Portofoliu Profesional Gnatologie

PORTOFOLIU PROFESIONAL
DISCIPLINA GNATOLOGIE
STUDENT:
AN UNIVERSITAR 2017-2018
Competenţe profesionale
1. Cunoașterea ariei de specializare a gnatologiei, dezvoltarea teoretică, metodologică și
practică specifică programului. Învățarea, înțelegerea și utilizarea unui limbaj specific în
comunicarea cu membrii echipei de formare profesională.
2. Să demonstreze capacitatea de utilizare adecvată a noțiunilor de bază din gnatologie
3. Să înteleagă importanța examenului clinic complet, a unui diagnostic precoce a
sindromului disfunctional a sistemului stomatognat și a tratamentului acestora.
4. Să demonstreze capacitate de analiză și interpretare a unor situații clinice ce pot fi
întâlnite în practica medicală.
5. Să își însușească abilități de raționare, analiză și evaluare a unor situații clinice de natură
profilactică.
6. Să adopte o strategie generală de evaluare bazată pe dovezi și pe argumente pro și contra
în vederea alegerii celor mai bune soluții terapeutice.
7. Să dezvolte aptitudini de a utiliza corect mijloace și instrumente de examinare clinică a
pacienților.
8. Sa demonstreze abilități de identificare, evaluare , construcție a unor solutii terapeutice.
9. Să identifice și să aleagă metodele optime de tratament a afecțiunii și patologiei în care
pacientul este încadrat.
10. Utilizarea cunostintelor de specialitate pentru explicarea și interpretarea unor situatii
clinice noi, în contexte mai largi asociate domeniului.
11. Realizarea de raționamente și elaborarea asumpțiilor de ghidare și a intrebarilor de
evaluare potrivite cazului evaluat.
12. Utilizarea nuantată și pertinentă de criterii și metode de evaluare pentru a formula
judecăți de valoare și a fundamenta decizii constructive.
13. Abilitatea de a efectua o examinare clinică complexă a relațiilor fundamentale cranio-
mandibulare.
14. Identificarea semnelor și simptomele patognomice afecțiunilor cu rasunet de ordin
gnatologic.
15. Înregistrarea datelor sistematizate clinic în urma examinării relațiilor fundamentale
cranio-mandibulare cu arcul facial și transpunerea acestora pe simulatoare integrate sau
virtuale.
16. Abilitatea de a identifica necesitatea examinării paraclinice și de a recomanda tehnici
precise de evaluare paraclinică minim invazive în vederea stabilirii unui diagnostic
corect.
17. Analiza și interpretarea rezultatelor examenelor paraclinice precum : ortopantomografia,
model de studiu montat în articulator, analiză fotostatică, tomografie de ATM, RX3D, T-
Scan, ocluzogramă, gnatosonie, gnatofonie și examen gnatopostural.
18. Capacitatea de a corela rezultatele examinării clinice cu rezultatele examinării paraclinice
și de a sistematiza informațiile în vederea aprecierii diagnosticului de certitudine.
19. Abilitatea de a identifica metode de tratament etiologic, profilactiv și curativ conform
tendințelor moderne, minim invazive a “Sindromului Disfunctional Al Sistemului
Stomatognat”
20. Abilitatea de a efectua manopere terapeutice minim invazive de ameliorare a
simptomatologiei sindromului disfunctional a sistemului stomatognat.
21. Capacitatea de urmărire a evoluției tratamentului și dispensarizare activă a pacienților cu
sindrom disfunctional al sistemului stomatognat, în context bio-psiho-social.
Capacitatea de a colabora activ, ca un membru integrat intr-o echipă pluridisciplinară și
transpunerea noțiunilor dobândite în vederea efectuării propriu-zise a unui tratament de
reechilibrare ocluzală.
Competenţe transversale
1. Identificarea și asumarea rolului de colaborator într-o echipă interdisciplinară în vederea
maximizării rezultatelor pe parcursul stagiilor de formare clinică.
2. Îmbunătățirea abilităților de comunicare în relație cu echipa, dar și în relația cu pacienții.
3. Respectarea și dezvoltarea valorilor personale și a eticii profesionale.
4. Utilizarea tehnicilor moderne de IT.
Recunoașterea și respectul diversității multiculturalității, autonomia învățării, inițiativă și spirit
antreprenorial cu deschidere către învățare pe tot parcursul vietii.
Obiectivul general al disciplinei

Profilaxia, diagnosticul, tratamentul, dispensarizarea Sindromului Disfunctional al
Sistemului Stomatognat în contextul patologiei generale și loco-regionale.
Obiectivele specifice
– Cunoaşterea relaţiilor fundamentale cranio-mandibulare.
– Cunoaşterea funcţiilor sistemului stomatognat.
– Etiologia şi patogenia sindromului disfuncţional al sistemului stomatognat.
– Posibilităţi terapeutice.
– Examenul clinic al pacientului cu sindrom disfuncţional.
– Examenele paraclinice indicate în sindrom disfuncţional.
– Stabilirea diagnosticului pacientului cu disfuncţii stomatognatice.
– Stabilirea unui plan de tratament adecvat pentru sindromul disfuncţional.
Discipline cu care se corelează:
 Morfologie dentară,
 Tehnologia protezelor,
 Materiale Dentare,
 Protetică fixă-terapia leziunilor odontale coronare prin proteze unidentare,
 Protetică fixă-terapia prin punţi dentare,
 Protetică mobilă-terapia prin proteze totale,
 Protetică mobilă-terapia prin proteze scheletate,
 Odontoterapie,
 Endodonţie,
 Ortodonţie,
 Radiologie,
 Chirurgie oro-maxilo-facială şi Implantologie,
 Reabilitare orală,
 Patologie orală,
 Diagnostic oro-dentar,
 Sănătate orală.
TEMATICA CURSURILOR
Curs1
CONCEPTUL GNATOPROTETIC. Noţiunea de sistem stomatognat. Caracteristicile sistemului

