FREE Erosion Case Study Webinar With Dr. Stephen Phelan
How To Restore A Patient With Severe Erosion 
This webinar will feature a detailed step-by-step case study for a patient with severe erosion treated with a partial rehabilitation by Dr. Stephen Phelan.

This webinar will teach you how to grow your dental practice by helping more of the moderate to severe tooth wear patients you've been avoiding
CE credits will not be given with this webinar. Please only register for this webinar if you are a Dentist or Dental Professional. This is a clinical training specifically for Dentists and Dental Professionals only. By clicking this button, you submit your information to the seminar organizer, who will use it to communicate with you regarding this event and their other services.
During This Webinar You Will Learn:
  • 1. Where to start your analysis when a severe wear patient presents into your dental practice. I have a system for this that will help to clarify the confusion surrounding helping these patients.
  • 2. How to identify the risks involved with wear patients. Both risk of treatment and the risk of doing nothing.  
  • 3. How to design and test a new occlusion for these patients. What happens if they cannot tolerate this new Occlusion Design?
  • 4. How to manage muscle forces with a wear patient so you can achieve longevity with their restorations.
  • 5. How to choose the best restoration design for individual teeth in an erosion or attrition patient? Should you choose crowns, onlays, veneers, occlusal veneers or veneer crowns. 

One concern many of my students have when they start doing more comprehensive dentistry is being able to take accurate records and to produce accurate mounted study models. 
This is a very legitimate concern because accurate records are the foundation for the case going forward. In Module 1 of Occlusion Design I teach in detail the systems for completing these records and one of the foundations I have created is 2 sets of mounted study models for each of my cases.
There are a couple of excellent reasons to create 2 sets of mounted study models for your cases. One reason is to have one set to treatment plan, trial equilibrate or even complete the diagnostic wax-up while keeping the second set intact as the pre-treatment reference. 
Keeping a pre-treatment reference set of mounted study models is important for medical legal purposes for comprehensive cases. These pre-treatment reference study models can also help you if the changes you made in the diagnostic wax-up are not successful when transferred to the provisional restorations. 
What if you decide to complete an upper arch of crowns and open the VDO and the patient has muscle pain and feels locked in by the provisional restorations? It is valuable to have the mounted pre-treatment reference study models to compare to the provisional models and see what may be causing this issue. 
It could be the envelope of function is too tight? It could be the angle of guidance is too steep? 
Having the mounted pre-treatment reference study models to compare to the provisional models will help you answer these questions and develop a solution.
Another reason to create 2 sets of mounted study models for your cases is to answer the question I hear from students all the time- “What should I do if my mounted study models do not match what I saw in the patients mouth?”
Having 2 sets of study models helps to identify if you have reproducible records with your patients.

Ideally both of your 2 sets of mounted models match each other and match what you recorded in the patients mouth during the diagnostic records. In this case I feel confident to proceed to the next phase of treatment which may be a trial equilibration or the diagnostic wax-up. 
What happens when your mounted study models do not match what you saw in the patients mouth? 
This can be a problem. I had this happen for one of my cases recently. 
The patient had severe erosion with no room for restorative material and I was planning to open the vertical dimension. 
I needed accurate mounted models but my models did not match.
I shared this case during my new webinar and what I decided to do was deprogram the patient and take new bite records and create two new sets of mounted models. 
This worked out very well and I was able to move forward with the case in a predictable manner.
During my new webinar I shared a video clip filmed with my microscope showing how I take the bite records with the deprogrammer. 
During this video I also taught the technique I use to record and verify the PIC [Point of initial contact] using ShimStock. 

If you are interested in this topic and would like to see my deprogrammer bite record video, click the register now button and select a time to attend this webinar while it is still available. 

This webinar will feature a detailed new case study for a patient with severe erosion I treated with a partial rehabilitation
About Dr Stephen Phelan
Dr. Stephen Phelan is the founder of Phelan Dental Seminars. 

Stephen has a dental practice in Oakville, Ontario where he uses the techniques that are taught in his seminars daily to treat his patients. The focus of his clinical practice is cosmetic, implant and rehabilitation dentistry. He is very passionate about dental education and has spent hundreds of hours training with some of the best dental educators in the world including Drs. John Kois, Frank Spear, Peter Dawson, Dennis Tarnow, Daniel Buser, Jimmy Eubank, Jeff Morley, Bill Strupp, Otto Zhur, Marc Hurzeler and Pascal Magne. Dr. Phelan is the creator of the Porcelain Veneer Masterclass, Core Build-Up Masterclass,  Occlusion Design and Velocity Elite online training programs for dentists.