Dental School

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

Activity type

Discipline odontoiatriche e radiologiche

SSD

MED/28

Year

N/D

Semester

N/D

CFU

3

Hours distribution

36 classroom hours

Lecturers

CARLO DI PAOLO
GABRIELLA GALLUCCIO

The Clinical Gnathology course aims to equip students with the skills to identify and classify the various clinical conditions related to dental occlusion, to understand and evaluate the relationships between occlusion and all other stomatognathic and non-stomatognathic components, to understand stomatognathic functions and diagnose craniocervicomandibular dysfunctions and their implications, to understand and evaluate stomatognathic pain and its phenomenology, and to be able to develop an appropriate treatment plan, including from a multidisciplinary perspective. To achieve these objectives, students must acquire knowledge of the therapeutic implications, both in growing and adult patients, as well as the discerning ability to recognize more complex cases and refine their clinical differential diagnosis skills.
Furthermore, students must acquire a basic understanding of posture and body balance, often implicated in occlusal and joint alterations, and the main forms of sleep-related breathing disorders, pathologies that have specific gnathological implications in both diagnostic and therapeutic settings.

respect the prerequisites

CLINICAL GNATHOLOGY PROGRAM
- Gnathology in Dental Practice
- The Stomatognathic System: Nosological Framework and Evolution of Functional Interpretation: Simple and Complex Systems
- Occlusion: Definition, Physiological Concept, Functional Objectives, Classification
- Ideal Occlusion and Gnathological Models
- Occlusal Contacts: Clinical and Instrumental Analysis and Measurement Methods*
- The Occlusion Pattern in Gnathology and Its Integration with Other Dental Disciplines (ADE)
- Gnathological Analysis of Plaster Models and Articulator Mounting* (ADE)
- Malocclusions and Gnathological Implications: Classifications and Differential Diagnosis
- Classification of Temporomandibular Joint Disorders
- Basic Concepts of Posture and Its Relationship to Occlusion and the Stomatognathic System
- Anatomy, Neurophysiology, and Biomechanics of the Temporomandibular Joint and the Cranio-Cervicospinal-Mandibular Complex
- Biomechanical Restrictions of the Temporomandibular Joint
- Anatomy, Neurophysiology, and Biomechanics of the Masticatory Muscles
- Fundamentals of Stomatognathic Functions;
- Physiological and pathological mandibular movements*
- Etiopathogenesis of TMDs: clinical aspects integrated with current literature
- Breathing and sleep disorders: basic knowledge and clinical implications
- Condylar-Disc Incoordination Disorders
- Neuromuscular Disorders
- Pain: definition, physiology, and basic gnathological aspects
- Orofacial pain: classification, phenomenology, acute and chronic pain
- Headaches of gnathological interest
- Approach to patients with TMDs*
- Diagnostic principles of temporomandibular joint disorders
- The gnathological medical record (compilation and collection of anamnestic data)*
- Diagnosis according to the RCD/TMD Criteria
- Clinical and objective examination of the occlusion and function of the temporomandibular joint*
- Joint and muscle physical examinations and tests*
- Examination and clinical characteristics of musculoskeletal pain and the basis of diagnosis Differential assessment with other forms of pain*
- Standard and complementary instrumental tests*
- Electrognathomyosonographic examination: indications, method, and gnathographic semeiotics* (ADE)
- The stabilometric platform in dysfunctional pathologies* (ADE)
- General principles of treatment of dysfunctional pathologies: analysis and individualized gnathological treatment plan
- Integrated treatment: indications and follow-up methods*
- Notes on conservative and surgical treatment of temporomandibular joint disorders*
- Notes on physiotherapy and manual therapy of the craniocervicospinal-mandibular complex* (ADE)

Temporomandibular Joint Pathology. From Etiopathogenesis to Therapy. P. Cascone, C. Di Paolo, Utet Publishing, Milan 2004

Scientific papers by Prof. G. Iannetti, Prof. C. Di Paolo, Prof. P. Cascone, and Prof. G. Galluccio are included in the national and international Medline.

Lecture Notes

Recommended Readings

TMJ Atlas: Fundamental Concepts. A Rampello Publishing, Martina Bologna 2004

The Temporomandibular Joint. F. Deodato, C. Di Stanislao, R. Giorgetti, Ambrosiana Publishing, Milan 2005

All relevant publications by Professors Di Paolo, Galluccio, Cascone and those indicated during the lessons

Traditional teaching and seminars with open discussion

mandatory as indicated by the CdS regulations

Written test with multiple choice and open question quiz, followed by oral test with patient

From a gnathological perspective, the limiting movements define:
a. Posselt's polygon
b. The Gothic arch
c. The masticatory area
d. Joint movements

Module: GNATHOLOGY I
N/D
Module: GNATHOLOGY II
N/D