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Vertical Preparation: Updated Concept for Aesthetic Rehabilitation
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Marco Maiolino
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Explore the precision and artistry of vertical preparation with Dr. Marco Maiolino, a Vertiprep-driven specialist!
It's very important to approach all aesthetic cases from a prosthodontic and periodontic standpoint. The aim of indirect restorations is to achieve both healthy periodontal tissue and an aesthetic smile. With the vertical preparation technique, you will provide your patients a pink and white aesthetic and long-lasting treatment!
During this course, you will learn in detail about:
– The vertical preparation technique
– The perio-prostho and endo-prostho approach to indirect restorations
– Edge and edgeless preparation of anterior and posterior teeth
– Protocols for bonding and delivering the restoration.
Preparation techniques and clinical protocols — Everything you need to know in one big course! Join and don't miss out!
Lezione 1.Why Vertiprep?
– Updates on the Vertiprep technique:
- Bur protocols designed specifically for the Vertiprep technique
- Minimal prep
- Verticrowns
- Lap protocols designed specifically for the Vertiprep technique.
– Soft tissue stability with the Vertiprep approach
– Step-by-step lab protocols to achieve biological stability with the Vertiprep technique.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 2.Why not vertical?
– The history of vertical preparation
– Dental specialists opinion on vertical preparation then and now
– Evolution of vertical preparation technique
– Critical evaluation of the vertical preparation technique
– Periodontal aspect to vertical preparation technique
– Literature review and analysis of clinical cases.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 3.The foundation of long term dentistry
– The endo-prostho approach to a long lasting restoration
– Treatment approach to endodontically treated teeth
– Advantages of vertical preparation technique. Minimal invasive approach
– Evaluation of tooth fracture risks in various clinical cases
– Occlusal load evaluation in the vertical preparation technique
– Compressive and tensile toughness of tooth structure and dental prosthetic restorative materials
– Material selection for prosthetic restorations
– The ferrule effect
– Analysis of clinical cases.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 4.Flame-shaped bur vs Batt-shaped bur. Indication, advantages and clinical application
– Features of of the flame-shaped bur
– Analyzing results of clinical cases using the flame-shaped bur
– The Toe-Heel Concept. Application of the Toe-Heel concept during preparation
– Preparation protocols using the flame-shaped bur. Evaluation of the most common mistakes
– Steps to dealing with supragingival and subgingival undercuts
– Indication and advantages of working the batt-shaped bur
– Conventional approach vs edgeless preparation approach
– When to take impressions: perfect timing
– Step-by-step video demonstration of tooth preparation with the vertical preparation technique using a batt-shaped bur
– Analysis of clinical cases and long-term results.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 5.Tooth preparation strategies and techniques and emergence profile
– The technique of maximum enamel saving
– The correct bur axis when preparing the tooth
– Excessive tapering of the restoration and how to avoid it
– Minimal invasive preparation for maximum dentin preservation
– Selective dentine drilling technique for anterior teeth
– Selective dentine drilling technique for compromised teeth
– The emergence profile consideration with vertical preparation technique.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 6.The inverted shoulder approach and minimal invasive approach of tooth preparation
– Critical biomechanical zones of the tooth
– Evaluation of occlusal contact
– Determination of the critical area of thickness for occlusal stability
– Protocols of inverted shoulder preparation
– Features of preparation, finishing the abutment and impression taking
– Clinical cases analysis of application of inverted shoulder preparation approach.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 7.Laboratory protocols of manufacturing provisional crowns
– Analysis of common mistakes when preparing a tooth
– How to avoid interference between the provisional crown and the tooth?
– Analysis of common mistakes when manufacturing provisional crowns
– A confirmed and recognized approach to provisional prosthetics. Clinical cases
– Step-by-step Video demonstration of analogic temporary crown fabrication:
- Fabrication protocols of posterior temporary crowns
- Fabrication protocols of anterior temporary crowns.
– Evaluation of tooth and soft tissue margins in relation to the temporary crowns
– Tricks and lifehacks of provisional prosthetics
– Analysis of clinical cases.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 8.Video guide of tooth preparation and laboratory protocols of manufacturing provisional crowns
– Video demonstration of a clinical case in an endo-prostho approach for clinical crown lengthening:
- Full steps of an endo surgery and retrograde obturation
- Tooth preparation protocols for a full crown restoration.
– Step-by-step protocols for manufacturing digital provisional crowns on EXOCAD
– Protocols of finishing and polishing of the digital provisional crown in the lab
– Protocols of delivering the digital provisional crown to the patient
– Protocol of in-office adjustment of the provisional crown
– Confederation of the most common mistakes with provisional restorations
– Mistakes when preparing teeth
– Step-by-step prosthetic restoration of endodontically treated teeth:
- Defining a missed canal, endo surgery and retrograde obturation
- Healing and follow-up
- Evaluation of the prosthetic restoration.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 9.The finish line of provisional restorations. Prostho-perio considerations
– Provisional restorations in relation to the periodontal tissue. Where to stop doing provisional restorations?