stomatognat. Unitatea conceptului gnatoprotetic. Noţiunea de integrare bio-psiho-socială.
Noţiuni de morfologie a sistemului stomatognat
OBIECTIV: La finalizarea cursului studentul va fi capabil:
 Să defineasca noțiunea de sistem stomatognat
 Să cunoască elementele componente ale sistemului stomatognat
 Să cunoască noțiunea de concept gnatoprotetic si importanța lui in practica stomatologică
 Să cunoasca noțiunea de integrare bio-psiho-socială și impactul întocmirea planului de
tratament stomatologic
 Să identifice și să utilizeze corect elementele morfologice și funcționale ale sistemului
stomatognat
Curs2
Relaţii fundamentale cranio-mandibulare: RELAŢIA DE POSTURĂ.

Definiţie, factori determinanţi, repere, tehnici de determinare practică.

 Să defineasca poziţia de postură a mandibulei.
 Să cunoască elementele ce participă la realizarea cât şi la modificarea poziţiei de postură a
mandibulei (factorul nervos, factorul muscular, complexul structural muşchi-tendon, acţiunea
barică negativă).
 Să utilizeze metodele antropometrice şi funcţionale de determinare a poziţiei de postură a
mandibulei şi implicit, de evaluare a dimensiunii verticale de postură a etajului inferior al feţei.
 Să identifice reperele relaţiei de postură a mandibulei.
 Să identifice factorii generali şi locali capabili să influenţeze poziţia de postură a mandibulei.
Curs3
Relaţii fundamentale cranio-mandibulare: RELAŢIA CENTRICĂ
Definiţie, istoric. Factorii care determină relaţia centrică. Repere, tehnici de determinare.

 Să cunoască tratamentul ce vizează afecţiunile musculo-articulare capabile să inducă reflexe
de poziţionare centrică modificate.
 Să realizeze tehnicile prin care se obţine relaxarea musculară.
 Să enumere şi să explice tehnicile pentru determinarea relaţiei centrice la dentat.
 Să enumere şi să explice tehnicile pentru determinarea relaţiei centrice la edentatul parţial.
 Să enumere şi să explice tehnicile pentru determinarea relaţiei centrice la edentatul total.
 Să poată enumera şi utiliza diferite medii de marcare.
Curs4
Relaţii fundamentale cranio-mandibulare: RELAŢIA DE OCLUZIE
Definiţie. Noţiunile de ocluzie statică şi dinamică. Dezvoltarea ocluziei. Tipuri de ocluzie.

Morfologia parametrilor de ocluzie. Rapoartele ocluzale statice.

 Să definească poziţia de ocluzie dentară.
 Să explice rolul determinanţilor implicaţi în realizarea relaţiei de ocluzie dentara.
 Să enumere şi să cunoasca rolul fiecarui paramatru ocluzal (Morfologia ariilor ocluzale, Cuspizii
de sprijin, Cuspizii de ghidaj, Curbele de ocluzie).
Curs5
RAPOARTELE OCLUZALE DINAMICE. Rolul funcţional al ocluziei. Calitatea contactelor

dento-dentare. Ocluzograma normală şi patologică. Concepţii ale ocluziei ideale.
 Să descrie valoarea elementelor morfologice, pentru asigurarea echilibrului ocluzal.
 Să descrie cvintul lui Hanau.
 Să descrie ecuaţia echilibrului ocluzal formulată de Thielemann.
 Să cunoască principalele concepte ocluzale.
 Să enumere şi să explice criteriile ocluziei naturale
Curs6
DINAMICA MANDIBULARĂ:
acţiunea conjugată a muşchilor în realizarea dinamicii mandibulare. Dinamica articulaţiei
temporomandibulare. Clasificarea mişcărilor mandibulare, perimetrul, limita de mişcare.
Dinamica funcţională
 Să enumere şi să explice mişcarile funcţionale ale mandibulei
 Să enumere şi să explice mişcarile voluntare alemandibulei
 Să enumere şi să explice mişcarile limită ale mandibulei
 Să enumere şi să explice mişcarile simetrice ale mandibulei
 Să enumere şi să explice mişcarile asimetrice ale mandibulei
 Să enumere şi să explice mişcarile cu contact dentar ale mandibulei
 Să enumere şi să explice mişcarile fără contact dentar ale mandibulei
 Să enumere şi să explice mişcarile simple şi combinate ale mandibulei
Curs7
ETIOPATOGENIA DISFUNCŢIILOR SISTEMULUI STOMATOGNAT.

Teorii mecano-dentare, dento-musculare, fiziologică, psiho-fiziologică, dishomeostazică.
 Să definească disfuncţia sistemului stomatognat.
 Să definească trauma ocluzală(primară şi secundară).
 Să identifice grupele etiologice implicate în producerea disfuncţiei ocluzale.
Curs8
SEMNE CLINICE ALE DISFUNCŢIEI SISTEMULUI:

articulare, musculare, parodontale, odontale, tulburări ale armoniei intra-arcadice, tulburări
ale ocluziei statice şi dinamice, modificarea poziţiilor fundamentale craniomandibulare,
modificarea principalelor funcţii. Modificări parafuncţionale, modificări otice, rinofaringiene,
linguale, salivare.
 Să enumere şi să explice semnele clinice dento-parodontale.
 Să enumere şi să explice semnele clinice neuro-musculare.
 Să enumere şi să explice semnele clinice la nivelul articulaţiei temporo-mandibulare.
 Să enumere şi să explice manifestările clinice complexe.
Curs9
INVESTIGAREA PARACLINICĂ ÎN SINDROMUL DISFUNCŢIONAL:

studiul de model, arcurile faciale, simulatoarele sistemului stomatognat.

