual surgery simulation, and printing of surgical splints and models. In cooperation with KLS Martin, developed Arnett Orthognathic Surgery 2.0 plate and screw fixation system designed specifically for large advancements and counter-clockwise rotations addressing common skeletal-facial deformities.

International authority on orthognathic surgery having lectured extensively worldwide. Academic appointments at multiple prestigious institutions: Assistant Professor in Department of Orthodontics at Loma Linda University; Clinical Assistant Professor at USC School of Dentistry; Senior Lecturer in Oral and Maxillofacial Surgery at UCLA School of Dentistry; Clinical Professor in Department of Oral and Maxillofacial Surgery at University of Texas Health Science Center at San Antonio; Visiting Professor at Universidad del Desarrollo School of Dentistry, Santiago, Chile.

DDS with honors from University of Southern California School of Dentistry. Certificate in Oral and Maxillofacial Surgery with honors from University of California, Los Angeles (UCLA). Co-author with Dr. Richard McLaughlin of "Facial and Dental Planning for Orthodontists and Oral Surgeons," textbook establishing integrated approach to diagnosis and surgical planning. Authored numerous peer-reviewed publications on cephalometric analysis, soft tissue assessment, surgical techniques, and TMJ surgery. Research focus includes facial reconstruction surgery, surgical orthodontics, airway management, and long-term stability of orthognathic surgery outcomes.

Oral and maxillofacial surgeon specializing in temporomandibular joint (TMJ) reconstruction, orthognathic surgery, obstructive sleep apnea surgery, and craniofacial deformity correction. Clinical Professor at Texas A&M University College of Dentistry, Departments of Oral and Maxillofacial Surgery and Orthodontics. Full-time private practice at Baylor University Medical Center, Dallas, Texas.

Over 46 years of clinical, teaching, and research experience in complex maxillofacial surgery. Recognized internationally as the world's leading surgeon in TMJ revision surgery and orthognathic surgery, having completed more revision surgeries than any other surgeon globally. Sponsored and directed a Fellowship Program in TMJ and Orthognathic Surgery at Baylor University Medical Center for 28 years (until recently), training hundreds of oral and maxillofacial surgeons from around the world. Innovator and developer of numerous surgical techniques, philosophies, and evidence-based treatment protocols used worldwide in TMJ surgery, orthognathic surgery, and sleep apnea surgery.

Inventor of multiple surgical devices and total joint prostheses including TMJ Concepts patient-specific total joint replacement systems. Developed surgical protocols for managing complex TMJ pathology including internal derangements, degenerative joint disease, ankylosis, condylar resorption, and congenital deformities. Pioneer in simultaneous TMJ reconstruction with orthognathic surgery achieving functional occlusion and facial aesthetics in single-stage procedures. International lecturer presenting at major conferences worldwide on TMJ surgery innovations, revision orthognathic surgery, and airway surgery for sleep apnea.

DMD. Board-certified Oral and Maxillofacial Surgeon. Recipient of prestigious William J. Gies Award and W. Harry Archer Award, two of the highest honors in oral and maxillofacial surgery, recognizing major contributions to the specialty. Co-author of two textbooks on TMJ disorders and orthognathic surgery. Co-editor of two additional textbooks. Author of over 45 book chapters. Published over 225 peer-reviewed scientific articles and over 150 scientific abstracts. Active Principal Investigator on multiple IRB-approved research studies at Baylor University Medical Center including outcomes for TMJ reconstruction with all-titanium alloy components, metal hypersensitivity in TMJ patients, and juvenile idiopathic arthritis treatment. Extensive publication record documenting long-term outcomes of TMJ reconstruction, orthognathic surgery protocols, and treatment of complex craniofacial conditions. Patients travel from across the world to Dallas for complex TMJ and orthognathic revision surgeries. Voted among leading maxillofacial surgeons in the world by colleagues. Listed in Who's Who in the World.

Oral and maxillofacial radiologist specializing in advanced dental imaging, CBCT interpretation, and diagnostic radiology for complex cases. Private practice in Orlando, Florida, exclusively dedicated to oral and maxillofacial radiology consultations.

Over 20 years of experience in diagnostic imaging for implant planning, TMJ disorders, airway evaluation, and pathology detection. Serves as radiology consultant for dental practices and educational institutions, bridging the gap between dentistry and medicine through precise radiographic analysis. Adjunct Clinical Assistant Professor at the University of Texas and Director of Education at the Institute of Advanced Maxillofacial Imaging.

International lecturer teaching courses on CBCT interpretation, MRI diagnostics for TMJ, and imaging protocols for implant dentistry and orthodontic treatment planning. Lead author of textbooks "Specialty Imaging: Dental Implants" and "Specialty Imaging: Temporomandibular Joint and Sleep-Disordered Breathing" and co-author of "Diagnostic Imaging, Oral and Maxillofacial" (Elsevier).

BDS from King Saud University, Riyadh, Saudi Arabia (1999). DMSc and Certificate of Fellowship in Oral and Maxillofacial Radiology from Harvard School of Dental Medicine (2005). Board certified by the American Board of Oral and Maxillofacial Radiology (ABOMR). Fellow of the Royal College of Physicians and Surgeons (Glasgow). Editorial Board member for Oral Surgery, Oral Pathology, Oral Medicine and Oral Radiology (OOOO), and reviewer for DMFR, Oral Radiology, Head and Neck, Angle Orthodontist, and American Journal of Orthodontics and Dentofacial Orthopedics.

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