Occlusion in Clinical Practice
Course ObjectivesFollowing treatment, one patient has no occlusal problems of any kind, even after significant amounts of dentistry, while another patient can't even find where to bite after a single restoration. You make an appliance for a patient with pain or headaches - and they do great. Yet in another patient, the same appliance makes them worse.
You single-crown prep a molar. You know you removed 1.5 mm to 2 mm from the occlusal surface, but your assistant says there is no clearance for the temporary. And when you check, she is correct.
Perhaps you simply have the desire to practice with greater confidence, know what you are doing, and feel comfortable about occlusion - whether it is diagnosing and treating pain or doing a complex reconstruction.
If any of the above apply to you, this is the class you have been looking for.
- A complete hands-on TMJ, muscle and dental wear examination with instructor guidance
- Perform a facebow and prepare it to mount the maxillary model
- Use three different techniques to perform bite registrations, then compare the differences between the three methods with your partner's registrations on the same patient
- Fabricate an anterior bite plane chairside, adjust it, insert it, wear one yourself overnight and evaluate your response to wearing it
- Mount models and set up an articulator, then analyze your mounted models for accuracy and evaluate what you would change on them occlusally, and how you would accomplish those changes
- Perform a step-by-step occlusal equilibration on the mounted models of two different patients, including the need to consider restorative or orthodontics to completely correct the occlusion on one of those patients
Participants Will Learn:
- TMJ anatomy, diagnosis and treatment options, including the treatment implications if the patient has a joint abnormality
- How to examine the critical muscles of the head and neck, what it means if you find abnormalities, potential treatment options, and the impact of the findings on your restorative plan
- How to carefully evaluate teeth for patterns of attrition, and what these patterns mean to your prognosis and treatment plan
- How to make sense of the available occlusal appliances, including what to do when the one you tried didn't work, and a logical sequence of appliance choices when attempting to diagnose TMJ or muscle problems
- When, why and how to perform an occlusal equilibration, through selective adjustment, orthodontics or restorative dentistry