Webinar course on functional dentistry: Function Evolution 1.0

- Basic MRI concepts and their application in TMJ tomography
- Internal derangement and degenerative joint disease processes and their radiographic  presentation on MRI
- The radiographic appearance of the different types of disc displacement
- The radiographic identification of the disc displacement direction

- Basic CBCT concepts and image manipulation techniques for TMD diagnoses
- The degenerative joint disease process and how it manifests in the craniofacial complex and how to find these changes in CBCT
- Some of the sequelae of degenerative joint disease with CBCT

- Significant increasing occlusal vertical dimension on the patient who has never lost it
- Forward therapeutic jaw joint position
- No earbow needed to rise occlusal vertical dimension indirect way
- Deprogrammer to establish a therapeutic jaw joint position.
- No prep at all indirect case.
- Aesthetic destination of upper and lower teeth on the face - planned and executed.
- 6 years of follow-up
- The functional occlusal basic rule you will never forget

- Gnathology 
- Reduction and control of the therapeutic risk
- Diagnostic protocol: instrumental clinical analysis  
- Signs and symptoms of dysfunction
- TMJ: healthy and pathological joint
- Equipments: articulator, anatomic and kinematic face bow, variator (cpv)
- Individal inge axis
- Functional cephalometric analysis, odi, apdi, fh
- Aesthetics of the face, skeletal classification of the patients
- Incisors aesthetics and function
- Vertical dimension and aesthetics
- Ideal aesthetics of mimesis concept to reduce the ivasivity of the treatment
- ICP, RP and TRP concept of mandibular reposition
- Slavicek occlusal concepts and wax up
- Occlusal plane and malocclusion development (sato)
- Occlusal plane control
- Digital functional smile design (dfsd)
- Gnatologically guided implantology
- Objectives of the treatment plane

- The ten key points of the treatment plan
- Management of the prosthetic functional space
- New materials and new technologies
- Direct and indirect restorations
- Full crowns, overlays, table-tops, occlusal-buccal veneers
- Full crowns or full veneers?
- Functional and aesthetic test of the therapeutic position with removable temporary
- Therapeutic protocol omrt Bassetti:

     1. Restore the posterior support with prosthodontics, implants, orthodontics 
     2. Define the therapeutic position -tp
     3. Wax up for the therapeutic provisional in tp position
     4. Omrt tecnique to define the final tp position
     5. Impressions (master models)
     6. Transfer of the tp on the articulator
     7. Final wax up (laboratory procedure)
     8. Try-in of the final rehabilitation
     9. Cementation of the final rehabilitation
     10. Final records and follow up

- Laboratory aspects
- Therapeutic temporary, occlusal mandibular reposition technique(omrt)
- Clinical cases’ gallery:

       -- Pre-prosthodontic orthodontics
       -- Full denture and partial denture
       -- Implant prosthesis

- Occlusal overload: quantity and direction
- Effects of overload on the teeth, periodontal tissues, prosthodontic treatments, fixtures and TMJ.
- How to use articulating papers in different thickness and colors.
- Why analyze muscular activity to balance occlusion.
- How to use electromyography in diagnosis and therapy.
- How to record an increased Vertical Dimension in 3 different ways: wax, Easy Bite, splint.
- Case reports
- Practice demonstration.

TRADITIONAL INSTRUMENTS

- Why record axis and individual movements, and how to do it: facial bow versus axiography
- How to take perfect traditional impression for study-plaster models
- How to record intermaxillary relationship in 3 different ways: wax, Easy Bite, splint
- Positioning the models in traditional articulator and individually setting it
- Case report

VIRTUAL INSTRUMENTS

- Virtual impression and bite-scanning
- Virtual facial-bow and last-generation axiography: instructions to use it and advantages
- Movements of the virtual models in a virtual articulator individually-set
- Case report
- Practice demonstration.

- Сontrol prosthetic case complications by employing the T-Scan with full arch implant prostheses, mixed arches where teeth and implant prostheses reside together, and snap-on removable implant prostheses
- Use of digital occlusal analysis to detect damaging high force and time premature occlusal contacts, that cause post insertion implant component breakage, patient occlusal pain, and restorative material instability
- Measured occlusal force corrections on implant prostheses improve their longevity, lessen material breakage, and minimize supportive tissue loss,
- Use of T-Scan data to install new restorations with precise occlusal force balance, with the total force summation centered within the middle of the arches
- Comparison of traditional and digital technologies to prevent and control destructive occlusal force complications in daily dental practice 

Excessive occlusal forces can lead to damaged teeth, fractured dental restorations, implant complications, and untoward patient responses following prosthetic treatment. Whether designing and building a prosthetic case with analog or digital methods, problems at insertion, and sometimes soon after the patient uses their new prosthesis, are quite common in daily dental practice. The implementation of relative occlusal force data and occlusal contact timing sequence durations, can aid a dentist in controlling excessive occlusal forces and time–premature contacts, that often create post-insertion occlusal complications. This presentation will illustrate how utilizing the T-Scan 10 technology can help a dentist successfully manage destructive occlusal forces that, wear and fracture teeth and implant dentistry, influence periodontal bone levels, and reduce unwanted post insertion patient occlusal adjustment visits.