Online course
Centric Relation: All Methods of Registration and Clinical Application
by Dr. Jean-Daniel Orthlieb, Lukas Lassmann, Michael Miyasaki, Mike Racich, Marcelo Matos, Kamil Stefański
  • Dr. Jean-Daniel Orthlieb
    Dr. Lukas Lassmann
    Dr. Michael Miyasaki
    Dr. Mike Racich
    Dr. Marcelo Matos
    Dr. Kamil Stefański
  • 9 lessons
  • Duration:
    11 h 3 min
  • Access to the course is not limited in time
You can buy the entire course now at the new price - $19, instead of the old one - $404
Course program
Centric Relation: All Methods of Registration and Clinical Application
9 online lessons

Centric relation is the key to successful dental treatment!

We've put together EVERYTHING every dentist needs to know about the centric relation in one course where you'll learn:

– All popular centric relation registration protocols: classical and digital
– Treatment planning taking into account the centric relation
– Centric relation in the work of an orthodontist and prosthodontist.

This course is required for all dentists involved in prosthetics, orthodontics and the treatment of tooth wear. After completing the training, you will be able to choose the optimal concept for CR registration!
Centric relation: introduction
1 h 4 min
From the historical mechanic "centric relation" to a biological model
2 h 15 min
CR registration using hard wax
29 min
CR registration using neuromuscular approach. How to achieve stable results
1 h 30 min
Dawson method of centric relation determination
36 min
Digital methods of centric relation determination
1 h 3 min
Determining the CR using Lucia Jig
1 h 41 min
Interdisciplinary treatment planning in the concept of centric relation
33 min

Clinical application of CR in prosthodontics and orthodontics

1 h 47 min
  • 9
    lessons
  • -95%
    discount
  • $385
    savings
You can buy the entire course now at the new price - $19, instead of the old one - $404
The full course program
Centric relation: introduction
Here you can watch a five-minute fragment of the lesson.
By Mike Racich

Lesson program:
– Centric Relation: modern definition
– Centric Relation: evolution of terminology
– Centric Occlusion: definition
– Vertical dimension of occlusion (VDO): definition
– Rule of thirds
– Mutually Protected Occlusion
– TMJ examination: clinical and laboratory
– Habit bite
– Centric Relation: clinical recommendations
– Chewing studies.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.
Duration: 1 h 4 min
From the historical mechanic "centric relation" to a biological model
Here you can watch a five-minute fragment of the lesson.
By Marcelo Matos

Lesson program:
– The importance of CR in dentistry
– The modifications of the concept of centric relation (CR) over the years
– The problem and limitations of use CR for diagnosis and treatment
– Imaging and the jaw relationship
– Condyle position from a biological perspective
– TMJ pathology and its impact on occlusion
– Dental based vs orthopedic based occlusion.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.
Duration: 2 h 15 min
CR registration using hard wax
Here you can watch a five-minute fragment of the lesson.
By Jean-Daniel Orthlieb

Lesson program:
– The terminal hinge axis movement concept
– Stable centric relation: definition
– P.K. Thomas and Lauritzen manipulation and the P. Dawson maneuver: disadvantages
– Method of registration of the centric relation using wax plates
– Creation of an anterior occlusal stop: indications and methodology
– Reproducibility of the central ratio: Split cast technique.

Recommended for: Orthodontist, Gnathologist, Prosthetist, Dental Technician, General Dentist.
Duration: 29 min
CR registration using neuromuscular approach. How to achieve stable results
Here you can watch a five-minute fragment of the lesson.
By Michael Miyasaki

Lesson program:
– Occlusion and malocclusion: definition
– Rationale behind the neuromuscular approach to occlusion
– The concept of habitual bite
– Physiologic vs accommodative trajectory
– Available equipments used to diagnose and treat cases via neuromuscular approach
– Patient examination algorithm in the concept of neuromuscular dentistry
– CR registration using neuromuscular approach
– 3 keys to work in the concept of neuromuscular dentistry
– The method of obtaining the registry
– Orthotic: types and advantages of application
– Goals of the phase II of treatment
– What final options are available and an example of approaching a worn dentition rehabilitation
– Framework to approach occlusal stability.

Recommended for: Prosthodontists, Functional dentists, Restorers, General dentists.
Duration: 1 h 30 min
Dawson method of centric relation determination
Here you can watch a five-minute fragment of the lesson.
By Kamil Stefański

Lesson program:
– Centric Relation: definition and history
– Factors that affect Centric Relation records
– Central occlusion and maximal intercuspidation
– TMJ problems during orthodontic treatment
– Posselt diagram
– Occlusal diseases
– FACE Digital Mounting: principles
– Evaluation of Centric Relation term
– Centric Relation registration method: Dawson method and Lucia jig
– Preparation for orthodontic treatment
– Preparation for Centric Relation establishment: muscles deprogramming
– Mountings in Centric Relation
– Mistakes in Centric Relation determination.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.
Duration: 36 min
Digital methods of centric relation determination
Here you can watch a five-minute fragment of the lesson.
By Kamil Stefański

