Dental School

Module 1: GNATHOLOGY I

Activity type: Discipline odontoiatriche e radiologiche, Tirocini formativi e di orientamento
SSD: MED/28, MED/28
Year: N/D
Semester: N/D
CFU: 3
Hours distribution: 24 classroom hours, 20 training hours
Lecturers: GABRIELLA GALLUCCIO
CARLO DI PAOLO
ALESSIA NAVA

Module 2: GNATHOLOGY II

Activity type: Discipline odontoiatriche e radiologiche
SSD: MED/28
Year: N/D
Semester: N/D
CFU: 3
Hours distribution: 36 classroom hours
Lecturers

Objectives

EN: At the end of the course the student must
- Know the TMJ fundamentals anatomy, muscles of mastication and oro-facial skeletal bases, as well as embryology, phylogeny and development of the stomathognathic system;
- Know the functional, biomechanical and neurophysiologic bases of the stomathognathic system;
- Know and distinguish the relationships between the components of the systems, structures and organs involved in the stomathognathic functions;
- Know and assess the main physiological functions of the masticatory system;
- Know and assess biomechanical TMJ function;
- Know the mandibular movements and the bases of stomathognathic kinetic ;
- Know the principles of occlusion an anatomical and functional point of view;
- Know the neurophysiologic and the biological basis of occlusal system and to recognize and classify occlusion based functional and dysfunctional aspects;
- Know the basics of posture, definition, integration and relationship between occlusion, TMJ and Tonic-postural system
- Know the basic concepts of TMJ diseases involving as: inflammatory, traumatic, malformation, cancer and dysfunctional;
- Know the basic concepts of masticatory pain and it’s implications: definition, anatomy and neurophysiology ;
- Know the definition and the phenomenology of acute and chronic pain in particular, dental pain, gnathologic pain, oro-facial pain and headaches of dental interest;
- Know the semiotics of temporomandibular joints, masticatory muscles, occlusal aspects in functional parafunctional and dysfunctional aspects;
- Know the relationships and interdisciplinary implications of stomatognathic function and dysfunction ;
- Know the basic instrumental examinations designed for the operating diagnosys of TMD: Standard radiographic examinations (Orthopantomography, teleradiography, tomography of TMJ, the magnetic resonance imaging), study of casts models mounted in articulator, electromyognathography, stabilometry ;
- Know the gnathological treatment plan: Basic principles of risk and complexity of the gnathologic therapy;
- Know prognosis: Basic concepts of key, therapies in accordance with current guidelines of the literature
- Know and identify the main therapeutic pathways.
- Know the basic concepts of an integrated and interdisciplinary treatment.

At the end of the course the student must know how to:
- Complete a medical examination and anamnestic tools;
- Perform clinical gnathological examination ;
- Knowing how to erform an adequate analysis of occlusion and to recognize the possible relationships with other stomatognathic components and with any other apparatus, organs, systems, structures and involved in specific functions;
- Knowing how to take dental impressions, prepare plaster models and perform a gnathologic analysis occlusion on the mounted casts model;
- Ability to perform clinical and instrumental analysis of the main stomatognathic functions;
- Ability to perform and interpret the main physical tests to the clinical and diagnostic TMD and orofacial pain (conventional and possibly unconventional);
- Knowing how to recognize and assess the main mandibular manipulation ;
- Knowing how to interpret the Orthopantomography within the clinical diagnostic evaluations:
- Perform and interpret the cephalometric tracing in relation to the clinical diagnostic evaluations;
- Perform and interpret the principal imaging tests (tomography, MRI; etc..) in the clinical diagnostic context;
- Perform and plan in the context clinical diagnosis: mounting plaster modelsin the articulator, *
electrognathographic examination, * stabilometric static and dynamic platform exam *
- Complete a course of differential diagnosis of major diseases and occlusal dysfunctional, temporomandibular joint disorders
- Knowing how to run a path differential diagnosis of the main forms of dental pain
- Knowing the basics of diagnosis and treatment of major forms of orofacial pain
- Knowing how to recognize and assess the basic treatments of the dysfunctional diseases;
- Knowing how to set up a treatment plan from a intra-and interdisciplinary point of view;
- Knowing how to apply the knowledge acquired gained to plan, implement and adjust the occlusal appliances useful in a gnathological treatment;
- Detect gnathologic problems, with its indication of the need for treatment and knowing how to manage the various forms of gnathologic emergency;
- Knowing how to design and knowledge of the main conservative and surgical treatment modalities and learn the basis for the management of occlusal splint used to solve the parafunctions and TMD;
- Knowing the basis of Sleep Disordered Breathing (SDB), from snoring to sleep apnea.