Occlusion
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.
Head instructor
Dr. Josep CABRATOSA - cabratosa@uic.es
Dr. Oscar FIGUERAS - ofigueras@uic.es
Office hours
Wednesdays at 15 hours. It should make an appointment. (cabratosa@uic.es)
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.
Knowledge of the anatomy and physiology of the masticatory system.
To expose and capacity students to carry out activities related to the diagnosis and treatment in occlusion.
At the end of matter the students are going to:
MASTER LECTURES
Topic 1. Occlusion and the masticatory system
What do we mean by occlusion?
What is the masticatory system?
What components make up the masticatory system and do they constitute a system?
What is meant by physiological occlusion, non-physiological occlusion and therapeutic occlusion? (Ideal or optimal functional occlusion.)
What is static occlusion and what is dynamic occlusion?
Which are the different movements of the jaw?
What do we mean by the terms: side work and non-working and anterior and posterior teeth?
Topic 2. Mandibular movements and positions
2.1. Mandibular movements and positions
What is the mechanism that governs the mandibular movement?
What determines the movement mandibular structures?
What are the limits and functional movements of the jaw in the three planes of space?
What is the position of mandibular centric relation (CR)?
What is the intercuspal position (ICP)?
What is the position of the retruded contact position RCP)?
What is the mandibular clinical rest position (CRP)?
What is the vertical dimension of rest (DVR)?
What is the vertical dimension of occlusion (DVO)?
What is the free interocclusal space (FIS)?
What is the angle of the condylar guide? What is it used for?
What is Bennett’s angle? What is your income?
What is Bennett’s movement? What are its determining factors?
What does the Posselt’s bicuspal model show?
2.2. Centric relation
What is the centric relation?
What is the clinical significance of the centric relation?
What methods have been described for obtaining the centric relation?
What clinical methods are indicated to verify the centric relation obtained?
Topic 3. Utility and use of the articulator
3.1. Articulators
What is an articulator?
What uses does an articulator have?
What are the existing types of brokers and how do we classify them?
What are the limitations and advantages of articulators in diagnosis and in therapeutic occlusion?
3.2. Using the articulator
How do we take a craniomaxillary record with the face bow?
How do we take a intermaxillary record of the intercuspation position (ICP)?
How do we take a intermaxillary record of the centric relation (CR)?
How do we register intermaxillary eccentric positions of the jaw?
How do we mount the models on the basis of the intermaxillary and craniomaxillary 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
What factors and forces determine the position of the teeth?
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 or 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 occur in the intercuspal position (ICP)?
What tooth contacts occur in the retruded contact position (RCP)?
Can a slip back occur to RCP from ICP? How is this evaluated?
What is occlusal prematurity?
What factors control the above mentioned mandibular movement?
Do the above mentioned factors control mandibular movement?
What is condylar guidance?
What are the occlusal contact patterns of protrusion during mandibular movement?
What are the occlusal contact patterns of laterotrusion mandibular movement?
What is an occlusal interference?
What are the occlusal contacts in the mandibular movement of retrusion?
Topic 5. Ideal occlusion
Why is it important to have a therapeutic occlusion (ideal or optimal functional occlusion)?
What are the criteria for the joint for therapeutic or ideal occlusion?
What are the criteria for tooth contact for therapeutic or ideal occlusion?
What joint and dental muscle conditions are required to reach a therapeutic or ideal occlusion?
What is the occlusal contact pattern to gnathologic School and Freedom in centric in ideal occlusion or therapeutic?
Topic 6. Occlusal analyse
6.1. Clinical examination of occlusion
What are the objectives of the clinical examination of occlusions?
What is the methodology for clinical occlusal examination?
6.2. Analysis of occlusion on the articulator
What are the objectives of occlusion on the articulator 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 factors determine the occlusal morphology?
Which of these factors are likely to be modified and which are not?
What factors determine the height of the peak? How do they determine the height of the peak?
What factors determine the position and direction of the slopes and grooves on the occlusal surfaces? How do they determine the 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 PRECLINICAL PRACTICAL SESSIONS
1.Impressions, casting and preparing superior and inferior models (P1)
2.Impressions, casting and preparing superior and inferior models(P2)
3.Exploration and mandibular manipulation (Hands on) (P3)
4.Anterior Stop (P4)
5.Intermaxilary registration (P5)
6.Craniomaxilary registration. Fork Preparation (P6a)
7.Craniomaxilary registration. Mounting of superior model (P6b)
8.Mounting of mandibular model in MIP (P7a)
9.Mounting of mandibular model in CR (P7b)
10.Programation of the articulator (P8)
11.Programation of the articulator and recapitultation (P8)
12.Exploration and clinical occlusal analysis (Hands on) (P9)
13.Occlusal analysins in articulator (Hands on) (P10)
14.Recapitulation
15.Recapitulation
Master lectures, seminars and preclinical practice.
THEORY TESTS:
- MOODLE TESTS
2 moodle tests with 10 multianswer questions. Each correct response will be assessed as 1 point. To pass the test you must obtain a minimum score of 5 points.
Oral presentation in the seminars, when they take place, will be evaluated from 0 to 10 and the score will average with the notes of the 4 moodle tests.
- FINAL TEST
Consist of 50 multianswer questions. Each correct response will be assessed as 1 point. To pass the test you must obtain a minimum score of 30 points.
This test may be replaced by an oral evaluation.
PRE-CLINIC PRACTICES:
Will be evaluated each of their practices in response to the acquisition and application of knowledge, skill and attitude (including timeliness). Attendance at practices is mandatory.
Upon completion of an evaluation practices are implemented.
The evaluation will be according to the following percentages:
- Theory test ................................................ 50%
- Moddel tests .............................................. 10%
- Practices .................................................... 40%
To pass the subject must pass the theory and practical separately. Once passed, the percentages were applied individually referrals.
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.
E: exam date | R: revision date | 1: first session | 2: second session: