ANTERIOR BONDED RESTORATIONS, LAMINATE VENEERS, ANTERIOR ESTHETIC RESTORATIONS PROTOCOLS, TOOTH PREPARATION, ESTHETIC CASES FROM A TO Z, UPDATES ON ESTHETIC DENTISTRY MATERIALS AND PROTOCOLS

12 януари 2024 09:00 - 13 януари 2024 17:30

  • Д-р Галип Гюрел
    Д-р Галип Гюрел

ANTERIOR BONDED RESTORATIONS, LAMINATE VENEERS, ANTERIOR ESTHETIC RESTORATIONS PROTOCOLS, TOOTH PREPARATION, ESTHETIC CASES FROM A TO Z, UPDATES ON ESTHETIC DENTISTRY MATERIALS AND PROTOCOLS WITH DR. GALIP GÜREL

As the popularity of aesthetic dentistry increases, growing numbers of patients are seeking treatment for the improvement of unaesthetic anterior dentition. 

The acceleration in dental, ceramic and bonding materials’ development has made conservative tooth preparation and restorative procedures possible that were never imaginable before, especially in the anterior region. 

Creating the precision in terms of the preparation, fit and the aesthetic final outcome needs serious treatment planning which is different for each case… Designing a new smile consists of many steps which are very important and if followed right, produce predictable success. The key to aesthetic excellence requires patient communication as well as the communication with the laboratory and the specialists from the beginning of the case till the end. 

In today’s dentistry success depends on interdisciplinary team work. Every member of the team (including the specialists, lab technicians and the patient) should be aware of the treatment planning and the end result from the beginning. Every effort should be spent to bring the teeth to their natural position on the dental arch, hence creating enough space for the restoration to be received so that the aim should be minimum tooth preperation. After that stage, in order to achieve a very precise and predictable tooth preparation, wax-up, silicon indexes and related techniques such as APR (Aesthetic Pre Recontouring), APT (Aesthetic Pre-evaluative Temporaries) and preparation through the APTs are extremely crucial. This eliminates all the possible mistakes and destruction of the depth cutters that could have been done if the tooth was to be prepared without realizing the aging affects on the enamel (volumetric enamel loss) or their unappropriate teeth positions on the dental arch.

In this specific course, the tips and tricks for minimal invasion during tooth preparation, necessary tooth reductions to enhance delicate incisal edge positions, inter-dental spaces and gingival embrasures, a simplified method of very durable and soft tissue friendly provisionals will be discussed and practiced by the attendees, in every detail.

DAY 1

Basic introduction to the minimally invasive concept

How to make a healthy start to an aesthetic case

The Smile Design (Analog vs Digital)

Presenting the case to the patient – the direct mock-up

Importance of the Mock-up ( analog-digital )

The mock-up as the navigator and the diagnostic tool

Myths and realities in tooth preparation

Details of the facial, incisal, gingival, and interproximal tooth preparation

Occlusion in clinical practice

Presenting the case to the patient – the direct mock–up

The mock-up as the navigator

The mock-up as the diagnostic tool

Deprogramming the muscles

Setting the Occlusion based on the Aesthetic Design

Establishing the correct Vertical Dimension

Registering the ideal bite at the correct VDO

Inter Cuspal Position vs Retral Contact Position

Protrusive Registration

Transferring the data to the lab

Handling canted cases

Tooth preparation based on the new occlusal setup

Final occlusal adjustments on Bonded Porcelain restorations

The ART of the Treatment Planning

Analyzing the case

The Aesthetic workflow

Being creative when designing the case

Reverse Treatment Planning (Based on the final design in mind)

Interdisciplinary approach (in a Solo vs Group practice)

Why & how to be minimally invasive

Communication between the specialists & the lab

DAY 2

Lecture

Tooth preparation techniques for complicated cases

-Unspoken details on Additive vs Subtractive scenarios

-How to deal with the protruded teeth

-How to handle the teeth that are too palatally positioned

Hands-On Course on models

Direct Mock-up with different variations

Preparing the translucent silicon impression of the wax-up model

Preparing the silicon index

Checking the smile with the index

Aesthetic Pre-recontouring – APR

Aesthetic Pre-evaluative Temporaries – APT

  • Evaluation of aesthetics through APT
  • Tooth preparation through the APT
  • Using depth cutters
  • Using double-gridded diamond burs
  • Finishing the margins

Modifying the translucent silicon impression for the provisionals

Preparing the provisionals using RSVP

Rechecking the provisionals for aesthetics.

Lecture Update on Dental Ceramics

Classification of Dental Ceramics

Their pros & cons depending on the cases

Understanding the structure of the new materials

Does the material choice affect the bonding sequence?

When to etch, when to Sandblast?

What should be the delivery sequence at the chair side?

Try-in? Etching? Sandblasting? Ultrasonic cleaning? Silane application? Luting resin?

What are the surface treatment methods of the new materials?

Lecture Update on Dental Adhesives

Bonding – adhesives – all the details we need to know in daily clinical practice

The hybrid layer

Ingredients of the adhesive systems

How to classify the adhesive systems in their most simplistic way

Total-etching vs. Self-etching

Advantages vs disadvantages, when to use which one?

Possible post-op problems

Video of the live recorded case :

Bonding the Porcelain Laminate Veneers by Dr. Gurel

Removing the provisionals

Try-in

Whether or not to use the rubber dam

Application of the rubber dam

Surface treatment of the prepared tooth surface

Surface treatment of the intaglio surface of the porcelain restoration

Seating the porcelain restorations

Bonding of the porcelain laminate veneers

Light curing ( technique for minimum invasive margin cleaning)

Final cleaning

Checking the Aesthetics & Occlusion

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