Digital Aesthetic Functional Rehabilitation: Prosthetics, Implantation, Orthodontics

Digital Aesthetic Functional Rehabilitation: Prosthetics, Implantation, Orthodontics

Category: Surgery

Instructor(s): Tak On Tse Ryan

Course structure: Lessons: 6 lessons | Duration: 6 h 10 min

Course overview

Digital Aesthetic Functional Rehabilitation: Prosthetics, Implantation, Orthodontics
On the course you will learn how to work in the Kois principle:
– Create a perfect Digital Smile design considering:
- dental parameters
- facial driven features
- gingival parameters.
– Do aligner orthodontics according to Digital smile design treatment goal
– Create functional restorations on natural teeth and implants in a digital protocol.
Lecturer Tak On Tse Ryan is a Kois mentor.

Curriculum

Smile design. Principles and sequence according to the Kois principles

• Lesson program
• – What information is required for the Smile Design? Parameters to be considered for Smile Design
• – Lip dynamics and incisal edge position
• – Etiology, clinical feature, diagnosis, and treatment of gingival smile
• – Tooth proportion measurement tools
• – Closed lengthening of the tooth crown with a laser
• – Duchenne smile as a tool for the dynamics of the position of the upper lip and the canine exposure determination
• – 6 stages of smile planning according to John Kois and Frank Speer
• – The rule for assessing the position of the incisors "4\2\2" from Edward McLaren
• – Golden Ratio for face proportions estimation
• – Landmarks to create an approximal contact between the central incisors
• – Phonetic analysis
• – Integration of the midline with the occlusal plane and the interincisal midline on the model. Transferring data to the laboratory
• – Algorithm: how to calculate the crown height increase
• – Analysis of clinical cases.
• Recommended for: Prosthodontists, Orthodontists, General dentists.

Facial Analysis and Smile Design based on DSD and Kois Principle

• Lesson program
• – Dental parameters. Fundamental objective criteria
• – The position of the gingival zenith and the level of the maxillary frontal teeth
• – The rule "50:40:30"
• – Factors affecting the shape of the tooth
• – Registration and transfer of the midline position to plaster models. Protocol of working with the "Ditramax" device
• – Protocol for working with the John Kois dentofacial analyzer
• – Requirements for DSD photography
• – Sequential 6 steps of DSD protocol
• – Combined use of the Kois dentofacial analyzer and DSD
• – Working with the gingival margin level in DSD
• – Lengthening of the crown part of the teeth in digital protocol
• – VISTA technique and modified fibrin-associated recession closure technique
• – The midline of the face. The concept of smooth facial contours
• – Determining the shape of the anterior teeth during DSD, taking into account the anthropometric parameters of the patient. Morphopsychology
• – Color and optical properties of the teeth
• – Lip volume. Assessment of objective parameters and their correction.
• Recommended for: Prosthodontists, Orthodontists, General dentists.

Occlusion Principle in Full mouth rehabilitation under Kois Principle

• Lesson program
• – Terminology:
• Maximal intercuspal position (MIP)
• Central relation (CR)
• Vertical dimension of occlusion (VDO).
• – Gnathologic principles
• – Condylar movements: Bennet movement, Bennet angle
• – Anterior guidance
• – Dynamic system: variability and adaptation
• – Physiologic occlusion
• – Acceptable functions: chewing, swallowing, speaking and breathing
• – Constricted chewing patterns
• – Occlusal dysfunction and parafunctions
• – Three P's according to the Kois principles: Position, Place, Paceway
• – Transferring the emergence profile of multiple implant restoration
• – Kois questionnaire
• – Risk assessment: occlusion stress test
• – Functional occlusion therapeutic considerations
• – Central relation technique:
• Bilateral manipulation
• Lucia jig
• Leaf gauge
• Kois deprogrammer
• Bite plane
• Occlusal splint.
• – Characteristics of Kois deprogrammer
• – Benefits of a Kois deprogrammer.
• Recommended for: Prosthodontists, Orthodontists, General dentists.

Digital orthodontics in functional esthetics

• Lesson program
• – Minimal invasive dentistry
• – Invisalign® principle
• – Central occlusion and functional overjet
• – Acceptable function and aberrant adaptive envelopes
• – Constricted chewing pattern
• – 3 features for functional diagnosis: Kois questionnaire, clinical examination, the mounted cast after Kois deprogrammer
• – Choosing a method for malocclusion treatment
• – DSD in orthodontic treatment planning. Clincheck usage
• – Correction of X-bite and tilted midline
• – Intrusion and retraction of lower incisors
• – Invisalign® tooth movement.
• Recommended for: Prosthodontists, Orthodontists, General dentists.

Total oral rehabilitation on natural teeth in a digital workflow

• Lesson program
• – 6 steps for total rehabilitation planning
• – 6 categories of functional occlusion
• – 3 features for functional diagnosis: Kois questionnaire, clinical examination, the mounted cast after Kois deprogrammer
• – The Kois questionnaire:
• personal history
• dental history.
• – Periodontal risk assessment
• – Biomechanical risk assessment
• – Bite and jaw joint
• – Occlusal VDO: treatment planning decisions and management considerations
• – Facial driven treatment plan
• – Influence of stabilization occlusal splint on craniocervical relationships
• – The rule of three P's: position, place, pathway
• – T-Scan software: digital evaluation of occlusion
• – Full mouth rehabilitation of severe Class III dentition: prosthetic driven orthodontic with raised VDO.
• Recommended for: Prosthodontists, Orthodontists, General dentists.

Total oral rehabilitation on implants in a digital workflow

• Lesson program
• – Guided implant surgery and DSD
• – Facial analysis for the digital planning of full mouth implant rehabilitation
• – Guidelines for maxillary incisal edge position
• – Gingival architecture
• – Mandibular incisal edge
• – Mandibular tooth display analysis
• – Speech problem management
• – Taking accurate implant impression
• – Transferring the CR and tooth position from the provisional to final
• – Biological and mechanical complications in full mouth implant rehabilitation
• – Avoiding complications
• – Cross mounting into articulator
• – Difference in biomechanic between tooth and implant
• – Implant and tooth supported fixed prosthetics using Pekkton framework
• – Using the digital-centric record technique to enable digitally planned implant treatment for an edentulous patient.
• Recommended for: Prosthodontists, Orthodontists, General dentists.