The 8 webinar course
on functional dentistry

1-Concept of “health”, as medical science increas-ingly evaluates the individual as a whole, physi-cal, metabolic and psychological. Therapy set keeping in mind the interactions between the vari-ous systems of our body. The collaboration be-tween specialists from different sectors is there-fore essential.
2-Clinical analysis of the patient: listening to the patient ’s (close and remote опущено) anamne-sis, and performing simple clinical tests, it is possible to formulate a suspicion diagnose it, frame it in the general context of the patient’s health and plan a gnathological, prosthetic or or-thodontic therapeutic plan, to be confirmed later by acquiring instrumental data.
3-The terms “overload” and “malocclusion”, litera-ture about entrusting occlusion with a determining causal role in temporomandibular joint disorders. How to approach the patient respecting his func-tion: occlusal, articular, muscular, postural, bring-ing the dentist back to the central role that he has in the treatment of dysfunctions and rehabilitation of the stomatognatic apparatus.
4- The least adaptable part of the system is the temporomandibular joint : joint function, which must always be respected to prevent adaptations in the shape and position of the meniscus and in the anatomy of the heads. bones, eminence planes and condyles. Condylography: useful data are obtained to set up an articulator with individu-al value and analysis of the movement patterns.
5- Dental occlusion, stable and repeatable maxi-mum intercuspation position, frontal and lateral-sided guides, facial bow with arbitrary values or with a joint rotation axis, different types of articu-lators with different prerogatives, articulating pa-pers, of different thickness,must be interpreted in a different way depending on the type used.
6- Analysis by surface electromyography of mus-cles that are inserted on the jaw, whose behavior on one hand is affected by an incorrect occlusal balance, on the other hand and capable of exert-ing anomalous stresses from the quantitative point of view towards the dental elements, natural or prosthodontic. The Teethan synchromiographic method for diagnostic purposes and for the cor-rect balancing of the occlusion in order to make it balanced.
7- Evaluation by the stabilometric platform allows to evaluate the air and the length of the oscilla-tions, the presence of postural torsion and anom-alies in the support of the foot. The data obtained from this examination are compared by inserting them into a simple card that allows to compare different conditions (open and closed eyes, con-tact teeth and in rest position, for example) in search of intercuspation relationships and strate-gies for postural control.
8- Functional loads of the athlet, dangerous for quantity, duration and direction, exposed to both direct macrotrauma and functional microtrauma.
9-PROTECTION: from overload, with a splint mouthguard perfectly balanced and stable The grinding patient, parafunctional for emotional, muscular or postural stress.
10- Case-report, to show how to record and in-crease Vertical Dimension avoiding overload and insuccess, applying this diagnostic protocol. Fa-cial Bow, cross mounting on individualized articu-lator, electromyography testing DV and balance of occlusion, use of stabilometric platform to unmask extra-oral relationship, use of occlusal splint to test the new mandibular position.
11- Final control of balance : anterior and lateral-sided guidance , balance of occlusion static and dynamic, using Brux-checker and s-Electromyography

The plan for the treatment of complex dysfunctional and non-dysfunctional cases requires an interdisciplinary approach that involves the most common branches of dentistry and an orthodontic, prosthetic approach which respects a functional-occlusal concept according to Professor Slavicek and Professor Sato’s philosophy (VIESID).
The pre-therapy with an occlusal splint or with temporary prosthesis allows the algic symptomatology to be solved and the therapeutic position tested. The subsequent orthodontic therapy using Sato's MEAW philosophy, enables a re-opening of the missing teeth’s spaces, an increase of the vertical dimension and the correction of the occlusal plane’s inclination. In this way, the mandible will be repositioned three-dimensionally. Implant terapy counts among its strengths the control of the vertical dimension, and the possibility of guiding the mandible in a sagittal and traversal reposition (3D).
The therapeutic procedure consists of verifying the therapeutic position(OCCLUSAL MANDIBULAR REPOSITION TECHNIQUE-OMRT Bassetti) by reassembling the temporary crowns in the articulator and valuate the R.P. (reference position); every correction has to be made on the resin so as to reach the therapeutic position (TRP). This implies that the position of the implant, the bone tissue management and the subsequent prosthetic reconstructions are gnathologically guided.
The control of the vertical dimension and the individual inclination of the occlusal plane are the basis of the three-dimensional repositioning of the mandible in the therapeutic position (TRP). The bruxchecker has highlighted an occlusion that respected Slavicek’s occlusal concept and was able to control the parafunction.
This type of approach has shown its importance for the long term stability of complex rehabilitations.


