Dr Don Reid Speaker Packet

DDOONNAALLDD NN.. RREEIIDD,, DDDDSS,, FFIICCOOII
Would you like to develop the skills and understanding
to confidently treat
the most complicated occlusions?
Dr. Don Reid lectures internationally on the diagnosis, evaluation and
treatment of bite disorders, facially generated treatment planning and the
health-centered Volitional practice. He also teaches hands-on programs
for treating the worn dentition. Dr. Reid’s unique range of experiences
combined with a passion for resolving occlusion confusion make him an
exceptional choice for your next meeting!
Choose from one of Dr. Reid’s popular presentations below… or ask about
customizing a presentation to meet your group’s needs.
Dr. Reid’s informative and enthusiastic presentations
will make your next meeting a hit!
RREESSOOLLVVIINNGG OOCCCCLLUUSSIIOONN CCOONNFFUUSSIIOONN
This course will help you see how simple occlusion understanding is when broken down into its bare elements
of teeth, bones, muscles and a joint! You’ll gain confidence to solve bite problems and use the same principles to
predict successful outcomes whether restoring single teeth or full arches.
FFAACCIIAALLLLYY GGEENNEERRAATTEEDD TTRREEAATTMMEENNTT PPLLAANNSS
Acquire a fresh and simplified understanding to treatment plan what people really need and want. Learn why
diagnostic principles around occlusion and esthetics are essential to achieve the step-by-step system of planning
required for long term clinical success and patient satisfaction.
TTMMJJ CCUURREEDD:: FIXING THE BITE IS THE ANSWER
Join Dr. Reid for a course that will help you see for yourself why muscles hurt, jaws ache and pop, and teeth are
unnecessarily damaged because of an improper bite. Various treatment options to solve TMJ and bite issues
will be explored so you will understand the best choice for you and your patients.
((553300)) 558877--99556600
WWW.DRDONREID.COM
DON@DRDONREID.COM

RREESSOOLLVVIINNGG OOCCCCLLUUSSIIOONN CCOONNFFUUSSIIOONN
If the destructive forces from occlusion scare you, you’re not alone!
Exposure to complicated techniques and equipment, a profusion of
philosophies, and meaningless rules intensifies confusion which
prevents otherwise capable dentists from performing complex
dentistry.
This course will help you see how simple occlusion understanding is
when broken down into its bare elements of teeth, bones, muscles
and a joint! You’ll gain confidence to solve bite problems and use the same principles to predict
successful outcomes whether restoring single teeth or full arches.
PARTICIPANTS WILL LEARN:
 Recognize the signs and symptoms of Occlusal Disease and how to discuss them with a patient at the
examination.
 When altering an existing occlusion makes sense.
 The benefits of border positions in the front and back of the
mandible.
 How teeth contacts cause TMD.
 A simple method to differentiate intra and extra articular
disorders.
 When an occlusion demonstrates orthopedic stability.
 How to alter tooth form to ensure restorative success.
 What TMJ noises look like in 3D.
 How and when to change Vertical Dimension.
 Learn to use appliances to locate, register and capture
excellent bite records.
 Several techniques to capture centric relation bite records.
 What to do and say when treating a severely compromised
occlusion .
This course illuminates every cause, effect and treatment of
destructive bite forces. Dr Reid’s passionate style utilizes
theory, 3-D animations, and clinical examples to help
attendees gain confidence / skills in this controversial arena.
As a General Practitioner that treated over two thousand
destructive occlusions, Dr Reid conveys relevant
information that can be used on Monday morning.
DDOONNAALLDD RREEIIDD,, DDDDSS
WWW.DRDONREID.COM
DON@DRDONREID.COM
((553300)) 558877--99556600
VViieeww VViiddeeoo::
HTTP://YOUTU.BE/DPT3XTJYFTE

