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Full Mouth Reconstruction
September 12, 2021 - 08:00 - September 19, 2021 - 17:00€2000 – €9225
MASTER LEVEL Full Mouth Reconstruction
8 DAYS OF INTENSIVE WORKSHOPS!
Full Mouth Reconstruction is a training that provides comprehensive knowledge on bite reconstruction. If you want to provide holistic care for your patients, this is the perfect step towards doing so. It is also a must-know for every prosthodontist and orthodontist who wants to create a harmonious occlusion in accordance with the temporomandibular joint.
Before the workshops, you will learn the detailed anatomy and physiology of the temporomandibular joint and masticatory muscles by reading the pre-course manual and watching the webinars. You will learn about Centric Relation and whether it is the only acceptable position in TMJ. You will also learn how to deal with the vertical dimension of occlusion. The second series of preparatory webinars concerns dental photography and tutorial of creating presentation and digital smile design in Keynote. The preparatory stage is aimed at equalizing the level of participants and focusing on as many workshops as possible already on the spot.
Because a real adventure awaits you in Poland!
Together with the physiotherapist Julia, we start with an examination and an interview to make the right diagnosis, thanks to which we will be able to easily determine which patient we can rebuild in his current bite, which requires quick or full deprogramming, and finally, who requires splint therapy and specialized team care.
You will learn everything we currently know about bruxism. You will see how to register the bite during the preparation for cross-mounting. You will learn the secrets of bite equilibration and you will personally perform equilibration the bite on specially prepared models.
You will learn how to perform DFA facebow registration, leaf gauge bite registration, lucia jig, Kois deprogrammer. You will learn what the original LIP technique is, how to perform Dawson’s maneuver, how to register the bite for the occlusal splint, how to make your own deprogrammer… And most importantly – you will practice all these procedures yourself during the workshops with patients at the clinic.
How to deal with a gummy smile? When to use veneer and when crown ? If crown then with shoulder or shoulder less ? What is mock up preparation? What are the protocols for the preparation and cementation of crowns and veneers? Nobody will leave the training without knowing the answers to these questions!
The whole thing is completed by a full workshop day, during which each participant independently performs rubber dam isolation, preparations under the microscope and a number of different prosthetic restorations. And here also a surprise! We prepare specially printed models with irregular teeth, imitation of caries, fillings and the structure of enamel and dentin through the mock-up with microscope.
Another important part of the training are dental photography and digital smile design workshops. In the era of social media and websites, it is worth taking care of this side of our practice.
Of course, each of you receives printed interactive books a whole range of gifts (e.g. leaf gauge or ready to use sets of burs) for the first patient right after the training. See you soon!
Lecturers Full Mouth Reconstruction 8 Days
ŁUKASZ LASSMANN i JULIA RUTKOWSKA
TMJ EXAMINATION FOR PROSTHODONTIST – WHEN SHOULD WE NOT DO PROSTHETICS
• Disc pathology – how to differentiate it and when intervention is necessary
• How to distinguish between locks of muscle and articular origin
• Synovial pain map of the temporomandibular joint
• Radiological picture of disorders of the temporomandibular joint
• How to examine the temporomandibular joint
11:30-12:00 coffee break
Demonstration + Workshop
Examination of the temporomandibular joint and mandibular mobility according to Master
Level: TMD / FMR.
13:30-14:30 coffee break
14:30 – 15:30
Holistic approach – what should we know to avoid troubles
• Local myalgia, Spasm, Protective co-contraction, Myofascial pain, Centrally modulated
• Masticatory muscles – controversy related to the function and study of the masticatory
• What are trigger points and what is their importance in dentistry?
• The influence of cervical vertebrae (C1-C2), tongue, body posture and sleep apnea on joint and bite disorders – a curiosity or a standard of treatment? Controversies in the world of science.
• Adaptation – what is it, what are its effects, how to recognize if the patient is already
adapted and how to treat him in cases of aesthetic and functional reconstructions.
15:30-16:00 coffee break
Examination of muscles, joints, apnea tendency, analysis of mandibular mobility, risk
Occlusal Philosophies – In Search of a Common Denominator
• Over the past hundred years, we have seen at least five completely different condyle positions in the temporomandibular joint, and each position was considered the best. At the same time, the definition of the central relation itself has changed 26 times, and the commonly considered compulsory incisal and canine leads have lost their importance. It also turned out that “bad occlusion” does not cause bruxism, and the basis of TMD has more to do with medicine than dentistry – which is still unacceptable in many circles.
• So let’s take a look at how it all started, how it changed and why many so-called occlusive philosophies contradict each other. Do we really have to take one of the “sides” or are there common denominators?
12:00 – 13:30
Centric Relation & Leaf Gauge
• 5 different condyle positions – webinar summary and answer to the question DO WE NEED A CENTRIC RELATION ? What the guidelines and professional ethics say in relation to the current state of scientific knowledge.
• What is bite deprogramming? Is it science or pseudoscience? What are the indications and differences in the operation of individual deprogrammers?
• Leaf gauge – What is it? When / should I use it? How to use it?
• Demonstration of working with the leaf gauge
13:30-14:30 coffee break
14:30-15:15 workshop leaf gauge
15:15-15:30 coffee break
Ferrule, post and shoulder less crown – saving compromised teeth.
What is the ferrule effect and which part of the tooth is the most important?
Biomechanics of damaged teeth
What type of crown-root post to choose? Standard, fiberglass or cast post?
Shoulderless preparation. Why? How? When?
