Condylography: recording and analysis

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Details

17 lessons + 7 free (6h 34min)

3.5 CE Credits

3.5 CE Credits

English

Access to the record for 180 days or without limits with Premium

Description

This is a course on condylography in the concept of Rudolf Slavicek!

 

You will learn how to:

 

– prepare a patient for the mandible movement recording

– determine the hinge axis and the reference position of the patient

– make a decision if the exact splint position works

– follow the standard protocols for mandible movements recording

– identify errors and artifacts during the recording

– describe the data received from the condylography.

 

The course is for prosthodontists, orthodontists and functional dentists.

Lesson 1.Condylography as part of a systematic functional analysis

– Systematic functional analysis (CFA)

– Anatomical structures and occlusal functions

– Definition of "function", "dysfunction" and "impaired function"

– The treatment strategy. The role of condylography in this strategy

– The role of condylography in the oral rehabilitation.


Recommended for: Functional dentists.

Lesson 2.Principles of the condylographic recording

– Movements of the lower jaw:

 

- protrusion

- retrusion

- mediotrusion and laterotrusion

- opening movement

- closing movement

- free movements

- tooth-guided movements

- manipulated movements

- functional movements

- special movements.

 

– Special signals and artifacts in condylography.

 

Recommended for: Functional dentists.

Lesson 3.Application of condylography. Part 1

– Paraocclusal clutch

– Adjustment and stabilizing of the upper facebow

– Determination of the anterior orientation point of the axis-orbital plane

– The lower bow

– Positioning of the styli

– Recording the rotation of the hinge axis

– Geometry of the recording systems, possible artifacts.


Recommended for: Functional dentists.

Lesson 4.Application of condylography. Part 2

– Condylographic data for occlusal design and functional analysis

– Macroscopic anatomy of the TMJ

– Orientation of the TMJ in centric relation

– The cranio-mandibular system

– Clinical evaluation of the TMJ

– Occlusal index

– Four physiologic end-feels

– Hard inelastic end feel (hard end-point).


Recommended for: Functional dentists.

Lesson 5.Hinge axis versus rotational axis of the mandible

– Degrees of freedom and rotational axes of the TMJ

– Orientation of the condyles and fossae

– Cross-section of fossa and articular eminence

– Definition of the hinge axis

– Movements of the hinge axis.


Recommended for: Functional dentists.

Lesson 6.Dynamic of the mediotrusive condyle

– Movement inwards - mediotrusion

– The mediotrusive condyle

– Bennet movement: description by Bennet and condylographic record

– Immediate side shift - abrupt initial movement to the side.


Recommended for: Functional dentists.

Lesson 7.Dynamic of the laterotrusive condyle

– Laterotrusion

– Working side and non-working side

– Laterotrusive side in condylography

– Examples of typical latreotrusive condylographic recordings.

 

Recommended for: Functional dentists.

Lesson 8.The coordinate system

– Sagittal, horizontal and frontal planes

– Coordinate system

– Movements of the hinge axis and the incision inferius.

 

Recommended for: Functional dentists.

Lesson 9.Recording of the condylographic movements: free, guided, manipulated, functions

– Condylographic recording

– Recording with the Cadiax® System. Sequence. Protocol for initial diagnostics

– Visual control during recording

– Goal of precise recording. Optimal analytic possibilities.


Recommended for: Functional dentists.

Lesson 10.Determination of the hinge axis and definition of the reference position

– Terminal hinge (axis) location

– Definition

– Location

– Determination

– Reference (RP) and therapeutic (ThP) position.


Recommended for: Functional dentists.

Lesson 11.The importance of the axis-orbital plane as reference

– Historical review of axiography

– What is pantograph

– Reference plane of articulation system

– Transfering hinge axis into articulator.

 

Recommended for: Functional dentists.