FFAACCIIAALLLLYY GGEENNEERRAATTEEDD TTRREEAATTMMEENNTT PPLLAANNSS
Daily chair-side dentistry is solely dependent on the skills
of the practitioner to evaluate, diagnose and present
dentistry. Unfortunately, most graduates are unskilled to
address both occlusion and esthetics and consequently
offer fine dentistry but incomplete treatment plans.
Subsequently, patients don’t receive the benefits of
more beautiful smiles and restorative dentistry that
withstands the test of time. The practice suffers from the ‘busyness’ created by single tooth dentistry
instead of relaxing and more profitable full arch care.
Dr. Reid has treated over two thousand destructive occlusions in his general practice. In this course, he
presents the knowledge and skills that weren’t emphasized in dental school so you will acquire a fresh
and simplified understanding to develop the confidence to treatment plan what people really need
and want.
Learn why diagnostic principles around occlusion and
esthetics are essential to achieve the step-by-step system of
planning required for long term clinical success and patient
satisfaction. In addition, the concepts of how to present
your findings to the patient are covered in detail.
 Which photographs are necessary for patient education,
comprehensive treatment planning and lab communication.
 How and why a composite mock-up can be useful for patient,
lab, and surgical communication.
 The key steps in treatment planning and why it is important
that they be completed in a specific order .
 Why treatment planning and treatment sequencing must be
separated into two processes to come up with a plan that
integrates esthetics and occlusion .
 To develop a treatment plan that optimizes esthetics while
providing optimal function, even in patients with difficult
wear problems .
 The common patterns of tooth position changes with tooth
wear, how they affect occlusion and esthetics, and how to
correct them.
 How to safely and logically discuss treatment with your
existing patients.
 Upgradeable Dentistry - When and how phasing can be done
to help patients who cannot financially manage a large or
complex case but have the desire and resources to begin.
WWW.DRDONREID.COM
DON@DRDONREID.COM
((553300)) 558877--99556600

TTMMJJ CCUURREEDD
FIXING THE BITE IS THE ANSWER
If you have not personally experienced a TMJ problem, chances are you
know people who have. The symptoms include debilitating headaches,
jaw opening issues, loose, sore and fracturing teeth and excess grinding
and clenching of the teeth. In the past, many TMJ sufferers underwent
surgery or massive reconstruction while a minimally invasive solution
was ignored.
Most dental school graduates are confused over the workings of this unique joint. Join Dr. Reid for a
course that will help you see for yourself why muscles hurt, jaws ache and pop, and teeth are
unnecessarily damaged because of an improper bite. We’ll explore and discuss various treatment
options to solve TMJ and bite issues so you will understand the best choice for you and your patients.
 The bare bone elements of a stable, comfortable and healthy
bite… a unique view of the jaw bones, joints, teeth and
muscles.
 A simple, predictable and practice building diagnostic tool to
help over 90% of TMJ sufferers learn they have healthy joints
and a bite-muscle problem!
 Improper bites are either developed from birth, a trauma to
the jaws, or after extensive dentistry or orthodontics. The
cause and effect of all causes will be well understood.
 Treatments to solve TMJ or bite issues vary. Bite balancing or
equilibration, oral devices (splints), restorative dentistry, as
well as orthodontic intervention will be discussed .
THE ‘HEADACHE DILEMMA’ SOLVED
The title, format, and content of Dr. Reid’s presentations can be
adjusted to fit the needs of your audience. This course can also be
customized for special groups, such as:
 woman
 dental staff
 hygiene
 …or the entire team!
WWW.DRDONREID.COM
DON@DRDONREID.COM
((553300)) 558877--99556600

