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The 2020 MDA Annual Session will be held April 29 - May 2 at DeVos Place in downtown Grand Rapids. Course information and registration for Dr. Frank Spear is available now. The remaining schedule information for the 2020 Annual Session will appear here later this year. Please check back again.

Interdisciplinary Treatment Planning in Patients with Complex Dental Problems involving Esthetics and Function

Speaker: Frank Spear, DDS, MSD
Time: 8:30 a.m. – 5 p.m. (2 1/2-hour break)
Where: DeVos Place
Fee: $350/Member DDS and Staff; $450/Nonemember DDS
Seating Limit: 800
Target Audience: Dentists, Hygienists, Assistants

Frank Spear Registration ›

Patients with significant tooth wear, aberrant occlusal relationships, jaw joint issues, or airway concerns, present clinicians with some of our greatest challenges, both Esthetically and Functionally. The relationship of the maxilla to mandible that must be used, the number of teeth needing treatment, whether vertical dimension needs to be altered, the risk of future wear and failure, are just some of the many questions that we must address when managing these complex patients. In addition wear patients present structural challenges with regards to the restoration of sometimes extremely short teeth. This presentation will focus on a systematic approach to treatment planning following a step-by-step approach to manage patients with complex problems. This program will also address the etiologies of wear, focusing specifically on the multiple and different presentations of erosion and attrition, and how to differentiate the risk factors and prognosis for treating each. A special emphasis will be placed on how to phase a patient’s treatment over time with the use of bonded composite. In addition, the different occlusal schemes that need to be considered for specific functional issues will be addressed. All will be illustrated with multiple patient examples.

Learning Objectives:

  • Identify the most common changes that occur in patients with tooth wear, specifically alterations in tooth position, such as a loss of vertical dimension, or eruption of the worn teeth without any alteration of vertical dimension, and how to identify each.
  • How to logically organize the treatment plan of a patient with significant Esthetic or Functional problems to get an excellent result.
  • When and how to alter vertical dimension in patients, with a special emphasis on the use of bonded composite in phasing the treatment.
  • The role of orthodontics and crown lengthening in patients who have had secondary eruption following tooth wear, and how to decide which treatment option is most appropriate.
  • How to recognize the wear produced by different types of erosive processes, and how they affect the prognosis of future treatment.
  • How to recognize the different patterns of attrition, and what they mean for the prognosis of treatment.
  • What the occlusion looks like to increase the future prognosis when treating patients with Esthetic and Functional problems, including tooth wear.
  • What it looks like to consider treating young patients with tooth wear early, increasing the possibility of reducing the progression of wear on the natural teeth.

Co-sponsored by MDA Insurance and MDA Services.