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246: Managing the Restorative/Periodontal Interface and Advanced Functional Occlusion

Combined 173 and 303

Instructor: Dr. John Kois


Course Hours

7am – 6pm Monday-Friday

7am-5:30pm Saturday

Lunch is provided daily at Birch featuring the award winning Executive Chef Jeffrey Kessenich.

Social Events

Monday Evening
Welcome Reception
The first night of the course, attendees are invited to attend a “Welcome Reception” at Birch where they can better acquaint themselves with other classmates, Mentors, Clinical Instructors and the Kois Center Team.

Tuesday Evening
Tribe Night
The Clinical Instructor of the course will plan a dinner at I Love Sushi.

Wednesday Evening
Boat Night
On the third evening of the course, Dr. Kois and his wife Karen invite you and your significant other to join them for a two hour boat cruise and dinner aboard Excellence featuring beer, wine and some of Chef Jeffrey’s signature dishes!

CE Credits

This course provides 55 continuing education credit hours and includes lecture, participation, demonstration, case presentation and discussion.

AGD Credit Allocation:
Code 012 (Anatomy): 1 Lecture Hour
Code 730 (Oral Medicine, Oral Diagnosis, Oral Pathology): 6 Lecture Hours
Code 490 (Periodontics): 14.5 Lecture Hours
Code 490 (Periodontics): 6 Participation Hours
Code 184: 24 Lecture Hours
Code 184: 3.5 Participation Hours



Course Price


Languages Offered



Predictable Periodontal Tissue Management

Predictable management of soft and hard tissues is a critical component of successful restorative dentistry. Many times we are faced with unanticipated clinical challenges: black triangles between restored teeth, chronically inflamed tissues over a crown or sudden gingival recession after a crown preparation.

In Restorative/Periodontal Interface, Dr. Kois presents the biology, behavior and interaction of bone, ligament, tooth structure and gingiva.  He provides scientifically based clinical guidelines which allow you to readily predict and manipulate the gingival margin position.

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Implementing the principles in this course will greatly enhance your efficiency and accuracy when faced with important tissue management challenges.  You will gain confidence in both cosmetic and restorative outcomes.  Acclaimed Clinical Instructor, Dr. Betsy Bakeman, will present a hands-on surgical instrumentation segment during this course.

Biologic Principles in Advanced Functional Occlusion

Understanding the biologic principles involved in developing a functional occlusion is vital to achieving predictable long-term restorative success. Traditionally, occlusion courses have centered on condylar position, muscle tension and gnathologic concepts such as canine guidance and mutual protection. The interpretations of these different schools of occlusion can be challenging to navigate.

Dr. Kois brings clarity to the similarities and the differences between the various occlusal philosophies while expanding on the concepts introduced in 153 Functional Occlusion, including TMJ disorders and their management. He presents evidence-based studies which redefine the options available for occlusal treatment.

Advanced Functional Occlusion Advanced Functional Occlusion Advanced Functional Occlusion Advanced Functional Occlusion

The new paradigms presented in 303 Advanced Functional Occlusion will empower you to treat your patient’s restorative needs predictably and successfully and enable you to assess TMJ health and know the boundaries of your treatment options.


Course Objectives

  • Understand surgical and orthodontic concerns.
  • Learn to coordinate therapy as it relates to the restorative/periodontal interface.
  • Understand the metrics and anatomy of the dentogingival complex.
  • Learn cervical limitations or enhancements to consider during tooth preparation.
  • Learn pontic site and ridge management for prosthetics.
  • Minimize and predict surgical defects when extracting teeth.
  • Learn how bone and tooth structure can be favorably altered for restorative dentistry.
  • Learn to manage biologic width, gingival margins, and contours.
  • Learn how to perform esthetic crown lengthening.
  • Determine acceptable compromises.
  • Obtain a greater understanding of when tooth position vs. muscle position vs. condylar position should be used to establish the occlusal starting point for a restorative case.
  • Learn how the horizontal and vertical components of occlusion can be combined with dentofacial parameters to optimize function and esthetics.
  • Learn multiple techniques to obtain centric relation as a restorative reference position.
  • Identify and categorize TMJ disorders into diagnostic subgroups and implement a treatment plan appropriate to the severity of the clinical findings.
  • Understand the importance of joint stability and the sequencing of occlusal therapy for patients with TMD.
  • Learn which lab records are required for cross mounting casts for complex cases and full-mouth rehabilitation.
  • Learn new techniques, technologies, and materials to stage and segment complex cases.
  • Learn the objectives of equilibration, and practice them through hands-on learning.

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