Dr. Terry E. Donovan

COURSE SYNOPSIS

The number of patients presenting to dental offices with excessive loss of tooth structure is clearly increasing. This loss of tooth structure is often multi-factorial, and all potential etiologies of the wear must be considered before tackling extensive rehabilitative procedures. This presentation will analyze the various causes of tooth structure loss and present strategies to prevent further loss as well as reconstructive procedures to replace lost tooth structure. Topics to be discussed include:

• The relative roles of chemical erosion and bruxism in patients with excessive loss of tooth structure.
• The diagnosis, treatment and prevention of dental erosion.
• Intrinsic versus extrinsic erosion.
• The etiology and management of bruxism.
• The controversy surrounding occlusal vertical dimension.
• Materials considerations for restoration of the worn dentition.
• Abfraction: Fact or fiction.
• Treatment recommendations for non-carious cervical lesions.
• A Critical analysis of current all-ceramic alternatives to PFM.
• Prevention and management of root caries.
• Case presentations.

LEARNING OBJECTIVES

On completion of this course participants will be able to:

• Recognize the clinical signs of chemical erosion at an early stage and implement the appropriate preventive strategies.
• Understand the etiology and treatment options for bruxism.
• Know when and how to open the vertical dimension of occlusion for patients exhibiting extreme wear.
• Understand the multifactorial etiology of non-carious cervical lesions and options for treatment when indicated.
• Understand the complex multidisciplinary procedures that often must be utilized when treating patients with worn dentitions.
• Choose the optimum ceramic system to meet the needs of patients in specific clinical situations.

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