Prof. Didier Dietschi - Interceptive treatment of tooth wear using no-prep & ultra-conservative adhesive techniques
- a true paradigm shift
We are very fortunate to have secured a full day with the internally renowned Prof. Didier Dietschi. With a close friendship to Dr. Pascal Magne and shared professional beliefs you are in for a truely great and world class lecture and we are looking forward spending a day with you and Prof. Dietschi.
Free cancelation until 1st of July due to current on COVID-19 restrictions and situation.
Invoice will be sent start July with payment during August.
A minimal invasive day with Prof. Didier Dietschi
Tooth wear represents a frequent pathology with multifactorial origins. Behavioural changes, unbalanced diet, various medical conditions and medications inducing acid regurgitation or influencing saliva composition and flow rate, trigger tooth erosion.
Awake and sleep bruxism, which nowadays are widespread functional disorders, induce attrition. It then became increasingly important to diagnose early signs of tooth wear so that proper preventive, and if needed, interceptive-restorative measures are taken. Such disorders have biological, functional and also aesthetic consequences. Following a comprehensive clinical evaluation, treatment objectives, such as a proper occlusal and anatomical scheme as well as a pleasing smile line, are usually set on models with only anterior teeth or full mouth waxup, depending on the severity of tissue loss.
Based on the new Vertical Dimension of Occlusion (VDO) set on the articulator, combinations of direct, semi-direct and indirect restorations (using composite resins or monolithic high-strength ceramics) can help to re-establish anatomy and function. The use of adhesive and ultra-conservative techniques has proven its potential, in particular for the treatment of moderate to advanced tooth wear.
A modern approach to treat tooth wear shall involve a specific and detailed treatment planning involving its aetiology, risk factors control and the biomechanical status of each tooth to be treated.
This program will review recent knowledge and clinical concepts related to various forms of early restorative interventions (using adhesive techniques) and their potential to restrict on-going tissue destruction and restore an attractive smile.
During this lecture you will learn about:
- Management of risk factors + clinical diagnostic and related treatment planning
- Functional wax-up & new VDO (laboratory steps)
- Dahl’s concept: where & when to use
- Restorative options in relation to tissue loss
- Creating a new posterior functional scheme
- direct restorations
- the shell technique
- indirect restorations
- Creating a new anterior guidance & smile line with
- direct composites
- indirect restorations (composite & ceramics)
- Restoration longevity
- Maintenance and restoration repair