The selection of restorative material, shade analysis and recording, and cementation
- Is there an ideal prosthetic material for all situations?
- How can a dentist figure out which ceramic to use in different situations?
- Is metal-ceramics really outdated?
- Which resin cement should be used if the rubber dam cannot be applied?
- Can zirconia be adhesively cemented?
- Are one-wing resin-bonded all ceramic bridges reliable?
Topics
THE CHOICE OF PROSTHETIC MATERIAL
Are ceramic materials as reliable and versatile as metal-ceramic? How do they differ and what are the proven clinical indications? How do you choose the ideal material for our patients?
Until now, metal-ceramic has been considered the gold standard for the production of fixed prostheses, as it combines excellent mechanical-physical characteristics with the ability to provide an esthetically valid result.
However, the appearance of new metal-free materials and technologically advanced systems have undermined this standard. In this course, the indications of all-ceramic restorations are analyzed, in particular those for the glass-ceramics and zirconia-based polycrystalline ceramics, comparing them to those for the metal-ceramic prostheses.
SHADE RECORDING IN PROSTHODONTICS
The identification and communication of the shade for the fabrication of a prosthesis that must be integrated into the patient’s mouth is certainly one of the most difficult tasks that prosthodontists and dental technicians must face.
What is the importance of chroma and value and how do you evaluate the translucency of a tooth?
What is the correct procedure to analyze the color of the tooth to be imitated?
Does it make sense to continue to use the Vitapan Classic color scale or are there other shade guides that provide the color coordinates needed by the dental technician to create a prosthesis that is truly “natural”?
In this part of the course, the speaker analyzes the parameters that are used to measure the color of natural teeth and highlights all the factors that can contribute to a wrong assessment of the esthetic appearance of a tooth. (For the practical part, click here)
THE PERMANENT CEMENT
The act of cementation is the final step in the delivery of a prosthesis and an important variable that will condition and influence the longevity of that restoration.
The profession has shifted heavily towards dual resin cements, but is this move justified and does it guarantee proper performance of the cemented restorations?
This part of the course will address the criteria for choosing permanent cements and it will illustrate the protocols for cementation, analysing in depth the protocols for the treatment of both the abutment and the prosthetic substrate.
ALL CERAMICS FOR PROSTHETIC RESTORATIONS: CROWNS, BRIDGES, VENEERS AND OVERLAYS
When is a complete preparation indicated and when is a partial one better?
Should a non vital tooth always be restored with a crown?
What is the most beautiful ceramic for a veneer?
And the most reliable?
How does one behave when the abutment of a tooth to be restored is dark?
When does it make sense to cement an all-ceramic restoration under the rubber dam?
These and many other questions will be answered through an analysis of the indications of the different types of full ceramic restorations.
ADHESIVE BRIDGES IN METAL ALLOY AND IN ALL CERAMIC MATERIALS
The manufacturing of fixed dental prostheses and splints for the replacement of single missing teeth that do not require an invasive preparation of the abutments was one of the important advances of modern dentistry.
However, it is essential to know the limits of this prosthetic solution so that the patient can enjoy the benefits of conservative dentistry for a long time. In recent years, clinicians have begun to use all ceramics for the fabrication of resin-bonded adhesive bridges with a single wing retainer.
The main reason is dictated by the improved esthetics that can be achieved, especially in the thin anterior teeth. On the other hand, there is stil uncertainty on the clinical indications and the proper design of these prostheses.
In this part of the course, materials and cements for adhesive bridges are going to be illustrated.
