Full Mouth Reconstruction
MASTER LEVEL Full Mouth Reconstruction
8 DAYS OF INTENSIVE WORKSHOPS!
The course is designed with the special pattern (hands on day – theory day – hands on day- theory day…..) and one day in the middle of the course that starts at 2 p.m. to keep your brain active during whole week.
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 Gdańsk.
We put special emphasis on minimal invasiveness, therefore we first learn how to plan treatment to rebuild teeth, but NOT to prepare them (Injection Flow Technique reconstruction).
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
FLOW INJECTION + SMILE DESIGN
9:00 – 10:30
Introduction to the technique of tooth reconstruction using the Flow Injection method.
Indications, advantages and disadvantages. Procedure protocol,
Principles of smile design digital and analog protocol of aesthetic tooth reconstruction (Smilecloud + Keynote) Principles of smile design, digital and analog protocol of aesthetic tooth reconstruction, wax-up, mock-up, Instruments how to work and what is needed, clinical cases
10:30 – 10:45 Coffee break
10:45 – 12:30
Practical exercises in designing a smile using Keynote
12:30 – 12:45 Coffee break
12:45 – 14:00
Practical exercises in designing a smile using Smilecloud
14:00 – 14:45 lunch
14:45 – 16:00
Wax-up, Mock-up, Types of liquid composites, properties to choose, selection of color and thickness of the restoration, individual or standard transparent index, transparent silicone types, differences. making an individual tray and a flow silicone index, differences in the reconstruction of anterior and posterior teeth, validators, i.e. how to get perfect occlusal contacts, instruments, how to work and what is needed, flowinjection protocol, polishing protocol, clinical cases
16:00 – 16:15 Coffee break
16:15 – 19:00
Practical exercises Flowinjection technique, polishing (mirror effect) on typodonts
GUMMY SMILE + PREPARATION + ENDO/EXTRUSION/RESTO
9:00 – 10:45
- Gummy smile and long lip – how to decide where to start from? Should we use botox, or crown lengthening? When to make surgery of the lip?
- Minimal invasive dentistry : Non prep veneers
11:00 – 12:30
- MIPP technique for full mouth reconstruction
- V-veneers for bulimic patients.
- Planning for crown lengthening – make it simple.
12:45 – 14:00
- Principles of minimally invasive preparation of single crowns and veneers through the mock up
- Preparation principles for full mouth reconstruction.
- Bite registration methods with full reconstructions.
- Cross mounting.
15:00 – 16:30
- Retraction. Rotary, mechanochemical or electrosurgical?
- Impressions for prosthetic work – TIPS & TRICKS
- Temporary veneers that do not fall off and do not compress the gums.
- Fiber glass or metal post? We overthrow the myths.
- Ferrule effect – when is it important.
- Crown preparation.
CEMENTATION + FOTOGRAPHY + ERGONOMY
9:00 – 10:30
- Adhesion – Facts and myths about adhesion based on research from the top of the Evidence Based Dentistry pyramid
- Bonding protocole – protocol.
- From the first visit to cementation -Video of full protocol for full mouth reconstruction
10:45 – 18:30
WORKSHOP – dental photography
- Introduction to clinical digital dental photography:
- advantages of digital photography:
- applications of dental photography – communication and documentation
- use of photos for the promotion of the practice
- photographic documentation as an element of self-education
- selection of photographic equipment and necessary accessories
- Retraction – discussion of various types of retractors and their use in photography
- lip and cheek retractors
- Digital camera settings:
- an overview of the basic settings of the camera for extra- and intraoral photos: aperture, shutter speed, ISO, white balance
- depth of field – how to use it effectively
- automatic vs manual mode in the context of focusing and planning photo exposure: advantages and disadvantages of both solutions
- Picture Style / Picture Control function – calling up pictures from the camera
- Types of lamps and light modifiers and their influence on the photo
- Extraoral photography:
- how to get a white and black background
- discussion of the recommended photographic protocol
- retractors, contrastors and other photographic accessories
- DSD protocol
- THE WORKFLOW – a proven and effective procedure for making photographic documentation – how to obtain repeatable photos in everyday practice
- Photography of prosthetic works – proven methods for effective photos
PHOTOGRAPHY WORKSHOP + individual settings adjustment in Participants’ sets
Master Ergonomy with microscope. How to set the microscope and how to work with it to avoid problems with health in the future.
EXAMINATION AND MECHANICS OF TMJ
14:00 – 15:15
- How has the approach to bite disorders changed over the years? – TMD etiology in shortcut.
- Occlusion, position of the condyle and their importance in the context of TMD
- Construction and importance of individual structures of the TMJ for diagnosis and treatment. – webinar summary
- The concept of the synovial temporomandibular joint
15:15 – 15:30 coffee break
15:30 – 17:00
- Temporomandibular joint pain map – what is the sensitivity, specificity and can a treatment plan be based on it? Is it worth doing a complete pain map according to Rocabado?
- DC / TMD examination as a global standard.
- Rotation / Translation – is there really a clear demarcation? Is there purely rotational movement?
- Limitation of the mobility of the mandible – what are the norms and the resulting disorders
WORKSHOP THEORY RELAX
- Analysis of the opening of the mandible – deviation – deflection
- Diagnosis of acute displacement of the articular disc
- Trismus analysis – muscle or joint?
- TMJ Biomechanics
- Constricted Chewing Pattern (CCP) and Long Centric
- Compression and decompression in TMJ – what does it result from and what are its effects?
17:00 – 18:00
Examination of the temporomandibular joint and mandibular mobility according to Master
Level: TMD / FMR exam chart.
