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Get this course and 2,700 CE Hours with Membership.
Bruxism and Apnea Treatment
4.57
90 votes
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Maria Clotilde Carra
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Mauro Farella
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Carlo Poggio
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Sadao Sato
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Luigi M. Gallo
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Guilad Weil
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Eduardo Castrillon
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Daniel Paesani
Course details
Course lessons
Course lessons
Lecturers
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ADA CERP
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15h 55min
Course | 8 lessons + 1 free
Bruxism and Apnea Treatment
Sadao Sato, Daniel Paesani, Maria Clotilde Carra, Mauro Farella, Carlo Poggio, Luigi M. Gallo, Eduardo Castrillon, Guilad WeilCourse includes next lessons:

1h 56min
Lesson 1Exclusive Library
Prosthodontic and interdisciplinary bruxism treatment
Carlo PoggioShow lesson program
0:01
Introduction and scope
6:04
Minimally invasive dentistry vs prosthodontics
9:26
Case: long‑term night‑guard strategy in bruxism
13:53
Evidence summary: avoid changing occlusion
16:44
Cosmetic prosthodontic planning and patient requests

1h 56min
Lesson 3Exclusive Library
Sleep bruxism: from oromotor behaviour to comorbidity
Maria Clotilde CarraShow lesson program
0:01
Introduction and Definitions of Bruxism
5:02
Classification: Sleep‑related Movement Disorder
8:03
Primary, Secondary and Comorbid Bruxism
10:28
RMMA: Masticatory Muscle Activity During Sleep
17:56
EMG Patterns and Episode Types (Phasic/Tonic/Mixed)

2h 25min
Lesson 4Exclusive Library
Occlusion concept based on bruxism function of the masticatory organ
Sadao SatoShow lesson program
0:01
Introduction and scope
1:12
Bruxism as a stress‑management hypothesis
6:11
Limbic connections and evolutionary basis of bruxism
12:05
Brux Checker device and occlusion concepts
15:31
RMMA and autonomic precursors to sleep bruxism
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This online course
Details
8 lessons + 1 free (15h 55min)
OHI-S International Certificate
14 CE Credits

English
Access to the record for Membership period
Description
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.
Lesson 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.
Lesson 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.
Lesson 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.
Lesson 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.
Lesson 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.
Lesson 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.
Lesson 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.
Lesson 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.
Lesson 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.
Course includes next lessons:

1h 56min
Lesson 1Exclusive Library
Prosthodontic and interdisciplinary bruxism treatment
Carlo PoggioShow lesson program
0:01
Introduction and scope
6:04
Minimally invasive dentistry vs prosthodontics
9:26
Case: long‑term night‑guard strategy in bruxism
13:53
Evidence summary: avoid changing occlusion
16:44
Cosmetic prosthodontic planning and patient requests

1h 56min
Lesson 3Exclusive Library
Sleep bruxism: from oromotor behaviour to comorbidity
Maria Clotilde CarraShow lesson program
0:01
Introduction and Definitions of Bruxism
5:02
Classification: Sleep‑related Movement Disorder
8:03
Primary, Secondary and Comorbid Bruxism
10:28
RMMA: Masticatory Muscle Activity During Sleep
17:56
EMG Patterns and Episode Types (Phasic/Tonic/Mixed)

2h 25min
Lesson 4Exclusive Library
Occlusion concept based on bruxism function of the masticatory organ
Sadao SatoShow lesson program
0:01
Introduction and scope
1:12
Bruxism as a stress‑management hypothesis
6:11
Limbic connections and evolutionary basis of bruxism
12:05
Brux Checker device and occlusion concepts
15:31
RMMA and autonomic precursors to sleep bruxism
Show more (5)

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