Occlusion-driven stress-reduced direct composite (SRDC). Adhesion: what’s new and what works? Management of occlusal stress in structurally compromised teeth. Part 1

This lecture will introduce the stress-reduced direct composite (SRDC) protocol to predictably restore structurally compromised posterior teeth using a minimally invasive approach. The goal is to maximize the bond and reduce the stress to mimic the functional and optical characteristic of the natural dentition.

Introduction to the Deliperi Protocol: The cycle of tooth preservation vs «The tooth Cycle of death».

Bonding to dentin and enamel: what’s new and what it works? Adhesive systems review and selection, etchrinse vs self-etching vs universal systems.

Guidelines for SRDC restorations (Deliperi et al, 2012):

• Analysis of the occlusion and opposing dentition;

• Cavity preparation and caries removal endpoints;

• Analysis of residual tooth structure;

• Preparation of the dental substrate to achieve a reliable bond to enamel and dentin;

• Control of polymerization stresses by using appropriate layering and curing techniques;

• Occlusal force equilibration. MO, MOD and cusp replacing restorations via SRDC restorations:

• Clinical cases and videos from the Live Patient Demo courses at the Sardinia Dental Teaching Center

The restoration of structurally compromised vital and devital posterior.

Teeth via fiber-reinforced SRDC (Deliperi et al, 2017).

The Dentin Enamel Complex (DEC).

The biomimetic design of the restoration.

The «Wall-papering» protocol.

Management of occlusal stress in structurally compromised teeth: the occlusal surface design and the distribution of the load.

Clinical cases and videos from the Live Patient Demo courses at the Sardinia Dental Teaching Center.

The biomimetic full-mouth rehabilitation via SRDC.

How to predictably reestablish the vertical dimension of occlusion (VDO).

Patients with dental erosion.

Patients suffering from temporo-mandibular disorders (TMD).

Clinical guidelines and step-by-step procedure.