Pathological tooth wear: a comprehensive online school. For restorative dentists, functional dentists, and dental technicians
Pathological tooth wear: a comprehensive online school. For restorative dentists, functional dentists, and dental technicians
Course overview
Comprehensive online school on treating pathological tooth wear for restorative dentists, functional dentists, and dental technicians!
During this training, you will learn:
Evidence-based approaches to diagnosing and planning treatment for pathological tooth wear
Criteria for selecting materials for tooth restoration
Protocols for managing wear: restoration and functional approaches
Principles and guidelines for treating bruxism and tooth wear
Protocols for working with total adhesive restorations.
Course lessons
Lesson 1. The role of bruxism in the mechanism of tooth wear
Etiological factors and the mechanism of development of tooth wear: abrasion, erosion, attrition
Bruxism and musculoskeletal dysfunctions: the main paradigms
Occlusive splints in the diagnosis of bruxism:
Bruxism without tooth wear
Tooth wear without bruxism
Tooth wear with bruxism.
Bruxism vs erosion: distinctive features
Increased tooth abrasion: histological aspects
The effect of the quantity and quality of saliva on tooth wear
Strategy for the management of patients with increased tooth wear: step-by-step protocol
The role of the tongue in the development of tooth wear
Relationship between gastroesophageal reflux, bruxism and pathological tooth wear
Questionnaires that help identifies the true source of problems with tooth wear.
Lesson 2. 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.
Lesson 3. Composite protocol: index technique. Introductory lesson
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.
Lesson 4. 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.
Lesson 5. 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.
Lesson 6. 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.
Lesson 7. Perfect VDO and CR in worn dentition treatment by Kois Center mentor
Causes of pathological tooth wear
Types of chewing: the relationship with the pathological tooth wear
Range of function: norm and pathology, limited range
Signs of pathological tooth wear
Mechanical tooth wear: causes and mechanism of development
Determination of the centric relation: methodology
Principles of treatment of the tooth wear
Principles of working with the Kois articulator: analog and digital protocol
Kois deprogrammer: specifics of the work
Criteria for restoring the correct vertical dimension.
Lesson 8. 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.
Lesson 9. Bruxism: from management to oral rehabilitation. Part 1
Definition of bruxism based on clinical examples
Classification of bruxism
Analysis and comparison between awake bruxism and sleep bruxism
Evaluation of oral behaviors in relation to sleep disorders:
Bruxism as a protective factor
Bruxism as a risk factor
Association with other disorders and health conditions.
Clinical case analysis and bruxism evaluation:
Patient evaluation and clinical examination
Supplementary diagnostic exams that aid in bruxism assessment
Identifying the risk factors associated with bruxism.
Lesson 10. Bruxism: from management to oral rehabilitation. Part 2
Cognitive-behavioral approach for patients diagnosed with bruxism
Protocols for controlling other disorders and health conditions that may influence bruxism
Protocols of splint therapy:
Splint classification and analysis of different types
Steps to designing splint appliances.
Pharmacological approach to managing bruxism
Evaluation of drugs inducing bruxism
Analysis of medications reducing bruxism
Full-mouth rehabilitation protocols.
Lesson 11. Dental anti-aging: main principles when working with worn dentition
Tooth wear: definition and classification
The difference between physiological and pathological tooth wear
Etiopathogenesis of pathological tooth wear
Preventive protocols for pathological tooth wear
Types of tooth wear and the compensatory response of the stomatognathic system
Classification of tooth wear based on localization
Protocols for interdisciplinary diagnosis of worn dentition
Orthodontics prior to full-mouth rehabilitation: why, when, and how?
Localized restorative protocols
Protocols for full-mouth reconstruction
Maintenance over time of dental rejuvenation.
Lesson 12. Gummy smile and short tooth syndrome: interdisciplinary aesthetic rehabilitation
Etiopathogenetic causes of gummy smile (GS) and short tooth syndrome (STS)
Smile line assessment and its application in aesthetic evaluation
The proposed classification system for adult patients with GS and STS and the diagnostic process used within this classification
Biological and restorative approaches employed in treating gummy smile and short tooth syndrome
The significance of surgically exposing the cemento-enamel junction when addressing gummy smile cases
Compensatory eruption with orthodontics
Protocols for balancing the gingival smile line
Analysis of the interdisciplinary approach to treatment
Maxillofacial surgery and aesthetic rehabilitation
Protocols of interdisciplinary aesthetic rehabilitation
Analysis of full-mouth restorative protocols: from smile analysis to post-treatment evaluation.
Lesson 13. Psycho-behavioral approach, splint therapy, composite restorations
Addressing excessive bruxism through a psycho-behavioral approach
Bruxism treatment modalities:
Occlusal splint and its limitations
Importance of a dual psychological approach and stress management.
Holistic approach to bruxism treatment and nasal breathing for improved sleep quality
Integration of proprioceptive stimulation:
Occlusal proprioceptive stimulation
Reinforcing the psycho-behavioral approach.
Utilizing composite restorations for effective results.
Lesson 14. The simple prosthetic approach of tooth wear treatment. DAHL technique
The rate and severity of wear
Monitoring of tooth wear
Establishing a new occlusion
Increasing the VDO
Centric relation
Protocols for the choice of occlusal scheme and occlusal analysis
Choice of articulator
Materials for crown restoration
Parafunctiona and worn dentition
The Dahl technique.
Lesson 15. Treatment of Worn Dentition with Ceramic Restorations
Step-by-step analysis of clinical cases of worn dentition:
Diagnosis and case clinical history analysis
Radiological, functional, and occlusal analysis
Treatment planning and objectives of the treatment
Facially generated treatment planning and digital smile design
Splint therapy and lower jaw repositioning protocols
Evaluation of occlusal plane on the articulator
Protocols for adhesive mock-up and analysis of neuromuscular pattern.
Clinical performance of porcelain laminate veneers
Incisal WRAP veneer prep vs. Butt-joint
Tooth wear evaluation system
Protocols to increase the occlusal vertical dimension (OVD)
Ceramic veneers or direct molded veneers?
Lesson 16. Prosthodontic and interdisciplinary bruxism treatment
Goals and objectives of prosthodontic treatment
The concept of "non-invasive" in the treatment of bruxists
Rehabilitation or aesthetic dentistry: treatment tactics for bruxism
Indications for changing occlusal relationships
Full crowns or partial adhesive restorations: selection algorithm
Digital bruxism treatment protocol: benefits
Total prosthetic rehabilitation: clinical examples
Occlusion: a role in bruxism treatment planning
An interdisciplinary approach in the treatment of bruxism
Occlusion on implants: risks of bruxism.