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Worn dentition treatment

4.71
65 Stimmen
10 Dec 2021 - 21 Jan 2022
Devang Patel
Daniel Paesani
Greggory A. Kinzer
Marco Veneziani
Jacek Glebocki
Riccardo Ammannato
Benett Amaechi
Сергей Радлинский
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Details

9 Lektionen (15S 38M)

6.75 CE Credits

6.75 CE Credits

Englisch

Beschreibung

The course teaches you effective methods of treating patients with worn dentition:


– classic prosthetic protocol

– composite protocols (direct and index technique)

– functional prosthetic approach by Frank Spier

– approach according to J. Kois.


After this course, you will be able to build your own sequence for treating patients with worn dentition.

Lektion 1.The role of bruxism in the mechanism of tooth wear

– The complex mechanism of tooth wear: interaction between attrition, erosion, and abrasion;

– Assessment of tooth wear;

– Factors that favor and factors that help to prevent tooth wear;

– The difference between the wear caused from bruxism, abrasion, and erosion;

– Saliva and tooth wear;

– Relationship between gastroesophageal reflux, bruxism, and tooth wear;

– Questionaries that help to identifies the source of the problem.

Lektion 2.Composite protocol: index technique

– Philosophy of minimally invasive dentistry

– Free-hand layering technique

– Causes of tooth wear: friction, abrasion, erosion, perimolysis

– Copy-paste approach in adhesive restoration

– Index technique (single silicone key technique): advantages

– Index technique for tooth wear: digital and analog protocols

– New technique devised by the author of injection with thermo-viscose composites and double-layer mask

– Additional palatine incisor restorations: technique

– Adhesive restoration planning: aesthetic analysis and DSD, diagnostic Wax-up and Mock-up

– Fixation of composite overlays: adhesive protocol

– Durability of direct composite restoration with tooth wear

– Maintenance.


Recommended for: Prosthodontists, Functional dentists.

Lektion 3.Classic way of prosthetic restoration of worn dentition

– Tooth wear: causes and diagnosis

– The main types of tooth wear

– Methods of treatment of pathological tooth wear

– Total rehabilitation vs dentistry of one tooth: principles of occlusion

– Algorithm of occlusal evaluation in case of pathological tooth wear

– Signs and symptoms of parafunction

– Reorganization approach: protocol and advantages of the method

– DAHL-technique: basic principles

– Limiting factors in the total rehabilitation of the dentition with pathological tooth wear.


Recommended for: Prosthodontists, Functional dentists.

Lektion 4.Classic Wax-up and Mock-up protocols for tooth worn treatment

– The main stages of total rehabilitation in case of pathological tooth wear

– Diagnostic Wax-up and Mock-up

– Plastering of models in the articulator: technique

– Features of modeling the palatine surface 

– The technique of making composite veneers in a direct way using a silicone key

– Mock-up: methodology and criteria for Mock-up control in a week

– Adhesive total rehabilitation: DAHL technique

– The technique of restoring the anterior teeth:


- Using a transparent silicone key

- Injection formation technique

- Composite indirect facets.


– Stabilization of posterior teeth contacts: strategies and techniques

– Restoring posterior teeth with composite materials: techniques

– Restoration of posterior teeth by the imprint method: tips and recommendations

– Stabilization of treatment results: the use of a Michigan splint

– Maintenance protocol.


Recommended for: Prosthodontists, Functional dentists.

Lektion 5.Treatment of dental erosion as one of the factors of tooth wear development

– Erosion of teeth: definition and diagnosis

– Types of tooth wear: attrition, non-carious cervical lesions, abrasion, erosion

– Clinical signs of erosion 

– Etiology of erosion development: 


- Gastro-esophageal reflux disease

- Bulimia nervosa

- Gastric surgery

- Cyclic or psychogenic vomiting syndrome

- Pregnancy induced vomiting

- Chronic alcoholism

- Dietary

- Taking medications

- Industrial workers

- Professional wine tasters.


– Factors affecting the development of erosion: saliva, soft tissues of the oral cavity, temperature of drinks

– Prevention and control of erosion: step-by-step protocol

– Determination of the degree of erosion: BEWE index

– Method of recording and measuring erosion using a silicone key

– Tactics of managing patients with erosions: methods of protecting the damaged surface

– Hypersensitivity of teeth: diagnosis and principles of treatment.


