Introduction to the Concept: Biofunctional Dynamic Occlusion – Level 1

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For years the human being has being trying to make the analysis of the function based on artificial movements or under the influence of manipulation to force and believe in a hinge axis rotation.
The real organic movements is a compensatory reaction between the glenoid fossa and the eminence into the condyle as a result of the dynamics of the cervical spine and not only the condyle as a unique mobile component into the functional system. After hundreds of cases of kinematic studies utilizing advanced jaw trackers that allowed to visualize the CBCT’s in motion , we can see that many of these concepts that became dogmas are unique movements for each individual. The concept of Biofunctional Dynamics are a combination of the concepts of Professor Dr. Mariano Rocabado law of the 50-50 in conjunction with physiological concepts of muscle balance, joint decompression and occlusal stability.
This part of the lecture will also cover the different factors that influence mandibular trajectories taking as a consideration internal joint deraignment, postural problems, muscle disharmony , facial asymmetries, and occlusal interferences.

DAY  1  / 3 Dec

Analysis of the body as an entire unit
Postural compensations
Records for full body analysis

  • Specificitybof the movement of the cranial cervical structures
  • The law of 50-50
  • Defining normality in static position and dynamic movements
  • Action reaction law
  • Rocabado lateral and AP cephalometric analysis
  • Cráneo cervical assessment by palpation
  • Correlations between similar assessment with pictures with 2d X-rays
  • Defining ideal posture kyphosis lordosis
  • Understanding head forward posture and the variables and implications
  • Static atlas syndrome and implications
  • Anatomical variables : Ponticus posticus
  • Influence of posture in cephaleas
  • Vascular headaches and neuropathies


Mandíbular trajectories
Muscular component

  • Factors that affect mandíbular trajectories
  • Muscles basic vector direction and functions
  • Muscle function in the stomatognathix system
  • Influence of muscles in mandíbular trajectories


Arthrokinematics of the sinovial compartment

  • Understanding kinematics and ostheokinematics
  • Main components of the temporo mandíbular joints
  • Pain mapping
  • Difference between chronic and acute disorders and the influence in mandíbular movements.
  • Clinical assessment of the temporomandibualr joint
  • Visual analysis of the movement
  • Clinical history

/ HANDS ON

  • TENS bite
  • Students must have a set of models of themselves Material needed for bite registration practice
  • Occlusal tables
  • Analysis of the occlusal plane
  • Clinical and applications
  • Tricks and pearls

DAY 2 / 4 Dec

Facial asymmetries

  • Facial asymmetries of craniocervicalnorigin – Understanding the influence of cervical structures in mandíbular movement
  • Real facial asymmetries
  • Triplanearvanalysis

Introduction of the craneodontics concept

  • Influence of dental interference in manibular movements
  • Influence of proprioception and ostheoception

Implementation of instrumentation

  • Understanding muscles fighting sequence
  • Muscle interpretation to determine mandíbular position
  • Physiology of the muscles
  • Introduction to electromyography
  • Muscle fatigue
  • Muscle torque
  • Insufficient occlusion

Implementation of instrumentation

  • Centric relation
  • Habitual occlusion
  • Neuromuscular trajectory
  • Optimized trajectory
  • Phonetics
  • Swallowing patterns

/ HANDS ON

  • Analysis of a tridimensional CBCT
  • Structural Analysis
  • Joint position
  • Joint integrity
  • Airway
  • Integration of function
  • Clinical protocols
  • Introduction to SICaT function and JMT demonstration

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