 Să cunoasca instrumentele ce servesc la determinarea poziţiei crestei alveolare şi dinţilor
maxilari faţă de axa şarnieră şi planul Frankfurt, ce asigură transferul acestor date la nivelul
unui articulator programabil şi furnizează datele necesare programării acestora.
 Sa cunoască tipurile de arcuri faciale (arcuri faciale pentru determinarea axei şarnieră, arcuri
faciale de transfer, arcuri faciale pentru înscrierea cinematicii mandibulare).
 Să cunoasca instrumentele capabile să reproducă poziţia de relaţie centrică şi să simuleze
mişcările de propulsie şi lateralitate. mai corect spus, condiţiile mecanice ale acestor mişcări.
 Sa cunoască tipurile de articulatoare (în funcţie de locul de fixare al dispozitivului ce imită
condilul mandibular şi după capacitatea de a reda anumite mişcări ale mandibulei ) precum
şi parametrii ce pot fi individualizaţi.
Curs10
EXAMENUL ELECTROMIOGRAFIC ÎN GNATOLOGIE.

Aprecierea tonusului muscular, studiul cinematoicii mandibulare. Examinarea RX, gnatosonia,
gnatofonia, examenul gnato-fotostatic.
 Să cunoasca instrumentele ce servesc la aprecierea tonusului muscular
 Sa cunoască tipurile de investigații utilizate in gnatologie și importanța lor
 Să interpreteze rezultatele obținute în urma unor astfel de investigații
Curs11
DIAGNOSTICUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

Diagnosticul diferenţial. Principii de tratament. Gradele de dishomeostazie.

 Să cunoasca semnele clinice patognomonice disfuncției sistemului stomatognat
 Să identifice și să efectueze diagnosticul diferențial
 Să cunoască și să enumere principiile de tratament în terapia Sindromului Disfunțional al
Sistemului Stomatognat
 Să cunoască și să enumere gradele de dishomestazie
Curs12
DIAGNOSTICUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

Stabilirea diagnosticului pacientului cu disfuncţii stomatognatice.
Stabilirea unui plan de tratament adecvat pentru sindromul disfuncţional.

 Să enumere şi să descrie etapele în diagnosticarea disfuncției sistemului stomatognat
 Să cunoască principiile ce trebuie respectate în întocmirea planului de tratament adecvat
pentru sindromul disfuncțional
Curs13
TRATAMENTUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

Tratament profilactic. Reabilitarea psihică. Tratamentul durerii.
 Să enumere şi să descrie etapele de tratament în tratamentul disfuncției sistemului
stomatognat
 Să cunoască principiile ce trebuie respectate în profilaxia disfuncției sistemului stomatognat
 Să cunoască principiile ce trebuie respectate în reabilitarea psihică
Curs14
TRATAMENTUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

Tratamentul ATM. Tratamentul miorelaxant. Intercepţia ocluzală. Tratamentul chinetoterapic şi
fizioterapic.
 Să enumere şi să descrie etapele de tratament
 Să cunoască principiile ce trebuie respectate în tehnica de intercepție ocluzală
 Să cunoască principiile ce trebuie respectate în tratamentul kinetoterapic și fizioterapic
Bibliografie:
1.BRATU Dorin Aparatul dento-maxilar. Date de morfologie functionala clinica. –Timisoara: editura
Helicon, 1997
2. BURLUI Vasile, MORARASU Catalina Gnatologie. –Iasi: ed. Apollonia, 2012
3. BURLUI Vasile Malrelatiile cranio-mandibulare. –Iasi: editura Apollonia, 2002
4. BURLUI Vasile, MORARASU Catalina Gnatologie. –Iasi: ed. Apollonia, 2000
5. COGALNICEANU Dan Anchiloza temporomandibulara. –Iasi: ed. ‘’Gr.T.Popa’’,U.M.F, 2009
6. EVA Iuliana Articulatia temporomandibulara, corelatii clinico-imagistice. –Iasi: ed.Junimea, 2008
7. KAWAMURA Yojiro, DUBNER Ronald Oral-facial sensoru and motor functions. –Japan: Quintessence
Publishing Co., 1981
8. FIRU Introducere la stadiul anomaliilor dento-maxilare. –Bucuresti: ed. Academiei rep. socialiste, 1981
9. BARASCU Liviu, ZAHARIA Agripina Clinica relatiilor mandibolo-maxilare. –Constanta: ed. Muntenia
si ed. Leda, 2000
10. IFTENI Gabriela, BURLUI Vasile Ghid practic de gnatologie clinica. –Iasi: ed.Apollonia, 1998.
11. Fetzer, Walter Articulatoare, instrumente si metode de inregistrare
12. DETTORI, SALVATORE; CONFALONI ANGELO Evoluzione del raporto dinamico funzionale tra
occlusione ED ATM, vol.1, Ed Mercurio, 2001
13. BURLUI, V.; MORARASU, C. Gnatologie, 2012 Iasi, ISBN: 978-606-8410-24-1, 579 Pagini
MORARASU, C., Burlui, V. Reabilitare orala complexa, 2002, Iasi
TEMATICA STAGIILOR
NR.
TEMATICA OBSERVATII
CRT.
Examenul Clinic Gnatologic. RECAPITULARE

 Prezentarea foii de observaţie clinica ,
1. baremului de activitati practice.
 Examenul clinic în gnatologie: examen
extraoral şi intraoral.
Examenul Clinic Gnatologic.
2.  Examinarea principalelor grupe

musculare:temporal, pterigoidienii, maseter,
etc
 Examinarea ATM.
3.  Principalele metode de investigare clinică şi
paraclinică
 Demonstraţie practică
 Examinarea relaţiei de postură.

