Archived.

This content is not for sale. You can choose training materials in our catalog.

Worn dentition treatment

4.71
65 votes
10 Dec 2021 - 21 Jan 2022
Devang Patel
Daniel Paesani
Greggory A. Kinzer
Marco Veneziani
Jacek Glebocki
Riccardo Ammannato
Benett Amaechi
Сергей Радлинский
Course details
Course lessons
Course lessons
Lecturers
Reviews

Details

9 lessons (15h 38min)

6.75 CE Credits

6.75 CE Credits

English

Description

The course teaches you effective methods of treating patients with worn dentition:


– classic prosthetic protocol

– composite protocols (direct and index technique)

– functional prosthetic approach by Frank Spier

– approach according to J. Kois.


After this course, you will be able to build your own sequence for treating patients with worn dentition.

Lesson 1.The role of bruxism in the mechanism of tooth wear

– The complex mechanism of tooth wear: interaction between attrition, erosion, and abrasion;

– Assessment of tooth wear;

– Factors that favor and factors that help to prevent tooth wear;

– The difference between the wear caused from bruxism, abrasion, and erosion;

– Saliva and tooth wear;

– Relationship between gastroesophageal reflux, bruxism, and tooth wear;

– Questionaries that help to identifies the source of the problem.

Lesson 2.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 3.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 4.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 5.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 6.Perfect VDO and CR in worn dentition treatment by Kois Center mentor

– Tooth wear - how does it happen?

– Centric relation - not diagnostic data;

– Long-term predictability?

– If the treatment responds to the diagnosis;

– Vertical dimension - you can change it in each case, just follow the rules.

Lesson 7.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.

Lesson 8.Composite protocol: direct techniques

– Biomechanics of the restorated posterior teeth

– Adhesive technique in direct dental restorations

– Universal protocol for the restoration of posterior teeth

– Filling, restoration, artistic restoration

– Integration of the restorated teeth into occlusion

– Long-term results of posterior teeth restoration.

Lesson 9.Functional and prosthetic concept by Frank Spier in the tooth worn treatment

– Principles of achieving an aesthetic result with worn dentition

– Difficulties and risk factors in the rehabilitation of patients with worn dentition

– Etiology of worn dentition:


- Mechanical theory

- Occlusal theory

- CNS theory

- Psychosocial theory.


– The effect of chewing schemes on worn dentition

– Pathophysiology of bruxism: key aspects

– The relationship between bruxism and obstructive sleep apnea

– Worn dentition in children: causes and prognosis

– The effect of the use of drugs on the worn dentition

– Types of tooth wear and their clinical significance:


- "Edge-to-edge" wear

- "Pathway" wear

- "Crossover" wear.


– Protocol of rehabilitation of a patient with "pathway" wear

– Treatment of a patient with "edge-to-edge" wear

– Function range: significant factors.

Course includes next lessons:

Lesson 1

The role of bruxism in the mechanism of tooth wear

Daniel Paesani
1h 29min
Lesson 2

Composite protocol: index technique

Riccardo Ammannato
1h 27min
Lesson 3

Classic way of prosthetic restoration of worn dentition

Devang Patel
1h 21min
Lesson 4

Classic Wax-up and Mock-up protocols for tooth worn treatment

Devang Patel

Functional Dentistry

Prosthodontics

Treatment methods

Pathologies

Lecturers 8

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.

 

OHI-S is the world's leading educational platform for dentists worldwide!

 

Our core product is training led by the top global speakers in all branches of dentistry. On our platform, you will find courses covering every dental specialty. We offer a comprehensive range of educational formats: congresses, seminars, hands-on workshops, and online courses.

 

We provide education in 7 languages: English, Spanish, Portuguese, German, French, Ukrainian, Russian.

 

Our offline projects take place in the most picturesque locations around the world: Kyoto, Florence, Rome, Bologna, Vienna, Berlin, and Prague. Our clients always have a unique opportunity to combine acquiring valuable knowledge with experiencing rich cultural environments.

 

OHI-S is not just a platform, it’s an entire ecosystem for professionals. Our mobile application, marketplace, and specialized social network connect dentists from all corners of the globe, creating a powerful community for knowledge exchange and collective growth.