OCCLUSION
OCCLUSION MATERIALS PARAFUNCTION MANAGEMENT
Blending Today’s Science with Successful Clinical Treatment Strategies
CCLUSION For predictable restorative dentistry
September 15-17, 2016
The Walt Disney World Swan resort Orlando, Florida
21 Hours CE $2595.
Call 941-957-0063 or visit www.ChasolenEducation.com
With Barry Glassman, DMD
WELCOME
Dr. Howard Chasolen graduated from the University of Medicine and Dentistry of New Jersey in 1991. He earned a specialty certificate in Prosthodontics and a fellowship certificate in Implant Prosthodontics from the University of Pittsburgh School of Dental Medicine from 1991 to 1994. He is a Diplomate of the American Board of Oral Implantology and a Fellow of the American Academy of Implant Dentistry.
He is Past President of the Florida Academy of Cosmetic Dentistry, The Florida Prosthodontic Association and The Sarasota County Dental Association as well as being appointed to the faculty at the University of Florida in the Graduate Prosthodontic Residency Program. Dr. Chasolen has restored over 15,000 crowns and 850 full arches. His practice is limited to Prosthodontics and is located in Sarasota, Florida.
Dr. Barry Glassman was graduated from the University of Pittsburgh in 1973. After a stint in the United States Army, he began a journey to learn how we, as dentists, could help our patients who suffered pain and/or joint dysfunction. His sometimes tortuous path through continuing education experiences began with Niles Guchet, continued to the office of Harold Gelb, and hit a temporary destination with a tour through neuromuscular training with BioRESEARCH. Finally, having his fill of the “kool aid” approach to each ideology, he took the path less traveled by and decided to study the science and determine the true role of occlusion. Unshackled by the mythology, he began to understand that occlusion matters when teeth are occluding, and that, even continuous teaching of a myth cannot make that myth a reality. He began talking about the key role of parafunction as opposed to function.
Howard M. Chasolen, DMD Barry Glassman, DMD
Howard M. Chasolen, DMD Barry Glassman, DMD
Dear Friends and Colleagues, Without a doubt, one of the most popular and confusing topics in restorative dentistry is the ongoing debate regarding occlusion. Occlusion has two very distinct applications in today’s dentistry. The first application is occlusion and its relationship to restorative dentistry. The second is occlusion and its relationship to TMD, facial pain, joint dysfunction and the reported associations with headache and upper quarter pain patterns. Through case presentations and scientific literature, this one of a kind program will finally explain the difference between these two very different yet critically important scenarios. For years, confusion and fear have led to non-scientific and dogmatic philosophies. Some philosophies overzealously discuss the “correction” of the bite as a treatment for temporomandibular related problems. Other philosophies overcautiously forbid the alteration of the occlusion for needed restorative purposes even for the patient with no joint symptoms. This confusion has led many to both over-treat and under-treat patients based on mis-information and myths passed down from previous generations misusing empirical evidence as science. This unique 3 day program includes a full day on evaluation, diagnosis, treatment and management of the facial pain patient. The first day of the 3 day option will develop an understanding of occlusal dysthesia, internal derrangements, arthralgias, degenerative joint disease, ligament injuries, acute vs chronic pain, neuropathic pain and headache neurobiology, pharmacotherapy and injection techniques for extracapsular and intracapsular disorders. On day 2 of the program, after a practical and relevant review TM joint and muscle anatomy and physiology, Drs. Chasolen and Glassman will present a detailed and patient centered concept starting with a history and followed by a physical examination. A careful description of function and parafunction including pathophysiology of parafunction and sleep bruxism will lead to an understanding of force vectors, patient adaptive capacity and the role of function and parafunction as forces that threaten your patients and the dentistry you do for them. The different occlusal reconstructive philosophies will be examined, compared and contrasted. Finally it will be clear why some patients with malocclusion do well – and those with better occlusions (by our current standards) may not. On day 3 of the program, Dr. Chasolen will cover the details of occlusal reconstruction. Discussing treatment planning, the relationship of VDO, condylar position and cosmetics, restorative considerations for the envelope of function and parafunction, wax up parameters, temporization, articulators and understanding how to use an articulator for reconstruction. A discussion on appropriate materials, the causes of porcelain and tooth fracture, occlusion and implants, occlusion and the advanced periodontal patient and other special topics will be the most comprehensive day in today’s education. We hope you can attend and will look forward to seeing you in beautiful and sunny Orlando this fall.
Of special significance is the “pain/restorative disconnect”.
