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John N. Nasedkin,
D.D.S., F.R.C.D.(C), F.A.D.M. Certified
Specialist in Prosthetic Dentistry Biographical
Information: Dr.
Nasedkin is a Prosthodontists in Vancouver Canada, who has taught occlusion/tmj
and Esthetics on every continent. He is a past-President of the American
Equilibration Society and a member of the Pacific Coast Society of
Prosthodontists, the American Academy of Cosmetic Dentistry and many prestigious
organizations. He is the co-editor of the book, " Occlusion: The State of the Art". He
is the mentor of the first esthetic study club in
Canada. Program
Outline: This full day course addressed
the proper application of the criteria for an optimum occlusion in the
determination and correction of anterior and lateral guidance loading
patterns. A practice-oriented
guideline based on clinical evidence for long-term success of prosthetic
reconstructions, integrating esthetics, function and occlusion will be
discussed. The laminate experience: Porcelain veneers at 18
years.
In 1984 dentists were mostly
skeptical that slivers of porcelain could be bonded effectively to tooth
structure. This presentation will trace the continuing evolution of this
treatment modality and define the essential elements for clinical success.
Long-term cases will illustrate the effectiveness of veneers in a variety of
treatment situations. The Aesthetic Acceptance
Process: There is a
logical sequence, which leads to the acceptance of multiple all-ceramic
restorations. The psychology of the
patient and an explanation for altered values during the anterior rehabilitation
process is provided. Concepts of
custom as opposed to standard crowns will delineate a method to enhance case
acceptance. Occlusal reintegration within the
envelope of function:
The
rebuilding of collapsed occlusions must be based on sound restorative
principles. An optimum occlusion is
developed from anterior and posterior guidance patterns which are identified and
which are accepted within the chewing system. Bite raising and canine risers on
a trial basis may assist progress to rehabilitation. Specific guidelines for occlusal
adjustment will be identified.
Fixed-removable
combination cases: Reviving a lost
art – the combination case as the reliable alternative to the implant prosthesis
and the clasped partial denture. Most clasped partials are worn in the pocket or the purse. Implant prosthesis are rejected due to cost, lack of bone or other reasons. It is timely to revisit the middle ground, reviewing the principles of fixed crowns in combination with attachment-retained partial dentures. |
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