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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
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