Additive Solutions for Worn Dentitions: Balancing Function and Aesthetics

Additive Solutions for Worn Dentitions: Balancing Function and Aesthetics

Category: Functional Dentistry

Instructor(s): Camillo D'Arcangelo

Course structure: Lessons: 6 lessons | Duration: 4 h 02 min

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.

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.

Who is this course for?

This online course is designed for dentists and dental professionals interested in functional dentistry, clinical decision-making and evidence-informed dental practice.