DDOONNAALLDD NN.. RREEIIDD,, DDDDSS,, FFIICCOOII
I was one of those very confused dentists who lacked the skills and
understanding to confidently treat their patients due to the confusion
around occlusion. The patients are usually healthy periodontally with
minimal or no caries, yet they are breaking-grinding-loosening- and causing
pain in their teeth that goes largely ignored or they are treated for the
effects and not the cause of destructive bite forces.
When patients have an ‘Aha’ moment in understanding their problems,
they are fans for life and enthusiastically refer their family and friends.
Based upon 15 years of experience speaking on this topic, I anticipate my
audience will have an ‘Aha’ moment themselves when the see the simplicity of this complex
masticatory system. Past participants say: “They can’t wait to get back to work on Monday morning.”
Dr. Don Reid lectures internationally on the diagnosis, evaluation and treatment of bite disorders,
facially generated treatment planning and the health-centered Volitional practice. He also teaches
hands-on programs for complete reconstructive dentistry as well as advises colleagues with clinical
dilemmas. He is published in leading dental journals and magazines.
Dr. Reid is the creator of BiteFX software animations which depict the destructive effects caused by
malocclusions or temporal mandibular disorders. Dr. Peter Dawson’s Center, as well as universities
and private institutions around the globe, are using Dr. Reid’s software to enhance student’s
comprehension of the human masticatory system.
Dr. Reid is a fellow of the International Congress of Oral
Implantology, graduate of the Dawson Center for Advanced
Dental Studies, Misch International Implant Institute and is a
both pioneer and a founding Father of the Academy of
Microscope Enhanced Dentistry. He is a long standing
member of the American and California Dental Associations,
Dental Organization for Conscious Sedation and the
American Academy of Cosmetic Dentistry.
WWW.DRDONREID.COM
DON@DRDONREID.COM
((553300)) 558877--99556600

PPRREEVVIIOOUUSS PPRREESSEENNTTAATTIIOONNSS // TTEESSTTIIMMOONNIIAALLSS
PARTIAL LISTING OF PREVIOUS PRESENTATIONS
 Seattle WAGD mastermind group
 Smile Vision occlusion Webinar
 Dawson Center for Advanced Dental Studies
 Academy of Microscope Enhanced Dentistry
 Loma Linda Study Club: Occlusion Centered Dentistry- A global
opportunity
 Omer Reed Napilli Seminars
 The Group at Cox
“Ever since I first met Dr. Reid I have been impressed with his passion for practicing excellent dentistry and
communicating the concepts and importance of occlusion to his colleagues. My own teaching has benefited
greatly from the animations he pioneered. If you want an exciting, motivating speaker who delivers essential
knowledge with passion, backed up by the experience of a most successful practice, I have no hesitation in
recommending Dr. Reid to you.”
Ross Nash, DDS; Founder. The Nash Institute
“I’ve literally taken courses on comprehensive dentistry from nearly everyone imaginable and for the first time I
get it, it makes sense, and it’s easy! Don explains the most misunderstood topic in dentistry in a way that is easy
to follow, easy to remember, and easy to implement.”
Zachary Potts, DDS; Port Hueneme, CA
“Dr. Reid lives by the prudent philosophy ‘The best dentistry is no dentistry and a good bite!’ He’s a fellow
pioneer in preventive and behavioral practice. As a founding father of the newly formed Congress Of Microscope
Enhanced Dentistry ( 2002), his enhanced vision gives him expanded information to share with our profession.
His warmth and authenticity will disarm you and his enthusiasm is
contagious.”
Omer K Reed DDS; Phoenix, AZ
“Dr. Reid’s vast knowledge of bite management makes him an
extremely effective speaker who really motivated me to be the
best doctor I can possibly be. I learned so much from his course it
has changed what I feel is possible in my practice.”.
Dr. Jason Melashenko; Surprise, AZ
“Not only was Dr. Reid’s knowledge of occlusion impressive, but his
delivery and non-condescending explanation of occlusion was
amazing. Dr. Reid helped me understand occlusion, as well as
teaching me ways I could better treat my patients with occlusal
trauma.”
Kevin K. Shim, DDS; Gresham, OR
WWW.DRDONREID.COM
DON@DRDONREID.COM
((553300)) 558877--99556600

49A Case Study in Handling and Explaining Occlusal Disease
Occlusal disease is one of the most destructive and neglected elements in dentistry
and plays a major role in reducing the longevity of our finest restorative efforts. It
can present itself in the form of painful, clicking TM joints, sore facial muscles,
headaches, tooth wear, tooth looseness, sensitivity, and migration. It is a dominant
factor in the fracture of restorations on posterior teeth.
Although a dentist may understand the cause and effect of these destructive forces,
explaining these concepts to patients and their families can be very difficult. It is
much easier to discuss the solution for caries or fractured teeth than it is to describe
how excess wear is caused by a movement of the mandible from maximum intercus-
pation, in and out of a centric relation position. Likewise, understanding how Á
A case study in handling and explaining occlusal diseaseSeeing is believing...
– ARTICLE by Don Reid, DDS
– PHOTOS & ILLUSTRATIONS
provided by D2Effects LLC