This is the gap of connection between the TMD/facial pain specialists and the reconstructive restorative dentist. The void in understanding the differences in occlusal treatment modalities for patients diagnosed with a temporo-mandibular disorder/facial pain or a dentition in need of reconstruction for dental or cosmetic reasons. In other words, what is the correlation between TMD and occlusal reconstruction? Do occlusal interferences warrant equilibration? Is there one particular condylar position or vertical dimension that is best for a reconstruction? And so importantly, does joint or muscle pain mandate occlusal reconstruction?
The worn dentition presents a unique set of cofactors and clinical issues requiring consideration. If one scours the literature, there is much in the way of case presentation, anecdote and dogma. However, a current, evidence based and scientific look at the restoration of the worn dentition has rarely been presented. Yet, fear and reservation remains in the hands and minds of many clinicians with regards to topics such as the interrelationships between reconstruction and TMJ issues. vertical occlusal dimension, esthetic determinants, occlusal philosophies, articulator systems and current state of the art in dental materials. At the forefront of the confusion are the legendary assumed relationships between occlusal interferences, occlusal wear, equilibration, reconstruction and the resolution of TMJ and facial pain issues. This ground-breaking 2-day program will answer all of today’s challenging questions regarding the relationships between the TMJ, muscles, teeth, parafunction and detail the evaluation, diagnosis, treatment and post operative management of the worn dentition. A foundational discussion of the anatomy, physiology and neurobiology of the masticatory system will be presented. It is a must for anyone wishing to become comfortable with advanced fixed prosthodontics. We hope you can attend and will look forward to seeing you in Sarasota on the beautiful and sunny Gulf Beach. A discussion on occlusal appliance theory and design will make any dentist feel comfortable with all of the options available today. For the first time, the wisdom and insight from to specialists practicing the art and science of occlusion unafraid to challenge the muths and focusing on two different applications of the occlusion will be coordinating their efforts to combine the concepts and simplify them to make them coordinated and relevant.
Howard M. Chasolen, DMD Barry Glassman, DMD
While this program is a must for anyone wishing to become comfortable with advanced fixed prosthodontics, it is truly equally essential for any dentist who wants to see past occlusal mythology that does nothing to help our patients and has truly been confusing when one looks beyond the confirmation bias that occurs in our offices daily. The emphasis will be not only on occlusion for the restorative dentist but how to deal with odontogentic pain from a non odentogenic source, and so much more.
Day 1- Understanding the Relationship of Pain, Occlusion and Restorative Dentistry
7:15-8:00am Registration and Breakfast 8:00-10:00am Joint Anatomy and Physiology and Introduction to the Reality of Occlusion 10:00-10:15am Coffee Break 10:15-12:00pm The Role of Function and Parafunction 12:00pm-1:00pm Lunch 1:00-3:00pm Chronic Pain vs Acute Pain / Neuropathic Pain Patterns 3:00-4:00pm Supportive Therapies for Extracapsular and Intracapsular Disorders
Day 2- Basic Sciences for Occlusion and Restorative Dentistry
PROGRAM SCHEDULE
7:15-8:00am Registration and Breakfast 8:00-9:00am The “Problem of the Occlusion” and the Pain/Restorative Disconnect 9:00-10:00am The Detailed Evaluation 10:00-10:15am Coffee Break 10:15-12:00pm TM Joint Anatomy /Muscle Anatomy As It Relates to Restorative Dentistry 12:00pm-1:00pm Lunch 1:00-3:00pm Philosophies of Occlusion and Function 3:00-4:00pm Philosophies of Parafunction and Sleep Bruxism As It Relates to Restorative Dentistry
Day 3- Occlusion in Clinical Restorative Dentistry
7:15-8:00am Breakfast 8:00-9:00am The Restorative Workup , Analysis and Diagnostic Records 9:00-10:00am Condylar Position, Vertical Dimension, Anterior Guidance and Aesthetics 10:00-10:15am Coffee Break 10:15-11:00am Diagnostic Wax-Up / Mandibular Movement & Setting Your Articulator 11:00-12:00pm Managing the Occlusion With Provisional Restorations 12:00pm-1:00pm Lunch 1:00-2:00pm Managing Anterior Wear, Posterior Wear, Deep Bites, Open Bites and Complex Occlusal Presentations 2:00-2:30pm Restorative Materials for Wear Cases 2:30-3:30pm Occlusal Considerations for Fixed and Removable Implant Reconstructions, Advanced Periodontal Conditions and the Shortened Dental Arch 3:30-4:00pm Occlusal Appliance Theory and Design for Restorative Dentistry and Dealing With Ongoing Issues
Occlusion September 15-17, 2016 Program schedule may vary
Learn a simple, predictable & evidence based process to
MANAGE the worn dentition.
