STEP Academy | FUN FUNCTION – Milan
FUN FUNCTION is a 2 day course conceived to bring back pleasure when thinking about Gnathology, especially while treating dysfunctional patients.
How many times we have said to patients “go home and you will adapt to it?” Are the patient always capable to adapt?Instead of imposing the same occlusal scheme to all them, FUNFUNCTION considers EACH PATIENT unique, and proposes a customised analysis of their function before and during the therapy. Thanks to the observation of the DYNAMIC aspects of the occlusion (e.g. chewing), and thanks to the ADDITIVE character of the 3 STEP, a real REHABILITATION and not only a reconstruction can be proposed to the dysfunctional patients as a TEST drive where diagnosis and therapy fuse together (e.g. theragnostic).
November, Friday 29th
- Understand that the 3STEP is more than a simple technique. It is protocol and a guide to know better each patient before starting with final restorations
- Identify the different errors during the reconstruction of a dentition of a patient who was not correctly diagnosed and rehabilitated
review the 5 points:
- How to articulate the models?
- How much give to the maxillary arch?
- How much to increase the VDO?
- How to distribute the posterior space?
- Which type of white bite?
In a complex panorama about function, analysing a patient may become very complex and expensive. Can a functional diagnosis be done also in a simplified, but still efficient manner, to be really used everyday? This is the aim of Dr. Vailati’s work. In this project, Dr. Pedro Planas’ ideas are perfect, adding value to particular topic such as physiologic ageing and tooth wear.
In modern time, esthetic has gained more space in the treatment plan than function. However, planning a full-mouth rehabilitation only based on esthetic requests could be very risky. The risk of worsening deep bite (and compromising patient’s function), while rejuvenating the patient’s smile is very common. Three different phases in treatment planning can be identified, based on the different parameters considered important by each clinician during the therapy. Dentists are in phase 1 of their professional life when they consider that the most important function of the mouth is smiling. This attitude is very dangerous, since it increases the risks of restoration failure.
A simplified approach to achieve a rehabilitation, which doesn’t only look esthetic, but also functions well is derived from the clinical observations of Dr. Pedro Planas. His ideas have been fully integrated in the work of Dr. Vailati to improve the comfort of the patient and the longevity of the restorations.
Thanks to his work, dentists can learn how to analyse the movements of the mouth and determine if they are physiologic or pathological.
The development of the condyles, mandible and maxilla will be considered and information on how a dentition should age will be given.
- Learn about the movements of the jaw
- Learn Planas’ laws on the development of the mouth
- Learn the potential risks of a deep bite
- Define how a dentition should age
- Decide to design the smile using an intelligent esthetic
November, Saturday 30th
When restoring patients, clinician hope that they will adapt to the new function in a manner which will guarantee the longevity of the restorations. In case of worn down dentition, however, patient present with a chaotic way of chewing and parafuncitonal habits. A classic way of checking occlusion may not be sufficient. Dr. Vailati has implement in her office the use of a simple chewing gum (the G test). With a not anesthetised patient, sitted upright on the dental chair, clinician can better identify potential interferences during function, before starting the rehabilitation. The mouth does not open and close in a static manner. Dynamic movements are the hardest to identify and patient’s collaboration is essential. With a simple gum, patients will be classified as horizontal, vertical or horiverti. Thanks to the gum, noises during chewing of restorations banging to each other could be perceived and eliminated.Occlusal adjustments will be done analysing the real muscular function of each patient to achieve at the end their comfort. Patients should not adapt to the restorations, because often this set the restorations to failure.
- Learn how to do a G test
- Classify the way of chewing of the patients
- Evaluate the clinical conditions where the VDO increase could be problematic, because not stable
- Help clinicians in collecting the correct data before starting any treatment
- Give an idea of the clinical parameters to look, when meeting a patient on the first consultation