Restoration of Endodontically Treated Teeth
Programme outline: The Principles of Occlusion in Advanced Restorative Dentistry. Occlusion Examination. Post and Core Techniques. The restorative endodontic Interface. Plastic restoration, posts, intra and extra-coronal restorations, cuspal coverage amalgam vs composite. Adhesive Techniques for Restoration of the Root Filled Tooth.
Hands-on training: Placement of core restorations and post-retained restorations.
DAY 1
Title: 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
Title: 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 the 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 the 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: an Occlusal examination |
16:00 – 16:15 |
Discussions |
16:15 – 16:30 |
Coffee Break |
16:30 – 18:00 |
Case review & discussion |
DAY 3
Title: 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 fiber 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 fiber 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
Title: Modern Adhesive Techniques for Restoration of the Root Filled Tooth Seminar and Practical
Course Aims & Objectives
- Revision of posterior tooth anatomy
- Introduce the principles of PKT carving
- Present the criteria for the use of Nayyar cores
- Expanded armamentarium to include PKT and Frahm’s carving instruments
- Understand the various ways to restore Posterior root Filled teeth
- When to restore with filling or onlay
- Techniques for different onlay preparations
- Learn modern Adhesive techniques
- Understand how 'C Factor' influences your filling technique
- Metal onlay v Porcelain onlay v Composite onlay
- Choosing different types of ceramic
- Use of sectional matrix bands
- Layering techniques to minimize stress
Course Outline
The morning session will consist оf: First Part- seminar, Second Part- practicals (Adhesion and Posterior Composites).
The afternoon session will consist оf: First Part- seminar, Second Part- practicals (Posterior Porcelain Onlays).
Agenda
08:00 – 10:00 |
Lecture: Adhesion and Posterior Composites for Root Filled Posterior Teeth |
10:00 – 10:15 |
Discussion |
10:15 – 10:30 |
Coffee break |
10:30 – 13:00 |
Hands-on practical: Posterior Class 1 and Class 2 Composites for Posterior Root Filled Teeth |
13:00 – 14:00 |
Lunch Break |
14:00 – 15:00 |
Lecture: Onlay preps for Root Filled Posterior Teeth |
15:00 – 15:15 |
Discussion |
15:15 – 15:30 |
Coffee Breaks |
15:30 – 17:30 |
Hands-on practical: Posterior Porcelain Onlays for Posterior Root Filled Teeth |