Webinar course on indirect restoration: Aesthetic Evolution

- The BioEmulation principles in relation to posterior tooth preparation- The synergy between magnification and isolation technique- Cracks attack- The Impression Techniques and Temporisation Solutions- The Day-to-day protocols for Adhesive Cementation Procedures

Bioemulation Concept Philosophy

Adhesive dentistry has fundamentally altered and literally transformed our field toward significantly longer-lasting and more esthetic dental restorations ; Not only because the restorations itself are performing well, but mostly because more dental tissues has been preserved. Our group`s philosophy is "less dentistry is the best dentistry". Seeking this goal, Nature is the ideal model to emulate and our basic assumption for dentally emulating nature is found in the histo-anatomic structure of teeth.

Vital and non-vital anterior and posterior teeth restoration strategies

Thorough understanding of the bio-mechanical behavior of teeth, both sound and restored, on a macro- and micro-level will allow us to come forward with effective measures to save teeth and be less aggressive in our treatment proposals. A pro-active approach will be proposed, both for vital and non-vital teeth, anterior and posterior teeth. The importance of early diagnosis, healthy strategy and skillful execution will be evident in this groundbreaking presentation.

- The era of Mucointegration in implantology- The use of modern implants and orthopedic structures- Osseointegration. Mucointegration- Planning the emergence profile around dental implant

Orthopedic integration and achieving a stable result

The prosthetic treatment plan must allow an ideal integration of esthetics, biologics and functional requirements on natural teeth and on implants. In case of implants the prosthetic treatment is usually more challenging due to the inevitable soft tissues changing after teeth extraction. In this sense the prosthetic components assume an essential role in order to idealize the prosthetic integration and simultaneously achieve reliable and stable prosthetic results. Nowadays, it is well known that the biological integration and stability around implants, can be significantly influenced by the correct use of modern implant and prosthetic components.

Mucointegration

Implantology has reached the era of the Mucointegration. In this sense implants and prosthetics components should allow to get a restoration integrated at each level achieving restorations osseo-integrated and muco-integrated at the same time. On this object to tailor an ideal surface at each level, to meet biological needs, working on roughness, morphology and surface chemistry is a crucial advantage that can give us the opportunity to achieve a restorative system osseo-and muco-integrated at the same time. In this sense the use of not-removable prosthetic components allows to idealize the soft tissues healing and management around implant with significant advantage from a biological, biomechanical and clinical point of views. This approach offers an undisturbed mucosal seal with many advantages for both surgeons and restorative clinicians.

Planning the emergence profile

On this field assumes a crucial value also the management of the implant of the emergence profile of the restorations that is strictly correlated to the vertical position of the implant and the position of the platform. Lecture is aiming to point out which the latest innovations in all this topics.

- Minimally invasive orthopedic structures: simple crowns, bridges, full mouth rehabilitation- Minimally invasive preparation and adhesive preparation techniques- Modern restoration materials- Making decisions to create the perfect treatment plan- Aspects related to the treatment of aesthetic areas, with a focus on:

-- diagnostic and orthopedic protocols -- surgical methods -- soft tissue management -- work with temporary restorations -- impression technique and the perfect selection of restoration procedures

Tooth-based prosthetics

The prosthetic treatment plan must allow an ideal integration of esthetics, biologics and functional requirements on natural teeth and on implants. In the last 15 years the technology, the new components and the new materials have revolutionized the traditional approaches, introducing steadily new digital instruments year after year: Cad/Cam technology, guided implant surgery and innovative digital tools for diagnosis, planning and treatment. All these innovations have influenced significantly the clinical and technical workflow both in case of teeth-supported and implant-based rehabilitations. Concerning teeth supported prosthesis the key point is the minimal invasive prosthetic approach and its integration with a digital workflow. Minimal invasive prosthetic procedures can be performed not only in case of full mouth rehabilitation but also considering simple crowns and bridges. In fact today with a correct preparation technique is possible to preserve sound tooth structure and also enamel in many clinical situations. This procedure combined with adhesive bond and a correct selection and use of the restorative material allows to achieve excellent result in term of integration and reliability of the final prosthetic outcome.