4.  Principalele repere ale relaţiei de postură.
 Metode de inducere clinică a relaţiei de
postură
Examenul Clinic Gnatologic. RECAPITULARE - VERIFICAREA

5. CUNOSTINTELOR – LUCRARE SCRISA
 Examinarea relaţiei centrice. ANUNTATA
 Principalele repere ale relaţiei centrice
 Metode de inducere clinică a relaţiei centrice
Prezentare de referat –
Realizati un referat de minim 2

pagini propriu-zise – maxim 4
pagini din bibliografia de curs
care sa contina:
Structura unui referat

Examenul paraclinic gnatologic
trebuie să conţină:
 Ocluzograma ideală şi la pacient.
Pagină de prezentare (coperta):
6.  Repere ocluzale ideale şi de malocluzie Titlul scris mare la mijlocul foii;
În antet : numele şcolii şi adresa
 Analiza ocluzală clinic. În subsol :data
 Demonstraţie practică Sub titlu, la mijoc, nume autor şi
nume profesor
Pagina de cuprins(dacă există un număr
mare de pagini).
Paginile propriu-zise: titlu, subtitlu, alineat
„justified „ , numărul paginii la subsol; în
cazul unui citat marcat cu ghilimele („”) veţi
menţiona la subsol autorul, opera, pagina
operei din care este extras citatul;
Pagina „Bibliografie”: ordonate după
numele autorului după formula –Nume
autor, Titlu opera, editura, anul apariţiei;
Examenul paraclinic gnatologic
 Repere ocluzale ideale şi de malocluzie.

7.  Analiza ocluzală pe simulator.
 Înregistrarea amprentei cu cheie ocluzală şi
realizarea modelelor de studiu.
Examenul paraclinic gnatologic RECAPITULARE - VERIFICAREA

CUNOSTINTELOR – LUCRARE SCRISA
8.  Examene paraclinice: modele de studiu ANUNTATA
detaşate şi montate în articulator, Rx
retrodentoalveolară, OPT, tomografie de ATM,
electromiografia, mandibulokineziografia, T-
SCAN, Posturografie, podoscopie
Intocmirea diagnosticului de certitudine
 Diagnosticul clinic şi paraclinic de malrelaţie

9. cranio-mandibulară
Intocmirea diagnosticului de certitudine Prezentare de caz – pacient

individual
 Corelarea ocluziei cu parametrii geometrici ai
10. sistemului stomatognat.
 Diagnosticul de malrelaţie

Intocmirea diagnosticului de certitudine  - RECAPITULARE -

VERIFICAREA
 Recunoaşterea semnelor şi simptomelor CUNOSTINTELOR - LUCRARE
11.
disfuncţionale ale sindromului disfuncţional al SCRISA ANUNTATA
sistemului Stomatognat.

Stabilirea planului de tratament al Prezentare de caz
disfuncţiilor sistemului stomatognat
12. Restaurarea relaţiilor fundamentale cranio-
mandibulare la bolnavii cu malrelatii cranio-
mandibulare
Restaurarea relaţiilor fundamentale cranio- Prezentare de referat –

mandibulare la bolnavii cu malrelatii cranio- Realizati un referat de minim 2
13. mandibulare pagini propriu-zise – maxim 4
 Echilibrarea ocluziei pe simulator. pagini din bibliografia de curs
 Şlefuire selectivă care sa contina:
 Structura unui referat
trebuie să conţină:
Pagină de prezentare (coperta):
Titlul scris mare la mijlocul foii;
În antet : numele şcolii şi adresa
În subsol :data
Sub titlu, la mijoc, nume autor şi
nume profesor
Pagina de cuprins(dacă există un număr
mare de pagini).
Paginile propriu-zise: titlu, subtitlu, alineat
„justified „ , numărul paginii la subsol; în
cazul unui citat marcat cu ghilimele („”) veţi
menţiona la subsol autorul, opera, pagina
operei din care este extras citatul;
Pagina „Bibliografie”: ordonate după
numele autorului după formula –Nume
autor, Titlu opera, editura, anul apariţiei;
Restaurarea relaţiilor fundamentale cranio- RECAPITULARE - VERIFICAREA

mandibulare la bolnavii cu malrelatii cranio- CUNOSTINTELOR - LUCRARE SCRISA
mandibulare ANUNTATA
14.
 Prezentare de caz
Standard minim de performanţă
 Cunoasterea terminologiei si a materiei parcurse la curs.

