Structured training: Functional analysis and therapy for daily practice

Participation in individual modules on request.

The course “Fundamentals of Functional Theory and Clinical Functional Analysis” takes place as a live online seminar.

to the registration

In the course series “Functional analysis and therapy for daily practice”, a contemporary treatment concept of dental functional theory is presented. Particular emphasis is placed on the practicability of the complex topic in the daily treatment process. With a mix of theory and practical exercises, all the important information in the field of functional dentistry is passed on in a compact, understandable and straightforward manner.

Fundamentals of functional theory and clinical functional analysis (Dr. Harth)
In this course, the basics for the treatment of dysfunctional masticatory systems are developed. What tasks do we dentists have to face in functional dentistry today? What does a contemporary treatment concept in dental functional theory look like and how can it be implemented by a dental practitioner in daily practice? What role does occlusion play in the complexity of CMD? Is a functional treatment based solely on the occlusion factor still up to date or is an interdisciplinary treatment approach necessary from the outset?
This basic course covers the fundamentals of the anatomy and physiology of the masticatory system. They are a prerequisite for understanding the function and later for understanding the dysfunction and its treatment.
A systematic assessment of the masticatory system as part of a clinical functional analysis enables the dentist to diagnose craniomandibular dysfunction (CMD). The focus of the examination can vary: in the classic clinical functional analysis, the current findings of the masticatory system are recorded by palpating the muscles and temporomandibular joint, describing the mobility of the lower jaw and the clicking noises. The manual structural analysis continues in detail. It enables the dentist to examine and assess individual anatomical structures of the masticatory system under load. A significant difference to conventional clinical functional analysis is the determination of so-called stress vectors. This is crucial for the therapeutic approach.
The dentist should be able to clarify the dental factor of a CMD problem in a meaningful way. The necessary examination methods and treatment steps are explained to the course participants. The centric registration continues to play a central role in dental functional dentistry. However, the “myth of centricity” has taken on a different value. There is not just one ideal position of the condyles in the joint fossa that must be correctly determined in order to achieve therapeutic success. The centric jaw relation determination with the Dawson handle is explained and demonstrated. Using models mounted in the articulator, the course participants learn to evaluate the influencing factor of occlusion, which is ultimately the decisive evaluation factor for the dentist, as he can only influence this directly. The concept shown is also the basis and guarantee of success for every comprehensive restorative treatment. It can be carried out in any dental practice with reasonable instrumental effort, even under economic criteria.
The aim of this course is to present the basics of clinical functional analysis and manual structural analysis and to learn to evaluate the dental factor influencing the development of CMD, the occlusion, in order to be able to carry out dental treatment planning and therapy.

CMD diagnostics: clinical functional analysis and manual structural analysis / centric jaw relation determination (Dr. Harth)
This practical course focuses on CMD diagnostics. With the knowledge of the first course, the examination techniques of clinical functional analysis and manual structural analysis and the centric jaw relation determination with the Dawson handle are demonstrated and practiced.
The manual structural analysis goes into more detail than the clinical functional analysis and shows the practitioner a way into the therapeutic approach. It enables the dentist to examine and assess individual anatomical structures of the masticatory system under load and to assign them to a load vector. This is crucial for the therapeutic approach.

Practical exercises:

  • Jaw relation determination: centric registration with the Dawson handle
  • Arbitrary facebow transfer
  • Model assembly, splitcast control
  • Diagnosis on the model (incl. condylar position analysis, MPI)
  • Practical exercises in manual structural analysis

Theoretical foundations:

  • Anatomy of the temporomandibular joint
  • Pathology of the temporomandibular joint
  • Examination methods and diagnosis (manual structural analysis according to Bumann)
  • Therapeutic consequences of model analysis and manual structural analysis
  • Final discussion
  • Articulators (SAM 2PX) and facebows are provided by the instructor. However, you can also bring your own devices.

