9:00am – 10:45am
SDS concept

• What is SDS Concept
• Management of TMJ Space
• Controversies regarding centric relation from the perspective of diagnosis and therapy.
• Minimal required space for ceramic restoration
• Smile Design
• How to start treatment planning in severe tooth wear?
• Leaf gauge vs digital axiography
• 18mm rule in severe tooth wear
• Simple way to determine and register exact vertical occlusal dimension in the mouth

11:15am – 1:00pm
SDS concept in multidisciplinary treatment

• SDS Concept – How can we simply determine correct Vertical Dimension of Occlusion on the basis of Smile Design and knowledge of a space required for specific materials.
• Treatment planning in severe attrition and gummy smile
• Cooperation between prosthodontist and orthodontist in cases with deep bite and gummy smile
• Orthodontic pretreatment in class 3 patients who require full mouth reconstruction.

1:00pm – 2:00pm : Lunch

2:00pm – 3:30pm
Save or Extract? — Clinical Decision-Making for the Compromised Tooth — what every restorative dentist should know

• What makes a tooth truly hopeless? Five biological dealbreakers that override every other consideration.
• The ferrule effect — the single most important biomechanical parameter, how to assess it after preparation, and three ways to recover it.
• Four biomechanical red flags: wall thickness, real ferrule, crown-to-root ratio, wall count.
• Patient factors beyond biology — bruxism, perio, finances, and the patient’s own wish. When autonomy should tip the decision.
• Strategic role of the tooth — why the same tooth in different patients gets different answers. Esthetic risk in the young patient.
• The 8-flag decision framework — SAVE, SAVE CONDITIONALLY, or STRATEGIC EXTRACTION — applied to real clinical cases.

4:00pm – 5:30pm : Bite Registration – Make It Easy

• Leaf gauge – What is it? When / should I use it? When not to use it?
• Tips & tricks of how to use leaf gauge
• Demonstration of working with the leaf gauge

9:00am – 10:45am
Understanding Orofacial Pain & TMJ – what prosthodontist should know

• What is pain? How can a dentist correctly diagnose orofacial pain and assess whether it is treatable? How does the source of pain differ from the location of pain?
• How to conduct an interview with a patient suffering from pain.
• Disc pathology – how to differentiate it and when intervention is necessary
• How to distinguish between locks of muscle and articular origin
• Synovial pain map of the temporomandibular joint
• Radiological picture of disorders of the temporomandibular joint

11:15am – 1:00pm
Dental Detective and TMD treatment protocol

Examination of muscles, joints. Demonstration
• Rare and idiopathic conditions in a dental office – what have we learned ?
• Tooth wear How to recognize what caused the destruction of teeth?
• Adaptation – what is it, what are its effects, how to recognize if the patient is already adapted and how to treat in cases of aesthetic and functional reconstructions.
• Role of the diet, sleep, gut microbiota in chronic orofacial pain
• TMD treatment algorithm

2:00pm – 5:30pm
Vertical Occlusal Dimension mythology and severe attrition treatment.

• Vertical occlusal dimension – what are the limitations? Should we be “that” precise ?
• 5 red flags when increasing VDO
• Bite registration in severe wear cases
• Severe tooth wear cases
• What is the ferule effect and which part of the tooth is the most important?
• Biomechanics of damaged teeth
• What type of crown-root post to choose? Standard, fiberglass or cast post?
• Shoulderless preparation. Why? How? When?

4:00pm – 5:30pm : Cementation

• Alghoritm for cement selection
• How to prepare ceramics and teeth for bonding? Is ultrasound better than ortophosphoric acid? Is then alternative to gold standard protocol?
• Rubber dam – split dam or full isolation?
• How to clean contaminated ceramics or tooth- review of the literature
• Adhesive challenges- fluorosis, amelogenesis imperfecta, MIH etc. How to improve bonding?
• Protocol for bonding zirconia.
• How to cover metal posts to maintain proper aesthetics.
• Step by step protocols for cementing and cleaning ceramic veneers

9:00am – 10:30am
Occlusal Philosophies – In Search of a Common Denominator

• How has the approach of occlusal philosophies changed in terms of tooth guidance and its impact on bruxism TMD (Temporomandibular Disorders)?
• The impact of improper occlusion on TMD- correlation or causative relationship?
• Is the use of fully adjustable articulators and a facebow really necessary to achieve proper prosthetic reconstruction?
• In search of a common denominator between different occlusion philosophies.
• What are the limitations of articulators, and can we truly design prosthetic reconstruction that never require adjustment in occlusion?

11:00am – 12:30pm
How to get a perfect bite for our patient?

• What is equilibration? When do we use it and when is it not allowed to do so?
• Differences between equilibration in MIP and in CR.
• Occlusal mantra- what is important and what is not.
• Electronic bite analyzers – T-scan and OccluSense
• Articulating papers- are companies telling us the truth?
• Equilibration of interference during chewing
• Equilibration of guidance
• Equilibration in static and chewing – video step by step
• Occlusion on implants

13:30pm – 15:00pm
Algorithms and Decision Tree for Full Mouth Reconstruction

• When not to change the existing bite?
• When leaf gauge? When Kois deprogrammer? When Splint?
• When should we choose a tool to make bite repeatable and easy to register ? Which tool should we choose ?
• Step by step journey throughout all the appointments and FMR algorithm
• Nightguard/splints – when, what material? How to register the bite for the splint?
• What contacts and guidance should we achieve on appliance? Delivery and relining.

Video: step-by-step procedures from the first visit to cementation

Discussion