Vienna School of Interdisciplinary Dentistry

Education in Occlusion Medicine

Fortbildung

Neues Therapie Continuum

Fokus: Prothetik

“Applied Rehabilitation: Function & Esthetics” 2017 und 2018


The course | Contents | Information | Registration

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The Course

The extended and reworked Therapy continuum course will start on October 13th, 2017. Participants will be tought the VieSID prosthetic concept.
The aim of the course is to guide participants from the basic initial findings through the therapeutic process. The final diagnosis is followed by the definition of treatment objectives and an initial management plan for the patient and the overall therapy. Occlusion concepts, function of the masticatory system, esthetics must be combined in order to reach a long-term stability of the prosthetic rehabilitation. This course has been designed as a logical continuation of the VieSID Basic Curriculum. Important subjects are splint therapy, pre-prosthodontic orthodontics, full denture, pre-prosthodontic implant, temporization, final restoration. Participants will be tought the VieSID prosthetic concept.
The experienced faculty will provide individualized mentoring in order to assist students providing definitive treatment for their patient. We are happy that the renowned and experienced experts and teachers Dr. Nazzareno Bassetti, Msc, Dr. Elöd Úry, MSc and DT Stefan Thunert, MSc, will be holding this course.
The course still consists of 5 modules of 4 days each (total of 20 days of postgraduate education). The course will be dedicated entirely to therapy and treatment. The Keynote seminars can be attended separately.

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course contents

The Continuum contains both theoretical and practical lessons as well as extensive case discussion. The modular structure over a period of about 1 1/2 years allows the participants to be guided through the treatment process of complex cases.

Modules

Module A 'Initial Treatment'
Day 1 Coming to a final diagnoses and conclusion from the diagnostic records

  • Full diagnostic records
  • Differential Diagnoses and List of problems
  • Definition of Treatment Objectives

Training the students to create a management plan for

  • The Patient
  • The Treatment (incl. treatment options)

Day 2 Diagnostic equilibration
This important pre-treatment procedure is performed in the full programmed articulator. It is a prerequisite in order to check on the dental casts the plausibility of invasive occlusal interventions. The process will be demonstrated on a real case and student will be trained to perform under control of the instructors.
Complex Interdisciplinary Teamwork                        

Day 3-4 Initial treatment: splint course
Initial splint therapy is an important step in the initial phase of oral intervention. On the one hand, it serves as a simple tool to verify treatment objectives, on the other hand, it is a very useful to reduce muscle spasm and pain. Students will be trained in manufacturing the most used splints within the VieSID concept: Emergency splint, Myopathic splint, Repositioning splint. Students are guided to produce a splint on themselves including procedures of implementation and equilibration.

Module B 'Occlusion, Full Denture'
Day 1 Case discussion

  • From students
  • Prepared from VieSID faculty
  • Patient and case management

Day 2 Diagnostic Wax-up and Digital Functional Smile Design
This lecture is dedicated to technical procedure of diagnostic wax-up in order to verify the previously established treatment objectives. It is THE important design phase of the occlusion concept and the esthetics of the individual case. The full programmed articulator is a prerequisite. The lecture will start with a refreshing of class I wax-up. Consequently, the following points are evaluated in the diagnostic wax-up procedure: vertical changes in occlusion, posterior support, dental arch development, guidance system, sphericity of occlusion, sketch of esthetic design. A detailed result of the diagnostic wax-up can be transferred in a mock-up for direct verification in the patient’s mouth. Unforeseeable problems in the next steps of the therapy can be minimized with this important procedure.

Day 3-4 Full denture occlusion set-up course
It may surprise that a full denture course has been placed in this early stage of the Continuum course. However, the set-up of teeth in the ‘empty space’ of an edentulous mouth is a challenging task in order to reach good function and esthetics for the patient. At the same time, it is a very useful exercise to bring occlusal theory (as taught in the Basic Curriculum) into practice. In the 2 days of the course, students will be confronted with an articulator mounted edentulous case, with the task to perform a complete setup or prostheses teeth in wax in practical training. Again, instructors will focus to the importance of occlusal factors and the functional geometry in space. Beside the occlusal and esthetic aspects, other procedures like impression taking, frame-work design, possible implant support and finalizing will be shown and explained.

Module C 'Pre-prosthetic orthodontics'
Day 1 Case discussion

  • From students
  • Prepared from VieSID faculty
  • Case follow-ups

Day 2-3 Wax-up “mal-occlusions”
Not every case can be treated into an idealized dental class I occlusion. Sometimes it is necessary to make a good compromise and treat in Class II, Class III or even in a cross-bite situation, but still establish an sufficient functional and esthetic result. This lecture focuses on the reconstruction of occlusal surfaces in so-called ‘mal-occlusion’ situation. The students will be trained on the full programmed articulator to sketch the important functional determinants in occlusion by waxing.