Learn the etiologies of wear and when restoration vs. conservative management is indicated.
Understand the complete relationship between TM joint and muscle function, anatomy, physiology, neurobiology and the worn dentition.
Learn how cosmetics drives the restoration of wear and how to determine the precise cosmetic position to build your reconstruction.
Learn how to determine the inter-relationships of vertical dimension of occlusion, cosmetics and the restoration of the worn dentition.
Finally, a program that eliminates the anecdotal dogma that has guided
our profession.
Master the philosophies of occlusal reconstruction and the
issues that go along with it.
Become confident with detailing wax up specifications and learn how to transfer that information to the provisional prototype.
Understand the instrumentation required to reconstruct wear cases including articulators and facebows.
Learn the records, photos and documentation to precisely communicate to the lab.
Hear the evidence that makes it clear that neither the elimination of occlusal interferences or the alteration of the patient's bite or jaw position is necessary for the resolution of TMD symptoms. Learn how to specifically treat the patient with "bite discrepancies" who is not otherwise in need of reconstruction.
Learn how to treat every type of wear case…horizontal, vertical and
combination wear.
Learn how to customize a physiologic occlusion that respects the envelope of function and parafunction as well as condylar influences.
Detail the new patient experience and learn why the initial experience CAN’T be in a dental chair.
Understand the progression of wear and the consequences of leaving wear untreated.
Learn to compose the exact documentation to educate your patient and protect you from future problems with large reconstructions.
Is there a relationship between worn dentition and TMD? We will dispel the dogma and review the science.
Learn the steps in a comprehensive examination and how to organize your thoughts when you see a patient with extensive tooth wear.
Understand the role of the craniomandibular system and why it does NOT start in the joints.
Exam forms, informed consents, treatment plans and treatment reports for your patients.
How to relate cosmetics and wear in your treatment plans…. The influence of incisal edge position, occlusal plane, vertical dimension and compensatory wear and eruption.
Understand all the current reconstructive philosophies and which ones fit your patient specifically.
Learn the anterior and posterior determinants of reconstruction. The rules for understanding when anterior guidance or condylar pathways determine the occlusal design.
Learn how to select an articulator for reconstruction cases.
Understanding parafunction: Sleep bruxism and daytime parafunction and how it affects wear and reconstruction.
Do occlusal interferences need to be equilibrated? Understand the relationships between occlusal interferences, parafunction, wear, TMD and the value of equilibration.
Learn a quick and simple algorithm to determine if your patient’s joint is safe to proceed with reconstruction.
Joint sounds? Episodic locking. Clicking. Stable joint? Degenerative joint and condylar resorption? Learn to incorporate this information into your restorative plan so you never have to guess at the long term effect the joint will have on your reconstruction.
What is the relationship of occlusion to headache? (It’s not related to anterior temporalis hyperactivity)
Cosmetic planning and the worn dentition.
Understand the peripheral mechanisms of bruxism and why a bite adjustment won’t stop the grinding.
Diagnosis and Treatment Planning
Learn why many authors have scared us about vertical dimension and what the real science tells us about how to select or alter VDO and its relationship to pain and wear.
Learn how to synchronize the information from the aesthetic and occlusal evaluation to detail the appropriate specifications for a diagnostic wax up.
Understand how to select a condylar position for reconstruction.
Learn the techniques and philosophies to deprogram and register bite records for preliminary blue print wax ups.
Blending aesthetic and occlusal parameters is THE single most important skill to learn in order to plan
a reconstruction of worn dentition.
Detail the process of creating a new occlusal scheme through temporization.
Pre-operative worn dentition
Temporized and completed at a new vertical dimension
Understand the appropriate sequence to temporize and how to schedule patients for such major occlusal changes.
Learn when an interim occlusal appliance is necessary and when the provisional restorations will serve the purpose.
Understand static occlusal contact design to minimize ceramic fracture.
Learn how to program disclusion patterns and how to determine disclusive pathway angles.
Anterior guidance? Anterior group function? Is it okay to pick up a premolar or more in working excursions?
Apply the “Complete Denture Set Up” philosophy and understand how cosmetic tooth position is integrated with function and parafunction to drive the determinants of a fixed reconstruction.
Treatment
Learn when to crown lengthen, when endo, when to increase incisal edge based on cosmetics and vertical all based on lip at rest image.
Constricted envelopes? During function or parafunction and where to place the “freedom” component? Anterior cingulums or posterior occlusal surfaces?
Learn 8 things to help prevent porcelain fracture on your new restorations.
Understanding horizontal and vertical patterns of parafunction..
