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                                     John N. Nasedkin, D.D.S., F.R.C.D.(C), F.A.D.M.

Certified Specialist in Prosthetic Dentistry
Vancouver B.C., Canada V6Z-2L4
Tel. 604-682-8801  Fax 604-688-8607
 E-mail -  jnasedkin@telus.net

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:

TREATMENT PLANNING AND REHABILITATION:
Based on Integrating Aesthetics with Occlusion and the T. M. Joint.

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.