Category: Prosthodontics Instructor(s): Alessio Casucci, Jan Schünemann, Markus Fischer, Eric Kukucka, Jaemin Lee, Alessandro Ielasi, Eduard Cherkashin Course structure: Lessons: 9 lessons | Duration: 15 h 30 min Course overview Everything about removable dentures for the team "prosthetist - technician".Lessons devoted to the modern protocol for working with edentulous patients:– Manufacturing of individual dentures– How to achieve suction in a lower denture with severe bone atrophy– Analog and digital protocols for removable dentures– Successful communication between dentist, dental technician and patient– Dentures milling and printing Curriculum Individual dentures Lesson program: – Basics of statics; – Basics of phonetic; – Philosophy of occlusion on toothless patients; – Individual gum design. How to Achieve Suction in a Lower Denture by following Dr. Jiro Abe`s SEMCD technique. Part 1 Lesson program: – Achieve success with removable prosthetics by utilizing the Biofunctional Prosthetic System (BPS) by Ivoclar Vivadent and the SEMCD Technique by Dr. Jiro Abe; – Explore the anatomical, biological, physiological and psychological factors that enhance or limit denture success; – Perform diagnostic patient evaluation; – Investigate various alginate impression materials and methods for preliminary impressions; – Compare open mouth versus closed mouth preliminary impressions; – Perform centric tray jaw registration; – Create analog study models and articulate using a Stratos 300 articulator; – Perform model analysis and create occlusal rims; – Clinically confirm vertical dimensions of rest and occlusion as well as define Campers plane. Clinician-technician-patient cooperation: Digital Dentures Lesson program: – Digital Denture Process from both a clinical and technical perspective; – Digital communication and unparalleled efficiency of various Digital Denture Workflows; – Digital Smile Design; – Сurrent software and hardware required for Digital Denture Success; – Literature pertaining digital denture processes; – The clinical and fabrication procedures associated with 2 or 3-appointment workflow. Fixed/non-fixed implant prosthesis: digital workflow Lesson program: – How to use a face scan to design full dentures; – Immediate repair denture manufacturing workflow; – How to prepare scan data from old dentures; – 2-Piece additive manufacturing method: Nextdent 5100; – 1-Piece milling manufacturing method: DG Shape DWX 52D; – Denture scan based full arch fixed implant prosthesis workflow. How to Achieve Suction in a Lower Denture by following Dr. Jiro Abe`s SEMCD technique. Part 2 Lesson program: – Scan and design models to create digital and analog Gnathometer M custom trays; – Complete final impressions using the Gnathometer M custom trays; – Perform gothic arch tracing and UTS face bow registration; – Create and articulate final denture models; – Analyze models and set-up dentures for try-in; – Perform denture try-in and modify as needed; – Process and finish analog dentures ; – Insert completed dentures and perform follow up; – Explore denture reline steps; – Apply BPS and SEMCD to implant-retained overdentures. Complete denture: аnalogic workflow Lesson program: – Prognostic evaluation; – Preliminary impressions; – Individual trays; – Definitive impression by closed mouth technique; – Neutral zone analysis; – Gotic arch registration; – Teeth arrangment and try-in; – Customization and finalization; – Delivery. Key practical points for successful prosthetics with сomplete denture (analog method) Lesson program: – What to look for when examining a patient for the correct choice of tactics and method; – What influences the choice of anatomical impression material? – Clinically relevant parameters of a trays. Compression or decompression of the mucosa? – The master model is one of the parameters of success! What does a successful working model look like? – What are the sin of occlusal rims? Are we fixing mistakes? Or are we abandoning them? – Phonetic tests in prosthetic reception - need No1; – Recording a gothic arch? Advantages and disadvantages; – Does occlusion save or spoil all the work? – Aesthetics of prosthetics with acrylic constructions; – Current trends in full prosthetics. Basic steps for making complete dentures Lesson program: – Impression with an individual trays. Detailed analysis of techniques: – Determination of the CR. Intraoral recording of gothic arch: – From manufacturing in an articulator to fixing the CR in the mouth: – Tasks of functional impression: – The choice of technique and masses in various clinical situations; – Ways of compression and decompression of the oral mucosa, in which clinical situations; – Should the edge of the functional impression be three-dimensional? – Thickness of the mass in the finished impression and the individual punching zone tray: – CR, position of central occlusion and multiple contact? Will there be an equal sign between them? – «Occlusal» rims are more «Aesthetic» today! – Gothic arch recording method as a simple and accurate mandible position determination method: – Rules for making in the articulator (For example CRS 10, Candulor or CentroFix, AG): – Recording of movements of the mandible and registration of the CR: – How to avoid mistakes and a large number of corrections after prosthetics? Complete denture: digital workflow Lesson program: – Conventional vs digital impression: – Interarch registration: – Printed or milled finalization: – Patient outcomes.
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