Restoring anterior wear with no posterior wear
Restoring posterior wear with no anterior wear
Restoring class 1, class 2 deep, class 2 anterior open bite and class 3 occlusions.
Learn what to do when there is no anterior guidance
Learn the work flow of complex ortho, perio, restorative and cosmetic cases.
Understand the decision process in restorative material selection for the bruxing patient. Zirconia? Emax? Is PFM or full gold still a good choice? A thorough review of the literature on material success as well as my own personal experience in restoring over 750 full arches.
Determining when horizontal wear requires a change in vertical dimension to safely restore.
Gain confidence in restoring mechanical and chemical wear cases.
Treatment
The pharmacologic management of parafunction. The what and when of meds.
Post operative management of bruxism
Post operative management of ceramic fractures. Who is responsible?
How to deal with the patient that always needs an adjustment.
Dealing with positive occlusal sense.
Parafunctional control- the Occlusal Appliance
Full coverage appliance? Tanner? Anterior stop only? NTI appliance? Anterior repositioning? Soft guard? Bi-laminar guard? Which is right for your patient and learn the science about joint loading and appliance types.
Parafunction and the periodontally involved patient. Is occlusion a cofactor that exacerbates tooth loss in the presence of periodontal disease? What occlusal philosophy is best and is splinting indicated?
Parafunction and the implant reconstruction. Is the implant patient at risk when parafunction is an issue? We will explore the science, our clinical experiences and propose an algorithm of treatment strategies to address this critical topic.
Do we need molars? Is posterior support a scientifically validated requirement for healthy TM joints? This topic is critically important in periodontally involved patients as well as implant patients considering extensive posterior bone grafting to facilitate posterior implant placement. An extensive literature review will answer these questions.
How to control occlusal/parafunctional forces on splayed and weakened periodontally involved teeth.
Creating appropriate patient expectations. How long should the reconstruction last and what is a reasonable approach to the inevitable replacement of ceramic dentistry?
A complete review of habits to avoid.
Are there specific dietary contra-indications? We will discuss this in detail.
Special Topics
Management
LOCATION THE WALT DISNEY WORLD SWAN RESORT 1500 Epcot Resorts Blvd.
Orlando, Florida
P: 800-227-1500
www.swandolphin.com
Ask for the “Chasolen Dental Group Rate”
AIR TRAVEL
Orlando International Airport (MCO)
www.orlandoairports.net
ACTIVITIES
In the heart of the Walt Disney World® Resort, the award-winning Walt Disney World Swan and Dolphin Resort is your gateway to Central Florida’s greatest theme parks and attractions. The resort is located in between Epcot® and Disney’s Hollywood StudiosTM, and nearby Disney’s Animal Kingdom® Theme Park and Magic Kingdom® Park. Come discover our 17 world-class restaurants and lounges, sophisticated guest rooms with Westin Heavenly Beds® and the luxurious Mandara Spa. Enjoy five pools, two health clubs, tennis, nearby golf, and many special Disney benefits, including complimentary transportation to Walt Disney World Theme Parks and Attractions, and the Extra Magic Hours benefit.
Travel & Accommodations
Reserve your room now to ensure your accommodations during peak season at Walt Disney World Swan and Dolphin Resort.
tuition
Occlusion for Restorative Dentistry
September 15-17, 2016
Walt Disney World Swan Resort
Orlando, Florida
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Call: (941)957-0063 Ask for Maryellen Fax: (941)957-0424
Mail: 2033 Wood Street Suite 125 Sarasota, Florida 34237
Email: [email protected]
Visit www.ChasolenEducation.com
All seats are guaranteed with payment. Payment in full is needed to hold the seat for the program.
Cancellation Policy: Full refund less $100. administration fee if cancelled earlier than 30 days prior to the
program. If the cancellation is within 30 days of the program, no refund will be given but tuition may be
applied to a future seminar.
The Chasolen Education & Research Center, P.A. has been designated an approved Program
Provider by the Academy of General Dentistry. This Program Provider's formal CDE programs
are accepted by the AGD for membership maintenance, Fellowship and Mastership credits. The
current term of approval ends on 2/28/2020.
$2595. Dentists and Technicians
Registration
$1195. Staff
WWW.HOWARDCHASOLEN.COM
Upcoming Programs……
Visit www.ChasolenEducation.com for registration forms and details Or call Maryellen 941-957-0063
To Register or for more information, call Maryellen 941-957-0063. Or visit www.chasoleneducation.com
Restorative Excellence October 21-22, 2016 $1895. ______ Implant Prosthetics March 10-11, 2017 $1895. ______ Total Case Management June 9-10, 2017 $3750. ______
2016-2017
