Past Presentations

Digital Occlusal Technology In TMD, Implant And Restorative Dentistry

  • Friday, June 28th from 8 am to 4 pm
  • Presented by Robert D. Kerstein, DMD and James A. Oshetski, DDS
  • Register For Seminar Here


With the digital dental revolution, dentist and patients are benefiting from predictable and timely dental treatment. Computerized occlusal analysis has been available for many years in dentistry but unfortunately, the technology is underutilized. This technology enables clinicians to records relative bite pressure and muscle activity in real-time and pinpoints occlusal disharmonies with precision. This presentation will introduce clinicians with the diagnosis of occlusal disharmonies and understand its influence on the temporal mandibular disorder (TMD), tooth and implant-related complications. Participants will be introduced to and observe disclusion-time reduction (DTR) and immediate complete anterior guidance development (ICAGD) for the treatment of myelogenous-based TMD. This lecture will consist of didactic, hands-on and live patient DTR treatment.


  • Understand key mechanical and biological differences between a dental implant and natural teeth and ideal implant-protected occlusal schemes in dental implant restorations.
  • Discuss computerized occlusal analysis role in diagnosing and treating prosthetic complications and force related peri-implantitis.
  • Discuss the inaccuracy of traditional occlusal marking paper when compared to digital occlusal analysis and related ineffective occlusal treatment.
  • Understand how to perform occlusal recording with the T-Scan and identify occlusal pathology including long disclusion time (LDT).
  • Understand how the neurophysiologic etiology of the LDT excursive muscle hyperactivity physiology creates the ischemic muscle pain commonly observed in TMD patients.
  • Understand how the T-Scan and BioEMG technologies simultaneously record and illustrate both the excursive Disclusion Time contacts and the resultant masticatory muscle hyperfunction that causes ischemia and pain.
  • Learn how to lessen excursive muscle hyperactivity and muscular ischemia made possible with T-Scan guided occlusal adjustments to shorten the Disclusion Time.
  • Understand how to treat muscular TMD without appliances, mouth guards, NTI’s and deprogrammers.

View Flyer Here

Complication Reduction With A Digitally-Driven Implant Workflow

  • AAID 68th Annual Conference
  • October 23-26th 2019


Digital workflows in dental implantology have not only reduced cost and length of treatment, but also complications that alter our ideal outcome. Adopting a digitally-driven treatment workflow will improve surgical and restorative accuracy, treatment acceptance and satisfaction for both patient and provider. This lecture and hands-on presentation will introduce and incorporation technologies that reduce treatment time and avoid common complications associated with traditional workflows.


  • Participants will be introduced to digital implant treatment workflow including restorative-driven treatment planning, surgical and restorative phases.
  • Understand the combination of CBCT DICOM, dental scanning STL, and photos in a digital reconstructive treatment planning platform for a digital workflow.
  • Compare computer-guided surgery options advantages between milled surgical guides and 3D dynamic navigation technology.
  • Demonstrate how digital implant workflow increases the predictability of single and full arch immediate dental implant placement and provisionalization.
  • Discuss dental implant scan bodies customization of cad/cam milled abutments and prosthetics resulting healthy implant abutment finish line, emergence, and occlusion.
  • Understand occlusal technology’s role in the digital implant treatment workflow, occlusal schemes, and biological and technical complication avoidance.
  • Hands-on company: Tekscan digital occlusal technology. Dynamic 3D Navigation (X-Nav X-Guide)

AAID 2019 Conference Information


  • Oshetski, James (2018 June) Addition of 3D Computer Navigation Implant Placement to a Digital Implant Workflow Optimizes Predictability of Anterior Immediate Dental Implant Placement and Provisionalization Procedures. Academy of Implant Dentistry, Northeast and Southern District Meeting. Mayflower Hotel, Washington, DC.
  • Oshetski, James (2018, May). Complications in Implant Dentistry; Part III Surgical Complications. Oshetski Implant Seminars, Brunswick, ME.
  • Oshetski, James (2018, March). Complications in Implant Dentistry; Part II Pharmacology and Oral Medicine. Oshetski Implant Seminars, Brunswick, ME.
  • Oshetski, James (2018, March) Digitally-driven immediate implant replacement options; full arch. Mid-coast Dental Society, Thomaston, ME.
  • Oshetski, James (2018, January). Complications in Implant Dentistry; Part I Prosthetic Complications. Oshetski Implant Seminars, Brunswick, ME.


  • Oshetski, James (2017, November) Optimizing dental treatment outcomes with digital technology. Penobscot Valley Dental Society/ Maine Dental Association. Bangor, ME.
  • Oshetski, James (2017, October) Digital occlusal technology in the treatment of myogenous-based TMD. Merrymeeting bay dental society/ Maine Dental Association. Brunswick, ME.
  • Oshetski, James (2017, September) Digitally-driven immediate implant replacement options; single and full arch. Oshetski Implant Seminars. Fort Andross, Brunswick, ME.
  • Oshetski, James (2017, March) Optimizing dental treatment outcomes with digital technology. Androscoggin Dental Society/ Maine Dental Association. Auburn, ME.


  • Kerstein, Robert/ Oshetski, James (2016, October) Managing dental implant occlusion with computerized occlusal analysis technology. American Academy of Implant Dentistry. 2016 Annual Conference. New Orleans, LA. Provided case material and examples for presentation.
  • Oshetski, James (2016, March) Contemporary dental implant topics: digital workflow, complications, full-arch solutions. Maine Academy of General Dentistry – Learn at the Loaf. Sugarloaf Resort, ME.


  • Oshetski, James (2015, September). Digital implant workflow and its role in reduction of biologic and technical complications. Rockland, ME.
  • Oshetski, James (2015, September). Esthetics and full-arch reconstructions. Biohorizons keynote speaker. Ellais McClellan Dental Implant Study Group. Albany, NY.
  • Oshetski, James (May 29, 2015). Contemporary/digital restorative driven implant rehabilitations. Ghazini Center for Healthcare Education. Tallahassee, FL.
  • Oshetski, James (2015, April). Digital implant dentistry. Androscoggin Dental Society/ Maine Dental Association. Auburn, ME.


  • Oshetski, James (2013, April). Advanced topics in Implant dentistry for the GP. VAMC, post-doctoral GPR program. Baltimore, MD.


  • Oshetski, James (2012, April). Contemporary implant dentistry for the GP. VAMC, post-doctoral GPR program. Baltimore, MD.
  • Oshetski, James (2012, March). CBCT use in comprehensive implant dentistry – Prexion 3d sponsored presentation. Androscoggin Dental Society Auburn, ME.


  • Oshetski, James (2009, February). CBCT in implant dentistry. Merrymeeting Bay Dental Society. Brunswick, ME.
  • Oshetski, James (2009, November). Multidisciplinary use of CBCT in a general/ implant practice, Esthetic dentistry of Maine, Portland, ME.

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Our Office

Maine’s Dental Implant Specialist
Location Map:
14 Maine Street, Suite 409 Brunswick, ME 04011
Fax: 207-517-6852

Monday – Thursday: 7:30am – 4:00pm Friday: By Appointment only