Integrated
Course in Occlusion
Faculty
of Dentistry
National
University of Singapore
Course
Coordinator - A/P Keson B C Tan
Course Faculty
Assoc. Prof. Keson BC Tan
Dr Tan Hee Hon
Dr Frank Lee
Dr Christopher Quek
Dr Teh Kiat Siong
Dr Michael Lim
Dr Elvin Leong
Dr Teo Juin
Wei
Dr Wong Kuan Yee
Dr Sophia Yee
Dr Tay Koong Jiunn
·
Occlusion II Module Lectures
·
Occlusion III Module Lectures
·
Clinical-Laboratory Exercises
Schedule for Academic Year 2023-2024
Lecture Schedule
Reading List - By
Lecture
Clinical-Laboratory
Exercises / Demonstrations Schedule
Materials and Armamentarium
for Clinical-Laboratory Exercises Term 4
Materials
and Armamentarium for Clinical-Laboratory Exercises Term 1
Instructions for obtaining Lecture Notes and Slides
Lecture notes are in Microsoft Word file format.
Slides are mostly in Adobe Acrobat pdf file format.
Lectures Notes and/or Lecture Slides are available for download as indicated. Packaged download files are in .zip format. Please unzip the files to obtain the Microsoft Word or PowerPoint or Acrobat files.
If licensed copies of Word or PowerPoint are unavailable to you, download free copies of Word Viewer or of PowerPoint Viewer to view and print these files.
To unzip the .zip files, use WinZip
LECTURES
OCCLUSION I MODULE: Anatomy and Physiology of the Stomatognathic System
DENTISTRY YEAR 1 Term II
Integrated Course in Occlusion incorporated into Dental Anatomy Lecture Series
1. Dental Anatomy – Introduction and Exercises (Dr Loke Wei Qiang)
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OCCLUSION
II MODULE: Occlusion in Restorative / Rehabilitative Dentistry
DENTISTRY YEAR 1: Term IV
Lectures 10 x 1hr
1. Course Introduction: Concepts of Occlusion (A/P Keson Tan)
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2. Making Impressions / Study Casts (A/P Keson Tan)
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3. Articulation of Casts. Concept of Terminal Hinge Axis (THA);Kinematic and Arbitrary Facebow Transfer. (A/P Keson Tan)
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4. Functional Anatomy and Biomechanics of the Masticatory System I(A/P Keson Tan)
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5. Functional Anatomy and Biomechanics of the Masticatory System II(A/P Keson Tan)
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6.
Maxillomandibular Records; Active vs Passive CR Registrations. Technique
modifications in dentate/partially dentate/fully edentulous situation.(A/P
Keson Tan)
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7. Centric Relation (A/P Keson Tan)
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8. Alignment and Occlusion of the Dentition (A/P Keson Tan)
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9.
Mechanics of Mandibular Movement. Posterior determinants; Active vs. Passive;
Condylar Border Movements; (A/P Keson Tan)
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10. The
Occlusal Interface: Structural and Neurophysiologic Considerations. What is an
Occlusal Interference? (A/P Keson Tan)
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DENTISTRY YEAR 2: Term I
Lectures 8 x 1hr
1. Mandibular Motion envelopes; Functional Jaw Movements (Video) (A/P Keson Tan) Download: Lecture Notes /Lecture Slides
2. Criteria
for Optimum Functional Occlusion (A/P Keson Tan)
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Slides
3.
Eccentric Pathways: Registration and Coordination (A/P Keson Tan)
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4. Determinants of Occlusal Morphology (A/P Keson Tan)
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5. Anterior Guidance; Recording Anterior Determinants; Dentate and edentulous situations (A/P Keson Tan)
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6. Occlusal Considerations in Removable Prosthodontics (Dr Sophia Yee)
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7. Vertical Dimension (Dr Wong Kuan Yee)
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8. Occlusal Schemes; Natural vs. Iatrogenic. Rationale for Selection (A/P Keson Tan)
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9. Overview of TemporoMandibular Disorders (TMD) (Dr
Tan Hee Hon)
Sub-module incorporated into Operative Technique Lecture/Demo series
Lectures 1 X 1hr
1. Occlusal Equilibration - Selective Grinding of the Natural Dentition (A/P Keson Tan)
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OCCLUSION III MODULE: Screening for TemporoMandibular Disorders (TMD)
DENTISTRY YEAR 3: Term IV
Lectures 6 x 1hr
1. Overview and TMJ in Function and Dysfunction; Epidemiology of Chronic Orofacial Pain/TMD (Dr Tan Hee Hon)
2. Clinical examination and Data Collection (Dr Tan Hee Hon)
3. Etiological Considerations and Risk Factors of Chronic Orofacial Pain/TMD (Dr Tan Ming Yi)
4. Imaging Techniques (Dr Lim Li Zhen)
5. Occlusal Concepts and TMD (Dr Tan Hee Hon)
6. Differential
Diagnosis and Management of Chronic
Orofacial Pain / TMD (Dr Tan Hee Hon)
7. TMJ Osteoarthritis:
From cartilage biology to TMJ repair and regeneration (A/P Toh Wei
Seong)
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CLINICAL AND LABORATORY PRACTICALS
