Oral Neuromuscular Function
Proposed Schedule

 

 

Part I Sensory Systems of the Head and Neck

Oral mucosa: Taste, Temperature, Pressure, Pain

Muscle: Tension, Length, Pain

Temporomandibular Joint: Opening, length, pressure, pain, temperature

Complex and integrated sensory perception: texture, shape

 

Part II Imaging the Head and Neck

Temporomandibular joint imaging approaches: full head x-rays, corrected tomograms, magnetic resonance, computed tomography

New techniques in 3-D reconstruction of craniomandibular coordinates:

Applying Sculptor to combine multiple imaging techniques Movement patterns of the bilateral condyles: rapid MRI, ultra-fast CT, combining mechanical tracking systems suing multiple points with 3-D reconstructed craniomandibular skeletons

 

Part III Forces Applied within the Craniomandibular Region

Bite forces measured on single teeth with and without bite direction

Multiple tooth bite measures and present problems in obtaining

Projecting forces to condyles: computer programs and approaches to determine forces on condyles

Relating multiple bilateral jaw muscles to forces developed within the mandible, on the condyle, and on the zygomatic arch

 

Part IV Muscles of the Jaw and Face

Facial muscles: their relevance to attitude and "reading" your patient

Lip muscles: Forces on the dentition

Jaw muscles:

jaw-closing muscles as multipennate muscles: compartmentalization of function for jaw resting posture, speech and chewing Jaw opening muscles: dual function with the jaw and hyoid bone

 Recruitment patterns: coactivation to load and move mandible

 Tongue: multiple tasks with intrinsic and extrinsic muscles

Coordination of control of tongue with jaw

Relevance of posterior tongue to respiration and pharynx

  

Part V Feeding, Chewing, Swallowing

Feeding: integration chewing into the broader concept of incising, transporting, chewing and swallowing

Swallowing: the oral phase, then pharyngeal and esophageal

Chewing: Central and peripheral controls

How muscles are recruited

Importance of sensory feedback

  

Part VI Pathophysiology

 Condyle and temporomandibular joint: Concepts of how shape changes can occur

Examples of changes in condylar shape: potential factors inducing  Jaw Muscles: mechanisms that induce pain within the belly and tendon Tendon pain

Muscle pain

Inflammation and mechanisms of acute muscle pain

  Distinguishing myofascial pain from fibromyalia pain

Altered taste sensations and feeding effects

Occlusion and chewing abnormalities

Chewing in hemimandibulectomy patients