Therapeutic consequences from the clinical functional analysis and manual structural analysis.
Findings-related occlusal splint therapy and treatment strategy after the splint.
(Dr. Harth)
The most common therapeutic aid used by dentists for craniomandibular dysfunctions is the occlusal splint. Different occlusal splints are used depending on the diagnosis.
The concept of a diagnosis-related occlusal splint treatment is developed from the system of manual structural analysis. The question of whether other different treatment methods and interdisciplinary cooperation with other practitioners are necessary is discussed. This includes therapeutic appliances beyond the occlusal splint, concomitant drug therapy and interdisciplinary collaboration with physiotherapists, osteopaths and orthopaedists.
The technical production of occlusal splints has changed due to the possibilities offered by the digitalization of analogue processes. In the past, occlusal splints were mainly produced on the basis of deep-drawn splints with occlusal adjustment using cold-curing polymer or individual splints that were additively scattered with splinter polymer, but today occlusal splints are increasingly produced using the CAD/CAM process or by printing.
This course demonstrates the fabrication of an occlusal splint using the CAD/CAM method on the basis of analog models mounted in the articulator.

Demonstration:

  • Fabrication of an occlusal splint (laboratory and clinical):
    • Insertion of the occlusal splint
    • Aftercare

Depending on the initial situation, occlusal splint therapy for a dysfunctional patient may end with a new mandibular position being stabilized using only the splint. After removal of the splint, the existing occlusion is eliminated, we only find contacts of individual teeth or even an opening of the occlusion in the molar region. The difficulty lies in predictably and accurately transferring the lower jaw position stabilized on the occlusal splint to the patient’s dentition. Depending on the initial situation, the final stabilization is achieved through grinding-in measures, restorative or orthodontic treatment. In this course, the systematics of a grinding-in therapy and the systematic procedure of a restorative therapy will be developed.

Program:

  • Theoretical foundations
  • Classification of the therapeutic lower jaw positions: Centric – “non”-centric
  • Stabilization of a centric occlusal position:
  • via loop-in therapy:
    • Model analysis
    • Grinding in on the model
    • Looping in on the patient
    • Structure of a front/corner tooth guide
  • about restorative therapy:
    • Model analysis
    • Articulator programming
    • Central registry
    • Management of the restorative procedure
    • Importance of temporary treatment restorations
  • Stabilization of a non-centric occlusal position:
    • about restorative therapy:
      • Importance of the occlusal splint for final stabilization
  • Therapy path:
    • Registration with the occlusal splint
    • Therapeutic temporaries as bonded composite build-ups
    • Registration with the occlusion plate (Memobite)
    • Cementing restorations
    • Adhesive luting of restorations
    • Patient examples

Demonstration:

  • Registration of a therapeutic occlusal position with the occlusal splint

Final discussion (Dr. Harth)

Handing over of the certificates

Topic: Introduction to the curriculum

Speaker: CMD diagnostics: clinical functional analysis and manual structural analysis, centric jaw relation determination

Please bring along(see PDF, 3 pages)

Course dates: Fri 28.06.24, 14:00 – 19:00 and Sat 29.06.24, 09:00 – 18:00

Reachability on the day of the course: 0176 46545215

Venue: Philipp Pfaff Institute (PX)
Aßmannshauer Str. 4-6, 14197 Berlin, Tel. 030 414725-26

Route planner Google Maps (external link)

register here

Course dates

Fundamentals of functional theory and clinical functional analysis
Fri 19.04.24, 14:00 – 19:00
Sat 20.04.24, 09:00 – 18:00

CMD diagnostics: clinical functional analysis and manual structural analysis, centric jaw relation determination
Fri 28.06.24, 14:00 – 19:00
Sat 29.06.24, 09:00 – 18:00

Therapeutic consequences of clinical functional analysis and manual structural analysis. Findings-related occlusion
Fri 11.10.24, 14:00 – 19:00
Sat 12.10.24, 09:00 – 18:00

Course details

Seminar: FOBI-CF-AK
Course: 2401
Fees: 2.150,- €
Target group: ZA
Points: 45
Moderator and speaker:
Dr. Uwe Harth