OHI-S Treatment of pathological tooth wear. Additive prosthodontics. The concept Aesthetics-Function-Posture 10 lession 19h36m

10 lessons (19h 36min)

This course is a gradual review of medical manipulations on patients with functional deviations:

– diagnostics

– consideration of postural aspects

– functional treatment

– final result: aesthetic rehabilitation by indirect restorations.

During the 10 webinars, the lecturer will talk about treatment of complex cases of patients with functional deviations (bruxism, severe form of pathological tooth wear), who will receive full rehabilitation, from functional diagnostics to ideal ceramic restorations.

Overview:

The OHI-S Treatment of Pathological Tooth Wear course provides an intensive 19.5-hour program focused on additive prosthodontics and the comprehensive “Aesthetics-Function-Posture” concept. The curriculum covers advanced, minimally invasive protocols for diagnosing, planning, and restoring worn dentition while optimizing occlusal function and patient posture.

Learning Objectives:

Diagnose the etiology and clinical stages of severe pathological tooth wear.

Implement the “Aesthetics-Function-Posture” concept into comprehensive restorative treatment planning.

Apply minimally invasive additive prosthodontic techniques to restore damaged dentition.

Evaluate and re-establish the optimal vertical dimension of occlusion (VDO) for functional stability.

Formulate interdisciplinary management strategies to address the relationship between occlusion and overall body posture.

Target Audience:

Best for prosthodontists and restorative dentists who want updates on additive prosthodontics, treating tooth wear, and the function-posture link.

+ Topics:

Lesson 1.The concept of additive restoration techniques

– Esthetic guidelines for restoration

– Traditional and additive approaches to aesthetic restoration: indications

– Types of materials for aesthetic restoration and indications for their use

– Features of the choice of the concept of aesthetic restoration

– Advantages of the additive concept

– Tasks of aesthetic treatment

– Indications for dental restoration with and without preparation

– Hyper-contouring: the subtleties of planning aesthetic restoration

– Determining the optimal thickness of the veneer

– Mock-up in aesthetic restoration

– The concept of aesthetics of the gingival margin

– Feldspathic porcelain, composites, lithium disilicate: advantages and disadvantages

– Aspects of marginal stability

– The stages of fixing veneers: subtleties and recommendations.

Recommended for: Prosthodontists, Functional dentists.

Lesson 2.Minimal invasive preparation for veneers

– Aesthetics in dentistry: the superiority of a smile

– Indications for preparation of teeth for various restoration

– Principles of dental preparation

– Supragingival line: optimal position for aesthetic restoration

– Mock-up and Wax-up in the production of aesthetic restoration

– New minimal preparation technique

– Stages and the rules of the classic preparation

– Impressions: materials and recommendations

– Features of preparation at the level of the gingival margin

– Ceramics and lithium disilicate: advantages and disadvantages

– Composites: indications for use

– Occlusal rehabilitation using lithium disilicate veneers

– Composite veneers for parafunction

– Fiberglass pins for aesthetic restoration

– Adhesive protocol: features of working with enamel

– Stages of cementation of veneers

– Teeth bleaching before making veneers.

Recommended for: Prosthodontists, Functional dentists.

Lesson 3.Occlusion and occlusal balance of the lateral group of teeth

– Modern principles of occlusion

– Materials for the restoration of the occlusal surface: selection criteria

– Biomechanical aspects of posterior tooth restoration

– Physiological features of tooth tissues when choosing a material for restoration

– The concept of occlusal balance: the basic principle

– Composites for total rehabilitation of posterior teeth

– Changing occlusion using temporary restoration of the posterior teeth

– Methods of treatment of dysfunction

– Additive concept in occlusion recovery

– Fixed occlusal splints and protective mouthguards: characteristics

– E. max: types and mechanical features

– Features of preparation of posterior teeth

– Stamp technique: principle and advantages

– Pastoral benefits: clinical examples

– BioFunction Enamel: mechanical and biomechanical properties.

Recommended for: Prosthodontists, Functional dentists.

Lesson 4.Minimal Invasive preparation for Overlay and Onlay

– The basic principles of preparation

– Materials for the restoration of the posterior group of teeth: advantages and disadvantages

– Biomechanical aspects of posterior tooth restoration

– Composite or ceramic: material selection criteria

– Indications for direct and indirect restoration

– Basic rules and principles of preparation of posterior teeth

– Additive approach in the restoration of posterior teeth

– Partial preparation: indications and rules for creating a cavity

– The concept of biologic width

– Cavity edge relocation: advantages and disadvantages

– Elimination of undercuts: Build-up concept

– New in minimal preparation

– CAD/CAM technologies: features of application in aesthetic restoration

– Impressions taking: recommendations for getting an accurate impression

– Laboratory stages of the production of linings

– Stamp technique: Advantages

– Cementation: the processing stages of a cavity with the use of different materials

– Problems of indirect composite restoration

– Composites for cementing: comparative characteristics.

