The use of fixed prosthodontics and dental implant further complicates this topic since an osseous integrated dental implant is less tolerant of the biomechanical forces. Yet, most clinical dentists find this topic complex, confusing and difficult to integrate into private practice. In addition, when the functional physiologic occlusion has been deteriorated to pathologic or non physiologic occlusion, the restoration and reconstruction of the occlusion can be complex.
This program will address the various topics that are essential to understand the biologic and biomechanical principles required to develop a functional occlusion for our patients for long term stability, comfort and physiologic function.
- Occlusal equalization to achieve centric relations to maximal intercuspation position, indications and contradictions. Use of T-Scan digital occlusion evaluation for occlusion adjustments.
- Removable prosthetics occlusion equilibration to achieve balanced occlusion and diagnose max set up for fixed prosthetics and implant occlusion.
- Fabrication, adjustments, and insertions of occlusal splints to manage parafunctional habits. Treatment planning of various complicated cases from diagnostic records to step by step sequencing.
Participants please bring your Loupes to the course. Also participants are welcome to bring their own patient cases for group discussions during this workshop. Minimal diagnostic records required:
- a) Patient’s medical history with chief complaints
- b) Updated Panorex or full mouth series radiographs
- c) Trimmed and mounted diagnostic models on semi-adjustable articulator with facebow mounting
- d) Photographic series
Topics to be covered:
- Terminology defined: Centric Relation, Vertical dimension of occlusion, Centric Occlusion, Maximal intercuspal position, hinge axis, mutually protected occlusion and others.
- Diagnostic record requirements and case selection for comprehensive functional occlusion therapies
- Treatment position of Centric Relation versus Maximal Intercuspation Position
- Indications for Centric Relation position as a treatment position
- Various options in obtaining accurate repeatable Centric Relation Bite Records
- Indications for treatment alteration of the vertical dimension of occlusion
- Treatment options to determine the Vertical dimension of occlusion
- 5 Components of Masticatory function
- Posterior determinants of occlusion
- Anterior determinants of occlusion, anterior envelope of function, phonetics and aesthetics
- Treatment goals of mutually protected occlusion and occlusal equilibration requirements to achieve stable functional occlusion
- Clinical indications for use of facebows and semi-adjustable articulators; is it required, when, where, what type and how?
- Definition and treatment options for physiologic occlusion, non-physiologic occlusion and therapeutic occlusion
- Guidelines, indications and contraindications for occlusal equilibration
- Management of parafunctional habits
- Applications of digital impressions, CAD / CAM applications to fixed prosthodontics
- Management of attrition, abrasion, erosion and abfraction as aetiologies to occlusal instability and physiologic occlusion
- Definition for “Terminal Tooth Syndrome” and management protocol
- Splint therapies; when, which arch, hard or soft, what type of occlusion?
- Various occlusion therapies, theories and applications to clinical dentistry
- Implant occlusion; single implant crowns, implant retained removable prosthesis, implant supported fixed hybrid prosthesis, implant fixed porcelain prosthesis.
- Implant protected occlusion versus occlusion for natural dentition
- Algorithms to sequence full arch or full mouth reconstruction therapies
Model hands on components
- Occlusal equilibration to achieve centric relations to maximal intercuspation position, indications and contraindications. Use of T-Scan digital occlusion evaluation for occlusion adjustments
- Removable prosthetics occlusal equilibration to achieve balanced occlusion
- Diagnostic wax set up for fixed prosthodontics and implant occlusion
- Fabrication, adjustments and insertions of occlusal splints to manage parafunctional habits.
- Treatment planning of various complicated cases from diagnostic records to step by step sequencing
Bio: Dr. Mark H.E. Lin received his dental degree from the University of Detroit Mercy in which he was on the Dean’s list for 4 consecutive years and finished within the top 5% of the class. He practiced general dentistry for 13 years, then returned to complete his postgraduate training in the specialty of Prosthodontics at the University of Toronto. Currently, he is serving as a part-time instructor at UofT’s post-graduate prosthodontic clinic. He is a contributing editorial board member in Prosthodontics for the Oral Health Journal. He maintains a full-time specialty practice as a Prosthodontist with a focus on full mouth reconstructions, dental implant surgery, various grafting procedures, implant prosthetics and management of implant complications. Dr. Lin is a Fellow and Diplomate with the International Congress of Oral Implantologists (ICOI) and is a Fellow and serves as an Examiner with the Royal College of Dentists of Canada in the specialty of Prosthodontics.
Title: Advanced Fixed Prosthodontics and Functional Occlusion
InterContinental Toronto Centre, 225 Front Street West, Toronto, Ontario M5V 2X3
Kingsway Room, Upper Level
8:00 am – 4:00 pm (Registration Starting at 7:30 am)
CE Credits: 7
Hands on Course Fee $ 495.00 (Available for Members and then Delegates) Space is Limited
Student Fee $ 150.00
Fees (Include Hands on Course and Materials, breaks and luncheon with all taxes and gratuities)