Full rehabilitation in prosthetic dentistry. New vision

1. Step-by-step treatment plan: sequence of stages of successful rehabilitation.

2. Esthetic analysis:

– Facial analysis;– Dento-labial analysis;– Phonetic analysis;– Tooth analysis;– Gingival analysis;– Esthetic checklist.

3. Functional analysis and occlusal considerations:

– Occlusion: natural teeth and implants;– Centric relation (CR);– How to find the central relation (CR);– Vertical occlusion dimension: how and when to change it?– Anterior guidance: how to optimize it?– Parafunctions: can the occlusion play a role in the bruxer patient?– Worn dentition: different etiology and related treatments;– Teeth erosion: etiology and treatment.

4. MIPP Technique (Minimally Invasive Prosthetic Procedure):

– New trends in restorative dentistry:

- MIPP 0, - MIPP 1, - MIPP 2, - MIPP 3;

– Different types of restorations:

- Veneers, Full Veneers, Buccal-Occlusal Veneers (BOV), Table Tops;

– Principles and advantages:

- minimal tooth preparations, - preservation of sound tooth structure, - minimal thickness restorations, - luting procedure, - clinical follow-up.

5. Communicating with the laboratory:

– Direct and indirect mock-up;– Laboratory chart;– Innovative digital tools for data collection and data processing;– Digital workflow for treatment plan;– Data transmission to the laboratory for the diagnostic wax-up;– Facebow and esthetic orientation;– Communication of the anterior guidance and occlusal schema to the technician with a customized incisal guide table;– Mounting and setting the articulator.

6. All-ceramics:

– Selection criteria, indications, possibilities and limits of different materials Silica-based ceramic:

- Silica-based ceramics, - Zirconia based ceramics, - Feldspathic ceramics;

– Cementation procedure and materials update;– Critical clinical steps.

7. Complications: characteristics and methods of minimization.