Hands-On Dental Course | Level 2

Design Understanding & Orthotic Delivery

Learn how examination findings and clinical records are translated into mandibular position, appliance design, delivery, and follow-up care.

Course description

Once a case has been examined and selected, the next step is determining where the jaw should be positioned and how that position will be recorded.

Level 2 connects diagnostic findings to appliance design and clinical delivery.

Participants review physiologic rest position, TENS indications and contraindications, bite registration, and Occlusal Plane Position.

Dr. Bis demonstrates how clinical records are translated into an orthotic design, including coverage, retention, vertical dimension, static contacts, and guidance.

The objective is not to train participants as appliance-design software technicians. It is to help dentists understand the decisions built into the appliance and recognize whether the final design supports the clinical objective.

Day two focuses on pre-delivery inspection, seating, initial adjustment, the modified nightguard, home-care instructions, follow-up, fees, sequencing, and patient consent.

Scans collected during this level are used to fabricate the participant’s appliance for Level 3.

Learning objectives

By the end of Level 2, participants will be able to:

  • Describe physiologic rest position and its clinical rationale

  • Identify the indications and contraindications for TENS

  • Apply a structured TENS protocol

  • Capture a bite registration at the intended mandibular position

  • Estimate Occlusal Plane Position

  • Interpret appliance coverage, retention, vertical dimension, contacts, and guidance

  • Inspect an appliance before delivery

  • Seat an appliance and complete an initial adjustment

  • Explain the appropriate use and limitations of a modified nightguard

  • Deliver wear, care, and follow-up instructions

  • Identify common early delivery concerns

  • Discuss fees, sequencing, and consent for orthotic therapy

Course details

Location: Smiles by Bis
710 Dorval Dr #220, Oakville, ON L6K 3V7

Date & Time: 2027 date to be announced

CE Credits: 14

Dentist tuition: $2,995 CAD

Hygienist or assistant: $980

Prerequisite: Completion of Level 1

Format: Two-day, in-person course

Dr. Agatha Bis has over 28 years of clinical experience with a special focus on TMJ & TMD management.

About the instructor

Dr. Agatha Bis has over 28 years of clinical experience with a special focus on TMJ & TMD management.

Known for her expertise in both, diagnosis and treatment, Dr. Bis is a leader in TMD education and dedicated to improving patient outcomes through advanced knowledge and skills.

Hands-on experience

Peer-to-peer exercises include:

  • TENS application

  • Mandibular-position assessment

  • Bite registration

  • Digital scanning

  • Pre-delivery inspection

  • Appliance seating

  • Initial fit, retention, and comfort adjustments

Registration closes once all six dentist positions are reserved.

Participants also observe a design and production demonstration using clinical records.

Join the Level 2 Waitlist

Receive priority updates for Level 2: Design Understanding & Orthotic Delivery, including upcoming dates and registration information.

Level 2 requires completion of Level 1.

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Hands-On Dental Course | Level 3