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Reference Position: Centric Relation (CR), Centric Occlusion (CO), Neuro-Muscular RP
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Get this course and 1200+ CE Hours with Membership.
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What’s included in
This online course
Details
5 lessons (5h 48min)
3.5 CE Credits

English
Access to the record for Membership period
Description
Reference position – a key step to successful dental treatment!
Join renowned specialists Jean-Daniel Orthlieb, Giorgio De' Luca, and Michael Miyasaki, and learn the full protocols to determine the reference position for your occlusal rehabilitation and orthodontic cases.
During the course, you will learn about:
– Reference position (RP) registration rules and working with occlusal planes
– Protocols for determining centric relation (CR), centric occlusion (CO), and neuro-muscular therapeutic reference position (RP)
– Protocols for designing occlusal splints to obtain a neuro-muscular reference position (RP).
Lesson 1.Definition of the reference plane
– Use of the facebow for fixing horizontal reference plane
– ARP index
– The use of the facebow as a guide
– Facial asymmetry
– 3 possible options for creating a horizontal reference plane.
Recommended for: Orthodontist, Gnathologist, Prosthetist, Dental Technician, General Dentist.
Lesson 2.The concept of mandible reference position and the vertical demention of occlusion
– Mandible reference position of due to the work of the muscles
– Reproducible positions: ICP and CR
– Stable and unstable ICP.
Recommended for: Orthodontist, Gnathologist, Prosthetist, Dental Technician, General Dentist.
Lesson 3.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 4.Neuro-Muscular Reference Position for Diagnostic and Therapeutic Goals
– Notions of temporomandibular joint
– Defining the reference position (RP) in clinical practice
– Reference position (RP) according to R. Slavicek
– Defining the neuro-muscular reference position (RP) in clinical dentistry
– Clinical indications for using the reference position (RP) in diagnostic orthodontic and prosthodontic practice
– Protocols for determining the reference position (RP)
– Adaptation of the cranio-mandibular system to the determined reference position (RP)
– Protocols for working with the articulator and facebow to determine the reference position (RP): mounting procedure;
– Digital protocols to determine the reference position (RP).
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Lesson 5.Analog and Digital Determination of Neuro-Muscular Reference Position
– Step-by-step video demonstration of reference position (RP) determination using waxing procedures
– Video demonstration of splint adjustment and designing in reference position on the articulator
– Step-by-step protocols for splint design with digital workflow
– Analysis of clinical cases:
- Determination and designing of a splint in a neuro-muscular reference position.
Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.
Course includes next lessons:
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Definition of the reference plane
Jean-Daniel Orthlieb0:01
Camper's Plane and Natural Head Posture
3:11
Anterior Reference Point and ARP Index Recording
10:02
Face‑bow (Anatomic vs Arbitrary) and Hinge Axis Indications
14:02
Frontal Symmetry and Aesthetic vs Occlusal Plane
21:04
Lateral Cephalometry: Skin Markers and Condyle Center
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The concept of mandible reference position and the vertical demention of occlusion
Jean-Daniel Orthlieb0:01
Reference Planes and 3D Coordinate System
7:12
Mandibular Reference Positions and Reproducibility
12:02
ICP Indications and Recording / Mounting Techniques
17:56
Therapeutic Positioning, Vertical Dimension and TMD Care
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CR registration using neuromuscular approach. How to achieve stable results
Michael Miyasaki0:01
Introduction & Importance of Occlusion
9:06
Occlusion & the Stomatognathic System
18:12
Neuromuscular Dentistry & Rest Position
27:17
Habitual Bite, Trajectory & Adaptation
36:22
Posture, Airway & Systemic Effects
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Neuro-Muscular Reference Position for Diagnostic and Therapeutic Goals
Giorgio De' Luca0:01
Introduction and Lesson Objectives
1:07
TMJ Anatomy and Biomechanics
6:52
Articular Disc, Bilaminar Zone, and Growth Adaptation
16:18
Occlusion, Malocclusion, and Adaptation Types
23:35
Mandibular Positions: Rest, Maximal Intercuspation, Reference Position
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Functional Dentistry
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Lecturers 3
Received his doctorat in dentistry (DDS) in 1978 from the Faculty of Dentistry, Aix-Marseille University, France.
He was certified in Anthropology in 1979, in fixed prosthodontic and Occlusodontology in 1980.
He received his master (DSO) in 1983.
He became assistant in fixed prosthodontic department in 1985.
He received his Doctorat d`Universite – University thesis- in 1990 (PhD).
In 1993 he was associated professor, Chairman of the Occlusion and Dysfunction department of Faculty of Dentistry of Marseille. In this university, he manages a postgraduate education program in occlusion and TMD and a postgraduate education program in fixed prosthetic.
From 2007, he is Full Professor of University. He is Visiting professor of Donau University.
He was President of the French National College of Occlusodontology in 1995-96.
He is member of the European Academy of Craniomandibular Disorders.
He was President of International Academy of Advanced Interdisciplinary Dentistry (iAAID).
He had published 6 books and more than 130 scientific papers about occlusion, TMD and prosthodontics.
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