50 A Case Study in Handling and Explaining Occlusal Disease50
interferences on the balancing or non-working side during lateral excursions occur
is difficult enough for dentists to see and detect, this difficulty is only compounded
when we try to explain these problems to patients. Difficult or not, we are obligat-
ed to offer a treatment plan for the resolution of all disease categories which fall
within our scope of health care service.
CASE REPORT
A middle aged lady reported to my office with a request to have an implant crown
placed on an integrated implant in the lower left #18 area (Fig. 1). Upon cursory
examination, I observed signs of severe wear, occlusal disease, throughout the
mouth and quite notably in the lower left quadrant (Fig. 2). I informed her of my con-
cern, that implant success or failure after osteointegration was largely dependent on
having proper distribution of the biting forces. I assured her we’d restore the implant
for the greatest potential for long term success and asked for the opportunity to
study her case further prior to making restorative decisions. She rescheduled for a
complete examination which included (1.) full mouth x-rays, (2.) nine intraoral pho-
tographs (Canon Digital Rebel), (3.) Panorex, and (4.) mounted study models (SAM
III) in centric relation.
A complete examination was conducted evaluating the TMJ, muscles, periodontal
structures, occlusion, and an oral cancer screening was performed. The tooth by
tooth exam, looking for excess wear, looseness, fractures and caries, was aided by
the use of a dental operating microscope (Global Protégé).
Due to facial muscle tightness, I fabricated an anterior deprogramming device and
asked her to wear it at night and monitor the effects on her muscles and jaw. She
was then scheduled for a treatment plan consultation.
Fig. 2 Lower left arch for implant crown.Fig. 1 Existing implant in lower left #18 area. Fig. 3 Upper occlusal view before treatment.
Case Report

51A Case Study in Handling and Explaining Occlusal Disease 51
THE HISTORY
The patient’s history included tooth loss of #18 due to a fracture of the crown as
well as a recent history of loosening, fracturing and early replacement of all-ceram-
ic restoration on #8 and 9 (Figs. 2 & 3). She stated she has a habit of grinding her
teeth and felt that was contributing towards the crown failure. Additionally, the
patient was not pleased with the appearance of her smile as she felt her teeth were
too short. Her long term goal was to keep her natural teeth for life and avoid repeat-
ed dental treatment.
CLINICAL FINDINGS
The periodontal structures were quite healthy and there was minimal evidence of
caries. There was muscle tenderness upon direct palpation of the masseters, tempo-
ralis, and medial pterygoids as well as the lateral pterygoids upon indirect palpation.
There was excessive hypertrophy of the masseters as well as the temporalis muscles.
The mandible had full range of motion in all possible movements. There were no
intracapsular disorders of the TMJ as determined by Doppler auscultation and load
testing. There was severe wear throughout the mouth as well as abfractions along
with slight tooth mobility. There was a CR contact on the distal of #19, with a 2mm
vertical component and a 2mm forward component into maximal intercuspation
(MI). There were interferences in lateral excursions on the working and non work-
ing sides bilaterally. Protrusive was WNL.
The potential for repeated crown fracturing, as well as potential implant failure due
to destructive forces of occlusion, was very high. Allowing these destructive forces
to persist could cause implant failure, restorative failure, or tooth loss. Not treating
this disease would have severe implications for the patient. Á
Figs. 4, 5, 6 Tooth wear and abfractions.
Clinical Findings
TOOTH
WEAR
ABFRACTIONS
TOOTH WEAR
ABFRACTIONS

