September 22, 2008

Terry Donovan

RESTORATION OF THE WORN DENTITION AND SOFT TISSUE MANAGEMENT IN FIXED PROSTHODONTICS

The number of patients presenting to dental offices with excessive loss of tooth structure is clearly increasing. This loss of tooth structure is often multi-factorial, and all potential etiologies of the wear must be considered before tackling extensive rehabilitative procedures. This presentation will analyze the various causes of tooth structure loss and present strategies to prevent further loss as well as reconstructive procedures to replace lost tooth structure. Topics to be discussed include:

• The relative roles of chemical erosion and bruxism
  in patients with excessive loss of tooth structure
• The diagnosis, treatment and prevention of dental
  erosion
• Intrinsic versus extrinsic erosion
• The etiology and management of bruxism
• The controversy surrounding occlusal vertical
  dimension
• Neuromuscular occlusion: religion or evidencebased?
• Materials considerations for restoration of the worn
  dentition
• Abfraction: fact or fiction
• Treatment recommendations for non-carious cervical
  lesions

Fixed prosthodontic procedures are a significant component of contemporary dental practice. Materials and techniques have improved dramatically in recent years, but many new materials have very specific indications and contraindications which must be
understood if long-term clinical success is to be achieved. We will review and explain traditional as well as contemporary techniques essential for performing predictable, successful esthetic fixed prosthodontic procedures.

BIOGRAPHICAL SKETCH

Dr. Terry Donovan received his D.D.S. from the University of Alberta in 1967, and practiced full time in Regina, Saskatchewan for 13 years. He received his Certificate in Advanced Prosthodontics from the University of Southern California in 1981. He was Professor and Director of the Advanced Education in Prosthodontics Program at USC from 1988 - 2006. He has been Associate Dean from General Practice and Executive Associate Dean for Academic Affairs at the University of Southern California, as well as the Chairman of the Department of Restorative Dentistry
from 1984 - 1991, and 1994 - 2001. He is currently Professor and Section Head of Biomaterials in the Department of Operative Dentistry at the University of North Carolina, School of Dentistry at Chapel Hill. He is also Director of Fixed Prosthodontics at the Scottsdale Center for Dentistry. He has published extensively, and
has lectured world wide on the topics of restorative dentistry and materials science. He is a member of the ADA, CDA, Los Angeles Dental Society, CAIC, American Academy of Restorative Dentistry, American Academy of Esthetic Dentistry, the American College of
Prosthodontists, a Fellow of the American College of Dentists, and an Honorary Life Member of the College of Dental Surgeons of Saskatchewan and the Western Canada Dental Society. He is past Chairman of the American Dental Association’s Council on Dental
Materials, Instruments, and Equipment.