Kois Principles for Digital Planning of Prosthetic and Orthodontic Treatment

Kois Principles for Digital Planning of Prosthetic and Orthodontic Treatment is organized by OHI-S.

Total Lecture Time: 6h 41min

Description:
On the course you will learn how to work in the Kois principle:

Create a perfect Digital Smile design considering:

• dental parameters
• facial driven features
• gingival parameters.

Orthodontic treatment with Clear Aligners according to Digital smile design

Create functional restorations on natural teeth and implants in a digital protocol.

The lecturer, Dr. Tak On Tse Ryan, is a Kois mentor.

Lesson 1. Smile design. Principles and sequence according to the Kois principles. Introductory lesson

– What information is required for the Smile Design? Parameters to be considered for Smile Design

– Lip dynamics and incisal edge position

– Etiology, clinical feature, diagnosis, and treatment of gingival smile

– Tooth proportion measurement tools

– Closed lengthening of the tooth crown with a laser

– Duchenne smile as a tool for the dynamics of the position of the upper lip and the canine exposure determination

– 6 stages of smile planning according to John Kois and Frank Speer

– The rule for assessing the position of the incisors "4\2\2" from Edward McLaren

– Golden Ratio for face proportions estimation

– Landmarks to create an approximal contact between the central incisors

– Phonetic analysis.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Lesson 2.Smile design. Principles and sequence according to the Kois principles

– What information is required for the Smile Design? Parameters to be considered for Smile Design

– Lip dynamics and incisal edge position

– Etiology, clinical feature, diagnosis, and treatment of gingival smile

– Tooth proportion measurement tools

– Closed lengthening of the tooth crown with a laser

– Duchenne smile as a tool for the dynamics of the position of the upper lip and the canine exposure determination

– 6 stages of smile planning according to John Kois and Frank Speer

– The rule for assessing the position of the incisors "4\2\2" from Edward McLaren

– Golden Ratio for face proportions estimation

– Landmarks to create an approximal contact between the central incisors

– Phonetic analysis

– Integration of the midline with the occlusal plane and the interincisal midline on the model. Transferring data to the laboratory

– Algorithm: how to calculate the crown height increase

– Analysis of clinical cases.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Lesson 3. Facial Analysis and Smile Design based on DSD and Kois Principle

– Dental parameters. Fundamental objective criteria

– The position of the gingival zenith and the level of the maxillary frontal teeth

– The rule "50:40:30"

– Factors affecting the shape of the tooth

– Registration and transfer of the midline position to plaster models. Protocol of working with the "Ditramax" device 

– Protocol for working with the John Kois dentofacial analyzer

– Requirements for DSD photography

– Sequential 6 steps of DSD protocol

– Combined use of the Kois dentofacial analyzer and DSD

– Working with the gingival margin level in DSD

– Lengthening of the crown part of the teeth in digital protocol

– VISTA technique and modified fibrin-associated recession closure technique

– The midline of the face. The concept of smooth facial contours

– Determining the shape of the anterior teeth during DSD, taking into account the anthropometric parameters of the patient. Morphopsychology

– Color and optical properties of the teeth

– Lip volume. Assessment of objective parameters and their correction.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Lesson 4. Occlusion Principle in Full mouth rehabilitation under Kois Principle

– Terminology:

- Maximal intercuspal position (MIP)

- Central relation (CR)

- Vertical dimension of occlusion (VDO).

– Gnathologic principles

– Condylar movements: Bennet movement, Bennet angle

– Anterior guidance

– Dynamic system: variability and adaptation

– Physiologic occlusion

– Acceptable functions: chewing, swallowing, speaking and breathing

– Constricted chewing patterns

– Occlusal dysfunction and parafunctions

– Three P's according to the Kois principles: Position, Place, Paceway

– Transferring the emergence profile of multiple implant restoration

– Kois questionnaire

– Risk assessment: occlusion stress test

– Functional occlusion therapeutic considerations

– Central relation technique:

- Bilateral manipulation

- Lucia jig

- Leaf gauge

- Kois deprogrammer

- Bite plane

- Occlusal splint.

– Characteristics of Kois deprogrammer

– Benefits of a Kois deprogrammer.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Lesson 5.Digital orthodontics in functional esthetics

– Minimal invasive dentistry

– Invisalign® principle

– Central occlusion and functional overjet

– Acceptable function and aberrant adaptive envelopes

– Constricted chewing pattern

– 3 features for functional diagnosis: Kois questionnaire, clinical examination, the mounted cast after Kois deprogrammer

– Choosing a method for malocclusion treatment

– DSD in orthodontic treatment planning. Clincheck usage

– Correction of X-bite and tilted midline

– Intrusion and retraction of lower incisors

– Invisalign® tooth movement.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Lesson 6.Total oral rehabilitation on natural teeth in a digital workflow

– 6 steps for total rehabilitation planning

– 6 categories of functional occlusion

– 3 features for functional diagnosis: Kois questionnaire, clinical examination, the mounted cast after Kois deprogrammer

– The Kois questionnaire: 

- personal history

- dental history.

– Periodontal risk assessment

– Biomechanical risk assessment

– Bite and jaw joint

– Occlusal VDO: treatment planning decisions and management considerations

– Facial driven treatment plan

– Influence of stabilization occlusal splint on craniocervical relationships

– The rule of three P's: position, place, pathway

– T-Scan software: digital evaluation of occlusion

– Full mouth rehabilitation of severe Class III dentition: prosthetic driven orthodontic with raised VDO.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Lesson 7.Total oral rehabilitation on implants in a digital workflow

– Guided implant surgery and DSD 

– Facial analysis for the digital planning of full mouth implant rehabilitation 

– Guidelines for maxillary incisal edge position 

– Gingival architecture 

– Mandibular incisal edge 

– Mandibular tooth display analysis 

– Speech problem management 

– Taking accurate implant impression 

– Transferring the CR and tooth position from the provisional to final 

– Biological and mechanical complications in full mouth implant rehabilitation 

– Avoiding complications 

– Cross mounting into articulator 

– Difference in biomechanic between tooth and implant 

– Implant and tooth supported fixed prosthetics using Pekkton framework 

– Using the digital-centric record technique to enable digitally planned implant treatment for an edentulous patient.

Recommended for: Prosthodontists, Orthodontists, General dentists.

Skills I will learn in the Course:
Orthodontics:

• Treatment methods:
  • Aligners
  • Minimally invasive surgery for orthodontics
• General questions:
  • Digital Orthodontics

Functional Dentistry:

• Treatment methods:
  • John Kois system
  • Digital approach
  • VDO management
• General questions:
  • Evidence-based gnatology
  • Work with articulator

Prosthodontics:

• Pathologies:
  • Tooth worn

Implantology:

• General questions:
  • Digital Implantology
• Implantation
  • All-on-4

Periodontology:

• Treatment methods:
  • Laser surgery
  • Flap surgery

Digital Dentistry:

• Design:
  • Digital design
• Diagnostics:
  • Predicting treatment in digital
  • 3D treatment planning
• Branches:
  • Digital Orthodontics
  • Digital Implantology

Marketing and Management:

• Marketing:
  • Photography in dentistry

Note: 
ALL OHI-S ONLINE COURSES ARE DISCOUNTS:

- 20% for residents 

- 20% for students and interns