Recommended for: Prosthodontists, Functional dentists.

Lesson 5.Rehabilitation of patients with worn dentition

– The main causes of tooth abrasion

– Occlusal balance in restoring function and aesthetics

– Changing the canine guide using an additive technique

– Diagnosis of оcclusal disorders: features

– Asymptomatic occlusal disorders: treatment methods

– Physiological aspects of the condyle position

– CBCT and MRI: advantages and disadvantages

– Stages of treatment of patients with occlusal and aesthetic disorders

– VDO incrementation: basic rules

– Removable or non-removable occlusal splints: advantages and disadvantages

– Range of rotation: the specificity of the parameter

– Deprogramming of muscles: rehabilitation using an additive technique

– Features of temporary splinting

– Materials for the restoration: selection criteria

– Indications for occlusal veneers

– Gold-composite crowns on implants.

Recommended for: Prosthodontists, Functional dentists.

Lesson 6.Parafunction and worn dentition: methods of treatment

– What is parafunction?

– Erasability of teeth: types, causes, methods of treatment

– Methods of rehabilitation of patients with occlusive disorders

– The vertical dimension of occlusion: to determine the required height

– Physiological aspects of mandibular movement

– Determination of the condyle position: CBCT and MRI

– Timing of the formation of muscle memory

– Increasing the height of the bite: an adhesive technique

– Palatal veneers: manufacturing principles

– Methods of restoration with preparation of teeth

– Protective mouthguards: biomechanical aspects of use

– Treatment of patients with occlusion disorders: a step-by-step protocol

– Veneers or crowns: biomechanical justification for the choice.

Recommended for: Prosthodontists, Functional dentists.

Lesson 7.Aesthetic and occlusal rehabilitation of patients with teeth wear and asymptomatic occlusal disorders

– Diagnosis: basic principles of diagnosis

– Stages of diagnosis of asymptomatic patients

– Palpation of muscles: methods and rules

– Clinical stages of treatment

– Photoprotocol in the treatment

– Diagnosis of disorders by CBCT and MRI: anatomical aspects

– Physiological and pathological position of the condyle and articular disc

– Palpation of the TMJ: the traditional method and palpation through the auditory canal

– Increasing the vertical dimencion without changing the position of the condyle: technique

– Cancellation of muscle memory: prosthetic aspects

– The methodology for the fabrication of temporary occlusion splints

– Rehabilitation of patients with the use of additive prosthetics

– Occlusal veneers: indications for use.

Recommended for: Prosthodontists, Functional dentists.

Lesson 8.Additive prosthetics in the treatment of patients with parafunction: practical tips

– The concept of additive prosthetics: indications and benefits

– Restorations with minimal preparation and without preparation: advantages and disadvantages

– Hyper-contouring: a geometric concept

– The concept of occlusal balance

– Determining the point of greatest convexity

– Palatal veneers: indications

– Materials for the restoration: selection criteria

– The method of using occlusal splints in the restoration of teeth in patients with parafunction

– Gold-composite crowns on implants: indications and subtleties of use

– Composites and lithium disilicate for the restoration of posterior teeth: indications and benefits.

Recommended for: Prosthodontists, Functional dentists.

Lesson 9.Aesthetic and occlusal rehabilitation of patients with musculoskeletal dysfunctions: diagnosis and treatment principles

– EFP – concept: the main provisions

– Diagnostics: principles and stages

– Aesthetic rehabilitation with preservation of occlusal balance: principles

– Method of bite registration

– TMJ: anatomical and physiological aspects

– Patients with symptoms of musculoskeletal dysfunction: criteria for inclusion in the group

– Clinical stages of treatment

– Methods of examination of the patient

– Evaluation of treatment outcomes: diagnostic models and photos

– Muscle palpation: techniques and features of palpation of individual muscles

– Palpation of the TMJ through the auditory canal: methods and benefits

– Postural tests: criteria for evaluating pastura at the treatment stages

– Method of recording the new position of the lower jaw

– Treatment of asymptomatic patients and patients with symptoms of musculoskeletal dysfunction: principles and differences.

Recommended for: Prosthodontists, Functional dentists.

Lesson 10.Asthetic and occlusal rehabilitation of patients with musculoskeletal dysfunction: clinical examples

– Diagnosis and treatment planning: key aspects

– Stages of diagnosis of musculoskeletal disorders

– Survey methods: objective and reproducible

– Intraoral examination: rules and recommendations

– Muscle palpation: demonstration of the technique

– Pastoral tests: methods of conducting

– MRI: determination of the condyle position

– Use of occlusal splints: methods and terms of treatment

– Additive prosthetics for occlusal rehabilitation

– Asymmetrically positioned occlusal splints: indications

– Principles of mandibular displacement: biomechanical aspects.

Recommended for: Prosthodontists, Functional dentists.