Pathological tooth wear: a comprehensive online school. For restorative dentists, functional dentists, and dental technicians
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14 lezioni + 2 gratis (20o 47m)
18 CE Credits
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Descrizione
Comprehensive online school on treating pathological tooth wear for restorative dentists, functional dentists, and dental technicians!
During this training, you will learn:
– Evidence-based approaches to diagnosing and planning treatment for pathological tooth wear
– Criteria for selecting materials for tooth restoration
– Protocols for managing wear: restoration and functional approaches
– Principles and guidelines for treating bruxism and tooth wear
– Protocols for working with total adhesive restorations.
Lezione 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.
Lezione 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.
Lezione 3.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.
Lezione 4.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.
Lezione 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.
Lezione 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.
Lezione 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.
Lezione 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.
Lezione 9.Bruxism: from management to oral rehabilitation. Part 1
– Definition of bruxism based on clinical examples
– Classification of bruxism
– Analysis and comparison between awake bruxism and sleep bruxism
– Evaluation of oral behaviors in relation to sleep disorders:
- Bruxism as a protective factor
- Bruxism as a risk factor
- Association with other disorders and health conditions.
– Clinical case analysis and bruxism evaluation:
- Patient evaluation and clinical examination
- Supplementary diagnostic exams that aid in bruxism assessment
- Identifying the risk factors associated with bruxism.
Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.
Lezione 10.Bruxism: from management to oral rehabilitation. Part 2
– Cognitive-behavioral approach for patients diagnosed with bruxism
– Protocols for controlling other disorders and health conditions that may influence bruxism
– Protocols of splint therapy:
- Splint classification and analysis of different types
- Steps to designing splint appliances.
– Pharmacological approach to managing bruxism
– Evaluation of drugs inducing bruxism
– Analysis of medications reducing bruxism
– Full-mouth rehabilitation protocols.
Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.
Lezione 11.Dental anti-aging: main principles when working with worn dentition
– Tooth wear: definition and classification
– The difference between physiological and pathological tooth wear
– Etiopathogenesis of pathological tooth wear
– Preventive protocols for pathological tooth wear
– Types of tooth wear and the compensatory response of the stomatognathic system
– Classification of tooth wear based on localization
– Protocols for interdisciplinary diagnosis of worn dentition
– Orthodontics prior to full-mouth rehabilitation: why, when, and how?
– Localized restorative protocols
– Protocols for full-mouth reconstruction
– Maintenance over time of dental rejuvenation.
Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.
Lezione 12.Gummy smile and short tooth syndrome: interdisciplinary aesthetic rehabilitation
– Etiopathogenetic causes of gummy smile (GS) and short tooth syndrome (STS)
– Smile line assessment and its application in aesthetic evaluation
– The proposed classification system for adult patients with GS and STS and the diagnostic process used within this classification
– Biological and restorative approaches employed in treating gummy smile and short tooth syndrome
– The significance of surgically exposing the cemento-enamel junction when addressing gummy smile cases
– Compensatory eruption with orthodontics
– Protocols for balancing the gingival smile line
– Analysis of the interdisciplinary approach to treatment
– Maxillofacial surgery and aesthetic rehabilitation
– Protocols of interdisciplinary aesthetic rehabilitation
– Analysis of full-mouth restorative protocols: from smile analysis to post-treatment evaluation.
Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.
Lezione 13.Psycho-behavioral approach, splint therapy, composite restorations
– Addressing excessive bruxism through a psycho-behavioral approach
– Bruxism treatment modalities:
- Occlusal splint and its limitations
- Importance of a dual psychological approach and stress management.
– Holistic approach to bruxism treatment and nasal breathing for improved sleep quality
– Integration of proprioceptive stimulation:
- Occlusal proprioceptive stimulation
- Reinforcing the psycho-behavioral approach.
– Utilizing composite restorations for effective results.
Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.
Lezione 14.The simple prosthetic approach of tooth wear treatment. DAHL technique
– The rate and severity of wear
– Monitoring of tooth wear
– Establishing a new occlusion
– Increasing the VDO
– Centric relation
– Protocols for the choice of occlusal scheme and occlusal analysis
– Choice of articulator
– Materials for crown restoration
– Parafunctiona and worn dentition
– The Dahl technique.
Recommended for: Prosthodontists, Functional dentists, Restorative dentist, General dentists.
Lezione 15.Treatment of Worn Dentition with Ceramic Restorations
– Step-by-step analysis of clinical cases of worn dentition:
- Diagnosis and case clinical history analysis
- Radiological, functional, and occlusal analysis
- Treatment planning and objectives of the treatment
- Facially generated treatment planning and digital smile design
- Splint therapy and lower jaw repositioning protocols
- Evaluation of occlusal plane on the articulator
- Protocols for adhesive mock-up and analysis of neuromuscular pattern.
– Clinical performance of porcelain laminate veneers
– Incisal WRAP veneer prep vs. Butt-joint
– Tooth wear evaluation system
– Protocols to increase the occlusal vertical dimension (OVD)
– Ceramic veneers or direct molded veneers?
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 16.Prosthodontic and interdisciplinary bruxism treatment
– Goals and objectives of prosthodontic treatment
– The concept of "non-invasive" in the treatment of bruxists
– Rehabilitation or aesthetic dentistry: treatment tactics for bruxism
– Indications for changing occlusal relationships
– Full crowns or partial adhesive restorations: selection algorithm
– Digital bruxism treatment protocol: benefits
– Total prosthetic rehabilitation: clinical examples
– Occlusion: a role in bruxism treatment planning
– An interdisciplinary approach in the treatment of bruxism
– Occlusion on implants: risks of bruxism.
Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.
Il corso include le seguenti lezioni:
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Competenze che imparerò durante il corso
Odontoiatria funzionale
Pathologies
Protesi
Treatment methods
General questions
Restorations
Restauri diretti
Treatment methods
Pathologies
Stages of treatment
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Lettori 12
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.
Active Member of the European Academy Esthetic Dentistry (EAED); Active Member of the Italian Academy of Restorative and conservative (AIC); Active Member of the Italian Academy Esthetic Dentistry (IAED).
Author of articles on adhesive and restorative dentistry and speaker in international courses and congresses.
He currently practices at his office in Genoa, with multidisciplinary approach, but focusing on esthetics and restorative dentistry.
Teacher at Naples University Vanvitelli (Italy) in Restorative and Esthetic Dentistry.
Direct by Prof F. Femiano.
Teacher at Rome University Tor Vergata (Italy) in Restorative and Esthetic Dentistry.
Direct by Prof F. Mangani.
Holds a DDS, a PhD in Anatomy and a MSc in Orthodontics.
Visiting Professor at the Division of Prosthodontics, Eastman Institute for Oral Health, University of Rochester (NY) (2009-present), a Visiting Professor for Interdisciplinary Treatments at the Postgraduate Program in Orthodontics in the University of Milan (2000-2012, 2015-present) and a Visiting Professor in the University of Siena (2016-present).
Member of the Executive Board and President Elected 2019-2020 of the Italian Academy of Prosthetic Dentistry (AIOP), with over 1500 members one of the largest Italian scientific dental societies.
Associate Fellow of the Academy of Prosthodontics and Counselor of the American Prosthodontic Society, member of the Cochrane Oral Health group (Manchester, UK).
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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