Universitat Internacional de Catalunya

Occlusion

Occlusion
3
8411
2
Second semester
OB
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

If the student is enrolled for the English track then classes for that subject will be taught in the same language.

Teaching staff


Dr. CABRATOSA TERMES, Josep - cabratosa@uic.es

Wednesdays at 15 hours. It should make an appointment.  (cabratosa@uic.es)

Introduction

Occlusion is a broad subject, intimately interconnected with other disciplines of the degree in which students must gradually acquire a set of theoretical knowledge, practical skills and experience sufficient to make them effective. The main purpose of the course is to provide occlusion of the student sufficient knowledge to preserve the masticatory system. This is only achievable through a proper understanding of its various components and their function.

Pre-course requirements

Knowledge of the anatomy and physiology of the masticatory system.

Objectives

To expose and capacity students to carry out activities related to the diagnosis and treatment  in occlusion.

Competences/Learning outcomes of the degree programme

  • 33 - Knowing the morphology and function of the stomatognathic apparatus, including material on embriology, anatomy, histology and specific physiology
  • 65 - Diagnosing, planning and undertaking, at a general level, multidisciplinary, sequential and integrated treatment of limited complexity for patients of all ages and conditions and patients with special needs (diabetes, hypertension, oncological diseases, transplants, immune-depression, anti-clotting, etc.) or disabilities. Specifically the dentist should be competent in establishing a diagnosis, a prognosis and developing a suitable treatment plan, particularly in terms of orofacial pain, temporo-mandibular disorders, bruxism and other parafunctions; dental and periapical pathology; oral and dental trauma; periodontal and peri-implanted tissue pathologies; pathology of the mandibular bone, of soft oral tissue and annex glands; states of partial or total edentation and planning rehabilitation treatment via dento-muco supported prostheses, or dental impants, dental malpositions or malocculusions and other anatomical or functional alterations of the face or the stomatognathic system and their potential orthodontic, orthopaedic or surgical corrections
  • 67 - Creating diagnostic models, setting them up and taking inter-occlusal registrations
  • 70 - Evaluating motor and sensory oral, mandibular and annex function
  • 88 - To undertake non-surgical treatment for temporo-mandibular disorders and oro-facial pain
  • 90 - To identify and correct oral habits that are susceptible to causing or exacerbating malocclusions

Syllabus

MASTER CLASS

 Topic 1. Occlusion and the masticatory system 

What do we mean by occlusion?

What is the masticatory system?

What componentes make up the masticatory system and do they constitute a system?

What is meant by physiological occlusion, non-physiological occlusion and therapeutic occlusion? (Ideal oro optimal functional occlusion.)

What is static occlusion and what is dynamic occlusion?

Which are the different movements of the jaw?

¿Dónde están en términos: side work and non-working and anterior y posterior teeth?

 Topic 2. Mandibular movimientos and positions 

 2.1. Mandibular movimientos and positions 

What is the mechanism that gobiernos the mandibular movimiento?

What determinas the movement mandibular estructuras?

What are the limits and functional movements of jaw in the three planes of space?

What is the position of mandibular centric relation (CR)?

What is the intercuspal position (ICP)?

What es la posición de la retruded contact posición RCP)?

What is the mandibular clinical rest position (CRP)?

What is the vertical dimension of resta (DVR)?

What is the vertical dimension of occlusion (DVO)?

What is the free interocclusal space (FIS)?

¿Cómo es el ángulo del condylar guide? What is it used for?

What is Bennett's ángulo? What is your income?

What is Bennett's movimiento? What are its determining factors?

What does the Posselt's bicuspal modelo show?

 2.2. Centric relation 

What is the centric relation?

¿What es la clínica significativa de la céntrica relación?

What methods había describen para obtener el céntrico relation?

¿What clínicas métodos están indicados para ver la céntrica relación obtained?

  Topic 3. Utility and use of the articulator 

 3.1. Articulatores 

What is an articulator?

What usas dos en articulator have?

What are the existing types of brokers and how do we classify them?

What are the limitations and advantages de articulators en diagnosis and in therapeutic occlusion?

 3.2. Using the articulator 

 ¿Cómo se da en craneomaxillary recuerdo con el face bow?

¿Cómo se puede intercambiar el recuerdo de la intercuspation position (ICP)?

¿Cómo se da en intermaxillar el record de la céntrica relación (CR)?

How do we register intermaxillary eccentric positions of the jaw?

¿Cómo se mueven las modelos en las bases de la intermaxillary y craneomaxillary records previously taken?

What are the limitations of using average values in assembling and programming models of the articulator?

  Topic 4. Dental alignment and dynamic static occlusion 

  4.1. Interarch tooth alignment

¿Qué factores y fuerzas determinan la posición de la tela?

What is the occlusal plane?

What is the curve of Spee?

What is the curve of Wilson?

What supports are named cusps or core?

What guides are named cusps oro central?

What are interdental relations buccolingual back teeth?

What are interdental relations dental mesiodistal?

What are their anterior interdental relationships?

What is Angle's classification?

4.2. Static and dynamic occlusion 

What tooth contacts ocurre en la intercuspal position (ICP)?

What tooth contacts ocurre en la retruded contact position (RCP)?

¿Cuál es el slip back occur to RCP from ICP? ¿How is this evaluated?

What is occlusal prematurity?

What factores controla tu above mentioned mandibular movimiento?

