Digital Dentistry in Complex Aesthetic and Functional Rehabilitation

Digital Dentistry in Complex Aesthetic and Functional Rehabilitation

Category: Functional Dentistry

Instructor(s): John Cranham

Course structure: Lessons: 9 lessons | Duration: 4 h 26 min

Course overview

Join one of dentistry’s most sought-after experts,

Dr. John Cranham

What you will learn

• The three distinct pathways to integrating digital dentistry into your practice
• Virtual articulation and occlusal planning techniques
• Aesthetic and occlusal planning for porcelain veneers and elective aesthetic cases
• Digitally-driven full-mouth rehabilitation protocols.
• whether the rehabilitation is staged over time or completed in a single phase.

Course lessons

Lesson 1: Etiologies of Wear: Attrition, Abrasion, Erosion. Part 1

• The various mechanical, chemical, and functional causes of tooth wear
• The differences between occlusal wear and erosion as distinct causes
• Anterior and posterior wear in terms of etiology, presentation, and clinical implications.

Lesson 2: Etiologies of Wear: Attrition, Abrasion, Erosion. Part 2

• The role of parafunctional habits, such as bruxism or clenching, in accelerating wear patterns
• Identifying systemic or dietary contributors to chemical erosion
• Understanding how wear progresses over time and how compensatory mechanisms can mask its severity.

Lesson 3: Aesthetic Goals Using Smile Design Principles

• How to assess and define aesthetic outcomes using smile design principles, facial references, and digital planning tools
• How to analyze lip dynamics and tooth display at rest and during function
• The role of facial midline, incisal edge position, and smile arc in aesthetic planning
• Digital smile design tools to visualize and communicate proposed changes
• How to mock up aesthetic plans for patient communication and case acceptance
• Incorporate gingival contouring or crown lengthening to optimize tissue position.

Lesson 4: Occlusal and Functional Goals

• Establishing functional occlusal schemes based on centric relation and vertical dimension
• Importance of a stable, repeatable reference position (e.g., centric relation)
• Evaluation and definition of the patient’s functional envelope
• Determination and clinical verification of the appropriate vertical dimension of occlusion (VDO)
• Planning anterior guidance and posterior disclusion to protect restorations and reduce muscle strain
• Recognition and proactive management of occlusal instability.

Lesson 5: Digital Records and Virtual Articulation

• The essential digital data sets required for treatment planning:
• Intraoral scans
• CBCT
• Photography.
• Facially driven workflows on virtual articulators
• How to use virtual articulation to simulate occlusion and function
• Protocols of facially generated treatment planning for functional and aesthetic outcomes
• Digital workflows to increase accuracy and interdisciplinary communication
• How to verify and cross-reference records to avoid errors in mounting and design.

Lesson 6: F.A.E.S.A.D. Treatment Planning Method

• Integration of functional, aesthetic, and structural considerations into a cohesive, patient-centered plan
• FAESAD approach for visualization of precise tooth position on a virtual articulator prior to preparation
• Sequencing complex treatment into logical, manageable phases
• Effective collaboration with specialists, laboratories, and interdisciplinary team members
• Clear communication with patients using visual tools and phased treatment options
• Flexibility while preserving the long-term restorative vision.

Lesson 7: Vertical Dimension and Phasing Full-Arch Dentistry. Part 1

• Determination of when full-arch or full-mouth cases should be segmented due to financial, clinical, or patient factors
• Planning provisionals and temporization strategies to preserve vertical and occlusal goals
• Evaluation and definition of the patient’s functional envelope
• Determination and clinical verification of the appropriate vertical dimension of occlusion (VDO).

Lesson 8: Vertical Dimension and Phasing Full-Arch Dentistry. Part 2

• Use of digital records to maintain consistency across appointments
• Printing resin ceramic “toppers” for segmenting full-mouth rehabilitations
• Documentation of progress and adaptation of the treatment plan without compromising final outcomes
• Analysis of clinical cases.

Lesson 9: Full-Mouth Rehabilitation at Once

• Digital planning and staging of full-mouth cases for one-time execution
• Coordination of records, mock-ups, and guides to ensure same-day predictability
• Orchestration of staffing and scheduling to manage long appointments smoothly
• Establishment of checkpoints for aesthetics, occlusion, and phonetics during provisional phase and final delivery
• Implementation of post-operative protocols to ensure long-term success.
• Course includes next lessons:
• 34min
• Lesson 1
• Exclusive Library
• Etiologies of Wear: Attrition, Abrasion, Erosion. Part 1
• John Cranham
• Show lesson program
• 0:01
• Etiology of Dental Wear and Occlusal Disease
• 7:09
• Anterior Wear Patterns: Bulimia, Bruxism, CR‑MI Slide
• 16:56
• Sleep‑Disordered Breathing, Bruxism, and Orthotics
• 25:43
• Restricted Envelope of Function — Diagnosis & Management
• 19min
• Lesson 2
• Exclusive Library
• Etiologies of Wear: Attrition, Abrasion, Erosion. Part 2
• John Cranham
• Show lesson program
• 0:01
• Posterior-Dominant Wear: Erosion and Transient GERD
• 4:54
• Occlusal Cupping/Craters: Acid Erosion, GERD vs Drinks
• 9:48
• Non-Carious Cervical Lesions: Toothpaste Abrasion vs Abfraction
• 14:42
• Abfraction: Occlusal Stress, Diagnosis and Management
• 32min
• Lesson 3
• Exclusive Library
• Aesthetic Goals Using Smile Design Principles
• John Cranham
• Show lesson program
• 0:01
• Aesthetic goals and six determinants
• 2:33
• Optimum facial balance (FAB) and airway
• 6:19
• Lower incisal plane and maxillary incisal edge (photographic analysis)
• 14:20
• Gingival position and biologic width
• 20:49
• Osseous surgery and crown-lengthening case
• Show more
• 23min
• Lesson 4
• Exclusive Library
• Occlusal and Functional Goals
• John Cranham
• Show lesson program
• 0:01
• Occlusal Goals and Occlusal Disease
• 7:20
• Neuromuscular Control and Centric Relation
• 14:22
• Five Requirements of Occlusal Stability
• Show more (5)
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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.