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Neuromuscular dentistry from A to Z
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Prabu Raman
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Fabio Savastano
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Rajesh Raveendranathan
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Michael Miyasaki
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Ira Shapira
Course details
Course lessons
Course lessons
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ADA CERP
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This online course
Details
9 lessons + 1 free (12h 56min)
11.75 CE Credits
English
Access to the record for Membership period
Description
A detailed training on neuromuscular dentistry from leading experts in the USA, Europe and Asia!
The lecturers will teach you how to treat the following pathologies based on the neuromuscular concept:
– temporomandibular disorders
– cranio-cervical-mandibular dysfunction
– worn dentition.
You will learn about detailed diagnosis and treatment protocols for working with the neuromuscular concept:
– nerve blocks
– electromyography
– kinesiography
– electrosonography
– TENS therapy
– neuromuscular orthodontic protocols
– total oral rehabilitation.
Lesson 1.CR registration using neuromuscular approach. How to achieve stable results
– Occlusion and malocclusion: definition
– Rationale behind the neuromuscular approach to occlusion
– The concept of habitual bite
– Physiologic vs accommodative trajectory
– Available equipments used to diagnose and treat cases via neuromuscular approach
– Patient examination algorithm in the concept of neuromuscular dentistry
– CR registration using neuromuscular approach
– 3 keys to work in the concept of neuromuscular dentistry
– The method of obtaining the registry
– Orthotic: types and advantages of application
– Goals of the phase II of treatment
– What final options are available and an example of approaching a worn dentition rehabilitation
– Framework to approach occlusal stability.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 2.Physiological neuromuscular dentistry. А whole-body paradigm of temporomandibular dysfunction
– The problem of TMD
– 3 characteristics of Physiological Neuromuscular Dentistry in TMD treatment
– Differences between habitual occlusion of teeth and optimal mandibular position
– Relationship between mandibular position and cervical posture
– 5 whole-body symptoms that may result from TMD
– Relationship between TMD and Sleep Breathing Disorders
– Value of a whole-body approach for effective TMD treatment.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 3.Physiological neuromuscular dentistry. Precise diagnosis of root causes first. Introductory lesson
– Сomponents of Physiological Neuromuscular Dentistry diagnostic protocol for TMD treatment and the rationale for each of those components
– Rationale for each of the PNMD digital diagnostic components (sEMG, MKG, ESG) and their contribution to the precise diagnosis of cranio-cervical-mandibular malalignment
– Diagnostic contribution of head neck CBCT views at Habitual occlusion, maximum protrusion and maximum opening
– Utility of static posture analysis and gait (dynamic posture) analysis in TMD diagnosis.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 4.Physiological neuromuscular dentistry. Precise diagnosis of root causes first
– Сomponents of Physiological Neuromuscular Dentistry diagnostic protocol for TMD treatment and the rationale for each of those components
– Rationale for each of the PNMD digital diagnostic components (sEMG, MKG, ESG) and their contribution to the precise diagnosis of cranio-cervical-mandibular malalignment
– Diagnostic contribution of head neck CBCT views at Habitual occlusion, maximum protrusion and maximum opening
– Utility of static posture analysis and gait (dynamic posture) analysis in TMD diagnosis
– Function and correct technique of Ultra Low Frequency TENS in classic NMD technique in treating TMD and advanced ‘Prabu Point’ technique in treating CCMD
– Each of the components of the Raman CCMD protocol and the rationale for each
– "Balance test” and its role in identifying and quantifying the impact of cranio-cervical-mandibular malalignment on whole-body symptoms.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 5.Treatment of TMD/OSA/CCMD with Neuromuscular Orthodontics
– Principles of neuromuscular dentistry
– Importance of muscle physiology in occlusion related TMD
– How postural discrepancies can create CCMD
– X-ray examination for TMD
– Creating a miocentric occlusion: methodology
– Reprogrammers vs deprogrammers
– 4 therapeutic objectives of using TENS
– Pecision in dentistry is not just for aesthetics but also for function
– Prevention of diseases in the concept of neuromuscular dentistry.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 6.The neuromuscular theory in general dentistry and orthodontics
– The concept of biotensegrity
– Neuromuscular theory
– Differences of the neuromuscular theory applied to general dentistry and orthodontics
– Neurophysiology concepts and kinesiography
– Muscular dysfunction diagnostics
– Neuromuscular orthodontics: treatment objectives
– Relationship between occlusion and head position
– How to avoid unnecessary orthodontic treatments
– Prevention of erroneous orthodontic treatments
– Orthodontic relapse: how to reduce it.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 7.Neuromuscular orthodontics: a key to success
– Principals of neuromuscular diagnosis with Computerized Mandibular Scanning
– Freeway space basics
– New centric & myocentric
– Neuromuscular treatment goals
– Importance of mandibular rest position
– Basic scan 4/5 interpretation
– Options for the position of the condyle in class 2 malocclusion
– Principles of orthodontic treatment in the neuromuscular concept
– How to avoid mandibular, condylar entrapment by erroneous orthodontic treatments.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 8.Closed lock dislocation treatment. Nerve blocks
– Dealing with an acute closed lock dislocation of the TMJ:
- Use of pivotal forces to unload a locked joint
- Reflex reduction of closed lock TM Joint
- Joint distraction appliance
- Hydraulic distension.