Recommended for: Prosthodontists, Functional dentists.

Lektion 6.Perfect VDO and CR in worn dentition treatment by Kois Center mentor

– Tooth wear - how does it happen?

– Centric relation - not diagnostic data;

– Long-term predictability?

– If the treatment responds to the diagnosis;

– Vertical dimension - you can change it in each case, just follow the rules.

Lektion 7.Total adhesive restorations - direct and indirect techniques

– Total rehabilitation using the injection formation technique: principles

– Methods of isolation of the working field

– Three-layer silicone key: operation protocol

– Wax-up and Mock-up in the protocol of total rehabilitation

– Adhesive protocol with tooth wear

– Method of forming composite material

– Indirect methods of total compositional rehabilitation: a three-stage protocol

– Planning based on facial features, aesthetic analysis

– Method of biologically oriented preparation

– Ceramic overlays and crowns: indications and protocols

– Total rehabilitation for erosion and abrasion: step-by-step protocol 

– Increasing the vertical dimension of the occlusion: predictability and safety

– Laminate veneers made of zirconium dioxide: protocol.


Recommended for: Prosthodontists, Functional dentists.

Lektion 8.Composite protocol: direct techniques

– Biomechanics of the restorated posterior teeth

– Adhesive technique in direct dental restorations

– Universal protocol for the restoration of posterior teeth

– Filling, restoration, artistic restoration

– Integration of the restorated teeth into occlusion

– Long-term results of posterior teeth restoration.

Lektion 9.Functional and prosthetic concept by Frank Spier in the tooth worn treatment

– Principles of achieving an aesthetic result with worn dentition

– Difficulties and risk factors in the rehabilitation of patients with worn dentition

– Etiology of worn dentition:


- Mechanical theory

- Occlusal theory

- CNS theory

- Psychosocial theory.


– The effect of chewing schemes on worn dentition

– Pathophysiology of bruxism: key aspects

– The relationship between bruxism and obstructive sleep apnea

– Worn dentition in children: causes and prognosis

– The effect of the use of drugs on the worn dentition

– Types of tooth wear and their clinical significance:


- "Edge-to-edge" wear

- "Pathway" wear

- "Crossover" wear.


– Protocol of rehabilitation of a patient with "pathway" wear

– Treatment of a patient with "edge-to-edge" wear

– Function range: significant factors.

Der Kurs beinhaltet die nächsten Lektionen:

Lektion 1

The role of bruxism in the mechanism of tooth wear

Daniel Paesani
1S 29M
Lektion 2

Composite protocol: index technique

Riccardo Ammannato
1S 27M
Lektion 3

Classic way of prosthetic restoration of worn dentition

Devang Patel
1S 21M
Lektion 4

Classic Wax-up and Mock-up protocols for tooth worn treatment

Devang Patel

Funktionelle Zahnheilkunde (ZHK)

Orthopädie

Treatment methods

Pathologies

Dozenten 8

Visiting Lecturer in Restorative Dentistry am University College London (UCL) Eastman Dental Institute. Ehemaliger Senior Clinical Teaching Fellow und Programme Co-ordinator für das Postgraduate Certificate in Restorative Dental Practice am UCL Eastman (2013-2020). Spezialist für restaurative Zahnmedizin mit Fokus auf Management abgenutzter Dentition, Ganzmundrehabilitation und komplexe prothetische Fälle. Führt Privatpraxis in Devon, England, im Westcountry Dental & Implant Centre, Barnstaple, und Parkview Dental Care.

 

Über 20 Jahre klinische Erfahrung in umfassender restaurativer Zahnmedizin einschließlich Behandlung schweren Zahnsubstanzverlustes, komplexer festsitzender und herausnehmbarer Prothetik mit Implantaten, autologen Knochentransplantationen, Sinuslift-Verfahren, Ganzmundrehabilitation und Management temporomandibulärer Gelenkdysfunktion. Experte für reorganisierten Ansatz zur okklusalen Rehabilitation, DAHL-Technik, diagnostische Wax-up- und Mock-up-Protokolle und Erhöhung der vertikalen Dimension der Okklusion bei abgenutzten Dentitionsfällen. Bekannt für systematisches Drei-Schritte-Protokoll für Ganzmundrekonstruktion und patientenzentrierte Behandlungsplanung.