 Cunoasterea etapelor si a tehnicilor de examinare clinica din punct de vedere gnatologic.
 Cunoasterea metodelor de examinare a principalelor grupe musculare din extremitatea
cefalica
 Cunoasterea metodelor de examinare paraclinica si interpretarea rezultatelor.
 Cunoasterea tehnicilor de analiza ocluzala, parametrilor ocluzali intra si interarcadici,
inregistrarea ocluziei prin intermediul ocluzogramei.
 Cunoasterea metodei de echilibraree ocluzala pe simulator (slefuire selectiva)
 Recunoasterea semnelor si simptomelor disfunctionale ale sindromului disfunctional al
SS
 Stabilirea planului de tratament al disfunctiilor SS in realizarea propriu-zisa a terapiei
 Restaurarea relatiilor fundamentale cranio-mandibulare (relatie de postura, centrica si
ocluzie) la bolnavul edentat total
 Restaurarea relatiilor fundamentale cranio-mandibulare (relatia de postura, centrica si
ocluzie) la bolnavul edentat partial intins
ocluzie) la bolnavul edentat partial redus
ocluzie) la bolnavul cu leziuni odontare coronare
 Prezentarea portofoliului profesional care atesta parcurgerea etapelor de pregatire puse la
dispozitie in curricula de activitate clinica in cadrul platformei de formare profesionala.
Evaluare
Tip activitate 10.1 Criterii de evaluare 10.2 Metode de evaluare
 Cunoasterea terminologiei  Examen scris (

10.4 Curs utilizate in Gnatologie evaluare
 Capacitatea de utilizare adecvata a sumativa)
notiunilor dobandite din gnatologie
 Intelegerea importantei depistarii
precoce a semnelor si simptomelor
pentru dishomeostazia sistemului
stomatognat
 Cunoasterea tehnicilor si a
metodelor de examinare clinica si
paraclinica a pacientilor cu
dishomeostazia sistemului
stomatognat
 Cunoasterea tendintelor modern
terapeutice de reabilitare a pacientilor
cu astfel de afectiuni
10.5 Seminar/laborator  Insusirea problematicii tratate la  Prezentare
curs si seminarii Portofoliu
 Capacitatea de a utiliza corect Profesional
metodele, tehnicile de examinare,  Aplicatie
recunoasterea semnelor practica
patognomonice dishomeostaziei
sistemului stomatognat
 Capacitatea de a efectua
tratamente in scop preventiv,
profilactic, dispensarizare si
ameliorare a simptomatologiei
pacientilor cu astfel de afectiuni.
Curriculum de activitate practica
1. Examenul clinic gnatologic: 4 cazuri/ student;

2. Examinarea principalelor grupe musculare: 4 cazuri/ student
3. Ocluzograma ideala și la pacient: 4 cazuri/ student;
4. Analiza ocluzala clinic: 4 cazuri/ student;
5. Examene paraclinice: tomografie de ATM, Ortopantomografie, modele de studiu (
simulator – ocluzie ideala, pacient)
6. Echilibrarea ocluziei pe simulator - slefuire selectiva: 2 cazuri/ student;
7. Recunoasterea semnelor si simptomelor disfunctionale ale sindromului disfunctional
al SS ( prezentare de caz), la un pacient din cei patru examinati.
8. Stabilirea planului de tratament al disfunctiilor SS in realizarea propriu-zisa a terapiei
pentru pacientii examinati
9. Restaurarea relatiilor fundamentale cranio-mandibulare (relatia de postura, centrica si
ocluzie) la bolnavul edentat total: 1 caz/ grupa;
10. Restaurarea relatiilor fundamentale cranio-mandibulare ( relatia de postura, centrica
si ocluzie) la bolnavul edentat partial intins:1 caz/ grupa;
11. Restaurarea relatiilor fundamentale cranio-mandibulare ( relatia de postura, centrica
si ocluzie) la bolnavul edentat partial redus:1 caz/ grupa;
Nr.Fişă____________________
Data______________________
FOAIE DE OBSERVAŢIE CLINICĂ -1

Numele___________________Prenumele_______________varsta____sex__C.N.P.____________________
Data naşterii_____________________domiciliu_________________________________________________
Telefon__________________________Profesia___________________Loc de muncă___________________
Diagnostic_____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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______________________________________________________________
EXAMEN SUBIECTIV
Motivele prezentării________________________________________________________________________
Istoric________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________
Antecedente personale
Generale______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________
Stomatologice__________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________
Antecedente heredo-colaterale
Generale______________________________________________________________________
____________
Stomatologice__________________________________________________________________
____________
Condiţii de viaţa si muncă_______________________________________________________
EXAMEN OBIECTIV
STARE GENERALĂ
______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________
STARE LOCALĂ – INVESTIGARE CLINICA EXTRAORALA SI A REGIUNII INVECINATE
METODE DE EXAMINARE: INSPECTIE, PALPARE, PERCUTIE SI AUSCULTATIE
Norma de fata_________________________________________________________________
Aspectul tegumentelor:__________________________________________________________
Coloratie:_____________________________________________________________________
Integritate:____________________________________________________________________
Cicatrici cheloide:______________________________________________________________
Edem:________________________________________________________________________
Analiza Simetriei Faciale:
Plan Vertical:
Repere utilizate pentru masurare:________________________________________________
Rezultate interpretare:__________________________________________________________
Plan Transversal:
Rezultate interpretare:_________________________________________________________
Norma de profil
Tip profil:_________________________________________________________________
Unghi nazo-labial :_________________________________________________________
Postura buzelor:___________________________________________________________
Sant Labio-mentonier:______________________________________________________
Unghi Goniac:_____________________________________________________________
Palpare
Superficială____________________________________________________________________
_____________________________________________________________________________
Muşchi si regiuni invecinate

