Comprehensive Dentistry…. The Marriage of Esthetics and Occlusion

 

Patient demand for cosmetic dentistry has never been greater. This has led many dentists to invest considerable time, effort, and money, mastering various cosmetic procedures and techniques. While this is commendable, it should be recognized that it is one thing to be able to make pretty teeth, and an entirely different thing to make pretty teeth that actually last and function in harmony with the rest of the masticatory system. An acceptable cosmetic result, without regard for function and/or parafunction, will often result in premature case failure. What the successful clinician of today requires is a logical and systematic methodology in approaching prosthetic/cosmetic cases that will lead to a predictable and durable end result. This requires a practical understanding of fundamental occlusal principles, materials, and more importantly, just how to use them. Just what is the difference between centric relation (CR), centric occlusion (CO), and maximum intercuspation (MIP)? How do you know what to use where? This program will stress the concept of comprehensive dentistry and show how to predictably treatment plan and provide dentistry ranging from porcelain veneers to complex full-mouth reconstructions. A number of clinical cases will be shown and discussed.

  • Envisioning the big picture (total dentistry for total success)
  • Photography Protocol and Demonstration
  • Cosmetics and occlusion (it looks great, but will it last?)
  • The comprehensive exam (the place to start)
  • Anatomy and diagnosis of the TMJ (occlusion begins here)
  • Introduction to occlusal science (force be with you?)
  • Facebow transfers (why and how)
  • Centric relation bite records (bilateral manipulation, Lucia jigs, Leaf gauges, and more!)
  • Esthetics and function (why you must have both to be successful)
  • How to approach a full mouth reconstruction (CR? MIP? NM?)
  • When to use CR…and when not to!
  • Vertical Dimension – How do you determine where it should be?
  • Neuromuscular Occlusion (fact or fiction?)
  • Effective lab communication (a critical key to success!)