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

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Detalhes

14 aulas + 2 grátis (20h 47m)

18 CE Credits

18 CE Credits

inglês

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Descrição

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.

Aula 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.


Recommended for: Prosthodontists, Functional dentists.

Aula 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.


Recommended for: Prosthodontists, Functional dentists.

Aula 3.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.


Recommended for: Prosthodontists, Functional dentists.

Aula 4.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.


Recommended for: Prosthodontists, Functional dentists.

Aula 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.


Recommended for: Prosthodontists, Functional dentists.

Aula 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.


Recommended for: Prosthodontists, Functional dentists.

Aula 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.


Recommended for: Prosthodontists, Functional dentists.

Aula 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.


Recommended for: Prosthodontists, Functional dentists.

Aula 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.

 

Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.

Aula 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.

 

Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.

Aula 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.

 

Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.

Aula 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.

 

Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.

Aula 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.

 

Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.

Aula 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.

 

Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.

Aula 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?

 

Recommended for: Prosthodontists, Dental technicians, General dentists.

Aula 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.

 

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

O curso inclui aulas:

1h 47m
Aula 1

The role of bruxism in the mechanism of tooth wear

Daniel Paesani
1h 50m
Aula 2

Treatment of dental erosion as one of the factors of tooth wear development

Benett Amaechi
1h 29m
Aula 3

Composite protocol: index technique

Riccardo Ammannato