Full Mouth Reconstruction Training Program
Full Mouth Reconstruction is a training program that provides comprehensive knowledge on bite reconstruction. You will receive a series of webinars to watch prior to the course aimed at equalizing the level of participants. These webinars include topics on vertical occlusal dimension, Centric Relation – Total War, Radiology in TMD – Basics, and Articular discs.
You will see how to register the bite during preparation for cross-mounting and the secrets of bite equilibration. You will learn facebow registration, leaf gauge registration, lucia jig, kois deprogrammer, how to perform Dawson’s maneuver, how to register the bite for an occlusal splint, what the original LIP technique is, and how to make your own deprogrammer and the decision tree for full mouth reconstruction!
How to deal with a gummy smile? When to use veneer and when to crown? Shoulder vs shoulderless? What is mock-up preparation? What are the protocols for the preparation and cementation of crowns and veneers? How to perform advanced dental photography? Nobody will leave the course without knowing the answers to these questions!
Course Schedule
Day 1
February 29th
8:30AM - 5:00PM
- TMJ Biomechanics
- Examination of the TMJ
- Myofascial pain
- TMJ Disorders
- Occlusal Philosophies
Day 2
8:30AM - 5:00PM
- How to avoid recession and black triangles after preparation
- To prep or not to prep
- Fabricating aesthetic temporaries
- Advanced dental photography
Day 3
8:30AM - 5:00PM
- Centric relation and Condyle position
- Bite registration and Leaf Gauge
- Biomechanics of damaged teeth
- Shoulderless preparation
- Lucia Jig, Kois Deprogrammer and Dawson Manipulation
Day 4
8:30AM - 5:00PM
- Algorithms and decision tree for full mouth reconstruction
- Registration for cross mounting
- Cementation protocols
- Achieving a perfect occlusion
Course Schedule Module
- Vertical Occlusal Dimension
- TMJ Physiology and Biomechanics
- Centric Relation – Total WAR
- Radiology in TMD
- Articular disc – bipolar
9:00AM – 11:30AM
TMJ Biomechanics & Examination: When should we not do prosthetics
- Disc pathology – how to differentiate it and when intervention is necessary
- How to distinguish between locks of muscle and articular origin
- Radiological picture of disorders of the temporomandibular joint
- How to examine the temporomandibular joint
- TMJ biomechanics necessary to understand “deprogramming”
11:45AM – 12:30PM
Hands On: Examination of Muscles, Joints
1:30PM – 3:00PM
A Holistic Approach
- Local myalgia, Spasm, Protective co-contraction, Myofascial pain, Centrally modulated myalgia
- Masticatory muscles – controversy related to the function and study of the masticatory muscles.
- What are trigger points and what is their importance in dentistry?
- The influence of cervical vertebrae (C1-C2), tongue, body posture and sleep apnea on joint and bite disorders – a curiosity or a standard of treatment? Controversies in the world of science.
- Adaptation – what is it, what are its effects, how to recognize if the patient is already adapted and how to treat them in cases of aesthetic and functional reconstructions.
3:30PM – 5:00PM
Occlusal Philosophies: In Search of a Common Denominator
- Over the past hundred years, we have seen at least five completely different condyle positions in the temporomandibular joint, and each position was considered the best. At the same time, the definition of the central relation itself has changed 26 times, and the commonly considered compulsory incisal and canine leads have lost their importance. It also turned out that “bad occlusion” does not cause bruxism, and the basis of TMD has more to do with medicine than dentistry – which is still unacceptable in many circles.
- So let’s take a look at how it all started, how it changed and why many so-called occlusive philosophies contradict each other. Do we really have to take one of the “sides” or are there common denominators?
5:00PM – 5:30 PM
Workshop Surprise
9:00AM – 11:30AM
How to avoid recessions and black triangles after preparation?
- Planning the aesthetics of soft tissues in prosthetic treatment. Papillae and black triangles – how to tame them? Reconstruction of the Non-prep type. Is it really always completely without preparation? Clinical cases. Biological width – a term that no longer exists but still arouses emotions. When to prepare subgingivally?
- How to avoid a recession after preparation and cementation?
12:00PM – 1:30PM
To prep or not to prep? How to fabricate aesthetic temporaries?