Lesson 12.Condylography and the so-called chewing muscles

– Chewing muscles

– M.masetter

– M.temporalis

– M.pterygiodeus lateralis and medialis

– M.pterygiodeus lateralis, caput inferius

– M.digastricus and suprahyiodale muscles

– Relationships with condylography.


Recommended for: Functional dentists.

Lesson 13.Basic procedure for describing a condylography

– Systematic description of a condylography

– Description and analysis in relation to the coordinate system

– An analysis process.


Recommended for: Functional dentists.

Lesson 14.The quantity. Part 1

– Normal values for parameter quantity

– Quantity length in the sagittal view

– Quantity of the free movement

– Quantity of the protrusion. Parameters for opening and mediotrusion

– Quantity general or partial reduced

– Quantity and skeletal Class 3

– Quantity and radius of the trajectory

– Wording.

 

Recommended for: Functional dentists.

Lesson 15.The quantity. Part 2

– Good, average and bad quality

– Excellent quality

– Very poor quality

– Wording.

 

Recommended for: Functional dentists.

Lesson 16.The characteristic

– Terminology and definitions

– Concave, straight, convex and changing characteristic

– Physiological characteristic

– Changing characteristic: initial convexity

– Changing characteristic: sectors with different radius

– Similar characteristics with different inclinations

– Wording.

 

Recommended for: Functional dentists.

Lesson 17.Analysis of start and end point in relation to the reference point

– Stability and instability of the TMJ

– Positions of the TMJ

– Quality of recording

– Start and endpoint. Difference from reference position

– Wording.


Recommended for: Functional dentists.

Lesson 18.Description of the coincidence of excursion and incursion

– Excursive and incursive movements

– Separation movements

– Assessment criteria for minor separations

– Typical separations

– Wording.


Recommended for: Functional dentists.

Lesson 19.Description of the coincidence of different orbits

– Protrusion, opening and mediotrusion

– The Fisher angle

– Coincidence of the movements in the middle section

– Wording.

 

Recommended for: Functional dentists.

Lesson 20.Analysis of the symmetry in the right-left comparison

– Anatomical and dysfunctional asymmetries

– A right-left condylographic symmetry

– Asymmetry of protrusion

– Asymmetry of the Bennet movements

– Asymmetry of functional movements

– Protrusive bruxing

– Speech and chewing

– Condylographic asymmetries

– Wording.


Recommended for: Functional dentists.

Lesson 21.Description of special signals

– Basic assumption of the condylography

– Description of special findings and special signals

– Special condylographic signals possible related to joint noises

– Special signals to be recognized during the description of a condylography

– Special signals in condylography and therapeutic indications

– Special signals in condylography that indicate disturbed movement dynamics

– Dynamic analysis of condylography.


Recommended for: Functional dentists.

Lesson 22.Analysis of the so-called Bennett movement

– The Bennet movement. Different definitions

– The Bennet angle

– Fisher angle

– Separation of protrusion and mediotrusion in condylography

– Description of the Bennet movement in condylography

– Mandibular lateral translation

– Transversal position changes

– Analysis and description of the Bennet movement

– Transversal movements

– Therapeutic effects.


Recommended for: Functional dentists.

Lesson 23.The key figures of SCI and TCI

– Condylography and articulator

– Reference plane and coordinate system

– Arcon articulators

– Non-arcon articulators

– SCI parameter

– TCI parameter

– Sagittal characteristic.


Recommended for: Functional dentists.

Lesson 24.Case studies for systematic description

– Protrusion and retrusion on the condylography

– Opening and closing on the condylography

– Mediotrusion on the condylography

– Free and manipulated movements difference

– Wording.


Recommended for: Functional dentists.

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Lecturers 1

Founder, CEO and owner of Orehab Minds GmbH, Stuttgart. Honorary member of the Romanian Dental and Maxillo-Facial Prothetic Society, the Italian Association of Gnathology. Visiting Professor of the First Moscow State Medical University. Honorary Professor of the Ukrainian State Medical Academy.
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