Full Mouth Rehabilitation Complete Training Course

Category: Surgery

Instructor(s): DEVANG PATEL

Course structure: Lessons: 23 lessons | Duration: 17 h 01 min

Course overview

FMR Complete training course will arm you with a storehouse of full-mouth rehabilitation techniques you’ll find yourself returning to repeatedly.
Following three-stage ‘occlusion to rehabilitation’ structure, +20 hours of in-depth video content will take you from the basics of occlusion to techniques for confident full-mouth restoration.
Designed for dentists of all levels of skill and experience Features over 20 hours of in-depth video lectures and practical demonstrations A designated pathway to confident, profitable FMR practice.

Curriculum

Lesson 1: Mindset

• The discussion centers on common misconceptions dentists have about full mouth reconstruction. It argues that mindset and exposure are more crucial than extensive experience or specialized training, and that the financial investment in learning this technique can be quickly recovered through successful cases. The speaker emphasizes a straightforward course design with personalized guidance to help dentists overcome their reservations and master this complex procedure. The potential benefits of full mouth reconstruction for both patients and practitioners are highlighted, including improved patient satisfaction and predictable outcomes

Lesson 2: Understanding occlusion

• The discussion centers around the significance of understanding occlusion in dentistry, regardless of a practitioner's specialization. It highlights how neglecting occlusal awareness can result in issues like restorations requiring adjustments or repeated breakage. The speaker emphasizes that comprehending occlusion allows dentists to create predictable and durable dental work by considering factors such as tooth function, habits, and force distribution during chewing. The complexities of teaching and understanding occlusion are also addressed, including the distinction between functional and parafunctional tooth contact and the potential impact of parafunction on jaw movement and muscle activity

Lesson 3: Occlusal terminologies

• The speaker elaborates on the complexities of dental occlusion, explaining key terms and concepts related to tooth alignment, jaw movements, and restoration procedures. They emphasize the importance of understanding these factors for effective diagnosis, treatment planning, and achieving harmonious jaw function. The discussion covers various aspects of occlusion, including centric relation, condylar inclination, different types of guidance, and lever systems, highlighting their influence on chewing force, tooth wear, and overall patient comfort. The speaker also touches upon the significance of "freedom and centric" in dental practice and the role of neuromuscular factors in mandibular movements

Lesson 4: Comprehensive occlusal examination

• This text focuses on the process of occlusal examination in dentistry, particularly its role in identifying parafunctional issues. It details various aspects of the examination, including assessing muscle function, evaluating bite patterns, and using tools like shim stock and articulating paper to analyze tooth contact points. The text emphasizes the importance of observing patient movements and recording contact points during different jaw excursions to identify potential areas requiring adjustment. It also explores techniques for determining first tooth contact and measuring bite parameters

Lesson 5: Different types of occlusal splint

• The discussion centers on occlusal splints, removable devices that modify the interaction between upper and lower teeth. Splints are presented as tools for diagnosing, treating, and preventing dental problems, particularly those stemming from parafunctional habits like teeth grinding. Different types of splints are explored, categorized by their level of jaw movement restriction and tailored to specific conditions. The speaker stresses the importance of a comprehensive diagnosis in selecting the appropriate splint and acknowledges that while splints can alleviate symptoms, they are not permanent solutions

Lesson 6: Michigan splint-steps

• The lesson explains how a Michigan splint, a dental appliance, is made. It emphasizes the need for a comprehensive patient evaluation to determine their dental condition and the purpose of the splint. The fabrication process includes both clinical steps, like taking impressions, and laboratory procedures, such as wax-up and processing. Finally, adjustments are made in the clinic to ensure the splint fits correctly and works as intended

Lesson 7: Facebow records

• This presentation focuses on the use of a facebow in dentistry, explaining its purpose in accurately mounting dental models for procedures like full mouth reconstruction and denture fabrication. The speaker delves into different types of facebows and their applications, emphasizing the importance of proper patient positioning and bite registration for accurate records. The presentation also covers techniques for creating dental impressions using various materials, highlighting the need for accuracy and attention to detail throughout the process. Finally, the speaker provides instructions on setting up and using dental equipment effectively for taking bite registrations and facebow records

