TMJ radiology and occlusion: vertical dimension, intra-articular disorders, centric relation

– How do we know when should we increase VDO and how much?

– Vertical dimension of occlusion (VDO)

– Increasing VOD in excessive tooth wear

– Full mouth reconstruction and TMD

– 1-1,3-2-3 relation in increasing VDO

– What is the dentoalveolar compensation

– The effect of raising VDO on the cervical spine and pain in the trigeminal nerve nuclei

– Cephalometric analysis of the cervical spine (analysis of intervertebral spaces and the cranio-cervical angle) and the position of the hyoid bone – crucial for achieving muscle balance and making it possible to raise occlusion successfully

– Basic photo protocol for aesthetic planning.

Recommended for: Prosthodontists, Functional dentists.

– How do we know when should we increase VDO and how much?

– Vertical dimension of occlusion (VDO)

– Increasing VOD in excessive tooth wear

– Full mouth reconstruction and TMD

– 1-1,3-2-3 relation in increasing VDO

– What is the dentoalveolar compensation

– The effect of raising VDO on the cervical spine and pain in the trigeminal nerve nuclei

– Cephalometric analysis of the cervical spine (analysis of intervertebral spaces and the cranio-cervical angle) and the position of the hyoid bone – crucial for achieving muscle balance and making it possible to raise occlusion successfully

– Basic photo protocol for aesthetic planning

– Establishing the height of the deprogrammer platform using a modified DSD protocol

– DSD in patients with significant tooth abrasion (teeth not visible when patient smiles). How to establish the right aesthetics at the preliminary stage

– VDO checklist – if you follow this you can increase the VDO as much as you need.

Recommended for: Prosthodontists, Functional dentists.

– Anamnesis vitae and morbie

– Two important steps before deciding to order radiographs

– Analysis of pantomographic images – are 2D images suitable for the assessment of the temporomandibular joint?

– Analysis of condyle hypermobility on the basis of radiographs

– Structure of the temporomandibular joint in the context of radiology

– Assessment of the condyle position in the joint based on CBCT.

Recommended for: Prosthodontists, Functional dentists.

– Why position 4/7 did not fulfill its role?

– Cortical bone erosion on CBCT – what is it and how to assess it?

– Joint degeneration in the CBCT image – arthritis vs arthrosis – a key difference from a clinical point of view

– Idiopathic condyle resorption – why does an open bite suddenly appear?

– Subcortical cysts, ankyloses and developmental defects in the CBCT image

– What to look for when analyzing cephalometry for respiratory disorders?

– What is the hyoid triangle and how to assess the pathology of the cervical vertebrae on cephalometry?

– Magnetic resonance imaging (MRI) – normal anatomy important from the point of view of TMD

– Displacement of the disc with and without reduction, lateral and posterior displacement of the disc – detailed analysis of MRI images

– Analysis of mobility in the joint based on MRI

– Joint effusion and double disc image – detailed MRI analysis

– Three words about ultrasound – why MRI is much better

– Stabilization of the condyle as seen by magnetic resonance imaging.

Recommended for: Prosthodontists, Functional dentists.

– MRI and CBCT positioning of the condyle – when does it make sense?
– 4/7 position and rearmost position – why they were used and why they were stopped
– Centric slide – a physiological phenomenon or a big mistake?
– Constricted Chewing Pattern (CCP) and the “long centric”
– Compression and decompression in TMJ – is the joint space important for us?
– Rotation / translation – are we actually separating these two movements?
– Defining the Central Relation – dental cabaret
– Adapted centric posture. How do I know when an intervention is needed?
– Muscle vectors of the stomatognathic system
– Establishing a centric relation (deprogrammers and maneuvers)
– Triple centric relation and determining the position of the articular fossa
– Forward position – splint reposition, functional orthodontics, apnea treatment
– Neuromuscular position – main principles and doubts
– What position should we choose and when should we look for it?
– Does an incorrect position in the joint guarantee TMD?

Recommended for: Prosthodontists, Functional dentists.