Muschi Ridicatori ai Mandibulei
Ms Temporal:_______________________________________________________
Ms. Maseter: :_______________________________________________________
Ms. Pterigoidian Intern:_______________________________________________
Muschii Coboratori ai mandibulei:
Propriu-zisi/ Directi:
Ms. Milohioidian: :__________________________________________________
Ms. Geniohioidian:___________________________________________________
Ms. Burta anterioara a Digastricului:____________________________________
Indirecti:
Ms. Burta posterioara a digastricului____________________________________
Ms. Stilohioidian_____________________________________________________
Ms sternohioidian, omohioidian, tirohioidian:_____________________________
Muschi Propulsori ai mandibulei:
Ms. Pterigoidian extern:_______________________________________________
Ms. Maseter:________________________________________________________
Ms. Pteridoidian intern:______________________________________________
Muschi retropulsori ai mandibulei:
Ms. Pielosi ai Fetei:___________________________________________________
Ms. Pielosi periorali:__________________________________________________
Dilatatori:
Plan profund:
Ms Canin:__________________________________________________________
Ms. Buccinator:______________________________________________________
Ms. Patratul barbiei:__________________________________________________
Ms. Motul Barbiei:___________________________________________________
Plan Superficial:
Ms. Ridicator al buzei superioare si aripii nasului_________________________
Ms. Ridicator propriu al buzei superioare________________________________
Ms. Micul zigomatic:__________________________________________________
Ms. Marele Zigomatic:________________________________________________
Ms. Risorius al lui Santorini____________________________________________
Ms. Coborator al comisurii bucale______________________________________
Constrictori:
Ms. Orbicular:_______________________________________________________
Ms. Compresor al buzelor:_____________________________________________
Muschii narinari : __________________________________________________________
Muschii auriculari:_________________________________________________________
Muschii Fantei palpebrale:___________________________________________________
Muschii Limbii:____________________________________________________________
Muschii Valului Palatin: ____________________________________________________
Ganglioni_________________________________________________________________________________
Puncte de emergent trigeminala______________________________________________________________
Contururi osoase __________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
A.T.M_________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
INTRAORAL
Orificiul bucal _________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Mucoasa labio-jugala
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Vestibul bucal maxilar

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
ARCADA DENTO-ALVEOLARA MAXILARA
Forma arcadei : ________________________________________________________________________________
Dinti si spatii protetice: __________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Parodontiu____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Bolta Palatina_________________________________________________________________________________
____________________________________________________________________________________________
ARCADA DENTO-ALVEOLARA MANDIBULARA
Vestibul bucal mandibular
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Forma arcadei : ________________________________________________________________________________

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Planseu_______________________________________________________________________________________
_____________________________________________________________________________________________
Limba_________________________________________________________________________________________
_____________________________________________________________________________________________
RELATIA DE OCLUZIE
Morfologia ariilor ocluzale
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Relatii ocluzale inter-arcadice
Molari Canini Incisivi

Angrenaj
Sagital
Transversal
Vertical
Contacte ocluzale dento-dentare
a). Intercuspidare maxima
- traiectoria de inchidere in intercuspidare maxima

_____________________________________________________________________________________________
__________________________________________________________________________________________
- contacte in intercuspidare maxima
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________________________________________________________________
b). Relatie centrica
- - traiectoria de inchidere in relatie centrica
______________________________________________________________________
______________________________________________________________________
___________________________________________
- contacte in relatie centrica
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
c). Lateralitate dreapta (miscare si pozitie test)
_____________________________________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
__________________________________________________
d). Lateralizate stanga (miscare si pozitie test)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___________
e). Protruzie ( miscare si pozitie test)
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Concluzii examen clinic ocluzal
_____________________________________________________________________________________________
Relatie de postura
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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Relatie centrica
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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Dinamica mandibulara
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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_____________________________________________________________________________________________
_____________________________________________________________________________________________
Examen functional
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Aprecierea gradului de educatie sanitara si igienizare a cavitatii orale

_____________________________________________________________________________________________
EXAMENE COMPLEMENTARE
Pentru aprecierea starii generale
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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Pentru aprecierea starii locale
Modele de studiu
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Radiografii
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Fotografii
_____________________________________________________________________________________________
_____________________________________________________________________________________________
E.M.G.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
E.K.G.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Gnatosomia
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Alte examene complementare
_____________________________________________________________________________________________
_____________________________________________________________________________________________
PLAN TERAPEUTIC
1. EDUCATIE SANITARA
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2. PREGATIRE GENERALA
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. PREGATIRE LOCALA
A. PRE-PROTETIC
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
B. PRO-PROTETIC
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
C. PROTETIC PROPRIU-ZIS
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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Solutie terapeutica de electie
Maxilar
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Mandibula
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
EVOLUTIA BOLII SI TRATAMENUL APLICAT
_____________________________________________________________________________________________
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Nr.Fişă____________________
Data______________________
FOAIE DE OBSERVAŢIE CLINICĂ - 2

Diagnostic_____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
______________________________________________________________
EXAMEN SUBIECTIV
Istoric________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________
Generale______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________
Stomatologice__________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________
Generale______________________________________________________________________
____________
Stomatologice__________________________________________________________________
____________
EXAMEN OBIECTIV
STARE GENERALĂ
______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________
Norma de fata_________________________________________________________________
Coloratie:_____________________________________________________________________
Integritate:____________________________________________________________________
Edem:________________________________________________________________________
Plan Vertical:
Plan Transversal:
Norma de profil
Tip profil:_________________________________________________________________
Postura buzelor:___________________________________________________________
Unghi Goniac:_____________________________________________________________
Palpare
Superficială____________________________________________________________________
_____________________________________________________________________________