– Guided periodontal tissue adjustment with provisional restorations
– Adjustment of subgingival provisional crown margin
– Analysis of clinical cases:
- Application of the inverted shoulder approach when preparing the abutment tooth
- Fabrication and clinical adjustment of the provisional crowns.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 10.Post and core treatment approach. Is this treatment still valid? Part 1
– Defining of the interaxial dentin
– Occlusal force distribution on the coronal and apical part
– Literature and clinical analysis review of the success rate and failure of crown post and core treatment approach
– Clinical indications of fiber posts
– Adhesion of fiber posts to the tooth tissue
– Analysis of clinical cases:
- Failure of fiber posts
- Dr. Maiolino overview of fiber post restoration.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 11.Post and core treatment approach. Is this treatment still valid? Part 2
– Post and core approach to prosthetic restorations. Evaluation of treatment outcome
– The biomechanical aspects of a post and core restoration
– Comparing the advantages and disadvantages of metal cast posts and fiber posts
– Step-by-step video demonstration of metal cast post placement and abutment build-up and preparation
– Application of metal cast posts in the aesthetic zone:
- Laboratory aspects
- Clinical aspects.
– Analysis of clinical cases.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 12.Crown bonding. Prosthetic and die space
– What is the true prosthetic space and why is it important?
– Pros and cons of having a free tooth/abutment height
– Prosthetic crown thickness: consideration in different prosthetic crown materials
– Evaluation of the crown marginal seal and the occlusal seat in different clinical scenarios and in different tooth preparation techniques
– Die spaces and the precementation space of a crown
– The optimum thickness of the restoration
– The relationship between reliability, aesthetics and long-term restoration
– Reasons of chipping restorations at the stages of fitting and chewing
– Geometry and biomechanics of dental preparation for indirect restorations
– Analysis of clinical cases.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 13.Analysis of prosthetic crowns structural elements. The evaluation of different applied materials
– Literature review on the crown thickness and occlusal force load resilience
– Classification of cracks and fractures of prosthetic crowns
– The influence of preparation design on fracture resistance
– The effect of reduced occlusal thickness of a crown on fracture resistance
– Analysis of clinical cases. Follow-up on a prosthetic crown of the upper first molar.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 14.Edge and edgeless preparation protocols. Impression taking protocols
– Ideal time to take impressions
– Advantages and indications of delayed impression
– Advantages and indications of immediate impression
– Edge and edgeless preparation: indications and contraindications, pros and cons
– Detailed comparative characteristics of edge and edgeless preparation
– Clinical case: restoration of a severely damaged tooth. Choice of preparation method.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 15.Die preparation in an analog and digital method. Protocols of die spacer setting
– Die preparation: tools and techniques
– Step-by-step protocols of die preparation with digital and analog method
– Die preparation protocols during edge and edgeless preparation
– Pre-cementation retention (frictional fit)
– Post-cementation retention (cement fit)
– Die spacing for improving post cementation retention
– Setting for inverted spacing
– Using digital technologies to calculate spacing
– Processing of the gingival margin of the crown.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 16.Clinical protocols for indirect restoration cementation
– Materials for cementation and bonding of indirect restorations
– Comparative characteristics of luting materials
– Selection of the luting cement in accordance to the structural materials of the indirect restoration
– Clinical cases. Decision making strategy.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Lezione 17.Video guide of vertical preparation technique
– Ergonomics of working the with the dental microscope and red-ring hand piece
– Utilizing the coliberated notches for occlusal reduction
– Step-by-step video demonstration of preparing upper molar on a dental model:
- Protocols of occlusal reduction
- Protocols of interproximal separation and preparation
- Protocols of buccal and lingual reduction and the inverted shoulder approach
- Protocols of working with a batt-bur
- Edgeless vertical preparation protocols.
– Step-by-step video demonstration of fabrication of inverted shoulder:
- Bur selection
- Preparation technique
- Finishing and polishing.
Recommended for: Prosthodontists, Dental technicians, General dentists.
Il corso include le seguenti lezioni:
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24m
Lezione 2
Why not vertical?
Marco MaiolinoMostra il programma della lezione
0:01
Misconceptions and clinical experience with vertical preparation
2:51
History and early vertical protocols (Porta Mascarella)
9:16
Ignazio Loi BOPT and the ageless vertical approach
16:34
Modern zirconia, minimal vertical preparation and lab workflow
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58m
Lezione 3
The foundation of long term dentistry
Marco MaiolinoMostra il programma della lezione
0:01
Treatment Goals and Endodontic Priorities
4:49
Outcome Types: Process, Clinician, Patient
10:15
Patient and Clinician Desires; Vertical Preparation
14:31
Pillars of Long‑term Dentistry and Safety
17:09
Biomechanics: Loads, Vectors, Structural Forces
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38m
Lezione 4
Flame-shaped bur vs Batt-shaped bur. Indication, advantages and clinical application
Marco MaiolinoMostra il programma della lezione
0:01
Phase 3.0 vertical approach and bar protocol
7:44
Flame‑bar, toe‑heel technique and undercut issues
16:33
Bath‑bar geometry and edge approach (minimal prep)
24:14
Biologic healing, impression timing and edge vs edgeless strategy
29:44
Clinical cases and workflow: isolation, impression, final crowns
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