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CLINICAL ENDODONTICS
CERTIFICATE & DIPLOMA PROGRAMME
Dubai, UAE

168 CME available

MODULE 5
Restoration of Endodontically Treated Teeth

Programme outline: Occlusion and whole patient care. The restorative endodontic Interface. Plastic restoration, posts, intra and extra-coronal restorations, cuspal coverage amalgam vs composite.
Hands-on: Placement of core restorations and post retained restorations.


DAY 1: The Principles of Occlusion in Advanced Restorative Dentistry

Topics
  • History
  • Balanced occlusion
  • Gnathology v’s PMS
  • 5 principles of occlusion
  • Levers
  • Bruxism

Aims
(Attending this course module will help students...)
  • Discuss the events precipitating the study of occlusion
  • Appreciate the limitations of a balanced occlusion
  • Understand the distinctions between Gnathology and Pankey Mann Scheiler theories
  • Introduce the concepts of RCP, ICP and RAP
  • Define how the dentition distributes lateral and vertical loading
  • Describe the concepts of anterior and posterior guidance
  • Understand the classification of levers and how this applies to occlusion
  • Consolidate the theory and implications of bruxism
  • Classify the options for lateral and protrusive guidance
  • Consider the consequences of non-working side interferences
  • Establish the three components of posterior stability

Objectives
(By the time the delegate has completed this module he/she will...)
  • Manipulate the mandible to arc around its terminal hinge axis
  • Confirm the tooth contact to register retruded contact position
  • Evaluate the vertical and horizontal components of the RCP –ICP slide
  • Demonstrate the examination for a mutually protected occlusion
  • Identify the consequences of class II leverage in the occlusal scheme
  • Record the guidance for a given occlusal scheme
  • Critique the guidance and prescribe any adjustment
  • Illustrate the protocol to identify non-working side interferences
  • Conceptualize the impact of removing non-working side interferences
  • Appreciate the treatment modalities for: working, balanced and non-working side guidance

Course outline
The morning session will consist of a seminar on occlusion and will cover the following topics:
  • The 5 principles of occlusion
  • RAP V centric relation
  • Mutually protected occlusion
  • The importance of anterior guidance
  • Non- working side interferences
  • Posterior stability

The afternoon session will be a hands on practical (Adam Toft). This will cover face bows and jaw registration.

Agenda
08:30 – 10:30 Occlusion Seminar
10:30 – 10:45 Discussions
10:45 – 11:00 Coffee Break
11:00 – 11:45 Occlusion seminar continued
13:00 – 14:00 Lunch
14:00 – 16:00 Hands on practical: face bows & jaw registration
16:00 – 16:15 Discussions
16:15 – 16:30 Coffee Break
16:30 – 18:00 Case review & discussion

DAY 2: Occlusal Examination

Topics
  • Adaptation
  • RCP-ICP slide
  • ICP stability
  • VH
  • HV
  • Bruxism
  • Dahl appliance
  • Conformative
  • Reorganized

Aims
(Attending this course module will help students…)
  • Define the mechanisms of occlusal adaptation
  • Recognise that social and medical history may influence occlusal harmony
  • Appreciate how the anatomy of the glenoid fossa influence mandibular movement
  • Assign a classification and values to condylar movements
  • Discriminate the opportunities to prescribe a Dahl appliance
  • Understand how anterior tooth shape and position influence condylar movement
  • Appreciate why vertical and horizontal elements of the slide influence treatment planning

Objectives
(By the time the delegate has completed this module he/she will…)
  • Establish the protocol for occlusal examination
  • Deliberate the consequences of an unstable ICP
  • Evaluate the Bennett angle and Bennett movement
  • Confirm the orbiting and rotating condyles during mandibular movements
  • Conceptualize condyle position for working and non-working side excursions
  • Describe the impact of bruxism with class II leverage
  • Evaluate all information to prescribe a reorganized or conformative treatment plan

Course outline
The morning session will consist of an occlusal examination seminar and the afternoon session will consist of an occlusal examination practical.