Ms Temporal:_______________________________________________________
Ms. Maseter: :_______________________________________________________
Ms. Milohioidian: :__________________________________________________
Indirecti:
Ms. Maseter:________________________________________________________
Dilatatori:
Plan profund:
Ms Canin:__________________________________________________________
Ms. Buccinator:______________________________________________________
Ms. Motul Barbiei:___________________________________________________
Plan Superficial:
Constrictori:
Ms. Orbicular:_______________________________________________________
Muschii Limbii:____________________________________________________________
Ganglioni_________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
A.T.M_________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
INTRAORAL
Orificiul bucal _________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Forma arcadei : ________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Parodontiu____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Bolta Palatina_________________________________________________________________________________
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Forma arcadei : ________________________________________________________________________________

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Planseu_______________________________________________________________________________________
_____________________________________________________________________________________________
Limba_________________________________________________________________________________________
_____________________________________________________________________________________________
RELATIA DE OCLUZIE
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Angrenaj
Sagital
Transversal
Vertical

_____________________________________________________________________________________________
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Relatie de postura
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Relatie centrica
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Examen functional
_____________________________________________________________________________________________
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_____________________________________________________________________________________________
Modele de studiu
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Radiografii
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Fotografii
_____________________________________________________________________________________________
_____________________________________________________________________________________________
E.M.G.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
E.K.G.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Gnatosomia
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
PLAN TERAPEUTIC
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. PREGATIRE LOCALA
D. PRE-PROTETIC
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
E. PRO-PROTETIC
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
F. PROTETIC PROPRIU-ZIS
_____________________________________________________________________________________________
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48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
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Maxilar
_______________________________________________________________
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Mandibula
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Nr.Fişă____________________
Data______________________

Diagnostic_____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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EXAMEN SUBIECTIV
Istoric________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________
Generale______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________
Stomatologice__________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________
Generale______________________________________________________________________
____________
Stomatologice__________________________________________________________________
____________
EXAMEN OBIECTIV
STARE GENERALĂ
______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________
Norma de fata_________________________________________________________________
Coloratie:_____________________________________________________________________
Integritate:____________________________________________________________________
Edem:________________________________________________________________________
Plan Vertical:
Plan Transversal:
Norma de profil
Tip profil:_________________________________________________________________
Postura buzelor:___________________________________________________________
Unghi Goniac:_____________________________________________________________
Palpare
Superficială____________________________________________________________________
_____________________________________________________________________________

Ms Temporal:_______________________________________________________
Ms. Maseter: :_______________________________________________________
Ms. Milohioidian: :__________________________________________________
Indirecti:
Ms. Maseter:________________________________________________________
Dilatatori:
Plan profund:
Ms Canin:__________________________________________________________
Ms. Buccinator:______________________________________________________
Ms. Motul Barbiei:___________________________________________________
Plan Superficial:
Constrictori:
Ms. Orbicular:_______________________________________________________
Muschii Limbii:____________________________________________________________
Ganglioni_________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
A.T.M_________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
INTRAORAL
Orificiul bucal _________________________________________________________________________________
_____________________________________________________________________________________________
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_____________________________________________________________________________________________
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_____________________________________________________________________________________________

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Forma arcadei : ________________________________________________________________________________
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Parodontiu____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Bolta Palatina_________________________________________________________________________________
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Forma arcadei : ________________________________________________________________________________

_____________________________________________________________________________________________
_____________________________________________________________________________________________
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_____________________________________________________________________________________________
Planseu_______________________________________________________________________________________
_____________________________________________________________________________________________
Limba_________________________________________________________________________________________
_____________________________________________________________________________________________
RELATIA DE OCLUZIE
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Angrenaj
Sagital
Transversal
Vertical

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Relatie de postura
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Relatie centrica
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Examen functional
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Modele de studiu
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Radiografii
_____________________________________________________________________________________________
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Fotografii
_____________________________________________________________________________________________
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E.M.G.
_____________________________________________________________________________________________
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E.K.G.
_____________________________________________________________________________________________
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Gnatosomia
_____________________________________________________________________________________________
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PLAN TERAPEUTIC
__________________________________________________________________________________________
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_____________________________________________________________________________________________
3. PREGATIRE LOCALA
G. PRE-PROTETIC
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H. PRO-PROTETIC
_____________________________________________________________________________________________
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I. PROTETIC PROPRIU-ZIS
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Maxilar
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Mandibula
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Nr.Fişă____________________
Data______________________

Diagnostic_____________________________________________________________________________________
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EXAMEN SUBIECTIV
Istoric________________________________________________________________________________________
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Generale______________________________________________________________________
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Stomatologice__________________________________________________________________
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Generale______________________________________________________________________
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Stomatologice__________________________________________________________________
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EXAMEN OBIECTIV
STARE GENERALĂ
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Norma de fata_________________________________________________________________
Coloratie:_____________________________________________________________________
Integritate:____________________________________________________________________
Edem:________________________________________________________________________
Plan Vertical:
Plan Transversal:
Norma de profil
Tip profil:_________________________________________________________________
Postura buzelor:___________________________________________________________
Unghi Goniac:_____________________________________________________________
Palpare
Superficială____________________________________________________________________
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Ms Temporal:_______________________________________________________
Ms. Maseter: :_______________________________________________________
Ms. Milohioidian: :__________________________________________________
Indirecti:
Ms. Maseter:________________________________________________________
Dilatatori:
Plan profund:
Ms Canin:__________________________________________________________
Ms. Buccinator:______________________________________________________
Ms. Motul Barbiei:___________________________________________________
Plan Superficial:
Constrictori:
Ms. Orbicular:_______________________________________________________
Muschii Limbii:____________________________________________________________
Ganglioni_________________________________________________________________________________
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A.T.M_________________________________________________________________________________________
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INTRAORAL
Orificiul bucal _________________________________________________________________________________
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Forma arcadei : ________________________________________________________________________________
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Parodontiu____________________________________________________________________________________
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Bolta Palatina_________________________________________________________________________________
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Forma arcadei : ________________________________________________________________________________

