Gnathology 3.0: Aesthetic, function and long-term stability

The plan for the treatment of complex dysfunctional and non-dysfunctional cases requires an interdisciplinary approach that involves the most common branches of dentistry and an orthodontic, prosthetic approach respecting a functional-occlusal concept according to the philosophy of Professor Slavicek and Professor Sato.

This type of approach today is essential because of the growing number of cases with severe dental destructions (worn dentition).

The cephalometric tracing allows the variation of the vertical dimension and the occlusal plane individually.

The possibility to change the vertical dimension predictably decreases the invasivity of the treatment by avoiding or reducing surgery, endodontics, and dental preparations.

At the same time, the new vertical dimension gives sufficient space between the two arches that guarantees mechanical resistance to reconstruction materials.

The pre-therapy with an occlusal splint or with diagnostic temporary allows the Algic symptomatology to be resolved and to test the therapeutic position.

The subsequent orthodontic therapy using Sato's MEAW philosophy allows for the spaces of the missing teeth to be reopened, the vertical dimension to be increased, the inclination of the occlusal plane to be corrected and the mandible to be repositioned three-dimensionally.

Implant therapy will allow you to have the back support, the control of the vertical dimension, and to guide the mandible in a sagittal and traversal reposition (3D).

OMRT Technique Bassetti: proceed and verify the therapeutic position by reassembling the temporary crowns in the articulator and valuate the R.P. (reference position) and any corrections to be made on the resin to reach the Therapeutic Position (TP).

We can say that the position of the implants, the consequent bone tissue management, and the subsequent prosthetic reconstructions are gnathological guided.

The control of the vertical dimension and the individual inclination of the occlusal plane allow the three-dimensional repositioning of the mandible in the Therapeutic Position (TP).

The Bruxchecker highlighted an occlusion that respected the occlusal concept of Slavicek and was able to control the parafunction (BRUXISM).

This type of approach is shown important for the long-term stability of complex rehabilitations.

Key points:

– Reduction and control of the therapeutic risk

– Diagnostic steps

– Signs and symptoms of disfunction

– Aesthetics of the face

– Variation of the vertical dimension

– RP or TRP concept of mandibular reposition

– Slavicek occlusal concepts and wax up

– Occlusal plane control

– Digital functional smile design (DFSD)

– Occlusal mandibular reposition technique OMRT Bassetti

– Therapeutic temporary

– Pre-prosthodontic orthodontics

– Clinical cases.