Implant prosthetics

In case of implants the prosthetic treatment is usually more challenging due to the inevitable soft tissues changing after teeth extraction. In fact, the soft-tissue management around implants represents a crucial aspect and must be considered also from a prosthetic point of view in order to conclude the therapy with excellent outcomes. In this sense the prosthetic components assume an essential role in order to idealize the prosthetic integration and simultaneously achieve reliable prosthetic results. Clinical situations require specific evaluations in terms of implant connection, temporary abutments, definitive abutments and restorative materials and approaches. Nowadays, it is well known that the biological integration and stability around implants, can be significantly influenced by the correct use of modern prosthetic components. This lectures is step by step aiming to describe the decision making process in order to define the ideal prosthetic approach for all clinical situations, considering the single tooth replacement, the treatment of partial edentulous areas and the full-arch implant-supported rehabilitation. Special considerations and aspects will be introduced speaking about the treatment of the esthetic areas, focusing the attention on the diagnostic and prosthetic protocol, surgical techniques, soft tissues management working with the temporary restorations, soft-tissue based impression technique and the ideal selection of the restorative procedures. Also the selection of the restorative material will be evaluated considering both the monolithic and the layered approaches and pointing out the indications, the advantages and the drawback of each approach. All the topics covered during the course will be aiming to describe how to achieve an excellence integration of the restoration idealizing in the same time the reliability of the prosthetic outcome.

- The era of Mucointegration in implantology- The use of modern implants and orthopedic structures- Osseointegration. Mucointegration- Planning the emergence profile around dental implant

Orthopedic integration and achieving a stable result

The prosthetic treatment plan must allow an ideal integration of esthetics, biologics and functional requirements on natural teeth and on implants. In case of implants the prosthetic treatment is usually more challenging due to the inevitable soft tissues changing after teeth extraction. In this sense the prosthetic components assume an essential role in order to idealize the prosthetic integration and simultaneously achieve reliable and stable prosthetic results. Nowadays, it is well known that the biological integration and stability around implants, can be significantly influenced by the correct use of modern implant and prosthetic components.

Mucointegration

Implantology has reached the era of the Mucointegration. In this sense implants and prosthetics components should allow to get a restoration integrated at each level achieving restorations osseo-integrated and muco-integrated at the same time. On this object to tailor an ideal surface at each level, to meet biological needs, working on roughness, morphology and surface chemistry is a crucial advantage that can give us the opportunity to achieve a restorative system osseo-and muco-integrated at the same time. In this sense the use of not-removable prosthetic components allows to idealize the soft tissues healing and management around implant with significant advantage from a biological, biomechanical and clinical point of views. This approach offers an undisturbed mucosal seal with many advantages for both surgeons and restorative clinicians.

Planning the emergence profile

On this field assumes a crucial value also the management of the implant of the emergence profile of the restorations that is strictly correlated to the vertical position of the implant and the position of the platform. Lecture is aiming to point out which the latest innovations in all this topics.

- Minimally invasive orthopedic structures: simple crowns, bridges, full mouth rehabilitation- Minimally invasive preparation and adhesive preparation techniques- Modern restoration materials- Making decisions to create the perfect treatment plan- Aspects related to the treatment of aesthetic areas, with a focus on:

-- diagnostic and orthopedic protocols -- surgical methods -- soft tissue management -- work with temporary restorations -- impression technique and the perfect selection of restoration procedures

Tooth-based prosthetics

The prosthetic treatment plan must allow an ideal integration of esthetics, biologics and functional requirements on natural teeth and on implants. In the last 15 years the technology, the new components and the new materials have revolutionized the traditional approaches, introducing steadily new digital instruments year after year: Cad/Cam technology, guided implant surgery and innovative digital tools for diagnosis, planning and treatment. All these innovations have influenced significantly the clinical and technical workflow both in case of teeth-supported and implant-based rehabilitations. Concerning teeth supported prosthesis the key point is the minimal invasive prosthetic approach and its integration with a digital workflow. Minimal invasive prosthetic procedures can be performed not only in case of full mouth rehabilitation but also considering simple crowns and bridges. In fact today with a correct preparation technique is possible to preserve sound tooth structure and also enamel in many clinical situations. This procedure combined with adhesive bond and a correct selection and use of the restorative material allows to achieve excellent result in term of integration and reliability of the final prosthetic outcome.

