DentaNet Symposium 2015 - Dentists
DentaNet Symposium is our annual event, which always attract a lot of delegates with the combination of world class speakers and the unique DentaNet networking.
Mastering Anterior & Posterior Composite Restorations
– A Direct and Indirect Approach to Dental Artistry
Dr. Newton Fahl
Over the years dentistry has developed divisions. One of the greatest divides has been between traditional functional dentistry and so-called “cosmetic” practices. But do our patients want or expect just one or the other? I do not believe so and my experience is that our patients expect both to be delivered at the same time. We now have a population who want to look their best and keep their teeth for a lifetime and with the advent of new techniques and materials our patients goals can usually be met.
We also need to realise that our patient’s dental needs are changing – as they keep their teeth longer, some dentitions are simply wearing out. Add to that a generation that has been “drilled and filled” and we have a difficult problem to solve. Wear, tooth surface loss, “occlusal disease” – however we choose to describe it - we must learn to diagnose and treat it in the same way we have learnt to evaluate traditional dental disease. A comprehensive assessment will allow more treatment to be carried out with longer-lasting, more predictable results. Happier patients and less stress all round!
- Discuss conservative treatment alternatives to ceramic restorations.
- Teach the polychromatic layering technique to mimic the natural dentition.
- Introduce and discuss several aesthetic composite restorative systems according to their optical and physical properties and describe how to select the right one for one’s individual needs.
- Address a methodical protocol for treating complex anterior cases with composite resins.
- Discuss finishing and polishing techniques for emulating nature.
- Utilize esthetic principles of composite resin shade matching and placement techniques to improve esthetics and placement time with anterior and posterior composite resin restorations.
- Become familiar with how to best indicate and perform a direct versus an indirect composite restoration in the posterior segment.
- Learn different layering methods for attaining proper interproximal contacts and occlusal anatomy.
- Eliminate post-operative sensitivity, and white lines
- Inspire the audience to unleash the “sleeping” artists within themselves.
Class V restoration (biocorrosion)
Non-carious cervical lesions are prevalent and pose great discomfort to patients. Restorative challenges involve from choosing the best adhesive protocol and composite resins to the actual restoration of such lesions in hard-to-reach areas. This portion of the lecture will explore a noveau direct-indirect technique for restoring NCCL through the implementation of a simple yet quite effective protocol to achieve excellent clinical results.
Full Mouth Adhesive Rehabilitation of a severely eroded dentition
Francesca Vailati MD, DMD, MSC
Dental erosion has become a widely spread problem, as clinicians are facing an increasing number of erosion cases in their dental office.
Questions on the therapy are rising, especially regarding the timing of the first intervention and the choice of the restorative materials.
In the past, patients affected by dental erosion were left mostly untreated until severe damage of their dentition occurred. Only then, full-mouth conventional rehabilitations were proposed and executed with a little attention to the preservation of the remaining tooth structure.
Crown lengthening procedures and multiple elective endodontic treatments were performed, without considering the biological implications for the long-term success of the therapy. Unfortunately the literature cannot provide strong evidence-based answers on this topic, and only few case reports have been published.
Dr. Vailati has been a pioneer in treating this population of patients with minimally to no invasive techniques. Since 2005 all the patients affected by dental erosion, showing signs of dentin exposure, have been immediately restored with a minimal invasive approach (the 3 Step Technique).
This simple and predictable clinical approach will be also illustrated to treat other cases of dental wear (e.g.bruxism).
- Dental erosion: how, why, when treating the affected patients?
- Full-mouth rehabilitation in an every day routine?
- Vertical dimension of occlusion: why do we fear the increase?
- No invasive dentistry: a clinical reality?
- Bruxism: the early interception, the better...
Clinical Outcome of All-Ceramic Restorations
Dr. Matthias Kern
All-ceramic restorations provide better esthetics and biocompatibility than metal ceramics. However, the disadvantages of many early all-ceramic systems have been relatively low fracture strengths with an uncertain long-term clinical behavior. Current high-strength all-ceramic materials provide fracture strengths and fracture toughness up to ten times higher than that of traditional ceramic materials.
CAD/CAM technology provided the break-through in producing high-strength all-ceramic restorations which can not only be used for single tooth restorations but also for fixed dental prostheses and even for implant restorations.
A review of the clinical application and outcome of all-ceramic restorations will be presented. Very promising long-term data are available for single tooth restorations and minimal invasive tooth replacement using resin bonded retainers. However, for many all-ceramic materials long- term data are still missing especially when used for large span fixed dental prostheses or implant abutments.
- Metal ceramics – golden standard?
- Why all-ceramic restorations?
- Ceramic Materials and Properties
- Chewing simulation and fracture strength testing of ceramic restorations • Chewing simulation and wear of ceramics and their antagonists
- Bonding to silica ceramics
- Bonding to oxide ceramics
- Conventional cementation of medium- to high-strength ceramic restorations
- Clinical Performance of
- Inlays, onlays, occlusal veneers (table tops)
- Crown-retained fixed dental prostheses (FDPs)
- Maryland type and inlay-retained fixed dental prostheses (FDPs)
- Implant abutments