Restoring the Unrestorable – Learn clinical strategies to manage complex cases from an Italian Master.
Oral rehabilitation in adult patients is challenging because the TMJ and the teeth have often been under attack by chemical agents, mechanical stress, periodontal disease, caries, tooth loss, trauma and iatrogenic dentistry. As a consequence, adult dentitions may end up with secondary malocclusions created by dentoalveolar extrusion related to altered tooth morphology/tooth loss and pathological drifting. This can be further complicated by the possible presence of a primary malocclusion.
Another huge issue in the oral rehabilitation of complex cases, is the force control issue, where the forces exerted on teeth can cause overloading with resulting mobility, drifting, tooth wear and ultimately tooth loss. This is exacerbated in cases of bruxism which can dramatically influence the prognosis of an oral rehabilitation. For this reason it is crucial to understand the nature of the patient’s bruxism habit and the type of grinding pattern to plan the best force control strategy.
Oral rehabilitation starts with a facial analysis to get the ideal aesthetic maxillary line. Once this is established it is essential to see how this can be made to work functionally with the lower teeth. Vertical dimension of occlusion, inter-maxillary relationship, occlusal plane design and tooth guiding system are the key factors to alter and manage to get the ideal aesthetics and functional occlusion.
The aim of this lecture is to educate GDP’s about the diagnostic processes and the clinical strategies that can be used to achieve a successful outcome in complex interdisciplinary cases with secondary malocclusions and force control issues.