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Planseu_______________________________________________________________________________________
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Limba_________________________________________________________________________________________
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RELATIA DE OCLUZIE
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Angrenaj
Sagital
Transversal
Vertical

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Relatie de postura
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Relatie centrica
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Examen functional
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Modele de studiu
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Radiografii
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Fotografii
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E.M.G.
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E.K.G.
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Gnatosomia
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PLAN TERAPEUTIC
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3. PREGATIRE LOCALA
J. PRE-PROTETIC
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K. PRO-PROTETIC
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L. PROTETIC PROPRIU-ZIS
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18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
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Maxilar
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Mandibula
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TEMA NR .1 –FORMA FETEI
Numeste pentru fiecare personaj forma fetei

TEMA NR .2 – Simetria in plan vertical
- Numeste si deseneaza punctele antropometrice gnatologice
Descrie metodele de determinare a simetriei in plan vertical si analizeaza simetria urmatoarelor

portrete
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TEMA NR .3 - Relatia de postura, Relatia centrica
Noteaza pentru fiecare in parte : Definitie, repere, conditii de inducere, metode de inducere.
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Tema nr 4 - Analizeaza urmatoarele tomografii de ATM
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Tema nr 5 – Analizeaza OPT
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PORTOFOLIU PROFESIONAL

Obiectivul general al disciplinei

CONCEPTUL GNATOPROTETIC. Noţiunea de sistem stomatognat. Caracteristicile sistemului

Relaţii fundamentale cranio-mandibulare: RELAŢIA DE POSTURĂ.

OBIECTIV: La finalizarea cursului studentul va fi capabil:

Relaţii fundamentale cranio-mandibulare: RELAŢIA CENTRICĂ

OBIECTIV: La finalizarea cursului studentul va fi capabil:

Relaţii fundamentale cranio-mandibulare: RELAŢIA DE OCLUZIE

Definiţie. Noţiunile de ocluzie statică şi dinamică. Dezvoltarea ocluziei. Tipuri de ocluzie.

OBIECTIV: La finalizarea cursului studentul va fi capabil:

RAPOARTELE OCLUZALE DINAMICE. Rolul funcţional al ocluziei. Calitatea contactelor

ETIOPATOGENIA DISFUNCŢIILOR SISTEMULUI STOMATOGNAT.

SEMNE CLINICE ALE DISFUNCŢIEI SISTEMULUI:

INVESTIGAREA PARACLINICĂ ÎN SINDROMUL DISFUNCŢIONAL:

OBIECTIV: La finalizarea cursului studentul va fi capabil:

EXAMENUL ELECTROMIOGRAFIC ÎN GNATOLOGIE.

DIAGNOSTICUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

OBIECTIV: La finalizarea cursului studentul va fi capabil:

DIAGNOSTICUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

OBIECTIV: La finalizarea cursului studentul va fi capabil:

TRATAMENTUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

TRATAMENTUL DISFUNCŢIEI SISTEMULUI STOMATOGNAT.

Examenul Clinic Gnatologic. RECAPITULARE

Examenul Clinic Gnatologic.

2.  Examinarea principalelor grupe

Examenul Clinic Gnatologic.

Examenul Clinic Gnatologic.

 Examinarea relaţiei de postură.

Examenul Clinic Gnatologic. RECAPITULARE - VERIFICAREA

Realizati un referat de minim 2

Structura unui referat

Examenul paraclinic gnatologic

 Repere ocluzale ideale şi de malocluzie.

Examenul paraclinic gnatologic RECAPITULARE - VERIFICAREA

Intocmirea diagnosticului de certitudine

 Diagnosticul clinic şi paraclinic de malrelaţie

Intocmirea diagnosticului de certitudine Prezentare de caz – pacient

Intocmirea diagnosticului de certitudine  - RECAPITULARE -

Restaurarea relaţiilor fundamentale cranio- Prezentare de referat –

Restaurarea relaţiilor fundamentale cranio- RECAPITULARE - VERIFICAREA

Standard minim de performanţă

 Cunoasterea terminologiei si a materiei parcurse la curs.

 Cunoasterea terminologiei  Examen scris (

1. Examenul clinic gnatologic: 4 cazuri/ student;

FOAIE DE OBSERVAŢIE CLINICĂ -1

METODE DE EXAMINARE: INSPECTIE, PALPARE, PERCUTIE SI AUSCULTATIE

Analiza Simetriei Faciale:

Repere utilizate pentru masurare:________________________________________________

Repere utilizate pentru masurare:________________________________________________

Unghi nazo-labial :_________________________________________________________

Muşchi si regiuni invecinate

Orificiul bucal _________________________________________________________________________________

Vestibul bucal maxilar

ARCADA DENTO-ALVEOLARA MAXILARA

Forma arcadei : ________________________________________________________________________________

Dinti si spatii protetice: __________________________________________________________________________

ARCADA DENTO-ALVEOLARA MANDIBULARA

Vestibul bucal mandibular

Forma arcadei : ________________________________________________________________________________

Morfologia ariilor ocluzale

Relatii ocluzale inter-arcadice

Molari Canini Incisivi

Contacte ocluzale dento-dentare

a). Intercuspidare maxima