THE PHYSIOLOGICALLY DRIVEN TREATMENT SYSTEM “101”
Course Summary: The Physiologically Driven Treatment System is a philosophy and set of unique processes and tools for evaluating and treating patients to restore function, comfort, and esthetics. It is intended to bridge the gap between pure functional/occlusal treatment and restorative esthetic treatment. The Physiologically Driven Treatment System includes processes for evaluating and treating patients functionally, restoratively, and esthetically as ideally and conservatively as possible. It is designed to introduce these processes and tools and demonstrate how they may benefit each individual participant’s practice. This one-day course is an overview of this system and is intended for any dentist wanting to take their restorative, esthetic, or occlusal treatment to a new level. Hands on training to implement the Physiologically Driven Treatment System is provided in the Fundamental Skills Series curriculum (described below)
THE PHYSIOLOGICALLY DRIVEN TREATMENT SYSTEM: Fundamental Skills Series
Course Summary: The Fundamental Skills Series of courses teaches the concepts and skills needed to implement the Physiologically Driven Treatment System. As a result of taking this series, you should be able to evaluate and treat most functional, restorative, and esthetic problems with confidence. Each course in this series is designed to achieve every participant’s goal of “Turning Information into Realization”. The Ancient Chinese Philosopher Confucius wrote, “To hear is to forget. To see is to remember. To do is to understand”. Dr. Hegyi believes these words to be true, so each course in the Fundamental Skills Series is designed to not only teach you concepts, but to give you hands-on clinical experience. In addition, each instructor is committed to doing everything possible to ensure that you leave with a level of understanding that will allow you to incorporate what you have learned into your practices.
We believe you’ll appreciate the experience. We know your patients will value the difference.
FUNDAMENTAL SKILLS I: Fundamental Skills of Biomechanical Evaluation and Treatment Planning
Course Summary: This two-day course is NOT just another occlusion course. Rather, Course I is the first in a series of courses introducing you to Dr. Karl Hegyi’s Physiologically Driven Treatment System (PDTS) of patient care. This is a unique system that includes the DATA (Diagnosis And Treatment Assisting) Appliance, the Integrated Classification System, and development of a Stable Biomechanical Platform. Whether your patient has only biomechanical problems, or complex restorative and esthetic needs, this system is intended to simplify the process of evaluating and treating your patients with highly predictable results.
Understanding the PDTS must begin with an understanding of the Integrated Classification System and DATA Appliance and how they work together to guide patient evaluation and treatment. In Course I, you will do this by first learning about each element of the Integrated Classification System (TM-Joint Stability, the Functional Occlusion, and Parafunctional Activity) and how they determine which type(s) of treatment is biomechanically correct for your patient. Next, you will learn how to seat and use the DATA Appliance to evaluate each element of the Integrated Classification System to determine if definitive occlusal, restorative, or esthetic treatments are biomechanically appropriate for your patient. You will then use the DATA Appliance to locate, record, and verify the physiologic position of the mandible (PSCP/CR), and precisely mount accurate patient casts in this relationship on a semi adjustable articulator. Finally, you will be introduced to the process of diagnostically evaluating these mounted casts and planning treatment to restore biomechanical harmony and stability.
FUNDAMENTAL SKILLS II: Fundamental Skills of RedAddibration
Course Summary: The two-day Course II is the second in a series of courses teaching comprehensive functional, restorative, and esthetic treatment based on the Physiologically Driven Treatment System of patient care. In Course II, you refine your diagnostic and treatment planning skills, improving your ability to select patients that can benefit from definitive occlusal treatment using Reductive and Conservative Additive Reshaping (RedAddibration). You then learn the clinical skills needed to perform RedAddibration in your office by providing this treatment on a live patient. With RedAddibration complete, a Stable Biomechanical Foundation is created.
Virtually everyone who has learned these skills agrees that RedAddibration treatment, and creation of a Stable Biomechanical Foundation, is one of the most valuable services they provide their patients. RedAddibration can also be one of the most profitable procedures for your practice. Creating this foundation not only assures patient comfort, but it may also serve as a platform upon which ideal esthetic and functional design can be effectively developed and delivered. As a result of taking this course, we want you to gain the confidence to go back to your practices and provide RedAddibration treatment for your patients.
FUNDAMENTAL SKILLS III: Fundamental Skills of Restorative and Esthetic Treatment on a Stable Biomechanical Foundation
Course Summary: The two-day Course III is the third in a series of courses teaching comprehensive functional, restorative, and esthetic treatment based on the Physiologically Driven Treatment System of patient care. It focuses on treatment for patients who have restorative and/or esthetic concerns in addition to biomechanical issues. Courses I and II were concerned primarily with the biomechanical considerations of developing a Stable Biomechanical Foundation, without significant attention to Restorative and Esthetic needs. In Course III, restorative and esthetic considerations take center stage along with function to assure ideal restorative and esthetic outcomes.