Implant prosthetics

In case of implants the prosthetic treatment is usually more challenging due to the inevitable soft tissues changing after teeth extraction. In fact, the soft-tissue management around implants represents a crucial aspect and must be considered also from a prosthetic point of view in order to conclude the therapy with excellent outcomes. In this sense the prosthetic components assume an essential role in order to idealize the prosthetic integration and simultaneously achieve reliable prosthetic results. Clinical situations require specific evaluations in terms of implant connection, temporary abutments, definitive abutments and restorative materials and approaches. Nowadays, it is well known that the biological integration and stability around implants, can be significantly influenced by the correct use of modern prosthetic components. This lectures is step by step aiming to describe the decision making process in order to define the ideal prosthetic approach for all clinical situations, considering the single tooth replacement, the treatment of partial edentulous areas and the full-arch implant-supported rehabilitation. Special considerations and aspects will be introduced speaking about the treatment of the esthetic areas, focusing the attention on the diagnostic and prosthetic protocol, surgical techniques, soft tissues management working with the temporary restorations, soft-tissue based impression technique and the ideal selection of the restorative procedures. Also the selection of the restorative material will be evaluated considering both the monolithic and the layered approaches and pointing out the indications, the advantages and the drawback of each approach. All the topics covered during the course will be aiming to describe how to achieve an excellence integration of the restoration idealizing in the same time the reliability of the prosthetic outcome.

- The success of direct and indirect restoration of the frontal and lateral teeth- Treatment Planning Using Adhesive Technology- The use of digital technology- Preparation criteria for partial indirect restorations- Indications for treatment and esthetic analysis- Manage VDO aumentation in complex cases- Material choice in relation to mechanical properties/translucency- Adhesive protocols for each clinical situation

Adhesive dentistry revolutionized the way we treat patients.

Starting from the restoration on single tooth we will learn the parameters to gain long term success both in posterior and anteriors direct or indirect techniques. Only after understanding the potential of adhesive restorations on single tooth, we will be able to upgrade the adhesive philosophy with multidisciplinarity in order to treat complex cases with a mini-invasive approach. Planning is the Key: with the help of digital tools we have the possibility to study each case in every single aspect and testing the project before even starting the treatment.

The evolution of materials and bonding techniques have considerably updated allowing better performances, with improved outcomes.

BOPT philosophy

- Minimal invasive aesthetic dentistry- Adhesive dentistry

When and why prepare a tooth for full crown

BOPT concept:

- Limitations and advantages- Vertical vs. horizontal tooth preparation

- Relationship between crown and natural tooth- Relationship between crown and soft tissue- Vertical prep-coronal and apical to CEJ

- Intrasulcular mapping- Tooth preparation- Provisional relining (step by step)- Cementation

- Prosthetic approach and new biological width- Gingival margin and harmony retrieval- Crown margin and periodontal response- Provisional relining and controlled invasion of sulcus

- Analogic and digital impression- Lab procedures: model and ditching of abutment- Final emergence profile of the restoration- Double cord impression technique- Materials and techniques

- Diagnosis of worn detention- Treatment Plan for worn detention- Treatment of worn detention with the CEREC

Tooth wear is becoming an increasingly common problem in modern day dentistry and there are a large variety of conservative options available for treatment. However, this variety can also lead to confusion and apprehension. Making the right restorative decisions is a key to success.

- Dental Photography. 21st century standards

The main purpose of photography in dentistry is documentation. The aim is to capture as much information as possible under reproducible conditions. For this purpose, the camera used, its accessories and the format and illumination of the dentistry-relevant intra- and extraoral photographs must be standardized. Under standardised photographic conditions, the photographs taken are comparable, even if the subsequent photographs are taken at long intervals and by different photographers. Only in this form can dental photography be used as a valuable documentation aid.

The standards described by Wolfgang Bengel in 1985 are still valid, but they would have to be updated and adapted to technical innovations. In this webinar, the current development in the field of dental photography and related areas will be briefly explained.

- The BioEmulation principles in relation to posterior tooth preparation- The synergy between magnification and isolation technique- Cracks attack- The Impression Techniques and Temporisation Solutions- The Day-to-day protocols for Adhesive Cementation Procedures

Bioemulation Concept Philosophy

Adhesive dentistry has fundamentally altered and literally transformed our field toward significantly longer-lasting and more esthetic dental restorations; Not only because the restorations itself are performing well, but mostly because more dental tissues has been preserved. Our group`s philosophy is "less dentistry is the best dentistry". Seeking this goal, Nature is the ideal model to emulate and our basic assumption for dentally emulating nature is found in the histo-anatomic structure of teeth.

Vital and non-vital anterior and posterior teeth restoration strategies

Thorough understanding of the bio-mechanical behavior of teeth, both sound and restored, on a macro- and micro-level will allow us to come forward with effective measures to save teeth and be less aggressive in our treatment proposals. A pro-active approach will be proposed, both for vital and non-vital teeth, anterior and posterior teeth. The importance of early diagnosis, healthy strategy and skillful execution will be evident in this groundbreaking presentation.