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Centric relation: all methods of registration and clinical application

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Jean-Daniel Orthlieb
Michael Miyasaki
Marcelo Matos
Mike Racich
Kamil Stefański
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Details

8 lessons (9h 15min)

8.5 CE Credits

8.5 CE Credits

English

Access to the record for Membership period

Description

Centric relation is the key to successful dental treatment!

 

We've put together EVERYTHING every dentist needs to know about the centric relation in one course where you'll learn:


– All popular centric relation registration protocols: classical and digital
– Treatment planning taking into account the centric relation
– Centric relation in the work of an orthodontist and prosthodontist.

This course is required for all dentists involved in prosthetics, orthodontics and the treatment of tooth wear. After completing the training, you will be able to choose the optimal concept for CR registration! 

Lesson 1.Centric relation: introduction

– Centric Relation: modern definition
– Centric Relation: evolution of terminology
– Centric Occlusion: definition
– Vertical dimension of occlusion (VDO): definition
– Rule of thirds
– Mutually Protected Occlusion
– TMJ examination: clinical and laboratory
– Habit bite
– Centric Relation: clinical recommendations
– Chewing studies.

 

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.

Lesson 2.From the historical mechanic "centric relation" to a biological model

– The importance of CR in dentistry
– The modifications of the concept of centric relation (CR) over the years
– The problem and limitations of use CR for diagnosis and treatment
– Imaging and the jaw relationship
– Condyle position from a biological perspective
– TMJ pathology and its impact on occlusion
– Dental based vs orthopedic based occlusion.

 

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.

Lesson 3.CR registration using hard wax

– The terminal hinge axis movement concept

– Stable centric relation: definition

– P.K. Thomas and Lauritzen manipulation and the P. Dawson maneuver: disadvantages

– Method of registration of the centric relation using wax plates

– Creation of an anterior occlusal stop: indications and methodology

– Reproducibility of the central ratio: Split cast technique.

 

Recommended for: Orthodontist, Gnathologist, Prosthetist, Dental Technician, General Dentist.

Lesson 4.CR registration using neuromuscular approach. How to achieve stable results

– Occlusion and malocclusion: definition
– Rationale behind the neuromuscular approach to occlusion
– The concept of habitual bite
– Physiologic vs accommodative trajectory
– Available equipments used to diagnose and treat cases via neuromuscular approach
– Patient examination algorithm in the concept of neuromuscular dentistry
– CR registration using neuromuscular approach
– 3 keys to work in the concept of neuromuscular dentistry
– The method of obtaining the registry
– Orthotic: types and advantages of application
– Goals of the phase II of treatment
– What final options are available and an example of approaching a worn dentition rehabilitation
– Framework to approach occlusal stability.

 

Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.

Lesson 5.Dawson method of centric relation determination

– Centric Relation: definition and history
– Factors that affect Centric Relation records
– Central occlusion and maximal intercuspidation
– TMJ problems during orthodontic treatment
– Posselt diagram
– Occlusal diseases
– FACE Digital Mounting: principles
– Evaluation of Centric Relation term
– Centric Relation registration method: Dawson method and Lucia jig
– Preparation for orthodontic treatment
– Preparation for Centric Relation establishment: muscles deprogramming
– Mountings in Centric Relation
– Mistakes in Centric Relation determination.

 

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.

Lesson 6.Digital methods of centric relation determination

– The reliability of radiological methods for determining central occlusion
– Digital bite from IOS
– The concept of Tx: vertical control
– Centric Relation in case aligner treatment
– Prescription for technicians
– Aligners — save distalization appliance to hight-angle patients
– TMJ disk lock
– Pros and cons of digital treatment planning in arc of closure
– Hybrid treatment with Stop&Go: protocol
– Axioprisa: advantages of the technique
– Digital mounting protocols
– Surgery cases simulation.

 

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.

Lesson 7.Determining the CR using Lucia Jig

– Patient deprogramation
– Dawson Maneuver
– Placing the Lucia Jig: the technique, materials, typical mistakes
– Denar Wax or silicon bite registration: which method is better? Typical mistakes. Proper sequence of workflow
– Facebow
– Analogue models mounting in the articulator
– Models CR analysis.

 

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.

Lesson 8.Interdisciplinary treatment planning in the concept of centric relation

– Surgical cases in orthodontic treatment: 

 

- transverse analysis
- suture maturity
- expantion
- Silesia Expander by Dr. Kamil.


– Digital assistent in dental office
– Molar torque correction
– Torque selection based on CBCT
– Assessment of long-term results of treatment.

 

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.

Course includes next lessons:

1h 4min
Lesson 1

Centric relation: introduction

Mike Racich
2h 15min
Lesson 2

From the historical mechanic "centric relation" to a biological model

Marcelo Matos
29min
Lesson 3

CR registration using hard wax

Jean-Daniel Orthlieb
1h 30min
Lesson 4

CR registration using neuromuscular approach. How to achieve stable results

Michael Miyasaki

Functional Dentistry

Prosthodontics

Pathologies

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Lecturers 5

Prosthodontist and occlusion specialist focusing on temporomandibular disorders and occlusal rehabilitation. Honorary University Professor at Aix-Marseille University, France.

 

Over 45 years of academic and clinical experience in fixed prosthodontics, occlusion, and TMD management. Developer of the OCTA (Occlusal Architecture) concept for securing orthodontic and prosthodontic treatments through functional occlusal design principles. Former Chairman of the Occlusion and Dysfunction Department and former Vice-Dean in charge of dental education at the Faculty of Dentistry, Aix-Marseille University.

 

Director of postgraduate education programs in occlusion and TMD, and fixed prosthodontics at Aix-Marseille University. Visiting Professor at Donau University, Austria. Past President of the French National College of Occlusodontology (1995-1996) and International Academy of Advanced Interdisciplinary Dentistry (iAAID).

 

DDS from Faculty of Dentistry, Aix-Marseille University (1978). Certified in Anthropology (1979) and Fixed Prosthodontics and Occlusodontology (1980). Master's degree (DSO, 1983). PhD (Doctorat d'Université, 1990). Full Professor since 2007. Author of 8 books and over 160 scientific publications on occlusion, TMD, and prosthodontics. Member of the European Academy of Craniomandibular Disorders.

 

General dentist with 30 years of experience, USA.

 

Head of the Academy of Minimally Invasive Implantology.

 

Director of Education for the Pacific Aesthetic Continuum.

 

Maintains a private practice in Sacramento, CA, focused on comprehensive dentistry and function.

 

TMD and orofacial pain specialist and a certified Oral & Maxillofacial radiologist in Salvador, Brazil

 

Specialist in TMD and orofacial pain certified by the Federal Dentistry Council (CFO);

 

Author of the "TMJ Image Manual" and "Reasoning for Imaging Diagnoses in Dentistry";

 

Member of the Study Group of Professor Jorge Learreta – Ge-JAL (Argentina)

 

Member of the American Academy of Craniofacial Pain;

 

Member of the International Association for Orthodontics;

 

Founding member of the Brazilian Academy of Sports Dentistry - ABROE.

 

General dentist in Vancouver, British Columbia, and a graduate of UBC Dental School with more than 30-years’ experience.

 

He mentors the didactic/clinical FOCUS Dental Education Continuum (study clubs, proprietary programs, coaching, 2nd opinions only).

 

Author of the "The Basic Rules of Oral Rehabilitation", "The Basic Rules of Occlusion", "The Basic Rules of Facially Generated Treatment Planning", and "The Basic Rules of Being a Dental Patient".

 

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