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Encyclopedia of bruxism and apnea

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Details

8 lessons (15h 18min)

14 CE Credits

14 CE Credits

English

Description

During a 5-module course, you will get step-by-step protocols for the diagnosis and treatment of awake/sleep bruxism and sleep apnea in all age groups. The training is suitable for dentists of all specialties.

Lesson 1.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 2.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 3.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 4.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 5.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.

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.

Course includes next lessons:

1h 56min
Lesson 1

Sleep bruxism: from oromotor behaviour to comorbidity

Maria Clotilde Carra
2h 25min
Lesson 2

Occlusion concept based on bruxism function of the masticatory organ

Sadao Sato
1h 56min
Lesson 3

Prosthodontic and interdisciplinary bruxism treatment

Carlo Poggio
1h 52min
Lesson 4

Bruxism in orthodontic treatment

Mauro Farella