10:00 – 11:30
Kois deprogrammer and Dawson’s manipulation
• Kois deprogrammer – how to determine the height of the platform
• Bite registration on the deprogrammer
• LIP Technique
• Dawson’s manipulation
• How to verify the correctness of registration
11:30-12:00 coffee break
Workshop creating a Kois deprogrammer with Primo splint on models
13:00-14:00 coffee break
Preparation, soft tissue management during preparation
Planning the aesthetics of soft tissues in prosthetic treatment. Papillae and black triangles – how to tame them? Reconstruction of the Non-prep type. Is it really always completely without preparation? Clinical cases. Biological width – a term that no longer exists but still arouses emotions. When to prepare subgingivally?
How to avoid a recession after preparation and cementation?
Preparation for closing gaps and diastema
What about fillings and caries on proximal surfaces? When do we intersect the contact points?
Complete reconstructions – clinical cases Unusual complications in implant prosthetic treatment
Overview of the Master Level preparation kit
ŁUKASZ LASSMANN + Jakub Wiśniewski
ISOLATION AND PREPARATION BY MOCK-UP UNDER A MICROSCOPE
You will practice the setting of the chair and the microscope. You will learn how to adjust
binoculars, eyecups, correct vision defects and optimally adjust the light for clinical work.
Establishing a mock-up
Preparation with a microscope:
Preparation through the mock-up – each participant prepares at least 10 teeth independently
Models printed on a polyjet printer (the possibility of printing materials of different colors and consistency) models in irregular shapes, with carious lesions, fillings, enamel and dentine structure and printed gingiva
Closing diastema with veneers, preparation in the case of a composite filling on the proximal zone, preparation in the case of a discolored tooth
Preparation for overlay
Vertiprep – preparation for shoulderless crowns
Preparation for the bridge where one pillar is with shoulder and the other shoulderless
Łukasz Lassmann + Riaz Yar
Temporaries, impression, soft tissue management
Why is it necessary to equilibrate and adjust the mockup before preparation
Bite registration during preparation for full arches. Different types of impressions – material and method selection
How to make a temporary veneer and crown, and then remove them.
Shaping soft tissues with temporary crowns.
11:00-11:15 coffee break
Complex cases of interdisciplinary treatment.
• Vertical occlusal dimension – what are the limitations ? Should we be „that” precise ?
• Cooperation between orthodontist, surgeon and prosthodontist.
• Soft and hard tissue management in cases of severe erosion and attrition.
• Leaf gauge in clinical practice
• What is the ferule effect and which part of the tooth is the most important?
• Biomechanics of damaged teeth
13:00-14:00 coffee break
Digital occlusion – lecture, demonstration and workshop
- Digital articulation – the human is now the articulator
- Using digital data to understand occlusion in stable and unstable patients
- Analysing Modjaw digital Axiography which is being used to change the rules of the game in occlusion.
- Understanding how to use digital data to create functionally driven restorations
Bonding, cementation, isolation
Rubber dam – split dam or full isolation?
How to cover metal posts to maintain proper aesthetics.
Secrets of cementing crowns
Protocols for cementing and cleaning ceramic veneers
Video: step-by-step procedures from the first visit to cementation and equilibration
11:30-12:00 coffee break
What is equilibration? When do we use it and when is it not allowed to do so? P1, P2, P3
Differences between equilibration in MIP and in CR.
Electronic bite analyzers – T-scan and OccluSense
When to perform equilibration and when to increase the occlusal vertical dimension ?
13:30-14:30 coffee break
Equilibration of interference during chewing
Equilibration in static and chewing – video step by step
Occlusion on implants
15:00-15:15 coffee break
Equilibration on models in the articulator.
Michał Jaczewski, Jakub Wiśniewski, Tomasz Niedźwiedzki
dentist Jakub Wiśniewski, dentist Tomasz Niedźwiedzki
Mirrorless cameras – revolution or evolution in photography?
Documentary photo protocols:
– basic set of photos – full photo protocol for prosthetic and orthodontic
diagnostics – DSD protocol – setting of studio lamps – reminder of the most
important parameters – contrastors
Studio lighting: – optimal equipment selection
Composition in portrait photography
Portrait: – Fun settings and tricks for photos of men – Fun settings and tricks for photos of women
The gnatostatic position
Photography with mobile devices: – selection of equipment – advantages and
disadvantages of smartphones in dental photography – ways to get correct
Access to the Dental Sense clinic ul. Myśliwska 33
Training makes perfect – practical classes on the use of the theoretical knowledge gained in the theoretical part and individual adjustment of settings in Participants’ sets.
Students will take the following shots:
– basic intraoral protocol using ring-flash lamps: photos of the anterior segment, photos of dental arches, side photos in mirrors – basic extraoral protocol using studio lamps – photos in DSD protocol – creative photos of prosthetic works
Workshop with patients in Dental Sense clinic (Lunch at the clinic)
Delivery and adjustment of the Kois Deprogrammer
Leaf gauge / Lucia Jig
Kois deprogrammer + LIP Technique
Registration for the occlusal splint
Facebow and DFA registration
Nightguards (splints) – how to help and not hurt. Algorithms and decision tree for full mouth reconstruction.
• Nightguard/splints – when, what material? How to register the bite for the splint?
• What contacts and guidance? Splint delivery and relining the splints.
• When not to change the existing bite?
• When should we choose a tool to make bite repeatable and easy to register ? Which tool
should we choose ?
Quiz and summary of treatment planning news
12:30-12:45 coffee break
Solving clinical cases of participants