DentistryOnline courseRestoration
Worn dentition from cause to crown: Spear, Kinzer and Rouse on etiology, vertical dimension, occlusal design and materials
Frank Spear, Gregg Kinzer and Jeff Rouse follow the worn-dentition patient all the way through in Comprehensive Management of Tooth Wear: From Diagnosis to Restoration. Fifteen modules with 39 lessons — about 20.5 hours — cover wear etiologies, eruption changes, esthetic and functional planning, vertical dimension, interdisciplinary options, occlusal pathways and design, anterior and posterior materials, appliances and implants in high-risk mouths.
- 15modules
- 39lessons
- 20 h 36 minof video
- 3instructors
What you’ll be able to do
- Identify erosion, corrosion, attrition and unusual wear from the pattern on the teeth
- Assess and choose a vertical dimension before restoring a worn arch
- Decide between intrusion, crown lengthening or both when space is lacking
- Design occlusion for pathway, end-to-end and crossover wear, testing it with trial therapy
- Select anterior and posterior materials, appliances and implant set-ups for high-risk patients
Inside the course
Why teeth wear and what follows
Three opening modules cover research on wear, its causes and diagnostic patterns, and how eruption and compensation change the picture over time.
Planning the rebuild
Airway considerations, the EFSB system, transferring esthetic data with models, vertical dimension, ferrule and post choices for endodontically treated teeth, and interdisciplinary cases with no overbite or overjet.
Occlusion as the long-term safeguard
Guidance, force distribution and pathway wear lead into three lessons on occlusal design for different wear routes, then composite trial therapy and restoring upper anteriors in broad wear.
Materials, appliances and implants
Laminated versus monolithic, strength against esthetics, posterior ceramics, chairside CAD/CAM and lab composites, appliance selection, and when implants must carry anterior guidance — ending with the highest-risk patients.
Built for
- Restorative dentists facing bruxers and erosion casesA decision path for patients whose teeth are visibly shortening.
- ProsthodontistsDetailed occlusal design and material reasoning for full-mouth wear rehabilitation.
- Interdisciplinary teamsShared language on orthodontic intrusion, periodontal surgery and implant support.
Curriculum
Module 1: Etiologies of Tooth Wear (2 h 12 min) 5 lessons
- Diagnosis and Research of Wear
- Etiologies of Wear
- Erosion and Corrosion
- Unusual Patterns of Wear
- Wear Patterns in Diagnosis
Module 2: Understanding the Etiologies of Tooth Wear (21 min) 1 lesson
- Understanding the Etiologies of Tooth Wear
Module 3: Changes that Occur with Wear (37 min) 1 lesson
- Eruption, Wear, and Changes Caused by Wear
Module 4: Esthetic and Functional Treatment Planning for Wear Patients (1 h 21 min) 4 lessons
- Airway Considerations when Treatment Planning Patients with Severe Wear
- Integrating Esthetics and Function in Wear Patients
- Using the EFSB System to Treatment Plan Wear Patients
- Transferring Esthetic and Functional Information with Models
Module 5: Vertical Dimension and Wear (1 h 17 min) 2 lessons
- Vertical Dimension Considerations
- Determining Vertical Dimension
Module 6: Structural Considerations and Wear (1 h) 2 lessons
- Restoration of Endodontically Treated Teeth – Materials and Techniques
- Restoration of Endodontically Treated Teeth – Ferrule
Module 7: Interdisciplinary Management of Wear (2 h 44 min) 4 lessons
- Interdisciplinary Treatment Planning of Wear Patients
- Interdisciplinary Wear Management – No Overbite No Overjet
- Interdisciplinary Wear Management – Intrude, Crown Lengthen, or Both
- Interdisciplinary Management of Wear
Module 8: Occlusal Guidance in Wear Patients (58 min) 2 lessons
- Understanding Occlusal Guidance
- Occlusal Force Distribution
Module 9: Occlusal Pathways and Wear (1 h 21 min) 2 lessons
- Pathway Wear
- Managing Failures Due to Pathway Wear
Module 10: Designing Occlusion for Wear Patients (2 h 37 min) 5 lessons
- Occlusal Design with Wear in CR and Pathway Movements
- Occlusal Design with Wear through Pathway and onto End-to-End
- Occlusal Design with End-to-End and Crossover Wear
- Trial Therapy and Evaluation when Attrition is Present
- Restoring Maxillary Anterior Teeth in a Patient with Broad Patterns of Wear
Module 11: Anterior Material Selection for Wear Patients (1 h 26 min) 3 lessons
- Composite as Trial Therapy in Wear Cases
- Laminated vs. Monolithic Restorations when Wear is Present
- Strength vs. Esthetics in Indirect Restorations
Module 12: Posterior Material Selection for Wear Patients (1 h 56 min) 3 lessons
- Posterior Esthetic Restoration Design
- Posterior Indirect Ceramic Restorations
- Posterior Chairside CAD CAM and Lab Composites
Module 13: Appliance Choices for Wear Patients (36 min) 1 lesson
- Appliance Selection in Wear Cases
Module 14: Implant Considerations in Wear Patients (1 h 34 min) 3 lessons
- Implants and Attrition
- When Implants MUST Provide Anterior Guidance
- Number of Implants, Splinting Screw vs. Cement
Module 15: Managing High-Risk Patients (32 min) 1 lesson
- Implants in the Highest Risk Wear Patients
Before you buy
Are some modules only a single lesson long?
Yes. Modules 2, 3, 13 and 15 each hold one lesson of roughly 20 to 40 minutes.
Is airway discussed?
One lesson in module 4 looks at airway considerations when planning patients with severe wear.
Do I get CME credit or a certificate?
No. Clinicapedia provides the educational content only — no CME or CE credits, MOC points or certificates of completion are included with this product.
Specifications
| Format | Online video course |
|---|---|
| Instructors | Frank Spear, Gregg Kinzer, Jeff Rouse |
| Contents | 15 modules · 39 lessons |
| Duration | 20 h 36 min |
| Access | Lifetime, self-paced |
| Department | Dentistry |
| Delivery | Instant download · lifetime re-download |
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