Agenda
08:30 – 10:30 Occlusal examination seminar
10:30 – 10:45 Discussions
10:45 – 11:00 Coffee Break
11:00 – 11:45 Occlusal examination seminar continued
13:00 – 14:00 Lunch
14:00 – 16:00 Hands on practical: Occlusal examination
16:00 – 16:15 Discussions
16:15 – 16:30 Coffee Break
16:30 – 18:00 Case review & discussion

DAY 3: Modern Post and Core Techniques

Topics
  • Long and thin
  • Tapered v’s parallel
  • 5 x criteria
  • Ferrule
  • Shenker post
  • Nayyar cores
  • Split cast post and core
  • Duralay direct post and core
  • Impression technique
  • Material choice
  • Anti rotation grooves

Aims
(Attending this course module will help students…)
  • Discuss the advantages/disadvantages of the various post morphologies
  • Introduce the 5 criteria which influence the success of a post
  • Revise the principles of Shenker post design
  • Understand the stages required for accurate impression taking
  • Appreciate the importance of the ferrule in a post’s prognosis
  • Awareness of the technique for a direct Duralay post and core
  • Evaluate the techniques available for treating multi rooted teeth
  • Understand the implications of material choice on aesthetics and prognosis
  • Discuss anti rotation grooves, their placement and instrumentation

Objectives
(By the time the delegate has completed this module he/she will...)
  • Identify the material of choice for a clinical scenario
  • Evaluate the criteria for post success in a clinical scenario
  • Demonstrate the use of the Nayyar core for multi rooted teeth
  • Prepare a Shenker post and provide a suitable impression
  • Fabricate a Duralay direct post and core for anterior teeth
  • Produce a split cast post and core using the ‘bead-on’ technique
  • Examine the stages in cementation of carbon fibre posts

Course outline
The morning session will consist of a seminar covering posts and the afternoon session will be a hands on practical covering shenker, duralay and fibre post preps.

Agenda
08:30 – 10:30 Posts seminar
10:30 – 10:45 Discussions
10:45 – 11:00 Coffee Break
11:00 – 11:45 Posts seminar continued
13:00 – 14:00 Lunch
14:00 – 16:00 Hands on practical: Shenker, Duralay & Fibre post preps
16:00 – 16:15 Discussions
16:15 – 16:30 Coffee Break
16:30 – 18:00 Case review & discussion

DAY 4: Modern Adhesive Techniques for Restoration of the Root Filled Tooth Seminar and Practical

Topics
  • Tooth anatomy
  • PKT carving
  • Cavity preparation
  • Bonding
  • Amalgapins
  • Amalgam slots
  • Automatrix
  • Nayyar core
  • Amalgam cores

Aims
(Attending this course module will help students…)
  • Revision of posterior tooth anatomy
  • Revision of amalgam alloy components
  • Introduce the principles of PKT carving
  • Understand the principles of amalgam cavity design
  • Identify the advantages of Amalgapins and amalgam slots over dentine pins
  • Appreciate the principles of amalgam bonding
  • Encourage the use of the Automatrix to replace conventional ‘bands’
  • Present the criteria for the use of Nayyar cores
  • Establish the principles for the use of amalgam as cores

Objectives
(By the time the delegate has completed this module he/she will…)
  • Prepare cavities exhibiting the ideal retentive features for amalgam
  • Produce amalgam restorations which conform to tooth anatomy
  • Confirm the correct use of the Automatrix with suitable wedging
  • Illustrate the use of amalgapins and amalgam slots
  • Proficient in the application 4-META agents to bond amalgam
  • Expanded armamentarium to include PKT and Frahm’s carving instruments
  • Demonstrate the preparation for a Nayyar core and amalgam placement

Agenda
09:00 – 10:30 Adhesion Seminar
10:30 – 10:45 Discussions
10:45 – 11:00 Coffee Break
11:00 – 11:45 Composites Seminar
13:00 – 14:00 Lunch
14:00 – 16:00 Amalgam Core Hands-on Practical
16:00 – 16:15 Discussions
16:15 – 16:30 Coffee Break
16:30 – 18:00 Posterior Composites Hands-on Practical


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If you recommend the courses to your friend/colleague and he/she signs up for at least 4 modules, you will receive as a bonus a voucher of 1,000 AED (270 USD). You can use the voucher for any conference registration / hands-on course / programme which CAPP is organising. The validity of the voucher is 1 year.