FIXED PROSTHODONTICS MILAN STYLE • Module 2

Topics

Horizontal or vertical finish lines? Is there a universal preparation or should it be diversified? Is the dental preparation for an all ceramic restoration different from that for a metal-ceramic one? Are all metal-free ceramics the same and, therefore, can they accept the same configuration and preparation depth or are there substantial differences? The correct preparation of a tooth depends on the understanding of many factors: from anatomical and biological aspects to geometrical principles to ensure adequate retention, from those that take into account the structural strength of the material to those that concern cementation. This course addresses the issue of complete (360°) preparations, clarifying which preparations are indicated in the different clinical situations and demonstrating the step-by-step approach with the recommended burs.

The creation and application of temporary crowns or bridges in resin is an indispensable step of any prosthetic therapy. These devices play a fundamental role in the development of the final prosthetic project. The speaker will demonstrate how with the temporaries it is possible to condition the healing of gingival tissues, define the volumes and the arrangement of the teeth, test a new anterior guidance, and confirm the needed space for the selected final restorative material. The speaker will illustrate the most suitable materials for the fabrication and relining in the mouth of provisionals ranging from complete crowns to veneers to minimally invasive preparations, regardless of whether analogical techniques are used or a digital workflow is employed.

To many clinicians, final impression is a very stressful moment of the prosthetic workflow on which they believe they have little or no control. Every time that an impression is not satisfactory, they do not know whether to blame the material or the technique. This lecture will illustrate the criteria for the selection of the appropriate impression material on the basis of the clinical conditions displayed by the patient, and the step-by-step technique employed to minimise errors and retakes.