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Through the restoration of heavily broken down teeth and replacement of lost teeth in worn dentition, prosthodontic rehabilitation aims to restore form, function and aesthetics and bring about relative stability of dental arches. Rehabilitative strategies can vary. It is important to note that there is no absolute stability under hostile oral conditions. Hence, it is crucial to identify, control and eliminate (if possible) the aetiological factors that may have resulted in the predicament in the first place, as this may help to prolong the success and survival of restored dentition. This course is designed to provide a better understanding in the identification of aetiological factors, diagnosis and treatment planning with various management approaches.
Key topics to be covered:
- History taking, examination and diagnostic record taking.
- Types of tooth wear and aetiological factors:
- Physiological vs. pathological wear.
- Attrition, abrasion, abfraction, erosion, congenital tooth disorders.
- Treatment approach:
- Prevention and monitoring strategies – remineralisation techniques, dentine bonding agents and direct composites.
- Live Demonstration 1
- Analogue vs digital impression, facebow mounting and bite registration, diagnostic was up.
- Facial and dental analysis.
- Prosthodontic rehabilitation:
- Determination of the amount of interarch prosthetic space available.
- Assessment of the adequacy of retention and resistance form.
- Conformative vs. reorganised approach.
- Treatment modalities for different wear distribution – localised or generalised wear.
- Choice of appropriate OVD and occlusal scheme.
- Live Demonstration 2
- Mock up – showcase chairside vs. digital mock ups.
- Choice of restorative materials.
- Conventional vs adhesive techniques.
- Maintenance of prosthodontic rehabilitation.
- Case Illustrations.