HOLISTIC EXAM + OCCLUSION/TMD QUESTIONARIES
9:00 – 10:30
- Masticatory muscles – webinar summary, controversies related to the function and examination of the masticatory muscles.
- 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.
10:30 – 10:45 COFFEE BREAK
10:45 – 11:45
Full analysis and testing in accordance with Master Level: TMD / FMR screening.
Examination of muscles, joints, apnea tendency, analysis of mandibular mobility, risk assessment.
12:00 – 13:30
- Detailed analysis of the modified occlusal part of John Kois’ questionnaire.
- Basic muscular disorders – protective co-contraction, local myalgia
- When is it worth giving a patient a chronic craniofacial pain questionnaire?
- Kois Center diagnostics: Acceptable function, Frictional chewing model, Mild temporomandibular joint disorders, speech and breathing disorders, Narrow chewing envelope, Occlusal dysfunction, Parafunctions, Nurological disorders, Advanced temporomandibular joint disorders, speech and breathing
- Primary and secondary occlusal traumatism.
- Differentiating patients with occlusal disorders from those with erosive problems, with particular emphasis on bulimia, and oral hygiene products.
- Facts and myths about the impact of occlusal disorders on periodontitis and the development of recessions based on EBD
13:30 – 14:30 LUNCH
14:00 – 15:30
- “Occlusal dysfunction” – a real problem that requires deprogramming or an excuse for treatment?
- STOP-BANG questionnaire for sleep apnea screening.
- Bruxism – Symptom or Disease? Latest definitions and consensus.
- The etiology of bruxism.
- Diagnostic STAB and 5P treatment protocols
- The influence of sleep disorders on bruxism.
15:30 – 16:00 COFFEE BREAK
16:00 – 17:00
- Adaptation – what is it, what are its effects, how to recognize if the patient is already adopted and how to treat him in cases of aesthetic and functional bite remodeling.
- A surprise workshop.
CR & VOD REGISTRATION + ALGORHYTMS
9:00 – 10:30
- 5 different condyle positions – webinar summary and answer to the question DO WE NEED A CENTRAL RELATIONSHIP? What the guidelines and professional ethics say in relation to the current state of scientific knowledge.
- What is bite deprogramming, 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?
Deprogramation with leaf gauge
10:30 – 10:45
10:45 – 12:00
- Why do we need facebows?
- Do they really show us the correct position of the jaw axis of rotation in the joint?
- Dentofacial analyzer and other bubble level-based facebows – do they give us enough data?
- In the era of digitization, is the use of analog facebows still justified?
LIFE DEMO THEORY
12:00 – 12:15 COFFEE BREAK
12:15 – 13:30
- Lucia Jig – What is it? When / should I use it? How to use it?
- Dawson’s maneuver
- Kois Deprogrammer + Lassmann Incisal Pin (LIP Technique)
13:30 – 14:30 lunch
16:00 – 16:30 coffee break
14:30 – 15:45
VERTICAL OCCLUSAL DIMENSION – SUMMARY OF THE WEBINAR AND CLINICAL CASES
Splints and nightguards – When ? What design ? How to register the bite for the splint ?
- What is occlusal guidance? What are balancing contacts?
- Fully balanced occlusion, group function, canine guidance: what is their effect on force distribution and muscle tone.
- Incisal guidance – protection against TMD or protection of side teeth?
- When NOT to create a canine guidance?
15:45 – 16:00 coffee break
16:00 – 17:30
- Bite registration during the preparation of single teeth and full arches.
- Cross-mounting – the most accurate form of registration after the preparation of full arches.
Decision algorithm for asymptomatic, dysfunctional and painful patients in the case of occlusal reconstruction:
– When not to change the existing bite?
– when is fast deprogramming needed?
– When is full deprogramming needed?
– When is physiotherapy and splint therapy needed?
Full protocol : How long should the visit last, how much should it cos and what is a sequence.
BITE EQUILIBRATION + WORKSHOPS IN THE CLINIC
9:00 – 10:30
Individual settings in the articulator and individual measurements on a condylograph – what are the actual benefits and limitations.
Electronic bite registration T-scan and OccluSense
Hinge axis and condylography – do we really need it?
The myth of protrusive bite records.
- Canine guidance and incisal guidance – facts and myths.
- P1, P1, P3 – the code for stable occlusion.
- Occlusal equilibration.
- Indications, contraindications.
- Step-by-step protocol in static and dynamic bite.
WHEN TO EQUILIBRATE AND WHEN TO INCREASE VOD ?
Differences in Kois/Spear/OBI/Slavicek approach in terms of occlusal contacts
10:30 – 10:45 Coffee break
10:45 – 11:45
Equilibration on models in the articulator.
11:45 – 12:30 lunch
12:30 – 13:00
Transport to the Dental Sense clinic ul. Myśliwska 33
13:00 – 16.15
Workshop with patients in a clinic
Delivery and fitting of the Kois Deprogrammer
Creating your own deprogrammer using the Primosplint material – demonstration
Bite registration with:
Kois deprogrammer + LIP Technique
Registration for the occlusal splint
DFA facebow registration
Checking bite contacts with OccluSense
16:15 – 17:00
Quiz and summary.
ISOLATION & MOCK-UP PREPARATION WITH THE MICROSCOPE
Hands on day in the clinic
9:00 – 17:00
- Creation of silicone indexes.
- Establishing a mock-up
- Split-dam insolation.
- Preparation with a microscope:
- Preparation through mock-up – each participant prepares at least 5 teeth independently
- Models are 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 in inter proximal zone, preparation in the case of a discolored tooth
- Preparation for overlay
- Vertiprep – shoulderless preparation for the crown