Composite and Ceramics: Layer, Prep, Scan and Bond
Restorative Solutions for 2 commonly encountered clinical Scenarios
Professor Marleen Peumans DDS, PhD & Dr Anthony Mak BDS, Grad Dip Clin Dent Syd Uni
Mimicking Nature: Managing a fractured discoloured tooth with a Simplified Composite Technique
Composite is considered worldwide as the first choice material for direct composite restorations in the anterior and posterior region. The main advantage is their minimal invasiveness and that an aesthetic result can be obtained with a favourable cost for the patient. Nowadays, the ultimate goal is to imitate the natural tooth as perfect as possible. To achieve this outcome, current composite materials have an arsenal of shades and opacities that is too extensive for dentists. In addition, the technique to use these different opacities and shades in a correct proportions and layering technique is too complicated.
This component of the hands on program introduces a simplified composite system (Essentia GC) that is formulated to take into account the natural aging process of teeth. During this workshop, a fractured and discoloured incisor will be restored to mimic nature with this simplified system. The different step of the procedure (preparation, layering, finishing and polishing) of this challenging but commonly presenting clinical scenario will be demonstrated step by step.
The use of bonded partial coverage ceramic restorations in the posterior dentition has become the cornerstone of the modern general dental practice. The hands-on program introduces a comprehensive approach for the restoration of a broken down posterior molar, restoring function and aesthetics, with a bonded partial coverage ceramic restoration.
Adhesive and minimal intervention concept as it pertains to this modality of treatment will be presented with the workshop covering all aspects from treatment planning, through preparation, digital scanning, provisionalisation and final cementation/finishing.
Tooth Preparation of a bonded ceramic onlay using biomimetic principles.
Immediate Dentin Sealing and Gingival Margin Elevation Procedure.
The utilization of digital scanners for capturing the impression of the preparation.
Treatment of the fitting surface of the restorations.
Adhesive Cementation of the restoration.
Polishing and finishing procedures.
Limited to 22 participants — Hilton Hotel
Immediate Tooth Replacement Therapy to Enhance Aesthetic Outcomes
Dr Stephen J Chu DMD, MSD, CDT
The first half of this full day workshop focuses on minimally invasive protocols for immediate tooth replacement. Such techniques allow for better aesthetics, decreased treatment times, and greater patient comfort, but one must consider risks versus rewards for immediate extraction socket implant placement, considering survival and aesthetic outcomes. Immediate provisional restoration of immediate implants placed into anterior sites will be presented.
The afternoon hands-on component covers surgical placement of implant into an extraction socket [maxillary anterior central incisor & premolar], and then immediate temporization using either a custom healing abutment, the full tooth, or the use of an i-Shell to make a temporary restoration.
Limited to 20 participants — Hilton Hotel
Zero Bone Loss Concepts: The development and maintenance of bone stability around implants.
Associate Professor Tomas Linkevicius DDS, PhD
Part I. Development of crestal bone stability. Vertical soft tissue thickness: Its’ Effects on the Crestal Bone Stability.
Part I of this workshop focuses on vertical soft tissue thickness. Attendees will learn how to diagnose thin vertical tissues, how to increase vertical thickness with allogenic membranes, the Tent” technique to increase crestal bone, and related topics. They will learn different methods to make thin tissues thicker, including details of incisions, suturing, bone modification, and implant placement.
Part II explores prosthetic factors, including cement excess, subgingival and supragingival materials, and impressions of deeply placed implants. Attendees will learn techniques for safe cementation without cement excess, methods for construction of cement-screw retained restorations using Ti bases, and selection of materials. The workshop will also include a discussion of the effect of zirconia materials on peri-implant soft tissues.
Limited to 20 participants — Hilton Hotel
Adhesive Design using the Inverse Injection Composite Layering Technique
Dr Douglas Terry DDS
This all-day hand’s-on workshop teaches a novel indirect/direct injection technique for composite layering that provides a precise and predictable method for translating a diagnostic wax-up or a pre-existing diagnostic model into composite restorations by mixing various hues and opacities of highly filled flowable materials. The technique has many other applications as shown in Dr Terry’s latest book “Restoring with Flowables.” The workshop will help dentists gain skills in color mixing for creating polychromatic lifelike restorations.
It provides many technique tips on direct bonding of multiple composite restorations.
It is strongly suggested that each participant review Chapter 8: Provisionalization in Esthetic & Restorative Dentistry: Material Selection & Technique 3rd edition, prior to the workshop.
Limited to 20 participants — ADA Centre for Professional Development, 1 Atchison Street, St Leonards NSW
See Dr Douglas A Terry LIVE at the Symposium and have your book personally signed! Reserve your copy today!
