The Toothwear Course


Course Tutor: Dr Andrew Chandrapal

Toothwear is a vast subject that encompasses an array of different subjects and approaches.
This course has been designed to inform, educate and tackle the clinical, psychological,
biological and technical aspects of managing tooth wear effectively and efficiently – perhaps
most importantly in a predictable and low-risk manner.

This course runs over two days and includes substantial reading material as well as an
intensive theory element on the first day. This initial day runs for 10 hours and will cover many
aspects of managing tooth wear beginning with the psychological aspects for approach and
communication. This follows through to viewing management as an aspect of risk and
constructing a risk profile for your patient leading to diagnosis and suitable management that
is evidence based and thus fully supported.

The second day compromises of putting the theory into proactive using some of the most
advanced toothwear models available to recreate clinical scenarios and simulating the clinical
management using composite resin. The same principles can be applied to composite resin
or indirect materials however the theory and detail will be the same. This course is for those
who have experience of advanced composite resin as well as those who wish to treat wear
cases succinctly and safely. A paradigm shift in management, this course whilst being very
intense will provide the building blocks required to safely and predictably treat such cases.


  • Psychological treatment approaches – “The Sway” and Management of the Patient
  • Tooth wear epidemiology
  • Current Trends and Definitions
  • Current monitoring modes of TSL


Risk Assessments:

  • Dento-legal implications, Communication,
  • Managing expectations and needs, Co-diagnosis
  • Introduction to Risk Based Classification
  • Clinical presentations – Common complaints
  • Modes of Tooth Wear
  • Phased management strategies and Diagnosis of occlusal disease
  • Case presentations with diagnostic opinions
  • De-programming therapy – Options and Methodologies
  • CR records using Bi-Manual/leaf Vs Lucia and Kois Deprogrammer


Practical Exercises

  • Demonstration and practical of Bi manual manipulation & Leaf Gauge
  • Demonstration and practical with Kois Deprogrammer


Hands-On Component

  • Multiple Anterior Build up based of functional wax up
  • Posterior quadrant direct overlay technique
  • Workflow digitally & analogue to full mouth rehabilitation using direct techniques


Fri 19 Nov 2021 8.30am - Sat 20 Nov 2021 6.30pm

Hilton London Paddington, 146 Praed St, London W2 1EE


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4th, 5th, 6th February 2021 8.30am - 6.30pm - Includes Treatment Planning Course!

Hilton Glasgow, 1 William Street, Glasgow


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