ClinicalOcclusion-Online

Theonlineclinicalocclusioncourseisorganisedinto5modules

Module1

Fundamentalsofocclusion

Module2

Practicalocclusion

Module3

Clinicalocclusion

Module4

Practical/clinicalocclusionvideomodule

Module5

Supportingliterature

Module1introducesthefundamentalconceptsofocclusionandTMDwhilstmodule2explorespractical

aspectsofocclusionandTMDpreparingfortheclinicalaspectsofocclusioninmodule3.Whilstprogressing

throughthemodulestheonlineformatallowsyoutogobackandreviewearliermodules.Iwould

encourageyoutodothis.

Thecourseissupplementedbyclinicalvideosandthereisalsoawealthofsupportingreadingmaterials

whichIwouldencourageyoutoread.

Module1

Fundamentalsofocclusion

TutorialandContemporaryliterature

• Functionalanatomyofthemasticatorysystem

• AssessmentTMJ,musclehealthandocclusaldisorders

• Envelopesoffunction

• Clinicalapplicationsofarticulators

• Theearbowrecord

Module2

Practical/clinicalocclusionmodule

Tutorialandcontemporaryliterature

• Clinicalrelevancecentricrelation

• Centricrelation,thekeytoreorganisingtheocclusion

• Recordingcentricrelationwithleafgauges

• Myogenicneuromuscularrecordingofcentricrelation

• TreatmentofTMDandocclusaldisorders

• Treatmentoftherestrictedenvelopeoffunction/anteriorinterference

• RoleofsplintsinthetreatmentofocclusaldisordersandTMDdisorders

• RoleofocclusaladjustmentandequilibrationinTMDandocclusaldisorders

• Theroleofthecustomincisalguidancetableinrestorativeandaestheticdentistry

• Occlusalissuesinimplantdentistry

Module3

ClinicalOcclusion

TutorialandContemporaryliterature

• RecordingcentricrelationwiththeLuciajigandbimanualmanipulation

• Clinicalcasedemonstratingtheuseofbimanualmanipulationtorecordcentricrelationandincrease

theOVDinanadvancedtoothwearcase

• Recordingcentricrelationwithlongtermdeprogrammersandpassivemusclecontraction

• Clinicalcaserecordingcentricrelationwithlongtermdeprogrammeranduseofrestorativesplint

• Clinicalcasedemonstratingtheuseofarestorativesplintinseverenightparafunctionalcase

• ClinicalcasedemonstratingtheuseofarestorativesplintinanadvancedtoothwearcasetocontrolCR

andOVD

• UsingthediagnosticwaxupandchairsideprovisionalrestorationstocontroltheOVDandCR

• Occlusalaestheticplanningintherestorativeaestheticcaseandtheroleoftheaestheticandfunctional

diagnosticwaxup

• Thecomplexcrown,bridge,implantandaestheticcasewithendodonticandocclusalissues

• Localisedanteriortoothsurfaceloss

• TheDahlconcept

• ThedirectcompositeDahl

• Palatalshims

• Treatmentofgeneralisedtoothsurfacelosswithcomposite,crowns,inlays,onlaysandover/onlay

dentures

• Clinicalcasedemonstratingocclusalequilibration

• Theroleofshorttermorthodonticsintherestorationofprotectivecanineguidance,crossbite

correctionandcrowding

• Theroleoflingualorthodonticsinthecorrectionofthedeepoverbitecase/restrictedenvelope,

correctionofexcessgingivaldisplayandprovisionprotectivecanineguidance

• Theroleoflongtermconventionalorthodonticsinspacecreationforanteriorrestorations,crossbite

correctionandcorrectionofclassIIImalocclusion

• Longtermconventionalandlingualcorrectionofincreasedoverjet,overbiteandlowerincisor

crowding

• Postorthodonticcorrectionoftoothandgingivalasymmetryandrestorationofpapillaandgolden

proportions

• Useofshorttermorthodonticsinthecorrectionoftherestrictedenvelopeoffunction,TMDsymptoms

andboneregeneration

• Useoflongtermconventionalorthodonticstocorrectlackofcanineprotectivecentralincisor

guidancepriortopotentialrestorative/implanttreatment

• Useoflongtermconventionalorthodonticsinacomplexcasetocorrectlackofprotectiveguidance

(resultinginanteriortoothsurfaceloss),midlineshift,restorativespacesandrestorativespaceforpeg

shapedlateralincisor

• Restorativepostwhiteningwithincisaledgecomposites,allceramiccrownandadhesiveallceramic

bridge,sinusliftandimplantsupportedcrown.

Module4

Practical/clinicalvideopresentations

• TMDexamination

• Occlusalexamination

• Splintsclinicalfeaturesandfitting

• Facebowrecordingandmodelmountinginthemaximumintercuspalposition

• Articulatorfeaturesanduses

• Deprogrammers,bimanualmanipulationandcentricrelationregistration

• Centricrelationmodelmounting

• Accuratealginateimpressions

Module5

SupportingLiterature

Articles

1. Achievinglongtermpredictabilityinaestheticandrestorativedentistry

2. Goodocclusalpracticeinadvancedrestorativedentistry

3. Goodocclusalpracticeinsimplerestorativedentistry

4. Shorttermorthodonticsandocclusaldisorders

5. SplintTherapy

6. Theexaminationandrecordingoftheirocclusionwhyandhow

7. Whatisocclusion?

8. Adeprogrammerforocclusalanalysisandsimplifiedaccuratecasemounting

9. Faciallygeneratedocclusalverticaldimension

10. Goodocclusalpracticeinadvancedrestorativedentistry

11. Greatlakesplaintapplianceselection

12. Hospitalanxietyanddepressionscale

13. Occlusalverticaldimensionsalterationconcerns

14. Recordingtheretrudedcontactposition

15. Splinttherapy

16. Greatlakes,Splintadjustmentguide

17. TMJ/TMDquestionnaire

OverallCourseLearningObjectives

Bytheendofthecourseparticipantsshouldhavegainedthefollowing:

