Physiology of the Stomatognathic System • HRB4043

 

RESPONSIBLE PROFESSOR:

Ivy Kiemle Trindade Suedam

 

CREDITS: 3

 

COURSE LOAD:

Theoretical
(per week)
Practical
(per week)
Studies
(per week)
Duration Total
4h 8h 3h 3 weeks 45h

OBJECTIVES:

To provide advanced knowledge and understanding of the neuromuscular basis of functions associated to the stomatognathic system such as chewing, sucking, swallowing and speech. 

To understand the disorders that affect the stomatognathic system, particularly those resulting from orofacial deformities and orthopedic-surgical procedures used for its correction. 

To analyze the available methods for the study and research of stomatognathic functions and dysfunctions. 

To stimulate the search for innovative technologies and solutions for the treatment of stomatognathic dysfunctions. 

 

BACKGROUND:

Craniofacial anomalies, such as cleft lip and palate, affect the structures that compose the stomatognathic system, interfering with mastication, swallowing, suction and speech. Considering that correction of these deformities can have a positive or negative impact on stomatognathic functions, these issues are under investigation by the Laboratory of Physiology at HRAC.

Therefore, the course aims at providing the physiological basis of the functions and dysfunctions of the stomatognathic system and presenting some of the tools used for the development of advanced research and studies in the area. 

 

CONTENTS:

Cranial nerves
• Neuromuscular mechanisms of chewing, swallowing, sucking, and speech
Disorders of the trigeminal nerve, glossopharyngeal nerve, facial nerve and hypoglossal nerve
The effects of neuromuscular orofacial deformities and orthopedic-surgical procedures used for its correction
New approaches for assessment of sensory and motor dysfunctions of the stomatognathic system: clinical and instrumental methods – electromyography and bite force measurements

 

BIBLIOGRAPHY:

BersaniE,RegaloSC,SiéssereS,SantosCM,ChimelloDT,DeOliveiraRH,SempriniM.Implant-supported prosthesis following Brånemark protocol on electromyography of masticatory muscles.J Oral Rehabil.2011 Sep;38(9):668-73. 

Calvo AM, Trindade-Suedam IK, da Silva Filho OG, Carvalho RM, de Souza Faco RA, Ozawa TO, Cintra F, Trindade AS Jr, Trindade IE. Increase in age is associated with worse outcomes in alveolar bone grafting in patients with bilateral complete cleft palate. J Craniofac Surg. 2014 Mar;25(2):380-2. 

de Almeida Ribeiro A, Lurentt K, Pary A, Trindade Suedam IK. Comprehensive Treatment of Severe Cleft Lip and Palate. J Clin Orthod. 2019;53(6):357-370.  

de Medeiros-Santana MNL, Perry JL, Yaedú RYF, Trindade-Suedam IK, Yamashita RP. Predictors of Velopharyngeal Dysfunction in Individuals With Cleft Palate Following Surgical Maxillary Advancement: Clinical and Tomographic Assessments. Cleft Palate Craniofac J. 2019 Nov;56(10):1314-1321.  

Freitas JA, das Neves LT, de Almeida AL, Garib DG, Trindade-Suedam IK, Yaedú RY, Lauris Rde C, Soares S, Oliveira TM, Pinto JH. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP)–Part 1: overall aspects. J Appl Oral Sci. 2012 Feb;20(1):9-15.  

Freitas JA, Garib DG, Oliveira M, Lauris Rde C, Almeida AL, Neves LT, Trindade-Suedam IK, Yaedú RY, Soares S, Pinto JH. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies-USP (HRAC-USP)–part 2: pediatric dentistry and orthodontics. J Appl Oral Sci. 2012 Mar-Apr;20(2):268-81.  

Freitas JA, Garib DG, Trindade-Suedam IK, Carvalho RM, Oliveira TM, Lauris Rde C, Almeida AL, Neves LT, Yaedú RY, Soares S, Mazzottini R, Pinto JH. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies-USP (HRAC-USP)–part 3: oral and maxillofacial surgery. J Appl Oral Sci. 2012 Nov-Dec;20(6):673-9.  

Freitas JA, Almeida AL, Soares S, Neves LT, Garib DG, Trindade-Suedam IK, Yaedú RY, Lauris Rde C, Oliveira TM, Pinto JH. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) – Part 4: oral rehabilitation. J Appl Oral Sci. 2013;21(3):284-92.  

Freitas JA, Trindade-Suedam IK, Garib DG, Neves LT, Almeida AL, Yaedú RY, Oliveira TM, Soares S, Lauris Rde C, Yamashita RP, Trindade AS Jr, Trindade IE, Pinto JH. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) – Part 5: institutional outcomes assessment and the role of the Laboratory of Physiology. J Appl Oral Sci. 2013 Jul-Aug;21(4):383-90.  

