Description: “Refining the Mandibular Position”
Prerequisite Course: Levels 1 and 2
AGD Subject Code: 185 Appliance Therapy/Occlusion
"This course will combine what you have learned in the two previous courses (Advanced Principels of Physiologic Occlusion - Level 1 and Diagnostic Principles - Level 2) and will add an understanding how to establish the mandibular position and stabilize it with a lower anatomical orthosis. This course is designed to help the clinician understand the differences between various occlusal schemes of:
- Cervical problems
- Primary TMJ disorders
- Class II, division 2 and
- Anterior open bite conditions.
"Different occlusal schemes and conditions require specific orthotic design parameters for each of these 4 types of neuromuscular occlusal problems. (These concepts have not been adequately addressed within classic NM teachings, leaving GAPS in understanding to the seeking student). Communicating an overall treatment plan to effectively manage the orthosis through its transitioning phases for each of these conditions from phase I stabilization stage to a phase II finalization stage is key to meet the clinical demands required to treat the stomatognathic neuromuscular system effectively.
During this 2 day hands on session the participants will build on the knowledge of K7 instrumentation that they have learned in Seminar Level 2 and will be introduced to advanced techniques necessary to establish a physiologic bite recording. Dentists will receive hands on instruction in the use of Jaw Tracking instrumentation and the use of TENS to locate and prove a bite repeatably. In addition the program will teach procedures and techniques to use in addition to instrumentation necessary for a dynamic relational study of the teeth and TM Joints. The objective is to help dentists become capable of making dependable, comprehensive, three-dimensional dentognathic diagnosis and manage these functional and aesthetic problems prior finalizing a treatment.
- Help dentists become capable in making dependable, comprehensive, three-dimensional dentognathic diagnosis before treating functional and aesthetic problems.
- “Mandibular Positioning"
- Stabilizing the neuromuscular system with a lower anatomical orthosis
- Understanding the differences between various occlusal schemes of cervical problems to anterior open bite conditions.
- Communicating an overall treatment plan to effectively manage the orthosis through its transitioning phases from phase I stabilization stage to a phase II finalization stage.
- Establishing the Optimal Physiologic Bite, understanding NM trajectory
- Step by step instruction as to what to do and how to do it will be crucial to any treatment prior to any comprehensive tooth preparation in order to avoid mishaps.
- Techniques in taking a NM bite with TENS
- “Fox Plane”-to do or not to do; that is the question!
- Mounting the maxillary casts and mandibular casts physiologically
- Implementing the lower anatomical NM orthosis for 4 different types of clinical problems - Cervical problems, Primary TMJ disorders, Class II div. 2 and anterior open bites
- Enhance your clinical skills and abilities to refine the bite.
- Introduction to Micro Occlusion (Coronoplasty) - Rules of adjusting the bite.
- Establishing a treatment plan and sequencing steps
- Visualizing the process
- Orthosis delivery-what now?
- Converting a case from orthosis to reconstruction
- How to establish a proven physiologic bite
- Receive hands on instruction in the use of Jaw Tracking instrumentation and the use of TENS to locate and prove a bite repeatably.
- How to implement the K7-Jaw Tracking to optimize the bite.
- How to resolve clicking and popping and how to interpret
computerized mandibular scanning (CMS) and electrosonographic data (ESG).
- Procedures with electronic instrumentation to bring to light the dynamic relational study of the teeth, TM Joints and muscles.
- How to clinically analyze the maxillo-mandibular casts relationships "PHYSIOLOGICALLY".
- How to orient the maxillary cast for proper smile design and assessment with the lab
- How to take a proper FOX Plane record
- How to mount the maxillary cast using the OPI index
- How to determine when not to equilibrate or adjust the occlusion
- Specific records to communicate with the laboratory technician
- Converting a NM bite economically
"I am so glad that I came to Level 3 instead of starting out at Level 5. It ranks as one of the best lecture I have attended and cleared up much of my confusion in NM. Level 3 really is the foundation of NM understanding as it piece together all the clinical things that we all see daily with the academic aspect of NM that we all must know.... I was quite lost as I knew NM in clusters of knowledge, not knowing how to link them together. Clayton in Level 3 really puts it in perspective and not only that, went into details of many scans and treatment angles of cases that presents themselves in our practice. The cool part is that now I know what I am seeing in my scans, why they look that way and then what to do if certain symptoms do not resolve! Understanding the 4 different types of occlusal dysfunction! " - Dr. Jerry E.Y Lim, BDS(Singapore), FRACDS(Australia)
"I am amazed at what I learn each time I attend a new course. Clayton revealed another very insightful piece of the Scan 4/5 puzzle yesterday. The interesting part is that it is something that we all have seen but no one has ever picked up on. And it makes perfect sense as well as differentiating Primary TMD from Cervical issues. The course was typical of what I expect from OC; full of information deleivered in a very relaxed style and plenty of good thoughtful Q&A." - Chris Mohler, DDS, LLC, Beaufort, SC
"A lot of valuable information that aI was not aware of before. I feel more confident treating difficult cases. Dr. Chan is very knowledgable and extremely capable teacher. I am very happy with the quality of handouts and my opportunity to participate in the hands-on portion of the course. The schedule of the courses is very convenient, and cost effective for our needs. The facility, A/V amd food were great. I was very satisfied with the staff, support and guidance." - Michael Nemec, B.Sc., D.D.S., Novia Scotia, Canada
"I just wanted to take a moment and express my sincere gratitude to both of you for having me at the course. It was a very powerful and solid presentation in the company of a fervent and intelligent group of colleagues and friends. I feel that I now have a much broader knowledge of the instrumentation and the practical aspect of taking and confirming the correct Physiologic bite. It was enormously helpful, Dr. Chan, to observe you taking so many bites and understanding your thought processes. Thank you for all the tidbits and insightful information you shared." - Maryam Douraghy D.M.D., Sharon, MA
"After 2 years away from Neuromuscular, CE, this course was exactly what I needed. Clayton has an engaging style and the small classroom size was very unthreathening and really learning the 'Optimized Bite' has helped me truly understand the nuiances of neuromuscular dentistry. To truly appreciate the refinement of the neuromuscular bite, attendance and Clayton Chan's course is a must!" - Erik S. Bradley, DDS, Wilmington, Delaware.