Worn dentition treatment
Worn dentition treatment
Course overview
The course teaches you effective and reliable working methods to treat patients with worn dentition.
Within the course, you will learn about:
classical fixed prosthetic protocols
index technique
total adhesive restorations
approach according to J. Kois.
After this course, you will be able to build your own treatment sequence to treat patients diagnosed with pathological tooth wear.
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.