• Anunderstandingofthefeaturesofthe‘idealocclusion’andhowtoexaminetheocclusion

• BeabletorapidlyassessTMJdisordersandreorganisetheirclinicalrelevance

• AppreciatecurrentevidencebasedconceptsinthetreatmentofTMJdisorders(includingbruxism)

• BeabletoidentifyhighriskocclusalandTMDpatients

• Appreciatetheconceptsofenvelopesoffunction

• Beabletoidentifytherestrictedenvelope,itsrestorativeconsequencesandtreatmentoptions

• Anunderstandingofthefeaturesofthe‘idealocclusion’andhowtoexaminetheocclusion

• Anunderstandingoftheroleandfeaturesofarticulatorsinrestorativeandaestheticdentistry

• Anunderstandingofthefacebowtransferanditsimportance

• Beabletoundertakeanaccuratefacebowrecordandmountmodelsonthearticulator

• Beabletoundertakeanocclusalanalysis

• Anunderstandingofwhentoconformtotheexistingocclusionorre-organise

• Knowledgeoftheclinicalstagesinre-organisingtheocclusion.

• Anappreciationofcentricrelationasthefoundationforthere-organisedocclusalapproachandincreasing

theOVD.

• DetailedknowledgeofthefeaturesofthefacebowandDENARarticulatorforrestorativeandaesthetic

dentistry

• Anunderstandingofthemethodsavailabletoregistercentricrelation

• Anunderstandingoftheroleofthelongtermdeprogrammerasthebasisforcentricrelationregistration

• Anunderstandingofthefacebowrecordandmountingmodelsonthearticulatorincentricrelation

• Anunderstandingofocclusalanalysis/equilibrium

• Anunderstandingoftheoleofarestorativesplintinocclusalandrestorativeaestheticdentistry

• Anunderstandingofthedifferentocclusalphilosophiesandtheirinherentlimitations

• Appreciatethestagesintreatinggeneralisedtoothsurfacelossandocclusalconsiderations

• Anunderstandingoftheroleofthe‘Dahlappliance’inthetreatmentoflocalisedanteriortoothsurfaceloss

• AnunderstandingoftheroleofGDPandSpecialistOrthodontistintreatingocclusaldisordersandtooth

surfaceloss

• Appreciatetheroleoftheaestheticandfunctionaldiagnosticwaxupasthekeytolongtermaestheticand

functionalsuccess

• Aknowledgeoftheprinciplesofsuccessfulocclusionintheprovisionoftheimplantprosthesis

• Anunderstandingofthefacebowtransferanditsimportance

• BeabletomountstudymodelsonthearticulatorinICPandRCP

• Beabletoundertakeanocclusalanalysis

• AnunderstandingoftheprinciplesofsuccessfulocclusionfortheGDP

• Anunderstandingofthefunctionalanatomyofthemasticatorysystemanditsclinicalrelevance

• Beabletorapidlyassessocclusal/TMJdisordersandrecognisetheirimportanceinrestorative/occlusal

dentistry

• Appreciatecurrentevidencebasedconceptsinthetreatmentofocclusal/TMJdisorders(includingbruxism)

• Understandtheroleofsplints(anteriordeprogrammer,flatplane,softbiteguardandrestorative)in

occlusal/TMJdisorders(includingbruxism)andrestorative/aestheticdentistry

• Anappreciationofwhentoconformtotheexitingocclusionorreorganise

• Anunderstandingoftheroleofdirectcomposite,onlaysandoverdenturesinthetreatmentoftoothsurface

loss

• Anunderstandingofocclusal/restorativeprinciplesinthetreatmentoftoothsurfaceloss

• Knowledgeoftheroleofocclusaladjustment,itslimitations,indications,contraindications,planning,

consentissuesandpracticalapplication

• Anunderstandingofthedifferentmethodsforrecordingcentricrelation

• Anunderstandingandconfidenceinasimple,effectiveandapredictablemethodforrecordingcentric

relation

• Anunderstandingoftheuseofthearticulatormountedfunctionaldiagnosticwaxupandprovisional

restorationstocontrolpreparation,aestheticsandCR(centricrelation)/OVD

• Anunderstandingofthestagesinthefacebowrecord

• Anunderstandingofbi-manualmanipulationforocclusalexaminationandCRrecording

• Anunderstandingintheuseofleafgauges

• Anunderstandingofarticulatoruseandfeaturesinocclusal,restorativeandaestheticdentistry

• AnunderstandingofrecordingCRwithalongtermdeprogrammer

• AnunderstandingofmodelmountinginCR

• Anunderstandingofhowtofabricatearestorative/Michigansplint

• Anunderstandingofocclusalconceptsandissuesinimplantdentistry

• Anunderstandingofhowtopracticallyhandletheocclusionforimplantrestorations

• Anunderstandingofocclusalmaterialsinimplantdentistry

• Haveanunderstandingoftheplanningandrestorativestagesinthecomplexbridgeworkcaseincluding

implant,aesthetic,endodonticandocclusalissues