Indirect Restoration in the Biomimetic Concept

By Andras Forster

Lesson program:
– The history and development of biomimetic dentistry
– The natural tooth anatomy and the natural tooth histology. Enamel, dentin, cementum, and pulp tissue
– The biobase restoration. Understanding the bio-dome and the bio-rim
– The DEC (dentino enamel commplex)
– Analyzing biomechanical defects
– Stress reducing methods and techniques
– The occlusal effect carries
– The bioDome concept. Clinical examples
– The peripheral seal zone and tooth preparation for overlay restoration
– Immediate dentine sealing (IDS) and decoupling with time (DWT)
– Resin coating technique
– High level adhesion with fiber reinforced biomimetic materials
– Deep margin elevation (DME). The keys to successful DME
– Indirect restorations from material selection to adhesive luting
– Clinical cases.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 1 h 57 min

By David Alleman, Davey Alleman

Lesson program:
– The main goals of the biomimetic concept
– Partial coverage restorations vs full crowns
– The bio-rim. Stress distribution
– The adhesion equation: maximizing the bond and minimizing the stress
– The advantages of indirect and semi-direct biomimetic restorations
– The C-factor
– Hydrodynamic theory of pain and the pulpal fluid movement
– Classification of dental adhesives
– Bonding partial coverage restorations to dentin, composite, or to enamel
– The hybrid layer concept
– The inter diffusion zone
– The challenges in creating a uniform dentin hybrid layer
– The hierarchy of bondability
– Steps and protocols to maximize bond of partial coverage restorations
– Immediate dentin sealing (IDS) with gold standard adhesives
– The biobase stage
– Step-by-step protocols of of bonding of Еmax and feldspathic ceramics to the biobase
– Step-by-step protocols of bonding composite onlays
– Bonding to cured composite, is it possible?
– Indirect restoration bonding with heated composite vs resin cement
– Step-by-step video demonstration of bonding composite overlay with heated composite.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 53 min

By Andrea Fabianelli

Lesson program:
– The scientific approach to vertical bioemulative preparation
– The difference between vertical and horizontal preparation technique
– Classification of the finish line margins: preparation with and without the margin
– Marginless preparation: feather edge and knife edge
– Advantages and disadvantages of vertical preparation technique
– The burs choice for vertical preparation technique
– The mechanical preparation of a natural abutment:
- characteristics of the finishing line
- curettage preparation and overcontour preparation technique.
– Provisional prostheses: acrylic or composite?
– Impressions: materials, impression trays, impression techniques, tissue retraction, and impression protocols
– Application of the facebow and the articulator
– The laboratory part of bioemulative crown restoration:
- the choice of materials
- application of die spacer paint waxing
- casting and welding
- how to choose alloys.
– Occlusion in clinical practice:
- occlusal stability and centric relation
- occlusal vertical dimension
- occlusal functional and esthetic planes: Wilson, Spee and Monson,
- esthetic facebow, articulator, and axiography.
– Clinical cases of zirconia bioemulated restorations
– Clinical cases of ceramic bioemulated restorations
– Crown restoration bonding and cementation:
- zinc oxyphosphate permanent cementation
- adhesive bonding.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 1 h 33 min

By Andrea Fabianelli

Lesson program:
– The main goal of total oral rehabilitation
– Traditional approach of oral rehabilitation vs the biomimetic non-invasive approach
– Differentiating different kinds of partial restorations: inlays, onlays, overlays, table tops, palatal veneers, occlusal veneers
– The benefits of partial ceramic indirect restorations
– Clinical steps of preparing onlays
– The build-up of severely destructed tooth with composite prior to partial restoration. Concepts and indications
– Improving the fracture resistance of partial restorations
– Minimal invasive preparation protocols for partial biomimetic restorations
– Step-by-step protocols to achieving minimally invasive and functional ceramic palatal veneers
– Full mouth rehabilitation and increasing the VDO in severe erosion and tooth wear cases: platalal veneers, onlays, table tops and occlusal veneers
– Step-by-step protocols of the biomimetic approach of buccal veneers
– Ceramic veneers cementation using pre-heated restorative composite
– Clinical cases.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 53 min

By Andrea Fabianelli

Lesson program:
– Advantages of adhesive dentistry
– The three step dental bonding agents (DBAs)
– Bonding techniques to receive the best performance
– Protocols of ceramic conditioning prior to bonding of the restoration
– Protocols of silanization to improve ceramic adhesion
– Protocols of ceramic restoration cementation using pre-heated restorative composite: Advantages and indication
– Mechanical, physical, and biological properties of various ceramic materials
– Pressed vs CAD/CAM partial ceramic restorations
– Step-by-step walkthrough of full mouth rehabilitation cases. Preparation, laboratory stage, and bonding.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 41 min

By Péter Farkas

Lesson program:
– Rubberdamology. The importance of isolation
– Bonding. Protocols to maximize adhesion
– Tooth preparation protocols for indirect composite biomimetic restoration
– Build-up of severely damaged teeth
– The peripheral seal zone and tooth preparation for overlay restoration
– Immediate dentine sealing (IDS) and decoupling with time (DWT)
– Resin coating technique
– Intraoral scanning. Scanning in rubber dam isolation
– Step-by-step protocols of cementation of the restoration
– Clinical cases.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 37 min

By Lucas Queiroz Caponi

Lesson program:
– Diagnosis and virtual treatment planning
– Evaluation of intraoral scanners available in the market and intraoral softwares
– Strategies and protocols to Improve intraoral and facial scanning
– Think digital: integration of extraoral pictures with DICOM and STL files to improve treatment planning and treatment outcome
– Digital planning in aesthetic cases: tips for mock-up
– Effective protocols for biomimetic CAD/CAM restorations
– Protocols to scan under rubber dam isolation
– How to reproduce the emergence profile in the final restoration
– Digital provisional restorations
– Step-by-step video demonstration of CAD/CAM biomimetic restoration: from intraoral scanning to overlay bonding
– When to send to the lab and when to fabricate in house?
– What to mill and what to print?
– 3D printing: from direct restorations index technique and indirect restoration preparation guides to surgical and periodontal guides
- Clinical cases.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 1 h 31 min

By Ricardo Schäfer

Lesson program:
– Zirconia: classification of different types
– The physical, chemical and biological properties of zirconia
– Morphology of the bioemulated restoration
– Finishing of zirconia in the white stage
– Macro and Micro Texture
– Layering of monolithic bioemulated restorations
– The color theory and its application
– Liquid ceramic understanding
– Layering with liquid ceramic
– White and pink layering process
– Real cases results: step-by-step of case explanation.

Recommended for: Prosthodontists, Dental technicians, General dentists.
Duration: 1 h 13 min