Garcia MA, Rios D, Honório HM, Trindade-Suedam IK. Bite force of children with repaired unilateral and bilateral cleft lip and palate. Arch Oral Biol. 2016 Aug;68:83-7.  

Garcia MA, Yatabe M, Fuzer TU, Calvo AM, Trindade-Suedam IK. Ideal Versus Late Secondary Alveolar Bone Graft Surgery: A Bone-Thickness Cone-Beam Computed Tomographic Assessment. Cleft Palate Craniofac J. 2018 Mar;55(3):369-374.  

Genaro KF, Trindade Junior AS, Trindade IEK. Eletromyographic analysis of lip muscle function in operated cleft subjects. CleftPalateCraniofac J 1994; 31(1):56-60. 

Henriques SHF, Trindade Junior AS. Oclusão habitual: neurofisiologia do sistema estomatognático percepção/integração/reação. In: Henriques SHF, editor. Reabilitação oral: filosofia, planejamento e oclusão. São Paulo: Editora Santos; 2003. p. 91-106. 

Maspero C, Giannini L, Galbiati G, Kairyte L, Farronato G. Neuromuscular evaluation in young patients with unilateral posterior crossbite before and after rapid maxillary expansion.Stomatologija. 2015;17(3):84-8. 

Palinkas M, Nassar MS, Cecílio FA, Siéssere S, Semprini M, Machado-de-Sousa JP, Hallak JE, RegaloSC.Age and gender influence on maximal bite force and masticatory musclesthickness. Arch Oral Biol. 2010 Oct;55(10):797-802. 

Palinkas M, Bataglion C, de Luca Canto G, Machado Camolezi N, Theodoro GT, Siéssere S, Semprini M, Regalo SC. Impact of sleep bruxism on masseter and temporalis muscles and bite force. Cranio. 2016 Sep;34(5):309-15. 

Pizolato RA, Gavião MBD, Berretin-Felix G, Sampaio ACM, Trindade Junior AS. Maximal bite force in young adults with temporomandibular disorders and bruxism.Braz Oral Res 2007;21(3):278-83. 

Sipert CR, Sampaio ACM, Trindade IEK, Trindade Jr AS. Bite force evaluation in subjects with cleft lip and palate. J Appl Oral Sci. 2009;17(2):136-9. 

Sônego MV, Goiato MC, Dos Santos DM. Electromyographyevaluation of masseter and temporalis, bite force, and quality of life in elderly patients during the adaptation of mandibular implant-supported overdentures.Clin Oral Implants Res. 2016 Sep 11.. [Epub ahead of print] 

SuzukiN,MiyazakiA,IgarashiT,DehariH,KobayashiJI,MikiY,OgiK,NagaiI,SonodaT,YotsuyanagiT,HiratsukaH.Relationship Between Mandibular Ramus Heightand Masticatory Muscle Functionin Patients With Unilateral Hemifacial Microsomia.Cleft Palate Craniofac J. 2016 Jan 11.[Epubaheadofprint] 

Trawitzki LVV, Dantas RO, Mello-Filho FV, Marques Jr W. Masticatory muscle function three years after surgical correction of class III dentofacial deformity. Int J Oral MaxillofacSurg 2010; 39: 853-6. 

Trawitzki LV,Dantas RO,Elias-JúniorJ,Mello-Filho FV. Masseter muscle thick ness three years after surgical correction of classI II dentofacial deformity.ArchOralBiol.2011Aug;56(8):799-803. 

Trawitzki LV1, Silva JB, Regalo SC, Mello-Filho FV.Effect of class II and class III dentofacial deformities under orthodontic treatment on maximalisometricbite force. Arch Oral Biol. 2011 Oct;56(10):972-6. 

Yatabe-Ioshida MS, Campos LD, Yaedu RY, Trindade-Suedam IK. Upper Airway 3D Changes of Patients With Cleft Lip and Palate After Orthognathic Surgery. Cleft Palate Craniofac J. 2019 Mar;56(3):314-320. 

Trindade-Suedam IK, Castilho RL, Sampaio-Teixeira AC, Araújo BM, Fukushiro AP, Campos LD, Trindade IE. Rapid Maxillary Expansion Increases Internal Nasal Dimensions of Children With Bilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2016 May;53(3):272-7. 

Trindade-Suedam IK, da Silva Filho OG, Carvalho RM, de Souza Faco RA, Calvo AM, Ozawa TO, Trindade AS Jr, Trindade IE. Timing of alveolar bone grafting determines different outcomes in patients with unilateral cleft palate. J Craniofac Surg. 2012 Sep;23(5):1283-6. 

Ward JA, Vig KW, Firestone AR, Mercado A, da Fonseca M, Johnston W. Oral health-related quality of life in children with orofacial clefts. Cleft Palate Craniofac J. 2013. 

 

 

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Seção de Pós-Graduação HRAC-USP

Horário de atendimento: de segunda a sexta-feira, das 8h às 18h (exceto feriados) | e-mail: secpghrac@usp.br