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Oral Splints: Diagnosis, Design and Treatment Protocols

Oral Splints: Diagnosis, Design and Treatment Protocols

Regular price $57.00 USD
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Professors

Target audience

General dentists; Orthodontists; Prosthodontists

Nb of lessons

24

Nb of modules

Course duration

8 h 15 min

Delivery method

Google Drive Link, Offline

Course Overview

Master diagnosis-to-delivery protocols. Learn functional status exams, axiography/condylography, individualized articulator settings, and precise appliance design so your splints fit, function, and hold—predictably.

During the course you will learn how to:

  • Conduct muscle and occlusion examinations
  • Make a functional diagnosis
  • Determine indications to a specific type of a splint
  • Plan TMD treatment using a splint
  • Reposition the mandible and change the VDO.

The course is for prosthodontists, orthodontists and functional dentists.

Full Course Program

Lesson 1. Splints - the crutches of dentistry. Intro and basic thoughts

Lesson program:

  • Structures and functions of the Chewing organ
  • What is our diagnostic and therapeutic focus?
  • Individual clinical application of the splint
  • The importance of the use of splints
  • Synonyms for intraoral splints. Splint types and their characteristics
  • Statistics about splints
  • Dental splint prescription patterns
  • What specialists use splints?
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 29 min

Lesson 2. Historical review - the literature up to 1995

Lesson program:

  • Supposed modes of splint action
  • Verticalization and Costen's syndrome
  • The discus-positioning effect
  • The muscle "pacifying effect"
  • The bruxism effects. Splint materials
  • The effect of removing interferences
  • The congitive-awareness effect
  • Disc dislocation"
  • Re-capturing"
  • Relieve of the TMJ.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 38 min

Lesson 3. Convergence of diagnostics, divergence of therapy, indications for intraoral splints

Lesson program:

  • What does treatment strategy include
  • Stages of TMJ treatment using splint
  • Detailed indications for splint therapy.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 25 min

Lesson 4. Concepts and terminology

Lesson program:

  • Splints indication referred to muscle disorders: neuromuscular dysfunction, muscle spasm, muscle, spasticity, muscle splinting.
  • Splint as a device: nightguard, stabilization splint, positioning splint, re-positioning splint, reversible splint, over the counter splints, reflexed splints, jig, sandwich splint, drum splint.
  • Short term splints and long term splints.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 27 min

Lesson 5. Systematic assessment - main concern and occlusal index

Lesson program:

  • Systematic functional analysis
  • Patient and expert: a possible and frequently observed discrepancy
  • Subjective and objective of the treatment
  • Medical anamnesis
  • Questionnaires
  • Occlusal Index
  • Dialog and conversation.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 16 min

Lesson 6. Comparative muscle palpation

Lesson program:

  • Objective information
  • Muscle palpation
  • Groups of muscles. Types of movement
  • Masticatory, tongue and neck muscles
  • Comparative muscle palpation.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 21 min

Lesson 7. TMJ palpation

Lesson program:

  • Ligamental structures of TMJ
  • Macroscopic anatomy of TMJ
  • Incongruent structures
  • Combined translation and rotation
  • Stability of TMJ
  • Border movements
  • TMJ palpation points.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 19 min

Lesson 8. Neurological screening

Lesson program:

  • Cranial nerves
  • Anatomy of cranial nerves
  • Questionnaire for cranial nerves examination
  • Headache and migraine symptoms.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 17 min

Lesson 9. Analysis of functions - chewing function

Lesson program:

  • Determining and measuring chewing function
  • Assessment of performance
  • Appliances and devices for chewing function assessment
  • Steps of chewing function assessment.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 28 min

Lesson 10. Analysis of the functions – bruxing

Lesson program:

  • Analysis of bruxing facets in oral cavity and on the cast model
  • Instrumental clinical analysis of bruxism
  • Brux
  • Checker application. Analysis of the results
  • Correlation between occlusal discrepancies and aggressive periodontitis
  • Graduation and clinical classification of bruxism
  • Fundamental paradigm of bruxism
  • Digital services for bruxism evaluation
  • Analysis and evaluation of data received.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 37 min

Lesson 11. Occlusion and posture - clinical screening

Lesson program:

  • Screening of posture and balance
  • Relation to splint therapy
  • Adapted Meersseman test
  • Hypermobility syndrome
  • Chronic pain syndrome.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 17 min

Lesson 12. Problem list and treatment strategy

Lesson program:

  • Problems that may arise when treating with splints
  • Involvement of occlusion on splint therapy
  • Occlusal quality and occlusal functions
  • Initial therapy and interim analysis
  • Therapeutic sequence
  • CMS system.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 20 min

Lesson 13. Construction elements and decision making

Lesson program:

  • Individual elements of oral splints
  • Designing the occlusal surface of splints
  • Deciding making about splint guide elements.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 35 min

Lesson 14. Production of splints in the articulator

Lesson program:

  • Basic manipulations and principles of manufacturing splints in the articulator
  • Digital and manual protocols for splints manufacturing.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 13 min

Lesson 15. Clinical application: looping in and adaptation

Lesson program:

  • Success factors for treatment using splints
  • Individual splints
  • Splint adaptation and grinding
  • Surveillance and monitoring of treatment.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 21 min

Lesson 16. Verticalization rail

Lesson program:

  • Changing the VDO as an element of splint therapy
  • Application of multilayer splints
  • Verticalization strategy. Vertical splints.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 10 min

Lesson 17. Splints with a focus on myofascial problems, myorelaxation splints

Lesson program:

  • Systematic assessment of the occlusion and muscles condition
  • Myorelaxing splints. Elimination of myofascial problems.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 11 min

Lesson 18. Basics of reciprocal clicking - including condylography

Lesson program:

  • Reciprocal clicking. Symptoms and etiology
  • Consequences of the reciprocal clicking for the TMJ
  • Choice of therapeutic position for splint therapy based on the condylography data.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 15 min

Lesson 19. Splints with a focus on the temporomandibular joint - anterior disc displacement with reduction

Lesson program:

  • Pathophysiology of TMJ with displaced articular disc
  • Dynamics of dislocation and correction of the articular disc
  • Treatment of anterior disc displacement with reduction.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 16 min

Lesson 20. Basics of chronic joint blockade - including condylography

Lesson program:

  • Risks of degenerative diseases of the temporomandibular joint developing with disc displacement
  • Differential diagnosis of anterior disc displacement without reduction.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 16 min

Lesson 21. Splints with a focus on the temporomandibular joint - anterior disc displacement without reduction

Lesson program:

  • What to do in case of anterior disc displacement without reduction
  • Signals on condylography with a permanently displaced disc
  • Treatment planning for anterior disc displacement without reduction.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 12 min

Lesson 22. Distraction and compression - definition and therapeutic use

Lesson program:

  • TMJ compression. Compression degree
  • TMJ distraction
  • What is synovial fluid for?
  • What effect does mechanical pressure have on the structures of the TMJ.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 23 min

Lesson 23. Special rails

Lesson program:

  • Special types of splints. Placebo splints
  • Flat splints. Their effect on the position of the mandible in the absence of guidance
  • Difference in efficiency of arbitrarily or kinematically manufactured splints.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 14 min

Lesson 24. Walking back, final treatment strategy and therapeutic position

Lesson program:

  • Retrospective method of the therapeutic position determination
  • How to proceed to the next necessary treatment procedures.
  • Recommended for: Functional dentists, Prosthodontists, Orthodontists.

Duration: 09 min

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