52 A Case Study in Handling and Explaining Occlusal Disease
Demonstrating Joint Position
Figs. 7, 8 Animation
showing muscle func-
tion and removing ten-
sion in pterygoids.
Figs. 9 & 10
Animations contrasting
stable (left) and unsta-
ble (right) bites.
CONSULTATION TIME
Using her mounted models, I was able to show my client how worn her natural
teeth had become. The models were mounted in CR so the first contact was on
tooth #19 and there were lateral interferences in all eccentric jaw movements.
In the past, these findings were important yet difficult for the patient to understand
even with mounted models. My goal in creating BiteFX™ was to show patients the
relevance of proper joint position, normal muscle function, the role of proper ante-
rior guidance, and finally the value of ideal tooth contacts in a way that could be
easily understood.
The patient had experienced remarkable relief of facial muscle soreness with the
deprogrammer so I began by educating her on the reason behind this success.
Through animations (illustrated in Figs. 7 & 8), the client could see how the muscles
closed the jaw and allowed the joint to fully seat, removing the tension in the ptery-
goid muscles. This had the net effect of changing the mandible position and causing
the teeth to fit differently after nighttime usage.
PROPER JOINT POSITION
I was able to show the patient the difference between a stable bite, with CR in har-
mony with MI and no ability to slide forward and backwards on the back teeth, and
an unstable bite by showing two contrasting BiteFX animations (Figs. 9 &10).
NORMAL MUSCLE FUNCTION
To explain her muscle tenderness I showed her two animations; one illustrating nor-
mal muscle function (Fig. 11) and the other showing hyper-muscle activity (Fig. 12).

53A Case Study in Handling and Explaining Occlusal Disease 53
Muscle Function/Anterior Guidance
Figs. 11, 12 Normal
muscle function (left)
compared with muscle
hyper-activity (right).
Figs. 13, 14
Animations illustrating
anterior guidance.
It was easy to illustrate, that when the jaw closes into a stable bite,it requires no
usage of the muscles that position the jaw forward and sideways.
PROPER ANTERIOR GUIDANCE
The patient exhibited severe wear and lateral interferences on both the working and
balancing sides. Using BiteFX animations she could visualize the destructive effects
of her existing occlusal disease, and the benefits of proper anterior guidance as
snapped in figures 13-16.
PROPER TOOTH CONTACTS
The animations illustrated in figures 17 and 18 showed the patient proper tooth con-
tacts which minimize the contact, wear and stress to the teeth as compared to
destructive contacts which can wear, move or break teeth.
ATTAINING CENTRIC RELATION POSITION
I’m often asked how I determine the proper position of the joint. In this case, I repli-
cated the action of the closing muscles of the jaw by using bimanual manipulation.
In addition, I had her clench repeatedly on an anterior de-programmer. I was able
to attain CR records using both techniques.
TREATMENT PLANNING FOR SUCCESS
Once the patient began to understand the advantages of a stable occlusion, she start-
ed to focus on the esthetics of her smile. The occlusal attrition was dramatic and the
central incisors were as long as they were wide. To establish longer upper front
teeth required opening the vertical dimension as determined by mandibular Á

Proper Tooth Contacts
Figs. 15, 16
Animation illustrating
the effects of lost ante-
rior guidance.
Figs. 17, 18
Animations showing
ideal tooth contacts
(left) and comparing
proper and destructive
tooth contacts (right).
translation and the closest speaking space. Evaluation of this parameter combined
with the patient’s desires, I requested maxillary centrals 12mm long and correspon-
ding lowers 10mm in the diagnostic wax up.
TREATMENT PLAN
Step 1. Continued anterior deprogrammer therapy followed by occlusal equili-
bration to include anterior guidance using composite build-ups on
the cuspids.
Step 2. New impressions for mounted study models in CR and a full mouth diag-
nostic wax up to the desired tooth lengths.
Step 3. Preparation, impression taking, and provisionalization of both arches
simultaneously.
Step 4. Evaluation of the form, function, and comfort during the provisionalization
period (6 months).
Step 5. Final shade selection, fabrication of all ceramic restorations from first
bicuspid to first bicuspid, and porcelain fused to gold on the remaining
posterior teeth.
Step 6. The final phase is impressions and fabrication of the lower implant crown
#18. Ironically, this last procedure was the first item requested at the ini-
tial office visit. Á