– Postural evaluation and correction
– Determination if its an ascending or descending issue
– Sphennopalatine Ganglion Blocks and Resetting Autonomic Nervous System
– Suprazygomatic SPG Block
– Intra-oral SPG Block
– SASPGB. Teaching patients
– Greater and Lesser Occipital Nerve Blocks
– Releasing entrapments of Greater and lesser occipital Nerve Blocks
– Diagnostic blocks. Using Travell Spray and Stretch for Diagnosis.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 9.Data driven TMD treatment in PNMD
– Phases of TMD treatment
– Treatment planning in the concept of physiological neuromuscular dentistry (PNMD)
– Removable and fixed orthotics: advantages and disadvantages
– Protocol for fixed orthotic cementing
– Rationale for tracking subjective symptom reports
– Clinical examples of obtaining objective data before and after treatment
– Pitfalls of TMD treatment that relies solely on subjective metrics of treatment success.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Lesson 10.Long term phase 2 PNMD stabilizing treatment option
– The phase 2 PNMD of TMD treatment
– Stabilizing treatment of TMD: advantages and disadvantages
– Orthopedic treatment in the PNMD concept (CAD/CAM technologies)
– Orthodontic treatment in the PNMD concept
– Total oral rehabilitation in the PNMD concept: digital workflow
– The adhesive fixation protocol.
Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Course includes next lessons:
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Functional Dentistry
Treatment methods
Pathologies
General questions
Prosthodontics
Pathologies
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Lecturers 5
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Founder and Owner of The Raman Center for Advanced Dentistry, Kansas City, Missouri (practicing since 1983). Specialist in neuromuscular dentistry with focus on temporomandibular disorders, aesthetic dentistry, sleep-disordered breathing, and complex restorative rehabilitation. President of the Missouri Dental Association. Member of the ADA Council on Dental Education and Licensure. Chair of the Recognition of Dental Specialties and Interest Areas in General Dentistry Committee.
Over 42 years of clinical experience in comprehensive dentistry integrating neuromuscular principles. Expert in diagnosis and management of complex TMD cases using electromyography (EMG), joint vibration analysis (JVA), and computerized mandibular scanning (CMS). Master of both the International College of Cranio-Mandibular Orthopedics (MICCMO, 2007) and Las Vegas Institute of Advanced Dental Studies (LVIM, 2008), the first dentist in North America to achieve both mastership designations simultaneously. Clinical practice focuses on four areas of excellence: neuromuscular dentistry/TMD treatment, aesthetic/complex restorative dentistry, neuromuscular functional orthodontics, and sleep-disordered breathing/oral appliance therapy.
Vice President of the International College of Cranio-Mandibular Orthopedics (ICCMO). Past President of the International Association for Comprehensive Aesthetics (IACA) and Greater Kansas City Dental Society. Delegate to the ADA House of Delegates. Fellow of the American College of Dentists (FACD) and Pierre Fauchard Academy (FPFA). Member of the International Association for Orthodontics (IAO), American Academy of Craniofacial Pain (AACP), and American Academy of Sleep Medicine (AASM). Selected by the ADA Council on Scientific Affairs as a TMD Expert to participate in the Science Forum at the 2011 ADA Annual Meeting. Invited author for the Journal of the California Dental Association TMD special issue (August 2014). Former Senior Clinical Instructor, Featured Speaker, and Regional Director at the Las Vegas Institute of Advanced Dental Studies. International lecturer having presented in Argentina, Australia, Canada, Germany, Italy, Japan, Russia, and throughout the United States on neuromuscular diagnosis and treatment of TMD, aesthetic dentistry, and sleep disorders. Instructor for Myotronics-sponsored courses on TMD treatment using bio-electronic instrumentation.
BA from William Jewell College. DDS from University of Missouri-Kansas City (UMKC) School of Dentistry. Graduate of The Las Vegas Institute for Advanced Dental Studies. Extensive continuing education in neuromuscular dentistry, TMD management, aesthetic dentistry, and sleep medicine.
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Medical doctor and orthodontist specializing in neuromuscular orthodontics and temporomandibular joint disorders. Private practice in Albenga, Italy, focusing on complex TMJ pathologies and craniocervical-mandibular disorders.
Over 35 years of clinical experience integrating neuromuscular dentistry principles with orthodontic treatment. Developed the Savasystem diagnostic and treatment protocol, establishing neuromuscular orthodontics as a distinct specialty branch in 1994. Served as hospital consultant for complex TMJ disorders and maxillofacial surgery for 15 years.
International lecturer since 1989, having taught over 1,000 doctors across Brazil, Spain, India, Bahrain, UAE, Canada, Czech Republic, Russia, Ukraine, UK, and Italy. Founder and President of ICNOG (International College of Neuromuscular Orthodontics and Gnathology) since 2006. Adjunct professor for Masters programs in Neuromuscular Orthodontics at Universitat De Valls (Andorra, 2015-2017) and Universitat Jaume I (Spain).
MD from University of Naples (1987, Summa Cum Laude). Specialty in Orthodontics and Gnathology from University of Padua (1990).
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Member of American Association of Cranio-Facial Pain, International Functional Orthodontics Association, American Association of Dental Sleep Medicine.
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General dentist with 30 years of experience, USA.
Head of the Academy of Minimally Invasive Implantology.
Director of Education for the Pacific Aesthetic Continuum.
Maintains a private practice in Sacramento, CA, focused on comprehensive dentistry and function.
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