CONGRESO SEPES SEVILLA 2024

Postural warning signs before oral rehabilitation

Harmony and balance between form and function are essential for maintaining adequate physiological conditions. Recurrent neck pain, frequently broken prostheses, headaches, back pain, balance disorders, neck and shoulder pain, and relapsing occlusal treatments.

Have we ever wondered if the problem was the dentist's approach, our approach? Have we stopped to think if there was something we overlooked behind that failure?

Would it be logical to rehabilitate a patient's occlusion within a system that has led them to destruction?

Can a postural problem lead to the failure of our oral rehabilitation?

We have a large percentage of patients in our practice who are dysfunctional and in pain, with an asymmetric picture of symptoms and clinical signs: muscle tension, pain, joint noises, injuries and/or loss of dental elements more evident on one side than the other. Sometimes we do not know enough about the terrain on which we place our large and precise rehabilitations, to which we have dedicated so much care and study time.

We have treatments that are perfect at a mechanical and aesthetic level, but for the postural system there is a blockage because that new position of the teeth is not integrated at a sensory-perceptive level.

Why is this?

Because the patient's mouth was not evaluated in the postural context.

The stomatognathic system influences the rest of the body through different mechanisms; we also know that alterations in another part of the body, such as a plantar irritative spine, cause variations in the postural system and adaptations in the stomatognathic system. This fact has been demonstrated in different scientific publications.

Evaluating patients from a global point of view, and knowing how to detect these warning signs before performing an irreversible dental treatment such as an occlusal rehabilitation, can help us avoid failures, which unfortunately are excessively frequent.

CV

  • Degree in Dentistry from the University of Granada.
  • Expert in Periodontics and Implants from the University of Almería.
  • Expert in Aesthetic Implantology from IAVANTE, the International University of Andalusia.
  • Expert in Occlusion, Craniomandibular Dysfunction and Orofacial Pain from SCOE.
  • Invited Lecturer in the Degree of Dentistry at UCAM, the Catholic University of San Antonio Murcia.
  • Professor of the Modular Course in Diagnosis in Clinical Posturology at Erago.
  • Professor of the Expert Title in Clinical Posturology 2019/2023, Postgraduate Training at the Catholic University of Murcia.
  • Professor of the Specialist Title in Posturology in Dentistry 2020/2023, Postgraduate Training at UCAM.
  • Professor of the Expert Master in Integral Dental Clinic. University of Granada 2019.
  • Invited Professor of the Master in Physiotherapy and Disability, University of Almería.
  • Professor of the Master in Prosthesis on Implants, Rey Juan Carlos University.
  • Professor of the Master in Orthodontics, Postgraduate Training at UCAM.
  • Director and Manager of own dental clinic since 1995.
  • Coordinator of the clinical team at Excentia dental.

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