OCCLUSION I MODULE: Anatomy and Physiology of the Stomatognathic System
DENTISTRY YEAR 1: Term 2
Integrated Course in Occlusion incorporated into Dental Anatomy
Practical 5 x 2.5 hr
1. Full Contour Anatomical Wax-up Exercise.
Wax up of 4 individual teeth with additive
technique. Life size. Wax up crowns on root stumps. Half
crown # 14; Full crown #21, 23, and 16. Out of occlusion.
OCCLUSION II MODULE: Occlusion in Restorative / Rehabilitative Dentistry
DENTISTRY YEAR 1: Term IV
Clinical Practical Exercise 12 x 2.5 hrs
Week 1
· Issue and Briefing on occlusal instrumentation (Impression trays, Articulators, Facebow – AG Artex system). (A/P Keson Tan)
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· Impression making technique (A/P Keson Tan)
· Pouring casts in Type IV stone (A/P Keson Tan)
· Trimming & Finishing of Study models
- 1 set (articulated) (A/P Keson Tan)
Week 2
· Arbitrary Facebow Transfer – AG Artex
system (A/P Keson Tan)
Week 3
· Centric Relation Records - Bimanual
technique, Anterior (Lucia) Jig and Chin-point guidance (A/P Keson Tan)
Week 4
· Mounting of Casts (on AG Artex System)
(A/P Keson Tan)
Functional Waxing Practical - Laboratory 3 X 3.5 hr
Weeks 2 to 4
· Functional Waxing of Occlusal Morphology -
Functional Wax Additive Technique (after Lundeen) on upper 5, 6 and lower 5, 6. Occlusal third morphology, mounted opposing casts in occlusion and in excursive movements. Functional occlusal elements colour coded.
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DENTISTRY YEAR 2: Term I
Clinical Practical Exercise
13 x 2.5 hrs
Week 3
· Occlusal Examination. Completion of Occlusal examination forms.(Dr Keson Tan)
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· Intra-oral verification of mounted casts. Shimstock / GHM checks (Dr Keson Tan)
· Occlusal analysis on Semi-adjustable
Articulator (Dr Keson Tan)
Week 4
· Eccentric Registrations (lateral and protrusive check bites) for Semi-adjustable articulator. Setting of condylar controls from eccentric registrations (A/P Keson Tan)
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Week 5
· Fabrication of Custom Anterior Guide Table (A/P Keson Tan)
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Week 6, 7, 8 & 9
· Completion of Clinical Exercises (A/P
Keson Tan)
Functional Waxing Practical - Laboratory 3 X 3.5 hr
Weeks 2 to 4
· Functional Waxing of Occlusal Morphology -
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Sub-module incorporated into Operative Technique Lecture/Demo series
DENTISTRY YEAR 2: Term IV
Practical 1 X 3.5 hr
1. Mock Occlusal equilibration on articulated casts (Op Tech manikin) - To achieve cuspid guidance on one side and group function on other side. Occlusal charting and GHM / shimstock confirmation. (Dr Keson Tan)
DENTISTRY YEAR 2: Term 1
Practical 6 hr
1. Functional Waxing of Occlusal Morphology - Functional Wax Additive Technique on upper 4,5,6 that have been prepared for onlay, 3/4 crown and complete cast crown respectively. (OpTech Staff)
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TUTORIALS AND SEMINARS
OCCLUSION II MODULE: Occlusion in Restorative / Rehabilitative Dentistry
TUTORIALS
DENTISTRY YEAR 2: Term 2
Weeks 7 & 8
1. Class 3 Semi-Adjustable Articulator Systems – AG Artex CR (A/P Keson Tan)
DENTISTRY YEAR 4: Term 2
1. Occlusal Schemes. Natural vs Prosthetic. Dentate, partially dentate and edentulous situations. (A/P Keson Tan)
2. Treatment Position. CR vs MI (ie. Reorganise or Conform) (A/P Keson Tan)
SEMINARS
DENTISTRY YEAR 4: Term 3
1. Centric Relation in Clinical Dentistry (A/P Keson Tan)
2. Occlusion in Restorative Dentistry (A/P Keson Tan)
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Faculty of
Dentistry
National University of Singapore
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Singapore 119085