Jean-Daniel Orthlieb course. OCTA concept: Occlusal architecture to secure orthodontic or prosthodontic treatments

MARCH 6, 9 (THEORY)

Learning of the OCTA concept: Occlusal architecture to secure orthodontic or prosthodontic treatments

1) Occlusal functions (stabilizing, centering, guiding)
2) Determinants of the reconstructions and necessity of an architectural guideline
3) Height occluso-architectural criteria of construction
      - Choose and record the reference plane
      - Choose and record the reference position
      - Choose and record the therapeutic position including vertical dimension of occlusion
      - Choose the situation (position and inclination) of the mandibular anterior teeth
      - Choose the situation (position and inclination) of the maxillary anterior teeth
      - Choose the radius of the curve of Spee and then the inclination of the occlusal plane
      - Choose the inclination of the cusp guiding slopes
      - Choose the guidance concept and radius  of curves of Wilson
4) Transfer wax-up into a second generation provisional reconstruction
5) Conclusion

MARCH 10: QA-session with Jean-Daniel Orthlieb.

MARCH 13 (Practice)

Analysis and reconstruction of occlusion. Wax-up

1)  Clinical examination of occlusion. (analysis is realized by participants on their binom) 
      - Analyzing of wedging function – occlusograms 
      - Centric relation manipulation – terminal axis movement 
      - Location of occlusal prematurity 
      - Analyzing of guiding function – interference 

2)  Mounting casts on articulator (each participant come with his own plaster (x hard) model with a split cast on the upper model) 
      - Facebow recording 
      - Mounting of maxillary model 
      - Centric relation recording 
      - Mounting of mandibular model 
      - Validation of the reproducibility of the mounting 

3)  Occlusal analysis on articulator 
      - Analyzing of wedging function 
      - Analyzing of centering function 
      - Analyzing of guiding function - conclusion: indications for occlusal adjustment 

4) Wax-up and utilization of mounting cast on articulator 
      - Wax-up: construction of Spee Curve 
      - Wax-up: construction of canine guidance

MARCH 14 (Practice)

Temporomandibular Disorders: diagnostics and splint therapy

1)  Global concept of TMD care
2)  Musculo-articular clinical examination (practiced by participants on their binomial) 
     - Muscular palpation
     - TMJ palpation
     - Evaluation of mandibular movements
     - Clinical testing (TMJ passive stretching, ICP clenching test, coton roll bite test, additional translation test)
3) Diagnosis and therapeutic algorithms
4) Splint design: muscle reconditioning splint, anteposition splint
5) Realization of muscle reconditioning splint (practiced by participants on their binomial mounting cast)
6) Occlusal adjustment of the splint (on articulator)
7) Clinical control of the splint (practiced by participants on their binomial).

Moscow, Elektrodnaya st., 10