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Worn dentition treatment
4.59
96 votes
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Devang Patel
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Daniel Paesani
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Marco Veneziani
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Jacek Glebocki
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Riccardo Ammannato
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Benett Amaechi
Course details
Course lessons
Course lessons
Lecturers
Reviews
ADA CERP
Retail price
59 $ per lesson
...per year
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416 $per course
+ 21 bonus points (≈21 $) for the purchase
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Details
7 lessons + 1 free (12h)
10.5 CE Credits

English
Access to the record for Membership period
Description
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.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
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.
Recommended for: Prosthodontists, Functional dentists.
Course includes next lessons:
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1h 47min
Lesson 1
The role of bruxism in the mechanism of tooth wear
Daniel PaesaniShow lesson program
0:01
Introduction and Etiological Factors of Tooth Wear
2:36
Bruxism Paradigm and Research Evidence
8:20
Occlusal Splints: Assessment and Quantification of Bruxism
12:38
Splint Surface Patterns and Classification
13:26
Bruxism Without Clinical Tooth Wear — Case Examples
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1h 50min
Lesson 2
Treatment of dental erosion as one of the factors of tooth wear development
Benett AmaechiShow lesson program
0:01
Introduction and Lecture Objectives
5:16
Definition and Mechanisms of Erosive Tooth Wear
8:15
Caries versus Erosion: Pathology and pH Thresholds
11:28
Tooth Wear Types: Attrition and Non‑Carious Cervical Lesions
19:47
Abrasion and Its Interaction with Erosion
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1h 29min
Lesson 4
Composite protocol: index technique
Riccardo AmmannatoShow lesson program
0:01
Introduction & Minimally Invasive Case
8:01
Tooth Wear Etiology and Diagnostic Wax-up
15:28
Single-Index Copy‑Paste Technique (Single Tooth)
23:05
Index Technique: Full‑Mouth Erosive Rehabilitation
33:00
Case 2 Posterior Rehab: Mixed Erosion/Attrition
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Functional Dentistry
Pathologies
Treatment methods
Prosthodontics
Direct Restoration
Treatment methods
Pathologies
Stages of treatment
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One-time purchase | |||
|---|---|---|---|
Lessons included | – | 8 lessons of that course | |
Access period | without limits | 180 days | |
Price per lesson | ... | 59 $ | |
Total price | ... per year | 416 $ per course | |
Lecturers 6
Visiting Lecturer in Restorative Dentistry at University College London (UCL) Eastman Dental Institute. Former Senior Clinical Teaching Fellow and Programme Co-ordinator for the Postgraduate Certificate in Restorative Dental Practice at UCL Eastman (2013-2020). Specialist in restorative dentistry with focus on management of worn dentition, full-mouth rehabilitation, and complex prosthodontic cases. Maintains private practice in Devon, England, at Westcountry Dental & Implant Centre, Barnstaple, and Parkview Dental Care.
Over 20 years of clinical experience in comprehensive restorative dentistry including treatment of severe tooth surface loss, complex fixed and removable prosthodontics with implants, autogenous bone grafting, sinus lift procedures, full-mouth rehabilitation, and temporomandibular joint dysfunction management. Expert in reorganized approach to occlusal rehabilitation, DAHL technique, diagnostic wax-up and mock-up protocols, and increasing vertical dimension of occlusion for worn dentition cases. Known for systematic three-step protocol for full-mouth reconstruction and patient-centered treatment planning.
Recipient of Postgraduate Prize for Excellence in Clinical and Academic Achievement from UCL Eastman Dental Institute. Educator and mentor for postgraduate dentists pursuing advanced training in restorative dentistry, teaching principles of occlusion and their application in full-mouth reconstructions including implant-supported restorations. Also provides orthodontic treatment using Invisalign, Inman Aligner, Cfast, and Fastbraces. Best-selling author and creator of comprehensive online dental courses on full-mouth reconstruction, worn dentition treatment, and advanced restorative protocols. International lecturer presenting on topics including classic prosthetic approaches to worn dentition, wax-up and mock-up protocols, vertical dimension management, and adhesive versus indirect restoration strategies.
BDS (Bachelor of Dental Surgery, 2004). MSc in Restorative Dental Practice from UCL Eastman Dental Institute, University College London (awarded with Distinction). Extensive postgraduate training in aesthetic and restorative dentistry, implant dentistry, and complex rehabilitation. Member of the General Dental Council (GDC), UK.
Dentist specializing in temporomandibular disorders (TMD), orofacial pain, bruxism, and sleep disorders. Professor at University of Salvador/AOA, Buenos Aires, Argentina. Vice President of ALDOTS (Latin American Academy of TMD, Orofacial Pain and Sleep Disorders). International authority on bruxism.
Over 35 years of clinical and academic experience in orofacial pain and TMD. Graduated as dentist in Argentina, pursued advanced training in temporomandibular disorders, orofacial pain mechanisms, and sleep-related breathing disorders. Appointed Professor at University of Salvador (Universidad del Salvador, USAL) teaching TMD diagnosis and management to dental students and postgraduate residents. Active researcher contributing to understanding of bruxism etiology, diagnosis, and therapeutic approaches. Serves as Vice President of ALDOTS, leading Latin American organization promoting evidence-based approaches to TMD, orofacial pain, and sleep disorders throughout region.
International lecturer presenting at dental conferences across Latin America, Europe, and North America on bruxism classification, temporomandibular disorders, orofacial pain diagnosis and treatment, and sleep disorders. Guest editor for thematic dossiers in international dental journals on TMD, orofacial pain, bruxism, and sleep apnea. Recognized expert on different schools of thought regarding bruxism definition, etiology, and treatment, including orofacial pain school identifying it as pathology versus alternative approaches. Published extensively in peer-reviewed journals on TMD, bruxism mechanisms, diagnostic methods, morphological changes from functional appliances, bruxism and condylar position relationships, and sleep disorder management.
DDS. Professor at University of Salvador (USAL), Buenos Aires. Author of definitive textbook "Bruxism: Theory and Practice" (Quintessence Berlin), comprehensive reference establishing evidence-based understanding of bruxism covering etiology, classification, diagnosis, consequences, and therapeutic strategies. Book recognized internationally as authoritative resource on bruxism for clinicians and researchers.
Participant of many national and international trainings from the various aspects of dentistry: endodontics, implantology, prosthetics, orthodontics and orthognathic surgery.
As the only one in Poland and in this part of Europe,Dr. Glebocki has the status of Mentor Kois Center - a prestigious training and research center in Seattle, USA and has his own training center in Lomza, Poland.
Apart from trainings, he runs a multi-station private dental practice Novadent in Lomza, where he consults each patient and coordinates each stage of interdisciplinary treatment (orthodontics, prosthetics, implantology, orthognathic surgery).
Regular participant of the annual symposium at the Kois Center, where the clinical protocols are updated every year based on current scientific research.
A proud member of the AACD (American Academy of Cosmetic Dentistry) and DSD (Digital Smile Design).
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