Introduction to the Didactics
Chapter 1 Fundamental principles of the comprehensive, masticatory system approach
Chapter 2 The people side of dentistry
Chapter 3 The 4 essential skills of the comprehensive dentist
Section A Bite splint therapy
Section B Definitive occlusal management
Section C The Diagnostic blueprint
Section D Provisionals with a purpose
Chapter 4 The 10 decisions
Section A TMJ diagnosis and condylar position
Section B Vertical dimension
Section C Lower incisal edge position
Section D Upper incisal edge position
Section E Centric stops
Section F Anterior guidance
Section G Curve of spee
Section H Curve of Wilson
Section I Cusp-Fossa angle
Section J The esthetic plane
Introduction to the case studies
Chapter 5 Non-removable implant restoration with natural teeth
Case 1 Non-removable maxillary implant restorations with natural teeth restorations including crowns, veneers and fixed partial dentures.
Case 2 Transitioning a maxillary tooth supported fixed partial denture to an implant supported fixed partial denture along with other single crowns and tooth supported fixed partial dentures.
Case 3 Lower reconstruction with lower left being implant supported, important neutral zone consideration affecting design. Upper reconstruction landmarks acceptable. Temporomandibular disorder managed.
Case 4 Maxillary fixed partial denture supported by both teeth and implants along with other implant supported crowns and tooth supported crowns and fixed partial dentures
Case 5 Maxillary extractions, periodontal surgery, orthodontics, veneers and fixed partial dentures on teeth; mandibular extractions, implants, fixed partial dentures on teeth and implants
See also: Chapter 6 Case 1
Chapter 7 Case 7
Chapter 14 Case 4
Chapter 6 TM disorders followed by reconstruction
Case 1 Osteoarthritis of the Left TMJ managed with bite splint therapy followed by implant supported restorations and tooth supported restorations
Case 2 Intracapsular and muscular components of a temporomandibular disorder managed with bite splint therapy followed by occlusal therapy and a full reconstruction
Case 3 Intracapsular and Muscle disorder resolved with bite splint therapy followed by occlusal reconstruction with maxillary lingual porcelain veneers
Case 4 Intracapsular and muscle disorder with resultant occlusal plane asymmetry resolved with bite splint therapy and followed by occlusal therapy with restoration only on the lower left
Case 5 Past condylar replacement due to avascular necrosis followed by posterior occlusal reconstruction
Case 6 Temporomandibular disorder resolved with bite splint therapy followed by definitive occlusal therapy including a maxillary reconstruction and mandibular functional changes with composite
Case 7 Past mandibular orthognathic surgery to correct maxillary to mandibular malrelationship caused by condylar degeneration; intracapsular and muscle pain resolved with bite splint therapy followed by definitive occlusal therapy with posterior reconstruction and anterior composites
See also: Chapter 15 case 1
Chapter 16 case 1
Chapter 7 Restorations to achieve esthetic and functional changes
Case 1 Restoration of anterior esthetics and anterior guidance in a deep overbite damaged by bruxism with upper and lower anterior reconstruction
Case 2 Posterior reconstruction with severe interferences to the centric arc of closure
Case 3 Restoration of esthetics and anterior guidance damaged by wear by increasing overbite with upper and lower anterior crowns
Case 4 Maxillary reconstruction at open vertical dimension to improve esthetics, length, buccal profiles and functional landmarks; mandibular restorations only recontoured
Case 5 Maxillary and mandibular esthetic and functional reconstruction with lab-processed composite restorations to treat amelogenesis imperfect
Case 6 Restorations maxillary bicuspid to bicuspid done first as part of a comprehensive plan; maxillary left central incisor implant, other functional discrepancies corrected with reshaping and equilibration
Case 7 Maxillary and mandibular dental reconstruction including 4 dental implants replacing unrestorable teeth. Impaired esthetics due to recession handled with grafts and all porcelain restorations
See also: Chapter 16 case 1
Chapter 8 Complete implant supported restorations
Case 1 Complete implant supported maxillary reconstruction - transitioning the anterior teeth from tooth supported to implant supported
Case 2 Complete maxillary non-removable restoration supported by 6 implants converted from a completed removable restoration on 4 implants
Case 3 Complete implant supported non-removable maxillary and mandibular reconstructions; transitioning from natural teeth that were not predictably restorable
Case 4 Maxillary extractions, immediate implant placement, immediate loading and complete non-removable Zirconia restoration with pink porcelain
Case 5 Mandibular implant bar supported full removable denture converted to a non-removable restoration to improve comfort of the neutral zone and phonetics
Chapter 9 Orthognathics
Case 1 Severe anterior open bite corrected with maxillary only orthognathics and occlusal therapy with upper incisor restorations
Case 2 Mandibular orthognathic surgery and chin implant; managing a temporomandibular disorder during treatment; posterior restorative dentistry including implants
Case 3 Maxillary and mandibular orthognathic surgery with chin advancement; pre-restorative occlusal therapy with equilibration and composite additions
See also: Chapter 16 Case 1
Chapter 10 Bruxism and wear reconstruction
Case 1 Restoration of worn lower anterior teeth in a deep bite without changing other restorations
Case 2 Severe wear from parafunctional habits restored with a complete reconstruction at an increased vertical dimension of occlusion
See also: Chapter 16 Case 2
Chapter 11 Perio-prosthesis
Case 1 Full maxillary periodontal-restorative reconstruction improving esthetics and function; lower posterior reconstruction following conventional surgery, bone and soft tissue grafts, covering recession.