TREATMENT PHASE
Visit #1 - Equilibration and Diagnostic Wax-up
Wearing the anterior deprogrammer had relaxed the muscles, which allowed for an
easy and complete occlusal equilibration. Full arch impressions using VPS were
made. A SAM III axiomatic bite fork and face bow were taken, as well as CR bite
records using Futar D.
Since centric relation is independent of tooth contact or position, I take the record
at a 2-4 mm vertical opening to maintain adequate thickness of the recording mate-
rial. This enables the laboratory to avoid breakage due to thinness of material. The
client selected a smile she liked and that guided the Rx for the diagnostic wax up.
Digital photos of the client’s existing smile were included with the prescription. The
vertical dimension of occlusion (VDO) was determined by the height necessary to
accommodate adequate speaking space.
Visit #2 - Preparation
Preplanning and visualization of both the occlusal scheme and final tooth shape and
position are essential for predictable and efficient treatment.
Beginning with ‘The end in mind’ includes having clear provisional matrices, ‘suck
down’ prep guides, replica stone models of the diagnostic wax up, as well as mount-
ed waxed models available at the start of treatment.
An electric hand piece and new Brasseler diamonds allowed for an effective 5 hour
visit during which both arches were prepped, final impressions were taken, and pro-
visionals placed. CR bite records as well as facebow were taken.
Temporaries
Figs. 19, 22
The patient’s
temporaries.

57A Case Study in Handling and Explaining Occlusal Disease
Visit #3 - The Test Drive
This is the period where the newly increased VDO is evaluated with emphasis on
speech and esthetics. The temporaries (Figs. 19 - 22) were modified to the patient’s
desires (i.e. more pointed canines), and alginate impressions, digital photos and face-
bow records were given to the lab to create the final restorations.
Visit #4 - Shade Selection
The client opted for very white teeth. The Vitapan 3D shade guide was used. A sin-
gle incisor was fabricated and tried in to get the patient’s approval prior to complet-
ing the entire case.
Visit #5 - Expect the Unexpected
During the 6 month trial test drive, the pulp of #3 was irreversibly inflamed. The
tooth had a prior history of severe pain after a crown was placed several decades
ago. The client rejected the option of saving the tooth with root canal therapy and
chose extraction and bone grafting, followed by implant placement and implant
retained crown (Figs. 23 - 24). The extraction and bone graft were completed using
Grafton matrix and Pepgin N -15.
After 4 months, a 6mm x 9mm Biohorizons D4 Maestro implant was placed and
simultaneously a “Sinus Lift” of 3mm was performed with flat ended osteotomes and
a conservative tissue punch access rather than a full flap.
Visit #6 - Completion
The final restorations (Figs. 25 - 30) were placed using RelyX bonding agent for the
refractory porcelain and Fuji GC luting cement for the posterior PFMs. The delivery
appointment went smoothly and required only ‘spot adjusting’ in several areas. Á
Implants / Final Restorations
Figs. 23, 24 Placing
the implant for #3.
Figs. 25, 26
Final restorations.

There was no hint of a CR slide and all eccentric jaw motions were WNL!
CONCLUSION
Placing an implant or any final restoration in an environment where it has the poten-
tial to fail due to destructive occlusal forces is unwise. Communicating the effect of
occlusal disease can be frustrating and difficult yet nonetheless it is our responsi-
bility as health professionals.
Realizing that all patients may not require nor want extensive full mouth reconstruc-
tion, a simpler solution would have been to equilibrate and restore anterior guidance
with a minimal approach using composites. Her muscle soreness would be eliminat-
ed and the potential for repeated porcelain failure would be very minimal.
The beauty of understanding and presenting solutions to occlusion disease is that
whether you are doing something very minimal or, as in this case, major, the case
can be completed in phases (one arch or anterior segment at a time). The treatment
principles are the same regardless of scope of treatment. This case started with a
desire to do a single implant crown on #18. The patient was also concerned about
repeated crown loosening and fracture and she was aware of grinding her teeth.
With the help of 3D animations, I was able to demonstrate the destructive effects
caused by an unstable occlusion which increased her understanding and confidence
to accept a rather extensive treatment plan. The result is a beautiful healthy smile
that will last.
Final Restorations
Figs. 27-30
Final restorations.

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