Additive Solutions for Worn Dentitions: Balancing Function and Aesthetics
Additive Solutions for Worn Dentitions: Balancing Function and Aesthetics
Course overview
Solutions to everyday clinical operative and restorative cases with Dr. Camillo D'Arcangelo – a restorative legend from Italy!
This course is your practical guide to managing one of the most common clinical challenges you face in the dental office: tooth wear and occlusal imbalance.
What you will learn
Protocols of Fixed Bite Remotion (FBR)
OVD incrementation guided by CBCT or MRI
The jig technique to obtain an accurate bite registration
Treatment protocols with additive veneers and additive overlays
Direct composite restorations and the protocols for the SAMP technique
CAD/CAM approach to partial preparation cases.
By the end of this course, you will gain clinically relevant tools to confidently plan and complete functional and aesthetic rehabilitation cases.
Course lessons
Lesson 1. Diagnosis and Treatment Plan for Worn Teeth and Bruxist Patients
Analysis of occlusal disorders, including:
OVD increment guided by CBCT or MRI
TMJ decongestion and muscle stretching
Teeth rehabilitation.
Protocols of additive prosthodontics
Occlusal disorders and parafunction
The difference between occlusal disorders and TMJ disorders
Determining the jaw-TMJ setting
Treatment planning protocols with digital overlays
Protocols of Fixed Bite Remotion (FBR)
Dealing with TMJ disorder cases
Management of occlusal vertical dimension (OVD) loss due to posterior grinding
The aesthetic, functional, and postural approach in restorative cases
Analysis of clinical cases.
Lesson 2. Finding and Maintaining the Correct OVD in Worn Teeth Patients Without TMJ Disorders
Worn teeth patients and occlusal disorders
Diagnostic protocols for occlusal disorders
Step-by-step clinical procedures for treating occlusal disorders
OVD incrementation guided by CBCT or MRI
Protocols for TMJ deconditioning and muscle stretching
Evaluation of the new jaw position on CBCT
Protocols for TMJ palpation
Fixation of the bite in the new position.
Lesson 3. The Additive Prosthetic Protocols
Treatment protocols with occlusal veneers
Treatment protocols with additive overlays
New jaw position mock-up and vertical dimension increase
Step-by-step protocols for additive prosthetic treatment in full-mouth cases
Additive prosthetic approach and aligner treatment.
Lesson 4. Jaw and Condyles Position in Worn Teeth Patients with TMJ disorders
Differentiation between occlusal disorders (parafunction) and TMJ disorders (dysfunction)
Diagnosis of TMJ disorders
Analysis of 3D jaw movement
Evaluation of jaw biomechanics in TMJ disorder patients
Evaluation of the function of the lateral pterygoid muscle
Step-by-step video guide on diagnosing TMJ disorders in patients
Posture evaluation
Step-by-step walkthrough of the jig technique to obtain an accurate bite registration
Digital appraoch to register.
Lesson 5. Direct Additive Approach for Enamel Wear
Additive prosthetic solutions for enamel wear
Enamel addition and clinical challenges
Non-prep approach to treating non-carious lesions
The concept of additive veneers
Tooth preparation and restoration in cases of additive composite and ceramic veneers
Analysis of the emergence profile line
Evaluation of the cervical margin in cases of additive veneers
Selective area reduction protocols
Protocols for the SAMP technique.
Lesson 6. Non-Invasive Resto Solutions for Worn Teeth and Bruxist Patients
Occlusal materials for worn dentitions
Occlusal balance vs. occlusal stability
Composite restorations and composite overlays
Partial preparation approach
CAD/CAM approach to partial preparation cases.