Lesson 8: Interocclusal records

• This video explores interocclusal records, which are used in dentistry to capture the relationship between upper and lower teeth. The discussion covers when these records are essential, such as during changes in bite or model mounting, and when they are not required. Various techniques for recording interocclusal records are presented, including different types of deprogrammers and materials, emphasizing patient comfort and appropriate record thickness based on the purpose. The transcript also highlights the importance of accuracy through multiple recordings and verifying contact points

Lesson 9: Articulating and mounting

• This lesson provides a detailed explanation of dental articulator use in dentistry. It covers various types of articulators, their advantages and disadvantages, and the importance of choosing the right type for specific procedures. The text delves into the process of mounting models on an articulator, emphasizing accuracy and proper registration. It also discusses the significance of considering factors like centric relation, centric occlusion, and intercuspal position when mounting models. Finally, the text highlights the need for precise placement and understanding the purpose of mounting to achieve accurate results

Lesson 10: Fitting and adjusting michigan splint

• This lesson covers the fitting and adjustment of Michigan splints, highlighting the importance of precision and communication between dentists and technicians. The process involves meticulously refining the splint's fit to ensure even contact points between teeth and achieve optimal occlusal contact. The speaker demonstrates techniques for adjusting the splint to minimize rocking or sliding, ultimately polishing it and providing clear instructions for patient use. The transcript also emphasizes the role of Michigan splints in diagnosing and managing temporomandibular disorders (TMD) and parafunctional habits, noting their value in assessing treatment suitability and testing restorative schemes

Lesson 11: Tretament planning for full mouth reconstruction

• The speaker emphasizes the meticulous planning required for successful full mouth reconstruction, highlighting the significance of comprehensive patient assessments, including medical history, oral health status, and individual needs. They stress the importance of utilizing various diagnostic tools to accurately evaluate the patient's condition and formulate a personalized treatment plan that addresses both functional and aesthetic goals. The speaker also discusses factors influencing treatment decisions, such as tooth preservation versus extraction, restoration approaches, and the need for open communication with patients regarding potential risks and expectations. Throughout the discussion, the speaker underscores the importance of collaboration between dentists, specialists, and patients to achieve optimal outcomes in full mouth reconstruction cases

Lesson 12: Increasing ovd

• The speaker delves into the topic of increasing overbite (OVD) in dental restorations, exploring both its benefits and potential drawbacks. They emphasize the importance of careful planning and testing different OVD levels to ensure patient comfort and successful treatment outcomes. The discussion covers various aspects of OVD adjustment, including techniques, materials, and considerations for managing potential issues like TMJ problems and speech changes. The speaker also clarifies the limitations of OVD in addressing facial structure concerns and highlights the need to tailor treatment decisions based on individual patient factors

Lesson 13: Dahl principle

• The discussion centers on the Dahl principle, a technique used to manage localized tooth wear by strategically repositioning teeth. It involves creating space through an appliance, causing posterior teeth to rise and anterior teeth to shift downward. While effective in certain situations, the technique has limitations and requires careful consideration of patient-specific factors like tooth wear patterns and bite alignment. The speaker emphasizes the importance of proper technique execution, including axial loading and material selection, as well as achieving a balanced occlusion for optimal results. Ultimately, successful treatment hinges on meticulous case selection and ongoing monitoring throughout the process

Lesson 14: Steps involved in simple adhesive fmr

• The presentation focuses on a comprehensive approach to full mouth reconstruction, emphasizing meticulous treatment planning and execution. It outlines a step-by-step process, starting with a thorough assessment and culminating in definitive restorations. Key stages include creating an intraoral mock-up for aesthetic evaluation, building up anterior teeth first, and addressing posterior teeth through various techniques. The speaker stresses the importance of provisional restorations, occlusion refinement, and ongoing maintenance for successful outcomes. Throughout, the presentation encourages learners to build a strong foundation by starting with simpler cases before tackling more complex procedures

Lesson 15: Communication with patients for fmr

• The text focuses on effective communication strategies dentists can use when treating patients requiring full mouth reconstruction. It emphasizes building rapport with patients, clearly explaining treatment plans including potential complexities and costs, and utilizing visual aids like photography for patient education. The speaker highlights the importance of active listening, understanding patient goals, and providing comprehensive examinations while respecting patient autonomy. Additionally, the text stresses the need for transparent communication regarding fees, diagnoses, and treatment options to build trust with patients