Course Objectives
AT THE END OF THE COURSE, THE PARTECIPANTS WILL HAVE LEARNED
THE CHOICE OF THE PROSTHETIC MATERIAL
- A clinically relevant classification of all ceramic materials
- The mechanical and optical characteristics of the various types of all ceramics
- The clinical criteria for choosing the “best” restorative material
- The evidence in the literature
SHADE RECORDING IN PROSTHODONTICS
- The relative importance of hue, chroma and value
- The fourth dimension of color
- Factors that influence our ability to identify tooth color
- The clinical approach to identifying and recording tooth color and how to communicate this information to the dental technician
- The digital tools for shade recording
THE PERMANENT CEMENT
- The categories of cements and their clinical indications
- How the abutments are treated according to their condition
- How the substrates are treated according to the material they are made of
THE TRADITION: METAL-CERAMICS
- Which alloys to choose for metal-ceramics
- The design that the metal framework should have to adequately support the ceramic veneer
- How to do the clinical try-in of the metal framework
- How is the positioning key of two segments to be soldered taken for a pre and post-ceramic solder
- When and why a positioning impression is made
- What are the procedures for a ceramic try-in
ALL CERAMICS FOR PROSTHETIC RESTORATIONS
- The selection criteria among the various types of ceramics: feldspathic, glass-ceramics, traditional and translucent zirconia
- The implications of using etchable ceramics and non-etchable ceramics
- What the literature and clinical experience say about the reliability and longevity of all ceramic materials
- The technological developments in the field of all ceramics and the implications for the clinician and the dental technician
- The clinical phases for testing and cementing metal-free prostheses, from veneers to bridges
ADHESIVE BRIDGES IN METAL ALLOY AND ALL CERAMIC MATERIALS
- How to improve the reliability of the Maryland Bridge with a metal structure
- The characteristics and requirements of lithium disilicate and zirconia adhesive bridges with a single retainer wing
- What is the scientific evidence that justifies their use
- How to cement these prostheses
Pratical Excersises and Demonstrations
ANALOG WORKFLOW
Shade taking: a systematic approach using shade guides and digital tools
Program of this module
THURSDAY (9:00 – 18:30)
- 09:00 – 09:30
Introduction and presentation of the participants - 09:30 – 11:00
The choice of prosthetic material: from metal-ceramics to all ceramics (Part 1) - 11:00 – 11:30
COFFEE BREAK - 11:30 – 13:00
The choice of prosthetic material: from metal-ceramics to all ceramics (Part 2) - 13:00 – 14:00
LUNCH - 14:00 – 16:00
The identification and communication of the tooth shade: the dentist’s point of view and the dental technician’s - 16:00 – 16:30
BREAK - 16:30 – 18:30
Practical demonstration – Using shade guides and digital devices for recording tooth color - 19:00
Welcome reception on the Terrace
FRIDAY (9:00-18:30)
- 09:00 – 10:00
Cementation: criteria for choosing the definitive cement and operating protocols - 10:00 – 11:00
The all ceramic prostheses from veneers to bridges: the traditional approach (Part 1) - 11:00 – 11:30
COFFEE BREAK - 11:30 – 13:00
The all ceramic prostheses from veneers to bridges: the traditional approach (Part 2) - 13:00 – 14:00
LUNCH - 14:00 – 16:00
The all ceramic prostheses from veneers to bridges: the traditional approach (Part 3) - 16:00 – 16:30
BREAK - 16:30 – 18:30
The all ceramic prostheses from veneers to bridges: the digital approach (Part 1) - 20:00
GROUP DINNER
SATURDAY (9:00-17:00)
- 09:00 – 11:00
The all ceramic prostheses from veneers to bridges: the digital approach (Part 2) - 11:00 – 11:30
COFFEE BREAK - 11:30 – 13:00
Metal and all-ceramic adhesive bridges - 13:00 – 14:00
LUNCH - 14:00 – 17:00
Discussion of clinical cases treated by participants - 17:00
Concluding remarks
Costs
| THIS MODULE | PACKAGES | |
|---|---|---|
| Dentist | € 2,950.00 + VAT | € 14,750.00 + VAT for all 6 modules (instead of € 17,700.00 + VAT, that is you get one module for free) |
| Young professional under 30 years old | € 1,950.00 + VAT | |
| Dental Technician | € 1,250.00 + VAT | € 4,600.00 + VAT for modules 3-6 |
The fee covers all lunches and coffee breaks for the three days and a group dinner on Friday evening. Hotel accommodation and the other dinners are not covered.
Book Now
Book, without obligation, the module (or modules) of your interest. Our secretariat will contact you as soon as possible to give you all the necessary information.
MAKE YOUR CLINICIAN-DENTAL TECHNICIAN TEAM GROW
In this module, the topics discussed pertain to both clinicians and dental technicians and it is therefore open to both team members.
