Introduction to the Concept : Biofunctional Dynamic Occlusion – Level 1

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Hands-on ! A lot !!

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  / 15 Jul

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

Attendants will need their own models to fabricate their own appliance.

  • 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 / 16 Jul

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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