Hands-On Dental Course | Level 4

Course description

Straightforward cases teach the protocol. More difficult cases require clinical judgment.

Level 4 is built around the participants’ own documented cases.

Four weeks before the course, each dentist submits two cases with examination records, photographs, relevant imaging, appliance information, adjustment history, clinical response, and a specific question.

Dr. Bis uses those submissions to shape the course discussion.

Participants work through non-responders, incomplete improvement, appliance-related complications, contributing factors outside the appliance, and decisions about repair, remake, reassessment, co-management, or referral.

The course also addresses phase-two planning, including orthodontic, restorative, equilibration, or maintenance options.

Clinical exercises remain peer-to-peer. Patients do not attend the standard course format.

Learning objectives

By the end of Level 4, participants will be able to:

• Apply a structured decision process to the non-responding patient

• Distinguish appliance-related concerns from diagnostic, compliance, or comorbidity-related factors

• Recognize contributing cervical, sleep, systemic, psychosocial, or degenerative factors

• Interpret findings involving disc displacement and joint degeneration

• Decide when to repair, remake, adjust, reassess, or refer

• Troubleshoot an appliance that has been worn or altered

• Present and discuss a documented case with clinical peers

• Evaluate phase-two treatment options

• Communicate prognosis and uncertainty appropriately

• Develop a multidisciplinary referral network

• Establish long-term recall and reassessment protocols

• Recognize when co-management or referral is indicated