TMJ radiology and occlusion: vertical dimension, intra-articular disorders, centric relation

– How do we know when should we increase VDO and how much?
– Vertical dimension of occlusion (VDO)
– Increasing VOD in excessive tooth wear
– Full mouth reconstruction and TMD
– 1-1,3-2-3 relation in increasing VDO
– What is the dentoalveolar compensation
– The effect of raising VDO on the cervical spine and pain in the trigeminal nerve nuclei
– Cephalometric analysis of the cervical spine (analysis of intervertebral spaces and the cranio-cervical angle) and the position of the hyoid bone
– crucial for achieving muscle balance and making it possible to raise occlusion successfully
– Basic photo protocol for aesthetic planning
– Establishing the height of the deprogrammer platform using a modified DSD protocol
– DSD in patients with significant tooth abrasion (teeth not visible when patient smiles). How to establish the right aesthetics at the preliminary stage
– VDO checklist – if you follow this you can increase the VDO as much as you need.

– Anamnesis vitae and morbie
– Two important steps before deciding to order radiographs
– Analysis of pantomographic images
– are 2D images suitable for the assessment of the temporomandibular joint?
– Analysis of condyle hypermobility on the basis of radiographs
– Structure of the temporomandibular joint in the context of radiology
– Assessment of the condyle position in the joint based on CBCT.

– Why position 4/7 did not fulfill its role?
– Cortical bone erosion on CBCT
– what is it and how to assess it?
– Joint degeneration in the CBCT image – arthritis vs arthrosis – a key difference from a clinical point of view
– Idiopathic condyle resorption – why does an open bite suddenly appear?
– Subcortical cysts, ankyloses and developmental defects in the CBCT image
– What to look for when analyzing cephalometry for respiratory disorders?
– What is the hyoid triangle and how to assess the pathology of the cervical vertebrae on cephalometry?
– Magnetic resonance imaging (MRI) – normal anatomy important from the point of view of TMD
– Displacement of the disc with and without reduction, lateral and posterior displacement of the disc – detailed analysis of MRI images
– Analysis of mobility in the joint based on MRI
– Joint effusion and double disc image – detailed MRI analysis
– Three words about ultrasound – why MRI is much better
– Stabilization of the condyle as seen by magnetic resonance imaging.

– MRI and CBCT positioning of the condyle – when does it make sense?
– 4/7 position and rearmost position – why they were used and why they were stopped
– Centric slide – a physiological phenomenon or a big mistake?
– Constricted Chewing Pattern (CCP) and the “long centric”– Compression and decompression in TMJ – is the joint space important for us?
– Rotation / translation – are we actually separating these two movements?
– Defining the Central Relation – dental cabaret
– Adapted centric posture. How do I know when an intervention is needed?
– Muscle vectors of the stomatognathic system
– Establishing a centric relation (deprogrammers and maneuvers)
– Triple centric relation and determining the position of the articular fossa
– Forward position – splint reposition, functional orthodontics, apnea treatment
– Neuromuscular position – main principles and doubts
– What position should we choose and when should we look for it?
– Does an incorrect position in the joint guarantee TMD?