SPG Webinar: Management of The Worn Dentition

Presenters: Dr Ben Lee, Dr Johnson Chou & Dr Agnes Lai Within the aging population in our fast paced society, presence of the worn dentition is becoming more prevalent in our daily practice. The cause for tooth surface loss can be multifactorial and failure of previous dental management are often common. Hence accurate diagnosis of the root cause of tooth surface loss is critical to the longevity of our treatment. As full mouth rehabilitation often involve a large number of treatment considerations and can be successfully carried out with different methods, this presentation aims to discuss the various methods used and clinical tips on how to achieve a more predictable outcome. Topics covered include: · Treatment planning with the end goal in mind · Diagnosis and management of common causes for the worn dentition, including: attrition, erosion and abrasion. · Common methods used to carry out full arch rehabilitation, including injectable composite technique · What is Dahl concept and when to utilise this for the anterior worn dentition? · How to increase occlusal vertical dimension? · What is the ideal occlusal scheme? Timestamps: 00:00 - Start 1. 3:33 - Topic introduction 2. 10:33 - Attrition: bruxism 3. 17:22 - Attrition: teeth vs teeth 4. 32:37 - Attrition: teeth vs dental material 5. 40:25 - Abrasion 6. 52:56 - Erosion – intrinsic 7. 54:59 - Dahl concept 8. 1:05:58 - Erosion – extrinsic 9. 1:11:32 - Erosion – salivary factors 10. 1:18:06 - Erosion – dietary 11. 1:28:07 - Where do I start? 12. 1:32:48 - ACP - Class I 13. 1:37:54 - ACP - Class II 14. 1:42:25 - Flowable composite – injectable technique 15. 1:46:58 - ACP - Class III 16. 1:56:52 - ACP - Class IV 17. 2:03:35 - Q&A