Case 2 Posterior reconstruction in conjunction with conventional periodontal surgery; root resection, pocket elimination.
Chapter 12 Implants in the esthetic zone
Case 1 Hopeless maxillary central incisor transitioned to an implant supported restoration (delayed placement and delayed loading) with crowns on the remaining incisors along with occlusal therapy
Case 2 Extraction and immediate implant placement, delayed loading and restoration maxillary central incisors; pink porcelain to simulate papilla
Case 3 Congenitally missing maxillary lateral incisors, orthodontics to open lateral incisor space, dental implants and other esthetic improvements
Case 4 Congenitally missing upper right cuspid, upper right lateral incisor lost in an accident. Implant placed in cuspid position with 2-unit cantilever restoration, pink porcelain to simulate gingival
Case 5 Maxillary central incisor extracted and replaced with a dental implant, delayed placement and delayed loading
See also Chapter 7 case 6
Chapter 13 Removable implant supported restoration with natural teeth
Case 1 Maxillary implant supported bar retained removable partial denture along with tooth supported restorations to reconstruct occlusion and vertical dimension
Case 2 Combination mandibular fixed anterior-removable posterior reconstruction with Locator attachments
See also: Chapter 14 Case 4
Chapter 14 Combination fixed-removable restoration on natural teeth
Case 1 Maxillary bar supported removable partial denture; lower crowns with semi-precision removable partial denture.
Case 2 Maxillary fixed partial dentures with precision removable partial denture; mandibular bar supported complete denture.
Case 3 Maxillary telescope case: alumina copings on natural teeth and removable overstructure; mandibular telescope case: Galvano copings on natural teeth and non-removable overstructures
Case 4 Mandibular anterior fixed partial denture and posterior removable partial denture with implants and Locator attachments for added support and retention; maxillary reconstruction, telescope case with one dental implant included along with six teeth.
Chapter 15 Implant supported complete dentures
Case 1 Maxillary extensive bone graft followed by implant supported bars and bar supported overdenture after managing a temporomandibular disorder. Flange needed for lip support necessitating a removable rather than a non-removable approach.
Case 2 Severe maxillary and mandibular resorption; maxillary bone grafting; maxillary and mandibular implant supported bar and bar supported dentures. Flanges needed for lip and cheek support necessitating a removable rather than a non-removable approach
Chapter 16 Reconstructions on all natural teeth
Case 1 Severe anterior overjet handled with occlusal/restorative treatment in lieu of orthognathics; muscular component of a temporomandibular disorder also managed
Case 2 Failed multiple reconstructions. Original deep overbite with current condition in provisionals with an opened vertical dimension and anterior overjet. Managed with a new reconstruction harmonizing a physiologic deep overbite
Case 3 Maxillary reconstruction combined with extractions and periodontal surgery to improve periodontal architecture. Landmarks of lower acceptable with minor modification
Case 4 Full mouth reconstruction utilizing crown lengthening surgery, extractions, single crowns, veneers and a fixed partial denture sequenced over 2 years
Case 5 Maxillary complete fixed partial denture on nine Galvano telescopic copings; mandibular anterior fixed partial denture on four Galvano copings
See also: Chapter 6 Case 6
Chapter 14 Case 3
Chapter 14 Case 4
Appendix 1 Definitive Occlusal Therapy using the T-Scan-3 by Dr. Robert Kerstein
Appendix 2 What your laboratory technician needs to provide excellence by Jerry Ulysek, CDT