 

Empfänger des Postgraduate Prize for Excellence in Clinical and Academic Achievement vom UCL Eastman Dental Institute. Ausbilder und Mentor für postgraduierte Zahnärzte, die fortgeschrittene Ausbildung in restaurativer Zahnmedizin anstreben, lehrend Prinzipien der Okklusion und ihre Anwendung in Ganzmundrekonstruktionen einschließlich implantatgetragener Restaurationen. Bietet auch kieferorthopädische Behandlung mit Invisalign, Inman Aligner, Cfast und Fastbraces. Bestsellerautor und Schöpfer umfassender Online-Dentalkurse über Ganzmundrekonstruktion, Behandlung abgenutzter Dentition und fortgeschrittene restaurative Protokolle. Internationaler Dozent mit Präsentationen zu Themen einschließlich klassischer prothetischer Ansätze zur abgenutzten Dentition, Wax-up- und Mock-up-Protokolle, Vertikaldimensionsmanagement und Adhäsiv- versus indirekte Restaurationsstrategien.

 

BDS (Bachelor of Dental Surgery, 2004). MSc in Restorative Dental Practice vom UCL Eastman Dental Institute, University College London (mit Distinction verliehen). Umfangreiche postgraduale Ausbildung in ästhetischer und restaurativer Zahnmedizin, Implantatdentistik und komplexer Rehabilitation. Mitglied des General Dental Council (GDC), UK.

 

Zahnarzt spezialisiert auf Kiefergelenkstörungen (TMD), orofaziale Schmerzen, Bruxismus und Schlafstörungen. Professor an der University of Salvador/AOA, Buenos Aires, Argentinien. Vizepräsident von ALDOTS (Latin American Academy of TMD, Orofacial Pain and Sleep Disorders). Internationale Autorität für Bruxismus.

 

Über 35 Jahre klinische und akademische Erfahrung in orofazialen Schmerzen und TMD. Abschluss als Zahnarzt in Argentinien, fortgeschrittene Ausbildung in Kiefergelenkstörungen, orofazialen Schmerzmechanismen und schlafbezogenen Atemstörungen. Ernannt zum Professor an der University of Salvador (Universidad del Salvador, USAL), lehrend TMD-Diagnostik und -Management für Zahnmedizinstudenten und Postgraduierte. Aktiver Forscher beitragend zum Verständnis von Bruxismus-Ätiologie, Diagnostik und therapeutischen Ansätzen. Dient als Vizepräsident von ALDOTS, führender lateinamerikanischer Organisation, die evidenzbasierte Ansätze für TMD, orofaziale Schmerzen und Schlafstörungen in der gesamten Region fördert.

 

Internationaler Dozent mit Präsentationen auf Zahnmedizinkonferenzen in Lateinamerika, Europa und Nordamerika über Bruxismus-Klassifikation, Kiefergelenkstörungen, Diagnostik und Behandlung orofazialer Schmerzen und Schlafstörungen. Gastherausgeber für thematische Dossiers in internationalen Zahnmedizinzeitschriften über TMD, orofaziale Schmerzen, Bruxismus und Schlafapnoe. Anerkannter Experte für verschiedene Denkschulen bezüglich Bruxismus-Definition, Ätiologie und Behandlung, einschließlich orofaziale Schmerzschule, die es als Pathologie identifiziert versus alternative Ansätze. Umfangreich publiziert in begutachteten Zeitschriften über TMD, Bruxismus-Mechanismen, Diagnosemethoden, morphologische Veränderungen durch funktionelle Apparaturen, Bruxismus- und Kondylenpositionsbeziehungen und Schlafstörungsmanagement.

 

DDS. Professor an der University of Salvador (USAL), Buenos Aires. Autor des definitiven Lehrbuchs "Bruxism: Theory and Practice" (Quintessence Berlin), umfassende Referenz, die evidenzbasiertes Verständnis von Bruxismus etabliert, Ätiologie, Klassifikation, Diagnostik, Konsequenzen und therapeutische Strategien abdeckend. Buch international anerkannt als autoritative Ressource über Bruxismus für Kliniker und Forscher.

 

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