• "A successful full-mouth reconstruction requires careful consideration of the joints and muscles."

    - Dr. Martha Rich

Prosthetic Reconstruction for
Restoring Vertical Dimension

For Dental Professionals

In Prosthetic Reconstruction for Restoring Vertical Dimension, Dr. Rich explains all aspects of Phase II full-mouth reconstructive treatment for patients who have stabilized through Phase I but remain unable to wean away from full-time use of the orthotic. Utilizing numerous case studies from her own practice, as well as in-class demonstrations, Dr. Rich will show you how to build upon the healing achieved through Phase I treatment, and help you understand how to plan and perform a full-mouth reconstruction that will protect and maintain the healing and stabilization already achieved in Phase I TMD treatment.

Participants in Prosthetic Reconstruction for Restoring Vertical Dimension should have completed Advanced TMD Treatment prior to registering for this course, or have prior experience with TMD stabilization and electronic jaw scanning. An understanding of the preparation and bonding techniques required to perform a full-mouth reconstruction is also required, as this course focuses exclusively on adapting advanced restorative techniques to a neuromuscular perspective. Please contact Dr. Rich directly through the Contact Page if you have any questions about which course or series may be appropriate for you.

Presentation Formats:

Standard Course:         2 days
Custom Course:            Please contact Dr. Rich through the Contact Page for more information.

Day 1:

Evaluation & Treatment Planning:

    • Diagnostic situations that require FMR or a partial FMR for complete stabilization and healing
    • Cases where orthodontic expansion is advised before proceeding to FMR
    • What’s different about a neuromuscular wax-up it and how to find a lab that will do one correctly
    • Why preparing your patient for what to expect before, during, and after FMR can help you both make the best and most successful treatment choices together
    • The best way to break up treatment in order to maintain the stability provided by the orthotic even when the temporaries are in place

Day 2:

Preparation, Temporaries, Seating, and Finishing:

    • The neuromuscular techniques that should be included in every preparation appointment and how much time to allot for them
    • Making temporaries your patient will want to keep
    • Seating and equilibration from a neuromuscular perspective
    • Common transitional issues for patients upon completion of FMR
    • How and when to integrate additional therapies such as massage and chiropractic treatment into FMR
    • The importance of final retention and preventive joint protection
    • Restorative alternatives to FMR for patients who cannot afford treatment or who are not stable enough to tolerate permanent changes to the bite