Lesson program:
– The reliability of radiological methods for determining central occlusion
– Digital bite from IOS
– The concept of Tx: vertical control
– Centric Relation in case aligner treatment
– Prescription for technicians
– Aligners — save distalization appliance to hight-angle patients
– TMJ disk lock
– Pros and cons of digital treatment planning in arc of closure
– Hybrid treatment with Stop&Go: protocol
– Axioprisa: advantages of the technique
– Digital mounting protocols
– Surgery cases simulation.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.
Duration: 1 h 3 min
Determining the CR using Lucia Jig
Here you can watch a five-minute fragment of the lesson.
By Kamil Stefański

Lesson program:
– Patient deprogramation
– Dawson Maneuver
– Placing the Lucia Jig: the technique, materials, typical mistakes
– Denar Wax or silicon bite registration: which method is better? Typical mistakes. Proper sequence of workflow
– Facebow
– Analogue models mounting in the articulator
– Models CR analysis.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.
Duration: 1 h 41 min
Interdisciplinary treatment planning in the concept of centric relation
Here you can watch a five-minute fragment of the lesson.
By Kamil Stefański

Lesson program:
– Surgical cases in orthodontic treatment:
- transverse analysis
- suture maturity
- expantion
- Silesia Expander by Dr. Kamil.
– Digital assistent in dental office
– Molar torque correction
– Torque selection based on CBCT
– Assessment of long-term results of treatment.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, Dental technicians, General dentists.
Duration: 33 min
Clinical application of CR in prosthodontics and orthodontics
Here you can watch a five-minute fragment of the lesson.
By Lukas Lassmann

Lesson program:
– MRI and CBCT positioning of the condyle – when does it make sense?
– 4/7 position and rearmost position – why they were used and why they were stopped
– Centric slide – a physiological phenomenon or a big mistake?
– Constricted Chewing Pattern (CCP) and the “long centric”
– Compression and decompression in TMJ – is the joint space important for us?
– Rotation / translation – are we actually separating these two movements?
– Defining the Central Relation – dental cabaret
– Adapted centric posture. How do I know when an intervention is needed?
– Muscle vectors of the stomatognathic system
– Establishing a centric relation (deprogrammers and maneuvers)
– Triple centric relation and determining the position of the articular fossa
– Forward position – splint reposition, functional orthodontics, apnea treatment
– Neuromuscular position – main principles and doubts
– What position should we choose and when should we look for it?
– Does an incorrect position in the joint guarantee TMD?

Recommended for: Prosthodontists, Functional dentists.
Duration: 1 h 47 min
Special offer
Jean-Daniel Orthlieb
Lukas Lassmann
Michael Miyasaki
Mike Racich
Marcelo Matos
Kamil Stefański
Centric Relation: All Methods of Registration and Clinical Application
9 lessons • 11 h 3 min
Access to the course is unlimited in time!
  • Dr. Jean-Daniel Orthlieb
    Creator of the OCTA concept. Professor Jean-Daniel Orthlieb is an educationist, researcher and specialist in Occlusodontology. He received his doctorate in dentistry (DDS) in 1978 from the Faculty of Dentistry, Aix-Marseille University, France. From 2007, he has beed a Full University Professor. He has published 6 books and more than 130 scientific papers about occlusion, TMD and prosthetic.
  • Dr. Lukas Lassmann
    A member of the Polish Academy of Aesthetic Dentistry and the International Congress of Oral Implantologists.
    An international lecturer and founder of Master Level courses.
  • Dr. Michael Miyasaki
    General dentist with 30 years of experience, USA. Head of the Academy of Minimally Invasive Implantology. Director of Education for the Pacific Aesthetic Continuum. Maintains a private practice in Sacramento, CA, focused on comprehensive dentistry and function.
  • Dr. Mike Racich
    General dentist in Vancouver, British Columbia, and a graduate of UBC Dental School with more than 30-years’ experience.
    He mentors the didactic/clinical FOCUS Dental Education Continuum (study clubs, proprietary programs, coaching, 2nd opinions only).
    Author of the "The Basic Rules of Oral Rehabilitation", "The Basic Rules of Occlusion", "The Basic Rules of Facially Generated Treatment Planning", and "The Basic Rules of Being a Dental Patient".
  • Dr. Marcelo Matos
    TMD and orofacial pain specialist and a certified Oral & Maxillofacial radiologist in Salvador, Brazil Specialist in TMD and orofacial pain certified by the Federal Dentistry Council (CFO).
    Author of the "TMJ Image Manual" and “Reasoning for Imaging Diagnoses in Dentistry”.
    Member of the Study Group of Professor Jorge Learreta – Ge-JAL (Argentina). Member of the American Academy of Craniofacial Pain. Member of the International Association for Orthodontics.
    Founding member of the Brazilian Academy of Sports Dentistry - ABROE.
  • Dr. Kamil Stefański
    Graduated from Silesian Medical University in Katowice, Poland. Diploma in advanced orthodontics by FACE/Roth-Williams International Society of Orthodontists. Diploma in aligners by European Master of Aligners, London.
    Active FACE Poland member, lecturer of orthodontics and TMJ/TMD.
    Former Invisalign Clinical Speaker.
    Former Silesian Medical University lecturer of TMJ/TMD and Orthodontics Department.
    Private practice limited to orthodontics five chairs clinic in Katowice, Poland.