* KEY POINTS
* THERAPEUTIC RISKS: REDUCTION AND CONTROL
* DIAGNOSTIC WORK FLOW
* SIGNS AND SYMPTOMS OF TMD DISFUNCTIONS
* FACIAL MACRO-AESTHETICS
* RP OR TRP CONCEPT OF MANDIBULAR REPOSITION
* VERTICAL DIMENSION
* SLAVICEK’S OCCLUSAL CONCEPTS
* OCCLUSAL PLANE AND MALOCCLUSION
* OCCLUSAL PLANE CONTROL
* DIGITAL FUNCTIONAL SMILE DESIGN (DFSD)
* GNATOLOGICALLY GUIDED IMPLANTOLOGY (GGI)
* THE TREATMENT PLANE
* NEW MATERIALS AND NEW TECNOLOGIES
* LABORATORY ASPECTS
* OCCLUSAL MANDIBOLAR REPOSITION TECHNIQUE(OMRT-Bassetti)
* THERAPEUTIC TEMPORARY
* PRE-PROSTHODONTIC ORTHODONTICS
* FULL DENTURE AND PARTIAL DENTURE
* 10 KEY POINTS OF THE TREATMENT PLANE
* CLINICAL CASES’ GALLERY

Snoring and apnea - treatment with the use of functional devices and myogymnastics
Myogenie. Treatment methods
Treatment of TMJ. The application protocol of Aragao and Planas devices.
Normalization of breathe and bilateral chewing with the help of a facial muscles equilibrium technique. Breathing excercises by the method of Konstantin Buteyko
Posture correction by normalizing mandible positions
Treatment of orthodontic problems in adults using functional orthodontics

1-Use of the face-bow
2- Different reasons for using a kinematic or average value face-bow
3- Advantages of using Lucia's jig for the registration of the centric relation
4- Maneuver of Dawson
5- Scheme of Posselt
6-Differences between centric relation, centric occlusion and maximum intercuspation
7-Identification of the correct incisal plane with respect to the horizontal plane (during the registration with average values and individual values)
8-The determinants of the occlusal morphology
9-Knowledge and use of the various articulators
10-Treatment plan and operative strategies in complex rehabilitations
11-Transferring informations to the dental laboratory
12-Operative steps for achieving an ideal aesthetics
13-Clinical steps for veneers
14-Laboratory strategies for the maintaining the planned aesthetic informations
15-Complex cases

Фундаментальные цели реконструкции окклюзии при лечении зубочелюстных аномалий многообразно описаны в литературе соответственно концептуальным аспектам реабилитации пациентов.

Однако, более глубокий анализ показывает, что задачи ортодонтической коррекции имеют много общего независимо от референтных позиций диагностики и лечения зубочелюстных аномалий.

В докладе будет продемонстрирован сравнительный анализ достижения обозначенных целей реабилитации пациентов в зависимости от применяемых методов комплексного лечения.

Показания к аппаратурно-хирургическому лечению

Различия в формировании патологий II и III классов

Ортодонтическая зубо-альвеолярная компенсация: за и против

Методы диагностики и планирования лечения

Определение метода предполагаемого хирургического вмешательства

Ортодонтическая декомпенсация окклюзии в рамках подготовки к хирургии

Моделирование конечного результата аппаратурно-хирургического подхода

Выбор и подготовка ортодонтического аппарата

Индивидуализация аппарата (подбор прописей брекетов, непрямая фиксация, установка посредством set-up моделирования)

Использование лингвального ортодонтического аппарата в комбинированном лечении

Дополнительная аппаратура (быстрые небные расширители, небные и язычные дуги, дуги Burstone)

Критерии готовности пациента к проведению хирургического лечения

Послеоперационный этап

Значение и порядок использования эластичной тяги

Ретенционный период как этап лечения

Факторы влияющие на долговременную стабильность

Возможные осложнения и рецидив

Планы ортодонтического лечения за последние 10-15 лет претерпели значительные изменения. Три варианта: лечение без удаления зубов, лечение с удалением зубов и ЧЛХ, дополнились абсолютной опорой, петлевыми элементами, значительными реконструкциями окклюзии и т.д. Путей стало много, зачастую ведущих к похожему результату. Насколько они стабильны? Насколько они функциональны?

Попробуем сделать систематизированный обзор самых последних научных данных, рассмотрев различные подходы в коррекции скелетного 3 класса. Только доказательная медицина в вопросе стабильности и функции.

1. Скелетная опора: введение

2. Как правильно выбрать TAD (временную ортодонтическую опору)

3. Классификация скелетной опоры

4. Значение вертикального контроля

5. Перемещение в сагиттальной плоскости с использованием скелетной опоры

6. Перемещение в вертикальной плоскости с использованием скелетной опоры

7. Перемещение в трансверзальной плоскости с использованием скелетной опоры