Introduction

What is Occlusion? Is it the philosophical study of how teeth should come together? Is it learning how to prevent restorations from failing or patients from developing pain? Maybe it is the study of mechanical or electronic diagnostic and treatment devices. Could it possibly be the study of the TMJ or muscles and nerves of the head and neck, or is it possibly the study of getting patients out of pain? The purpose of this residency program is to give you the answers.

From simple restorations to complex reconstructions, from symptomatic to asymptomatic patients, occlusion affects almost everything we do in our practice. Practice success, both financial and personal is built upon sound knowledge and carefully planned execution. Maybe it is time you stopped guessing!

The study of the science and art of "occlusion" and how it affects all aspects of private practice is a complex and diverse subject. It requires a sound foundation in the diagnosis and treatment of the entire stomatognathic system. This includes not only the teeth and TMJ, but also muscles, ligaments, environment, habits, physiology, psychology, and how they all relate. While treatment should be based in sound science, it often is based in clinical experience and modified by technology. Making sound clinical decisions is difficult at best when confronted with diverse clinical approaches, numerous technologies being promoted, and the demands of a clinical practice where treating patients successfully and making a profit are required.

The "Comprehensive Occlusion Residency: Understanding Restorative Function, Techniques, Technology, & Symptom Management" is a unique, one of a kind program that helps clear up the mystery and answers critical questions regarding treatment techniques and technology. No other program offers such a diverse education in this confusing and often controversial topic.

This program is divided into four main components. They are 1.) The Scientific Foundation of Occlusion and Pain management; 2.) The Restorative Occlusal Theories and Clinical Techniques; and 3.) The Technology used in Diagnosis and Treatment plan, and 4.) A Hands-on Experience.

Enrollment in the program is strictly limited in order to assure a high level of interaction between participants and the faculty. The first applications received that qualify for entrance will be accepted into the program. Early application is strongly recommended to avoid disappointment.

Format

This program will consist of 8 hour sessions held on Fridays & Saturdays approximately every 4 weeks for a total of 14 days (112 hours). Each session allows for in-depth coverage of topics. Sessions will be divided into components that will:

1. Cover the pertinent literature
2. Present didactic information (Lectures)
3. Includes symposium style discussions
4. Provide hands-on clinical exposure and experience with materials, equipment and techniques
5. Provide patient treatment experiences based upon individual interests & course requirements.*

*Please Note: Patients treated during clinical sessions will be required to pay a clinical fee for services performed. In general they are 1/3-1/2 private practice fees, to encourage participation. Residents may charge patients higher fees to offset tuition.

Topics

The Scientific Foundation of Occlusion and Symptom Management

Occlusal Disease, Malocclusion: An Update from an Oralfacial Pain/Oral Medicine Perspective

1. What is occlusal disease?
2. TMD disease
3. Disease requirements: definition-criteria, etiology, pathologic mechanism, logical treatment
4. Masticatory muscle physiology
5. Occlusal detection devices/methods: Instruments which examine the occlusion

The Clinical Occlusal Examination

1. Materials and techniques
2. Significance and analysis of findings
3. Diagnostic adjuncts

Demonstration of Complete Examination

1. A demonstration of a complete examination using a computer for record taking on actual patients is used to compliment the lecture portion of the session
2. Complete examples of records

Historical Concepts of Occlusion

1. Comprehensive overview of occlusal philosophies and their genesis
2. What has science proven regarding occlusal philosophies
3. Occlusal interferences: what are their significance?
4. What is the relationship between occlusal interferences and bruxism?
5. Does tooth wear mean the patient is a bruxer?
6. Do all bruxers have tooth wear?

Occlusion and TMD: Are they Related?

1. Common beliefs VS science
2. Comprehensive review of the science and its relationship to TMD
3. Clinical case reviews

Oral Appliances: What are They and Why use Then

1. Stabilizing appliances
2. Partial coverage appliances
3. Repositioning appliances
4. Myocentric & miscellaneous appliances
5. Clicking, arthralgia, osteoarthritis and splints

Oclusal Disorder Treatment: What to do and What Not to do

1. Occlusal restorative therapy
2. Long centric, CR VS CO VS Myocentric
3. Disc position and repositioning
4. Determining jaw position with splints.

