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.
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
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
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
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)
Checking the Aesthetics & Occlusion