Day 4 Pre-prosthetic orthodontic course
In modern dentistry, the conservation of natural teeth is an important factor for many patients aiming for dental treatment. Therefore, natural teeth must be maintained and also must be integrated in extensive prosthetic restoration work. Pre-prosthetic orthodontic treatment is therefore a frequently used process in the therapy of complex interdisciplinary cases. Standard orthodontic care does often not follow functional rules not understanding the specific needs of a prosthodontic therapy. On the other hand, prosthodontists should understand the powerful capability of orthodontic interventions. This course will guide the students in theory through the most important steps and procedures of pre-prosthetic orthodontics. Some important aspects are: Integration of natural occlusion into the prosthetic design, management of arch forms, creation of space for implants, ideal positioning of teeth for crown- or bridge framework, fulfillment of esthetic and functional requirements, possible correction of so-called ‘mal-occlusion’ situations, etc. Upon the orthodontic skills of the prosthodontist, pre-orthodontic treatment can be performed by the prosthodontist.

Module D 'Provisional Reconstrucion'
Day 1 Case discussion

  • From students
  • Prepared from VieSID faculty
  • Case follow-ups
  • Patient and case management

Day 2 Pre-prosthetic implant course
The possibilities of implant prosthetics, which was introduced in the 1990s, was a true revolution in modern dentistry. Implants can provide a comfortable rest for prosthetic restoration. They also assist from the bio-mechanical point of view. Nowadays, most complex prosthodontic cases are managed including implant prosthetics. However, the positioning of the implants relative to the force-vectors of occlusion is of inherent importance for the long-term stability of dental reconstruction and the implant itself. This course will cover the most important aspects by experienced implantologist. Consequently, the implant placement must be integrated in a proper way in the treatment management plan. From the point of view of VieSID school of thoughts, the implantologist must be team-player in the interdisciplinary treatment. This course consists of theoretic lectures only.

Day 3-4 Therapeutic Provisionals course
The treatment phase of temporarization is one of the most important steps in prosthetic dentistry and needs careful consideration and implementation. It is the true phase to make a treatment a success or failure. The most important pre-planned functional and esthetic parameters must be included and managed. Provisionals still allow the dentist to change and adapt according to the emerging needs of the patient. There are several clinical aspects involved. The course will provide information in detail about management of the periodontal tissue, tooth preparation, impression taking, RP (or TRP) recording and maintaining according to the TMJ, review of the functions (speech, mastication, swallow, bruxing), review of esthetics, stability in time. The interdisciplinary cooperation with the dental technician is extremely important in this phase: the creation of precise working models, the articulations process and full programming of the articulator, the selection of the appropriate technique and material, the process to reline the first provisional, the implementation of the final provisional, corrections, esthetic and functional evaluation. During the phase of temporarization the dentist, time by time, will reevaluate the patient until a satisfactory and comfortable situation has been reached for both, the patient and the dentist. Lecture will be mostly in theory; some example will be shown on dental casts.

Module E 'Final prosthetic restoration'
Day 1 Case discussion

  • From students
  • Prepared from VieSID faculty
  • Case follow-ups
  • Patient and case management

Day 2-4 Final prosthetic implementation
This important part of the Continuum covers the phase starting from the successful accepted provisional reconstruction until the implementation of the final restoration. Again, there are important clinical and technical procedures which are important for the stability of the result. A full set of diagnostic records according to VieSID school of thought hast to be taken from the patient. Reference Position must be solid and reproducibly. The questions of materials must be finally decided. Final mastermodels must be produced with new impressions and all this information must be properly transferred to the dental laboratory. After lab finalization, the prosthetic work must be try-on with the purpose of last chance to make changes in occlusion and esthetics. After final implementation, the patient must be in regular (at least annual) inspections and hygiene care. During the last part of the Continuum the faculty will also focus to auxiliary topics, such as: Consideration on Materials and Technologies, Function and Esthetics Function and minimally-invasive dentistry, mandibular repositioning, 3D dentistry - possibilities and no-goes, digital wax-up and design, failures and corrections, and more.

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Information

Organized by: VieSID® Vienna School of Interdisciplinary Dentistry

Dates: subject to change

 TH17

 

Module A:

13. Oct - 16. Oct 2017

Module B:

15. Feb - 18. Feb 2018

Module C:

24. May - 27. May 2018

Module D:

06. Sep - 09. Sep 2018

Module E:

29. Nov - 02. Dec 2018

  

 TH18

 

Module A:

18. Oct - 21. Oct 2018

Module B:

17. Jan- 20. Jan 2019

Module C:

24. Apr - 27. Apr 2019

Module D:

27. Jun - 30. Jun 2019

Module E:

19. Sep - 22. Sep 2019

 

 

Course fee:

TH17: Euro 9.000,-

TH18: Euro 9.450,-

Course Directors:

Dr. Nazzareno Bassetti, MSc
Dr. Elöd Úry, MSc

Lecturers:

Dr. Elöd Úry,
Dr. Nazzareno Bassetti,
DT Stefan Thunert

Course language:

English

Target group:

Dentists; dental technicians

No. of participants:

To guarantee intensive and effective lessons, the
maximum number of participants has to be limited.

Patient treatment:

Patient treatment during the course is subject to
the participant’s sole responsibility.
Students are advised to extend their dental-
professional liability insurance to their dental work
during the course, the course venue and the
course duration.
Participants will have to sign a waiver of liability
at the start of the course.

Certificate:

After passing a final test the participant will be
awarded a VieSID® certificate

Venue:
(Subject to change)

University Clinic of Dentistry Vienna, Austria

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Please find detailed information about this continuum in the course brochure.

Registration:

Download Anmeldeformular für das Therapy Continuum beginnend im Oktober 2018

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