Reference Position: Centric Relation (CR), Centric Occlusion (CO), Neuro‑Muscular Reference Position
Reference Position: Centric Relation (CR), Centric Occlusion (CO), Neuro‑Muscular Reference Position
Course overview
Reference position – a key step to successful dental treatment!
Join renowned specialists Jean-Daniel Orthlieb, Giorgio De' Luca, and Michael Miyasaki, and learn the full protocols to determine the reference position for your occlusal rehabilitation and orthodontic cases.
What you will learn
Reference position (RP) registration rules and working with occlusal planes
Protocols for determining centric relation (CR), centric occlusion (CO), and neuro-muscular therapeutic reference position (RP)
Protocols for designing occlusal splints to obtain a neuro-muscular reference position (RP).
Course lessons
Lesson 1. Definition of the reference plane
Use of the facebow for fixing horizontal reference plane
ARP index
The use of the facebow as a guide
Facial asymmetry
3 possible options for creating a horizontal reference plane.
Lesson 2. The concept of mandible reference position and the vertical demention of occlusion
Mandible reference position of due to the work of the muscles
Reproducible positions: ICP and CR
Stable and unstable ICP.
Lesson 3. CR registration using neuromuscular approach. How to achieve stable results
Occlusion and malocclusion: definition
Rationale behind the neuromuscular approach to occlusion
The concept of habitual bite
Physiologic vs accommodative trajectory
Available equipments used to diagnose and treat cases via neuromuscular approach
Patient examination algorithm in the concept of neuromuscular dentistry
CR registration using neuromuscular approach
3 keys to work in the concept of neuromuscular dentistry
The method of obtaining the registry
Orthotic: types and advantages of application
Goals of the phase II of treatment
What final options are available and an example of approaching a worn dentition rehabilitation
Framework to approach occlusal stability.
Lesson 4. Neuro-Muscular Reference Position for Diagnostic and Therapeutic Goals
Notions of temporomandibular joint
Defining the reference position (RP) in clinical practice
Reference position (RP) according to R. Slavicek
Defining the neuro-muscular reference position (RP) in clinical dentistry
Clinical indications for using the reference position (RP) in diagnostic orthodontic and prosthodontic practice
Protocols for determining the reference position (RP)
Adaptation of the cranio-mandibular system to the determined reference position (RP)
Protocols for working with the articulator and facebow to determine the reference position (RP): mounting procedure;
Digital protocols to determine the reference position (RP).
Lesson 5. Analog and Digital Determination of Neuro-Muscular Reference Position
Step-by-step video demonstration of reference position (RP) determination using waxing procedures
Video demonstration of splint adjustment and designing in reference position on the articulator
Step-by-step protocols for splint design with digital workflow
Analysis of clinical cases:
Determination and designing of a splint in a neuro-muscular reference position.