CO Splint for Occlusal Therapy

1. CR splint A to Z

Technology used in Diagnosis and Treatment

Diagnostic and Treatment Instrumentation

1. T-Scan occlusal diagnostics
2. Joint vibration analysis
3. EMG instrumentation
4. Electronic jaw tracking devices
5. Neuromuscular technology

Articulation Systems and Accessories: What, When, and How

1. In depth training on 2-3 articulator systems
2. Facebows, why and how
3. Interocclusal registrations made easy
4. Electronic pantographic tracings in 15 minutes
5. Programming an articulator in 2 minutes
6. Esthetic components
7. Functional components

Applying Occlusal Philosophies for Complex Restorative Dentistry

Gnathologic Approach to Restorative Dentistry

1. Centric relation based dentistry
2. Adding precision to dentistry
3. Instrumentation
4. Clinical philosophy and techniques: A to Z
5. Treating the symptomatic patient

Bioesthetic Approach to Restorative Dentistry

1. A unique esthetic and functional approach
2. The significance of anterior guidance
3. Unique facebow
4. Clinical philosophy and techniques: A to Z
5. Treating the symptomatic patient

Neuromuscular Approach to Restorative Dentistry

1. Examine one of the more controversial approaches to dentistry
2. 30+ years and still around!
3. Unique instrumentation
4. Clinical philosophy and techniques: A to Z
5. Treating the symptomatic patient
6. Indications

Hands-on Experience

1. Splint fabrication and delivery
2. Occlusal adjustment theory, technique and clinical experience
3. Mastering articulation systems
4. Hands-on experience with hi-tech diagnostic and treatment technologies
5. Bring in your own cases for diagnosis and treatment assistance

General Topics Covered

1. Demystifying occlusion for the general dentist
2. Mastering clinical procedures in occlusal treatment
3. Diagnosing and treating complex cases
4. Minimizing failures, the key to practice success and well being
5. Making your practice more profitable with an expanded "Comfort Zone"

Faculty

The Residency program faculty will include guest lectures by world-renowned clinicians, technicians, and manufacturers representatives. The goal of the program will be to bring in presenters from various sources to ensure an expert perspective in every subject covered.

1. Bruce J. Crispin DDS, MS: Course Director, is a Fixed Prosthodontist and Diplomat, American Board of Prosthodontics, Accredited Member of the AACD, Professor Emeritus UCLA, and has practiced and taught since 1972.
2. Paul Erwin DDS, Steven Greenman DDS, Basil Gordon DDS: Program Instructors and organizers, all are successful esthetic and restorative dentists with clinical teaching experience at Esthetic Professionals.
3. Guest Lecturers: Dr. Bill Hang, Dr. Glen Clark, Dr. Robert Kerstein, Dr. Terence Lau, Dr. Steven Rose, Dr. Lane Ochi, Jeff Thibadeau, Dr. Barry Hilligan, Jeff Bloomquist, Thomas Lee, Dr. Robert Nishikawa, and Dr. Werner Harumiti Shintaku

Materials and Equipment

A textbook, syllabus, copies of review articles, most expendable materials, models, and some equipment will be supplied. Special discounts will be offered on optional materials and equipment available for purchase by students.

Tuition

$5,880 - Financing options will be available to accommodate individual doctors needs.

3 Payment Option
Deposit 2nd Installment 3rd Installment	$1,960 $1,960 $1,960	Due with application Due November 1st Due January 1st

10 Payment Option

$605.64 per month 1st payment due with registration

SpringStone Financing
	Spring Forward Today! Springstone makes it easy to say YES to continuing education with low monthly payments, no money down, and no payment for 6 weeks.

Refund and Cancellation Policy

A non-refundable deposit of $500 will be accepted to hold a residency position until June 1st of each year. After June 1st, one third (1/3) of total tuition must be received to finalize acceptance into a Residency Program. If a written cancellation is received 45 days or more prior to first day of a Residency Program, a refund or credit will be issued on the first Residency tuition installment, less a 25% processing fee. For withdrawals made less than 45 days prior to the first day of Residency, no refunds will be issued on the first tuition installment. After December 1st of each year, full Residency tuition will be due and no refunds will be issued.

Dates

(Fridays and Saturdays) 112 CE and AGD Credits

The program meets approximately every four weeks, unless otherwise indicated. Any optional dates, or changes in dates, will be arranged with the course participants after the program begins.

Graduation Banquet June 27th