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MISSION OAGD LEADERS 2009 - 2010 Contact the OAGD
Webfellows
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OCCLUSION WITHOUT CONFUSIONPresented by Dr. Alberto Ambard et al
INTRODUCTION For most practitioners, occlusion remains as the most difficult subject in dentistry. The confusion starts early in dental school where instructors pass their own dogmas without presenting a comprehensive academic experience to the students. At graduation, practitioners may narrow their understanding further by attending commercial institutes limited to one particular philosophy and a mechanical step-by-step solution for “all patients”. In the era of evidence-based dentistry it is necessary to approach occlusion from a scientific and not from a dogmatic perspective, yet, quality data to support any particular philosophy is lacking. This course promises an open-minded look at occlusion with emphasis on the biological aspect of occlusion as opposed to the mechanical step-by-step approach often seen in other courses.
COURSE DESCRIPTION This course is a combination of lectures, workshops and open but guided discussion. A maximum of 15 participants per year will allow an intensive educational experience. The course will focus on the basic understanding of occlusion, its implication in all other aspects of dentistry and the overall health of head and neck system. In terms of clinical practice, the course will have an emphasis on the application of this basic knowledge in everyday diagnosis, treatment planning and dental therapy. The course is divided in four sessions as follows:
Session 1Lecture: Introduction to occlusion. The ABCs (Ambard) - A critique to current popular philosophies (Pankey, Neuromuscular, Bioesthetics, Gnathology) - ABCs (Centric relation, myocentric, anterior guidance, vertical dimension, neutral zone, Bennett movements) - Not everybody has a class I occlusion! (class I, class II and class III) Workshop: Comprehensive occlusal examination. Participants will perform exams on each other
Session 2 Lecture: Pathologies associated with occlusion (Ambard) - Occlusion and TMD (a scientific approach to TMD, discovering TMD in a general setting) - Traumatic occlusion and its consequences - Sleep apnea and snoring Workshop: Equilibration, Appliances for TMD. Participants will equilibrate in mounted models and will adjust appliances according to clinical scenario of pt and not according to a philosophy.
Session 3 Lecture: Occlusion and clinical dentistry (fixed, implants and RPD) (Ambard) - Occlusion in fixed, combination fixed-remo cases and full mouth cases - Implant occlusion - Understanding articulators - Treatment planning with occlusion in mind Workshop: Treatment planning. Participants will form groups to treatment plan assorted selected cases for educational purposes, including full mouth reconstructions.
Session 4 Lecture: Occlusion and clinical dentistry (cont…) - Occlusion and complete dentures (El-Ebrashi) - Communication with your laboratory (Monetti) - Pathways of occlusion, Neurophysiologic basis for optimal occlusion (Levy) Open discussion - Participants will engage on open discussion along with all four speakers
OBJECTIVES At the end of this course the participant will:
$395 per day ($1580) 32 hours participation credit Fridays OHSU – March 6; April 17; May 8,; June 14 2009
SPEAKERS Alberto Ambard maintains a practice limited to prosthodontics in Beaverton, OR. He completed his dental school in Caracas, Venezuela and his prosthodontic residency at The University of Alabama at Birmingham in 2001, where he also obtained a Master’s degree. He also completed a maxillofacial prosthetics fellowship at The University of Chicago Hospitals in 2002. He has published and lectured in the subjects of occlusion, implants and bulimia.
Sameh El-Ebrashi BDS, MS is a former Professor of Fixed, Removable & Implant Prosthodontics at OHSU. He obtained his degree in Dental Surgery from the University of Newcastle-Upon-Tyne, England in 1993, and completed his specialty training in Prosthodontics and Masters of Science from the University of Michigan in 1998. Dr. El-Ebrashi has an interest in occlusion, fixed-removable prosthetics, with a special emphasis in aesthetics and ceramics. He currently has a private practice limited to Implants and Prosthodontics, and is a Diplomate with the American Board of Oral Implant Dentistry.
Dr Levy maintains a private dental practice in Portland, Oregon. His practice focuses on occlusion, restorative dentistry and temporomandibular disorders. He received a bachelor’s degree in Mechanical Engineering from Union College, a dental degree from New York University, where he served on the faculty, and a Certificate of Training in Human Investigations from the School of Medicine at Oregon Health & Science University. He served on the faculty at OHSU where he completed a two-year postdoctoral fellowship in neurophysiology. At OHSU, Dr. Levy's sensory-physiology research program explored the mechanosensory mechanisms that underlay mastication.
Luciano Monetti, CDT, started his dental technology career in Italy. In 1961 he came to Portland, Oregon and went to work at a large lab. After 11 years working as a ceramist, and subsequently managing the ceramic and gold departments, he then became the liasion between doctors and laboratory. In 1973 he started his own laboratory (Artisan Dental Laboratory). This laboratory grew to 75 technicians in a short time. In 1975 he started teaching in the Restorative Department at OHSU School of Dentistry where he is still currently teaching. He served as President of the Oregon Association of Dental Laboratories. He has lectured nationally and internationally. He has been a member of the American Prostodontic Society and has also served on various national committees including ADA, Counsel of Dental Education.
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