Full Mouth Rehabilitation & Temporomandibular Disorders

Day 1 - Conference

9:00 - 10:45
Occlusal Philosophies - In Search of a Common Denominator 

– How has the approach of occlusal philosophies changed in terms of tooth guidance and its impact on bruxism TMD (Temporomandibular Disorders)?
– The impact of improper occlusion on TMD- correlation or causative relationship?
– „Complicated Relationships between Anterior and Condylar Guidance and Their Clinical Implications” (Lassmann et al.)
– „Sagittal condylar guidance angle measurement methods: A systematic review” (Lassmann et al.)
– Is the use of fully adjustable articulators and a facebow really necessary to achieve proper prosthetic reconstruction?
– Controversies regarding centric relation from the perspective of diagnosis and therapy
– In search of a common denominator between different occlusion philosophies
– What are the limitations of articulators, and can we truly design prosthetic reconstruction that never require adjustment in occlusion?

11:15 - 13:00

Understanding Orofacial Pain & TMJ - what prosthodontist should know

– What is pain? How can a dentist correctly diagnose orofacial pain and assess whether it is treatable? How does the source of pain differ from the location of pain?
– How to conduct an interview with a patient suffering from pain.
– Disc pathology - how to differentiate it and when intervention is necessary
– How to distinguish between locks of muscle and articular origin
– Synovial pain map of the temporomandibular joint
– Radiological picture of disorders of the temporomandibular joint.

14:00-15:45

SDS concept in multidisciplinary treatment

– SDS Concept - How can we simply determine correct Vertical Dimension of Occlusion on the basis of Smile Design and knowledge of a space required for specific materials
– Treatment planning in severe attrition and gummy smile
– Cooperation between prosthodontist and orthodontist in cases with deep bite and gummy smile
– Orthodontic pretreatment in class 3 patients who require full mouth reconstruction
– What the guidelines and professional ethics say in relation to the current state of scientific knowledge.

16:15-18:00

Vertical Occlusal Dimension mythology and severe attrition treatment

– Vertical occlusal dimension - what are the limitations ? Should we be „that” precise?
– Bite registration in severe wear cases
– What is the ferule effect and which part of the tooth is the most important?
– Biomechanics of damaged teeth
– What type of crown-root post to choose? Standard, fiberglass or cast post?
– Shoulderless preparation. Why? How? When?

Day 2 - workshop

9:00 - 10:30
BITE REGISTRATION - MAKE IT EASY

– 5 different condyle positions - DO WE NEED A CENTRIC RELATION?
– What the guidelines and professional ethics say in relation to the current state of scientific knowledge
– Leaf gauge - What is it? When / should I use it? How to use it?
– Demonstration of working with the leaf gauge.

11:00-12:30

KOIS DEPROGRAMMER, Lucia Jig, DAWSON MANIPULATION and splints - When? Why? How?

– “Deprogrammation” - a Necessity to achieve CR or Pseudoscience?
– Kois deprogrammer - how to determine the height of the platform
– Bite registration on the deprogrammer
– Incisal Pin (LIP Technique)
– Dawson’s manipulation
– How to verify the correctness of registration
– Nightguard/splints - when, what material? How to register the bite for the splint?
– What contacts and guidance should we achieve on appliance? Delivery and relining.

12:30-13:30

Lunch

13:30-14:15

TMJ joint examination

14:30-16:00

Holistic approach - what should we know to avoid troubles

– Rare and idiopathic conditions in a dental office - what have we learned?
– How to recognize what caused the destruction of teeth?
– The influence of cervical vertebrae (C1-C2), tongue, body posture and sleep apnea on joint and bite disorders - a curiosity or a standard of treatment? Controversies in the world of
science
– Sleep apnea and dental treatment- How to diagnose OSA with polygraph and drug induce sleep endoscpoy? Is increasing VOD detrimental for apnea? Modern approach to OSA
treatment in dental profession
– Adaptation - what is it, what are its effects, how to recognize if the patient is already adapted and how to treat in cases of aesthetic and functional reconstructions.

16:30-17:30

Leaf gauge workshop.

17:30-18:00

Discussion.

Day 3

8:00-9:30

How to get a perfect bite for our patient?

– What is equilibration? When do we use it and when is it not allowed to do so? P1, P2, P3
– Differences between equilibration in MIP and in CR
– Electronic bite analyzers - T-scan and OccluSense
– When to perform equilibration and when to increase the occlusal vertical dimension?
– Equilibration of interference during chewing
– Equilibration in static and chewing - video step by step
– Occlusion on implants.

9:45-11:15
Algorithms and decision tree for full mouth reconstruction

– When not to change the existing bite?
– When should we choose a tool to make bite repeatable and easy to register ? Which tool should we choose?
– Step by stem journey throughout all the appointments and FMR algorithm
– Video: step-by-step procedures from the first visit to cementation.

11:15-12:00

Discussion, summary, certificate.

IMPORTANT: participation in the theoretical part is also available for purchase. The cost is 430 euros.

Coffee breaks and lunches are included in the price.