MODULAR COURSE ON OROFACIAL PAIN, TMD AND BRUXISM: FROM DIAGNOSIS TO TREATMENT

Presentation of the course, teaching staff, program, objectives and teaching and assessment resources.
Introduction to the Study of Orofacial Pain, Temporomandibular Dysfunctions and Bruxism.
The Stomatognathic System (SS): Review of the Anatomy, Physiology and Neuro-anatomy of the S.E. The TMJ and its Biomechanics. Mandibular and joint movements.
Dental Anatomy and Occlusion.
Determinants of occlusal relief.
Interactions in prosthetic and occlusal rehabilitation.
History of the study of occlusion.
Etiology of E.S. dysfunctions Epidemiology of E.S. dysfunctions
Signs and symptoms of E.S. dysfunctions. Pain: current definition, modulation, types of pain, classification. Primary and secondary pain.
Mechanisms of Orofacial Pain, neuro-anatomy of pain; Referred Pain.
Articulators in Dentistry - Clinical Use.
Condylar position indicator.
Introduction to the study of occlusal drips.

PRACTICAL CLASS

Face Bow Records
Assembly of models in a semi-adjustable articulator; Condylar position indicator
Beginning to make an occlusal drip: techniques and materials.
Techniques for recording the inter-jaw relationship

Orofacial pain: classification. Oral pain of dental origin: pulp, periodontal, fractured tooth syndrome, etc.
Oral pain of non-dental origin: myofascial pain referred to the tooth(s), neuropathic dental pain; idiopathic dental pain; neurovascular pain; pain in the maxillary sinuses referred to the teeth; cardiac pain referred to the teeth; psychogenic dental pain; dental pain produced by other diseases, etc.
Orofacial Pain: Temporomandibular Dysfunctions;
Giant cell arteritis; post-herpetic nevralgia; persistent idiopathic facial dermatitis, etc.
Primary Headaches: Migraine, Tension Headache, Trigeminal-Autonomic Headache.
Secondary headaches: types and diagnostic criteria. Trigeminal and glossopharyngeal neuralgia: diagnosis and treatment.
Clinical history of the dysfunctional patient: Anamnesis.
Physical examination of the dysfunctional patient: joint examination, muscle examination; joint pain map.
Occlusal and Clinical Functional Analysis: mandibular and joint kinetics.
Instrumental Occlusal and Functional Analysis: Articulator; digital occlusal analysis (T-scan) and electromyography.
Auxiliary diagnostic tests: types, characteristics, utilities.
Laboratory tests: which ones, when and how to interpret them.
Observation and interpretation of imaging tests (tomography, magnetic resonance imaging, scintigraphy and others).
Classification of Temporomandibular Dysfunctions: types and different classifications.

PRACTICAL CLASS

Drawing up a Clinical History of Occlusal Rehabilitation - The Diagnostic Criteria
Physical examination
Techniques for recording the inter-jaw relationship
Completion of the occlusal drip in a semi-adjustable articulator
Intra-Oral Occlusal Groove Adjustments

Muscle disorders: classification, diagnosis and treatment.
Myofascial pain and the neuro-anatomy of pain.
Introduction to Physiotherapy in Temporomandibular Dysfunction. Joint disorders: classification, diagnosis and treatment.
Occlusal drips: types, indications and preparation techniques.
The Occlusal Stabilization Gutter and the Anterior Repositioning Gutter.
New Technologies, Gadgets and "Alternative Therapies" in Occlusion: a critical approach.
The role of psychology in dealing with the dysfunctional patient. Approach and categorization of patients.
Acupuncture/Dry Punch in Occlusal Rehabilitation: techniques and fundamentals. Fibromyalgia.
Chronic Mandibular Hypomobility. Growth Disorders.

PRACTICAL CLASS

Bruxism: definition, concept of muscular hyperactivity, epidemiology, etiology, types of bruxism, signs and symptoms, diagnosis and treatment.
Prosthetic Rehabilitation of Bruxomaniac Patients.
Treatment of Temporomandibular Dysfunctions.
Pre-therapy and definitive treatment of TMD.
Multidisciplinary treatment: dentist, physiotherapist, CMF, neurology, etc.
The use of Botulinum Toxin in TMD and orofacial pain: techniques and procedures.
Viscosupplementation with Hyaluronic Acid: Techniques and procedures.
Physiotherapy in Temporomandibular Dysfunctions: patient assessment, treatment techniques and strategies, programmed exercises.
The cervical spine and its dynamic relationship with TMD / DOF.
Notions of diagnosis and planning in occlusal rehabilitation.
Fundamentals of Occlusion in Prosthetic Rehabilitation.
The principles of bio-aesthetics.
Selective Occlusal Adjustment Technique. OCCLUSION IN IMPLANTOLOGY: Fundamentals of occlusion on implants.

PRACTICAL CLASS

Treatment of TMD and Orofacial Pain (continued).
Pharmacology applied to TMD / ODD: General concepts and pharmacokinetics and pharmacodynamics.
Study of the main drugs used in TMD and ODD: Opioid and non-opioid analgesics; NSAIDs and Corticosteroids; Muscle relaxants; Anxiolytics; Antidepressants; Anticonvulsants / membrane stabilizers; Triptans.
Orthodontics and Occlusion: a conflicting relationship? Approach Techniques.
Considerations in Orthodontics - Orthognathic Surgery - TMJ and TMD.
Surgical treatment: Objectives; Differential diagnosis; Decision parameters between surgical and non-surgical treatment.
Types of surgical approaches: Arthrocentesis, Arthroscopy, Arthroplasty and Joint Prosthesis.
Discussion of clinical cases between surgical and non-surgical treatment.
Mouthguards - Indications, types and preparation techniques.
SLEEP DISORDERS - obstructive sleep apnea syndrome; snoring.
The role of the dentist in sleep disorders; Mandibular advancement devices.

PRACTICAL CLASS

Intra-Oral Adjustments of the Stabilizing Occlusal Groove
Repositioning of the front gutter
Review of the physical examination / muscle and joint palpation techniques
Needling (Dry Puncture) and Anesthetic Blocking of Painful Muscle Points;
Viscosupplementation with hyaluronic acid
Discussion of clinical cases and interpretation of imaging tests
Condylar position indicator; individualization of articulator mounts (condylar guide, Bennet angle and incisor guide)
Clinical Practice in Patients