¿Do the above mentioned factores control mandibular movimiento?

What is condylar guidance?

What are the occlusal contacto patterns of protrusion during mandibular movimiento?

What are the occlusal contacto patterns of laterotrusion mandibular movimiento?

What is occlusal interference?

¿Cómo son los contactos en el mandibular movimiento de retrusión?

  Topic 5. Ideal occlusion 

¿Qué importante es el terapéutico de occlusion (ideal or optimal functional occlusion)?

What are the criteria for the joint for terapéutico or ideal occlusion?

What are the criteria para todo contacto con terapéutico oro ideal occlusion?

What joint and dental músculo condiciones son requeridas para realizar el terapéutico oro ideal occlusion?

¿Cuál es el contacto contacto pattern en el gnathologico School and Freedom en el centro de la ideal oclusión o terapéutico?

 Topic 6. Occlusal analyse 

 6.1. Clinical examination of occlusion 

 What are the objectives of the clínica examination of occlusions?

What is the methodology for clinical occlusal examination?

 6.2. Analysis of occlusion on the articulator 

 ¿What son objetivos objetivos de inclusión en el articulador analysis?

What is the methodology for analysing occlusion on the articulator?

  Topic 7. Occlusive therapy

  7.1. Introduction to occlusive therapy

 What do we mean by occlusive therapy?

What are the types of occlusive therapy?

What are the generic indications of the different types of occlusive therapy?

 

  

7.2. Morphology determining occlusion 

What factores determine the occlusal morphology?

¿Qué factores son likely para modificarse y qué no son?

What factores determine the height of the peak? ¿Cómo determine el height of the peak?

¿What factores determina la posición y dirección de lomas y grooves en los surfaces oclusivos? ¿Cómo determine el height of the peak?

 7.3. Selective occlusal adjustment 

What is occlusal adjustment?

What are the indications of occlusive adjustment?

What is the technique of occlusal adjustment and which are the steps?

  

SEMINAR AND PRACTICAL SESIONES

 Los contentos de la realización de seminares y prácticas sesiones son:

  1. Scanning of the dental arches in ICP, with occlusal contact points
    (40 µm, blue)

  2. Deprogramming jig, with:

    • 2 mm disclusion space

    • 200 µm recording accuracy

  3. Clinical examination of the TMJ

  4. Scanning of the dental arches in centric relation (CR), with:

    • 100 µm accuracy

    • 2 mm posterior separation

  5. Recording of the cranio-maxillary position using an analog facebow and transfer to an analog articulator

  6. Determination of occlusal contact points using articulating paper

  7. Demonstration of mandibular movement recording using SDI

  8. Transfer of the cranio-maxillary position from the analog facebow to the virtual articulator

  9. Envelope of function

  10. Comparison of occlusal contacts obtained by:

  • Articulating paper

  • Digital scanning in ICP and CR

  1. Occlusal analysis on the articulator

  2. Occlusal adjustment

Teaching and learning activities

In person



Master lectures, seminars  and preclinical practice.

ATTENDANCE AT SEMINARS AND PRACTICES IS COMPULSORY. THE SEMINARS WILL BE HELD AT 08:30.

Evaluation systems and criteria

In person



1)- EVALUATION OF THE THEORY

  • EXAM

Multiple-choice test with 50 questions and 4 options, with only one correct answer. Each correct answer will add 0.2 points, each incorrect answer will subtract 0.066 points, and unanswered questions will not be counted.

It is graded on a scale from 0 to 10.

2)- EVALUATION OF CLINICAL PRACTICES:

The evaluation of practices will be carried out continuously based on the tasks assigned for each practice. It is graded on a scale from 0 to 10.

Practices are mandatory to pass the practical part. In case of being unable to attend a practice for a justifiable reason, it must be made up.

The FINAL GRADE will be according to the following percentages:

  • Theoretical exam ...................................... 40%
  • Clinical practices ...................................... 60%

To pass the subject, it is necessary to pass the theory and practices separately. Once individually passed, the mentioned percentages will apply.

Bibliography and resources

Okeson, J.P. Oclusión y afecciones temporomandibulares. St. Louis. 2003. Mosby.

Alonso, AA; Albertini, JS; Bechelli, AH. Oclusión y diagnóstico en rehabilitación oral. Buenos Aires.1999. Editorial Médica Panamericana.

Ash,M; Ramfjord, S. Oclusion. México. 1995. McGraw-Hill interamericana.

McNeill, Ch. Science and Practice of Occlusion. Chicago. 1997.Quintessence Books.

Gross, M.D. La oclusión en odontología restauradora. Técnica y teoria. Barcelona. 1986. Editorial Labor.

Solnit, A; Curnutte, DC. Occlusal Correction. Chicago. 1988. Quintessence books.

Dawson, P.E. Evaluación, diagnóstico y tratamiento de los problemas oclusales. Barcelona. 1991. Salvat editores.

Howat, A.P; Capp, N.J; Barrett, N.V.J. Oclusión y maloclusión. Londres. 1992. Mosby/Doyma Libros.

Espinosa de la Sierra, R. Diagnóstico práctico de oclusión. México. 1995. Editorial Médica Panamericana.

Guichet, NF. Oclussion. Anaheim,1970. Denar Corporation.

Lauritzen, AG. Atlas de Anàlisis Oclusal. Madrid. 1977. Martinez de Murguía Editores.

Print version