You first learn a logical process for developing a Stable Biomechanical Foundation at a Vertical Dimension of Occlusion that is consistent with ideal functional, restorative, and esthetic results. You then learn how to develop this Stable Biomechanical Foundation in a provisional manner that represents the ideal final functional and esthetic design and dimension. This process also allows final restorations to be completed immediately or be phased over long periods of time without compromise to esthetics or function. The option of long term phasing represents a tremendous advantage for both you and your patients by making extensive reconstructive treatment affordable to a much greater number of individuals.
Finally, in Course III you will learn how to work together with your laboratory technician on the design and fabrication of restorations that achieve ideal esthetics and function on the Stable Biomechanical Foundation. With the completion of course III, you will have beenshown a way of providing dentistry that truly looks better, feels better, and lasts longer.
THE BIOLOGY AND PHYSICS OF OCCLUSION ON DENTAL IMPLANTS *
Course Summary: Biomechanical factors are critical in the long-term success or failure of dental implants. However, there is more to understanding how to control these factors than simply knowing how to use an articulator and occlusal marking media. First, the dentist must understand the biologic principles of occlusion on the natural dentition. Then, differences between natural teeth and dental implants, and how these differences affect occlusal design, must be understood. This two hour presentation is intended to help dentists better understand these principles with proven concepts and methods.
The biologic principles of occlusion are an integral part of the “Physiologically Driven Treatment System”. The Physiologically Driven Treatment System is a comprehensive system of patient evaluation and treatment involving biomechanical factors. It considers the implications of the TM-Joints, the Functional Occlusion, and Parafunctional Activity on all parts of the Masticatory System, including the dentition (as well as dental implants). Only when these principles are understood can a dentist understand how to manage the occlusion or biomechanical loading on either natural teeth or dental implants.
However, dental implants differ from natural teeth in several critical ways resulting in implants being far less adaptable or forgiving to occlusal forces than natural teeth. Therefore the dentist must also use strategies to reduce biomechanical loading on implants as well as maximizing implant survivability with any load.
SOFT TISSUE & BIOMECHANICAL CONSIDERATIONS FOR DENTAL IMPLANTS*: Esthetic, Functional, Healthy, Long Lasting, and Fun
Course Summary: A pretty smile that is functionally unsound is destined to failure. A functionally sound treatment that is unattractive leaves both the dentist and patient wanting for more. Only when ideal function and esthetics are achieved together should treatment be considered successful. This involves the skillful management of both soft tissue and biomechanical factors.
This full day course is designed to provide a comprehensive overview and demonstration of many proven techniques that will improve your management of soft tissue and biomechanical factors on your implant (as well as other) treatment. From bite registration and parafunction control to implant impression methods and proper abutment and restoration choices in the esthetic zone, this presentation is intended to provide both concepts and clinical methods that you can implement immediately when you return to your office.
DENTAL IMPLANT IMPRESSIONS: METHODS AND IMPLICATIONS *
Course Summary: Dental implant impression methods have a profound affect on both treatment efficiency and outcome. While there are multiple methods of making dental implant impressions, unlike with conventional crown and bridge impressions, these methods affect more than just the accuracy of registration. They also affect overall doctor time and stress as well as implant abutment and restoration options.
This two-hour presentation describes the various methods of making dental implant impressions and the indications and limitations of each. Currently, the open tray fixture level method represents the gold standard for dental implant impressions – especially when multiple splinted implants are involved. Therefore, a simplified and efficient technique for doing this will be demonstrated. Finally, there will be a discussion of abutment and crown type selection based upon impression method, and patient anatomic, biomechanic, and esthetic considerations.
IMPLANT REHABILITATION OF THE FULLY EDENTULOUS ARCH *
Course Summary: Quattro treatment involves the immediate load fixed hybrid restoration of the fully edentulous arch with four implants. Typically, this treatment is limited to a prosthodontist/surgeon team or “specialty clinics”. This is largely due to unnecessarily complicated methods conventionally associated with Quattro treatment. As a result, many patients are denied the advantages of this wonderful treatment option and many dentists and laboratories denied the generous revenue it produces.
While other treatment options are described, the primary purpose of this full day presentation is to demonstrate a simplified team oriented approach to restoring the fully edentulous arch with the Quattro restoration. By doing so, it is our intention is to make this treatment comfortable for general dentists to offer their patients. Keys to achieving this are simplification of clinical methods and expanded utilization of a laboratory technician. This presentation is given with participation from each part of the treating team (Dr. Michael Morgan – surgery, Dr. Karl Hegyi – restorative/prosthodontic, and Mr. James Angelone – laboratory). For those interested in implementing these methods, hands-on courses designed to train the entire team are currently being planned.