Location: Distillery 244 at 244 N. Mosley
Time: 9 a.m. – 4 p.m.
Lunch option and snacks provided for attendees on all courses.
Paul Hansen, DDS
The Dental Wear Patient, Diagnosis and Treatment
Total CEs: 6 credit hours
About Dr. Hansen
Dr. Paul Hansen graduated from the University of Nebraska College of Dentistry, followed by training in oral surgery and endodontics through the Air Force, then long-term training in prosthodontics.
He directed the graduate prosthodontics program at the University of Missouri – Kansas City, then began a private practice in conjunction with the University of Kansas Hospital until he returned home to the University of Nebraska to become the director of the prosthodontics section and dental implants at the Nebraska Medical Center College of Dentistry. He retired as a full professor from Nebraska in 2018, but returned to direct the AEGD program and some intermittent teaching.
Dr. Hansen has multiple teaching awards and was awarded the Judson Hickey Writing Award by the Editors of the Journal of Prosthetic Dentistry for his published article on provisional restorations. He has authored over 25 articles in peer-reviewed journals and co-authored a textbook on erosion. He has lectured on fixed prosthodontics, occlusion, and maxillofacial prosthodontics throughout the world. Dr. Hansen was awarded the Nebraska Alumni Association award for Outstanding Educator in 2024.
The Dental Wear Patient, Diagnosis and Treatment:
The severe wear patient has multiple etiologies. We want to know and understand the cause of the wear and how to tailor our restorative efforts to the patient’s needs.
Initial examination of a new patient occasionally reveals a severely worn dentition characterized by extensive wear and loss of tooth structure. Function and esthetics are compromised, and the prognosis for one or several teeth may be jeopardized if the problem is not corrected. The complex nature of this condition, and its multifactorial etiology, often overwhelms the restorative dentist in treating such widespread tooth destruction.
Loss of tooth structure may be a result of mechanical wear (attrition, abrasion) or chemical attack (erosion). We will review the various etiologies and the risks associated with each when we try to reconstruct the patient. A brief review of dental occlusion will be included as a point of orientation.
We will review the new materials on the market for restoring these patients. The use of zirconia or lithium disilicate will reviewed. We will discuss material properties and how best to use them for the dental wear patient. Concentration will be on the full mouth reconstruction of these cases.
This program is a clinically orientated program reviewing over 40 years of cases and follow up documented by Dr. Hansen.
Educational Objectives:
Following this unit of instruction, the practitioner should be able to:
- Describe the etiologies for the worn dentition.
- Identify the types of tooth wear.
- Describe how to perform an accurate diagnostic mounting to evaluate wear.
- Explain the use of the diagnostic mounting in diagnosis and treatment planning.
- Understand the proper sequence for restoring extensive wear cases.
- Understand the various new materials used to restore difficult cases.