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