Gnatology

A.Y. 2021/2022
4
Max ECTS
55
Overall hours
SSD
MED/28
Language
Italian
Learning objectives
The students are introduced to the "clinic" of already familiar concepts such as: occlusion, dental morphology and TMJ. When approaching the end of the course the students will have acquired the following competences subsequently listed. Focus on the significance of cranio-mandibular disorders and TMJ disorders in a dynamic and functional relation to other components of the stomatognathic system. Understanding the neuromuscular basis of mobility of the stomatognathic system and dental occlusion. Identifing the most appropriate diagnostic exams in the area. Setting up a simple treatment planning for occlusal disorders. Introducing and recognizing the concept of occlusal dysestesia disorder and the fundamental principles of obtaining and maintenance of occlusal harmony according with the innovations trends and the best practices.
Expected learning outcomes
To distinguish the specificity of the stomatognathic system into the whole body. Emphasize the importance of appropriate occlusion morphology, functionality and jaw relations from childhood to adulthood. Setting up a treatment plan for the most prevalent diseases in the field.
Course syllabus and organization

Single session

More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Course syllabus
1- Definitions
Classical gnathology and modern gnathology
Field of investigation
The occlusion
2- Review of Functional Anatomy
Bones, Muscles, Joints
Principles of innervation of the head and neck
3- Clinic of gnathological disorders
What is pain
Description of the pain
How pain is measured
Reflex pain
The muscles
Muscle physiology
Contraction, contracture, cramp
Trigger point
Areas of pain projection
Temporo-mandibular joint (TMJ) and mandibular function
Physiology of the elementary movements of the jaw
The disc dislocation
Arthritic degeneration
Chewing
The parafunctions
4- The clinic in gnathology
Visit
The clinical record in accordance with the Diagnostic Research Criteria for Temporo-Mandibular Disorders (RDC / TMD)
Axis I: functional examination of the stomatognathic system
Axis II: personological profile
The neurological clinical examination of orofacial pain
The neurological clinical examination of headaches
Differential clinical diagnosis in orofacial pain
5- Instrumental examinations in gnathology
Radiographic imaging in gnathology
Mandibular arthrocinematics
Electromyography
6- The transfer of instrumental data to the clinic
The articulators
The registration arches
The wax detection at the working size
7- Principles of therapy
Physical therapy
Physiotherapy
Occlusal therapy
The occlusal plates
Orthodontic therapy
Drug therapy
Cognitive-behavioral therapy
Prerequisites for admission
Anatomy and physiology of the stomatognathic system
Teaching methods
Frontal lesson
Teaching Resources
All the teaching material slide pdf handouts used during the lessons;
Contemporary Management of Temporomandibular Disorders - Fundamentals and Pathway to Diagnosis di Connelly - Tartaglia - Silva Editore:Springer Verlag ISBN:9783319999142
Assessment methods and Criteria
The exam will be carried out in a multiple choice quiz mode. There are 30 questions. Each question has one or more correct answers. Each question, for the purposes of the final evaluation, is worth 1 point. The final vote is based on the number of correct answers (eg if there are 2 correct answers each is worth 0.5 points) and / or incorrect (each is worth -0.25 points). For each question the student has 1 minute for a total of 30 minutes. Candidates who have obtained a score of at least 15 points can request to sit the oral exam for which up to ± 5 points are awarded
MED/28 - ORAL DISEASES AND DENTISTRY - University credits: 4
Lessons: 30 hours
Practicals - Exercises: 25 hours
Shifts:
Polo Centrale
Professor: Tartaglia Gianluca Martino
Polo San Paolo
Professor: Marchesi Alessandro