Esthetic and Restorative Dentistry: Material Selection and Technique Douglas A. Terry & Willi Geller
Restorative dentistry has seen dramatic advances in recent years, especially with the use of digital technologies, and this book provides the most up-to-date information on enhanced developments, materials, and techniques that have emerged since the publication of the second edition, offering the reader a completely updated, revised, and newly illustrated overview of modern esthetic and restorative dentistry complete with tutorial videos. New topics include web-based communication with the laboratory, indirect composite chairside CAD/CAM restorations, a comparison of digital and conventional techniques, the resin composite injection technique, as well as updated information on composites and ceramic systems, including esthetic zirconia.
New cases illustrate the maintenance of esthetic restorative materials, esthetic contouring, immediate dentin sealing, and novel surgical techniques such as lip repositioning, connective tissue grafting, and ridge preservation with collagen membranes. Dr Terry expanded his team of editorial reviewers to include the best minds in research and clinical practice, and the final product is a testament to his dedication to patient satisfaction and treatment success. The techniques demonstrated in this book will no doubt elevate your practice to the next level. 792 pp; approx 2,600 illus;
To reserve copies of any of his books please email firstname.lastname@example.org
Immediate Implants in the Aesthetic Zone – Managing Hard and Soft Tissues for Predictable Aesthetic Results
Dr Arndt Happe DDS PhD
In this theory-based workshop, attendees will learn to recognize risk factors in preserving and preparing implant sites in the aesthetic zone, based on the different biological parameters around natural teeth versus dental implants. There will be a discussion of timing and protocols in contemporary implant treatment, particularly for immediate implant placement. The workshop will also cover the benefits of modern substitutes for connective tissue, and how to prevent problems of soft-tissue recession.
Systemic Effects of the Traveling Oral Microbiome: An Interactive presentation
Dr Wenche Borgnakke DDS MPH PhD
This workshop will help make sense of the science around interactions between the oral microbiome and the whole body, and make the information on this topic accessible for clinical use by dental professionals. Scientific evidence for consequences of travel to and colonization of remote locations by members of the oral microbiome will be discussed, focusing on associations between periodontitis and systemic diseases such as diabetes mellitus, obesity, metabolic syndrome, atherosclerotic cardiovascular disease, rheumatoid arthritis, kidney disease, certain types of cancers, dementia/Alzheimer’s disease, and adverse pregnancy outcomes – along with the potential effect of periodontal treatment. Examples of what to tell the dental patients about the links between oral health and general health will be generated and shared for clinical application. Attendees will learn about the fluctuating nature of human oral microbiome, and the differences between “association” and “causality”. The workshop will be supported by a set of key journal papers that are numbered for easy identification in slides, handouts and a resource site on Google Drive.
Digital Treatment Planning for Restoratively Driven Implant Dentistry
Dr Rupert S Austin BDS, MClinDent, PhD & Dr Deborah Bomfim BDS, MSc, MJDF, FDSRCS
This workshop will give attendees experience in the use of innovative multi-model digital design for the optimal placement and restoration of dental implants. Using laptop computers with Planmeca Romexis 3D implant planning software, attendees will merge an intra-oral scan into a CBCT with a ProFace scan from 3D stereoscopic photography. They will then design the restoration using Planmeca Romexis PlanCAD Easy software before then bringing in the restoration to the merged 3D data sets and then virtually placing the implant system of their choosing with its abutment, and finally designing the surgical guide ready for printing.
Limited to 10 participants — Hilton Hotel
Motivational Mockup – The SKIN (Cllones) Concept
Dr Paulo Kano DDS, CDT
This half day workshop involves a presentation with one live patient who will serve as the demonstration case for techniques. No irreversible clinical treatment will be performed. There will be a discussion of the theory and implementation of the SKIN (Cllones) protocol, including case workup, veneer selection, measurement, model selection, SKIN confection, photography and video recording, documentation of status before and after treatment, and methods for veneer placement.
In this course, you will learn two essential techniques that you can apply in your daily dental office routine.
The first is the Chairside Motivational Mockup. It allows you to create a beautiful smile very quickly because it doesn’t need photos, videos, modelling nor waxing-up for diagnosis. In order to do this, you will learn how to create a mockup using only laminated resin veneers, prefabricated at your own office without having to invest in any additional technology. You will be able to design and demonstrate the patients outcome smile in their first visit, giving them a reliable prediction from the start. This will help you build a more dependable and trustworthy professional relationship with them.
The second technique is the Outsourced Smile Design. In this workflow, the lab technician is responsible for the smile function and aesthetic, reducing clinical time. The dentist needs to send to the laboratory all the digital information about the patient’s smile through an oral scan process, photos and videos. Based on all this data the lab designer will choose the most suitable dental morphology – from a digital library of natural teeth especially designed by Dr Paulo Kano – and produce a model ready for you to build an excellent mockup. And if your practice has a complete digital system that includes a 3D printer machine, you can also have the option to receive a digital model from the lab and print it at your own office. This method uses the most current digital dentistry technology and you will be known by it.
These two techniques are very powerful selling tools as they assist you to persuade your new patient to work with you, performing an outstanding functional and aesthetic restoration case in anterior teeth.