- Preparation for closing gaps and diastema
- What about fillings and caries on proximal surfaces? When do we intersect the contact points?
- Complete reconstructions – clinical cases Unusual complications in implant prosthetic.
- How to make a temporary veneer and crown, and then remove them. Shaping soft tissues with temporary crowns.
2:30PM – 4PM
Hands On: Facebow Instructional video and Workshop
4:30PM – 5:30PM
Advanced dental photography: Tips & Tricks
- Laboratory photos
- Portrait photos
- Photography for DSD
- Artistic dental photography
9:00AM – 10:00AM
Bite registration – make it easy
- 5 different condyle positions – webinar summary and answer to the question DO WE NEED A CENTRIC RELATION ? What the guidelines and professional ethics say in relation to the current state of scientific knowledge.
- What is bite deprogramming? Is it science or pseudoscience? What are the indications and differences in the operation of individual deprogrammers?
- Leaf gauge – What is it? When / should I use it? How to use it?
- Demonstration of working with the leaf gauge
10:00AM – 10:45AM
Hands On: Leaf Gauge Workshop
11:00AM – 12:30PM
Simple Bite Registration in Practice
- Leaf gauge in clinical practice
- 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 ?
- Lucia Jig – What is it? When / should I use it? How to use it?
- Deprogramming – a Necessity for CR or Pseudoscience?
1:30PM – 3:00PM
Kois Deprogrammer and Dawson Manipulation – When? Why? How?
- Kois deprogrammer – how to determine the height of the platform
- Bite registration on the deprogrammer
- Lassmann Incisal Pin (LIP Technique)
- Dawson’s manipulation
- How to verify the correctness of registration
3:15PM – 4:15PM
Hands On: Creating deprogrammers in the clinic
4:30PM – 5:30PM
Vertical Occlusion Dimension & Oral Appliances (Splints) – How to Help and Not Hurt
- Vertical occlusal dimension – what are the limitations? Should we be “that” precise?
- Influence of changes in the vertical dimension of occlusion on airways
- Nightguard/splints – when, what material? How to register the bite for the splint?
- What contacts and guidance? Splint delivery and relining the splints.
9:00AM – 10:30AM
Algorithms and Decision Tree for Full Mouth Reconstruction
- Simple bite registration for full arches
- Registration for cross mounting
- When not to change the existing bite?
- When should we choose a tool to make bite repeatable and easy to register? Which tool should we choose?
- Video: Step by Step Procedures from the First Visit to Cementation
11:00AM – 12:30PM
Cementation Protocols
- Rubber dam – split dam or full insulation?
- How to cover metal posts to maintain proper aesthetics.
- Secrets of cementing crowns
- Protocols for cementing and cleaning ceramic veneers
- Video: step-by-step procedures from the first visit to cementation and equilibration
1:30PM – 3:00PM
How to get a perfect bite for our patients?
- What is equilibration? When do we use it and when is it not allowed to do so? P1, P2, P3
- Differences between equilibration in MIP and in CR.
- Electronic bite analyzers – T-scan and OccluSense
- When to perform equilibration and when to increase the occlusal vertical dimension ?
- Equilibration of interference during chewing
- Equilibration in static and chewing: Video step by step
- Occlusion on Implants
Speaker
Dr Łukasz Lassmann
Dr. Lassmann has marked his presence as a co-founder and Chief of the Medical Team at Dental Sense clinics in Poland and Norway. At the Polish Academy of Cosmetic Dentistry, he serves as a board member and further extends his contributions as an active member of the American Academy Of Orofacial Pain.
Select Educational Endeavours & Advanced Training (highlighting key experiences)
• Imbibed knowledge and skills under the guidance of Dr. John Kois at the Kois Center, Seattle, USA.
• Delved deep into dental sciences at the UNC – University of North Carolina, Chapel Hill, USA.
• Explored advanced dental studies at the UCLA – University of California, Los Angeles, USA.
• Refined his expertise at the Mediterranean Prosthodontic Institute, Spain.
• Advanced his training at GSID, Marina De Carrara, Italy.
• Embarked on an insightful clinical journey at the University of Lexington, Kentucky, under the esteemed mentorship of Prof. Jeffrey Okeson and Prof. Rena De Leeuw.