الصفحة الرئيسية / الاقسام / 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

Pathological tooth wear: a comprehensive online school. For restorative dentists, functional dentists, and dental technicians

السعر الرسمي $700.00
السعر للأطباء خارج العراق $20.00
السعر للأطباء داخل العراق 20 ألف دينار عراقي
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Pathological tooth wear: a comprehensive online school. For restorative dentists, functional dentists, and dental technicians

Category: Functional Dentistry

Instructor(s): Jacek Glebocki, Carlo Poggio, Jean-Daniel Orthlieb, Riccardo Ammannato, Benett Amaechi, Francisco J. Pereira Jr, Daniel Paesani, Maurizio De Stefano, Devang Patel, Marco Veneziani, Antonello Francesco Pavone, Graham Woolley

Course structure: Lessons: 16 lessons | Duration: 20 h 47 min

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.

 

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