RipeGlobal Occlusion in Everyday Practice
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20 ألف دينار عراقي
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Occlusion in Everyday Practice by Micheal Melkeris Course Details
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Part 1:
Failure motivates need. Occlusion is a methodology to help you achieve a goal.
You can approach occlusion from 2 ways - success attainment or failure avoidance.
Occlusion is the most boring aspect of dentistry!
Review what works, what doesn’t and when and why this happens.
We love to share, learn and grow with colleagues.
Start with why:
Why can’t we learn about occlusion?
What don’t we know?
Why didn’t we learn it in dental school?
Failures from Occlusion
part 2:
Articulating paper and articulating film are different.
Fremitus is where teeth get loosened by occlusal trauma.
Understand how to insert a crown.
Materials matter when you are checking occlusion.
Articulating paper and articulating film react differently.
Equilibration does not mean grind. It means balance.
3 steps to checking occlusion for crown insertion:
check your margins
Checking proximal contacts
Checking the occlusion of the teeth without the crown in
There are 3 great benefits of occlusion
you walk into the operatory with confidence
You walk out of the operatory with confidence that your work isn’t going to break
Your reputation with your patient
The 3 P’s: Purpose, process and presentation
part 3:
In Part 3 Dr Michael Melkers discusses
The faces of dental death!
CR - Centric Relation - it has absolutely nothing to do with teeth.
CO - Centric Occlusion
Using a Leaf Gauge:
8 leafs = 1mm in front
1mm in front = 1/3mm in back
part 4:
Screen for a change in occlusion in a worn dentition patient.
TMD is a rubbish diagnosis because it can mean so many things.
Informed consent
Based on your goals, as I understand them, what I recommend is....
Group function just means more than one tooth.
Distribution in load. Reduction in Sheer.
Comfortable, stable and repeatable.
Dual Arch Anterior Scribe Appliance - DAASA
part 5:
You need to know the rules so you can break the rules.
Case Studies:
Richard’s case study
Bob’s case study
Annette’s case study
It’s not until you change your perspective that you see something new.
The easiest part about FMR is the occlusion because you control everything.
part 6:
Sound and feel are two incredibly powerful tools for evaluating occlusion.
Aesthetics drive everything.
Cookie cutter approach does not work when it comes to occlusion. Because of this, you need to understand the why.
Case studies of:
Helene
Conrad
Roger
part 6 Q&A:
Why do you have equal stops on porcelain and metal?
How to write a letter to review the possible treatment options for a patient.
Did you look at joint position?
Would you splint the crowns?
What would you do if the fremitus didn’t resolve?
part 7:
There is not one occlusion program that is going to teach you all the answers.
Listen to what I have to say respectfully but disagree with me.
People grind and clench their teeth and there is nothing you can do to stop it.
Listen to everything and question everything.
You cannot force people to do treatment.
3 premises that we have as challenges as dentists:
we are not omniscient
we do not know what is best for the patient
we do not get to make the decision
part 8:
Long-standing patient.
Tipping-point risk patient
His wife was concerned about his teeth breaking
What can we do to make the teeth stronger
No display at rest
Strengths are weaknesses and weaknesses are strengths
Out of 5 facial references, we have 3 coinciding lines - just pick 1!
Low lip line
If you can’t see it, you need to take records.
Leaf gauge
part 8 Q&A:
Explain how you talk about pricing fees with a patient?
part 9:
Case review:
Did you equilibrate? Yes, but only to get the 7, 6 and 5 to touch
First contact in centric relation
Roger:
Most stressful case I've ever had
Treat people, not patients
High risk patient
Chewed through the gold in parafunctioning
In retrocline
Class II tendencies
Will it affect phonetics?
You have to balance phonetics and asthetics
part 9 Q&A:
With the DAASA, with the open and close, when you record the bite, were you checking he was in position regularly?
As far as dots go in the back, do you care where they are? Or do you prefer them on the medial marginal ridge?
How thick is the DAASA prior to any composite of acrylic being added?
Is there any advantages in correcting Rogers deep bite?
If you take the bite with the temporaries in the upper but not the lower, how would that help you reach your final occlusion because once you prep the lower teeth wouldn’t you lose the lower information?
Do you do any sedation?
by: Micheal Melkeris
9 parts and 3 Q&A (12 VIDEOS) (5 GB) (11H:20M)
by: Micheal Melkeris
9 parts and 3 Q&A (12 VIDEOS) (5 GB) (11H:20M)