Lesson 16: Understanding morphology of teeth

• The presentation focuses on the significance of understanding tooth morphology for dental professionals, particularly in smile design and restoration procedures. It emphasizes the influence of tooth shape on aesthetics and the need for accurate replication during restorations. The speaker delves into specific anatomical features of various teeth, including incisors, canines, and those restored with composite material, highlighting the importance of meticulous attention to detail for natural-looking results. Clear communication between dentists and technicians is also stressed as crucial for successful restoration outcomes

Lesson 17: Diagnostic wax-up

• This excerpt provides an in-depth explanation of diagnostic wax ups in dentistry, outlining their purpose and benefits. It details the process involved, from assessing patient expectations and tooth models to sculpting wax replicas and achieving occlusal stability. The speaker emphasizes the importance of precision, attention to detail, and clear communication throughout the process to ensure aesthetically pleasing and functional restorations. The discussion highlights key factors like marginal ridges, curvature, and gingival recession that influence the final appearance of a tooth restoration

Lesson 18: Lecture 1 Art of bonding

• The discussion centers around the crucial role of bonding in dental procedures, particularly full mouth reconstructions. Various types of bonding agents are explored, tracing their evolution from early generations to modern, fourth-generation agents that utilize total etch techniques for effective dentin bonding. The speaker emphasizes the importance of selecting the right bonding material based on properties like radiopacity and filler content, while also discussing immediate dentin sealing techniques for improved patient comfort and bond strength. The discussion extends to specific techniques for bonding indirect restorations and highlights the use of various dental instruments and materials designed for precision and aesthetic outcomes in full mouth reconstructions

Lesson 19: Lecture 2 Anterior direct build-up

• The presentation focuses on anterior direct buildup in restorative dentistry, exploring various techniques for achieving aesthetic and functional results. The speaker delves into different methods like freehand buildup, putty index technique, and clear index technique, emphasizing their preference for the latter. They illustrate the process of creating clear indices using exaclear material and demonstrate how to apply them during composite build-up procedures. The presentation also covers aspects such as achieving proper thickness, managing material flow, utilizing rubber dams, and selecting appropriate instruments and materials

Lesson 20: Lecture 3 Anterior indirect restorations

• The presentation covers various aspects of restorative dentistry, focusing on techniques for building anterior teeth using composite materials and crowns. It delves into smile design considerations, material selection for restorations, and the importance of patient communication throughout the process. The speaker emphasizes meticulous preparation techniques, considering factors such as tooth morphology, bite depth, and patient age. Additionally, the presentation explores post and core restorations, outlining the procedure, design considerations, and potential challenges associated with this technique

Lesson 21: Lecture 1 Posterior direct build-up

• The discussion centers around techniques for building up posterior teeth after anterior restorations are complete. It covers various methods, including direct composite buildup using indices and alternative approaches like wax-ups. The speaker emphasizes the importance of accurate index placement, proper material selection and application, and thorough curing procedures to achieve optimal results. They also touch upon onlay preparation techniques, highlighting minimal intervention and smooth margin creation for a natural appearance

Lesson 22: Lecture 2 Posterior indirect restorations

• The presentation delves into indirect dental restoration techniques, particularly focusing on onlays as a preferred solution for posterior teeth. It covers patient selection criteria, material considerations (gold, all-ceramic, composite), and the significance of proper preparation design to achieve optimal outcomes. The speaker emphasizes the collaborative nature of this process, highlighting the importance of communication between dentists and laboratory technicians. Additionally, the presentation explores deep marginal elevation techniques for onlay placement and discusses various aspects of tooth preparation for crowns, including margin design, cusp bevels, and interproximal management

Lesson 23: Lecture 3 Maintenance

• The discussion centers on the crucial aspects of care for patients following full mouth reconstruction. Protection methods, including splints and bite guards, are highlighted as essential for safeguarding the restorations. Patient education regarding their role in maintaining oral hygiene and the longevity of the reconstructions is emphasized. The speaker underscores the dynamic nature of occlusion, necessitating continuous monitoring and adjustments to ensure optimal long-term outcomes.