The guru of composites, crown and restorative dentistry is joining us from England.
Day 1 Overview
Direct composite resin restorations in the posterior dentition have become a common day-to-day treatment modality for the majority of dental practitioners in the 21st Century. However, many retrospective studies show that the majority of composite resins placed in a General Practice setting perform poorly in comparison with silver amalgam: sensitivity, marginal staining and secondary caries are common and recurrent problems. The vast majority of these failures are a result of simple operator errors, which occur at the time of placement of the restoration: in essence, many restorations have failed before the patient even gets up from the chair.
Jason’s one-day program offers a simple, easy and predictable strategy to allow the busy dental practitioner to place beautiful, aesthetic lifelike class 1 and 2 direct composite restorations using only minimal shades of composite resin and instrumentation which is common to all dental offices. All of this within a realistic timeframe with technically uncomplicated protocols.
What You Will Learn:
- When direct posterior composite resins are predictable and when they are not
- Preparation design and a protocol to reduce the risk of voids, bond failure and sensitivity.
- How to implement modern high tech instrumentation such as particle abrasion and sonic activated preparation tips.
- Flowable composite as a liner: when, where and how? With supporting research.
- Photo-thermal polymerization: heating composite resin, the pros and cons.
- “C-Factor”: horizontal, vertical and oblique build-ups. Pulse activation protocols.
- How to assess the occlusal scheme preoperatively and accurately build up your restoration so that little if any occlusal adjustment is necessary.
- An overview of matrix systems: choosing the best for each situation.
- Discussion of a stratification technique using simplified instrumentation to achieve lifelike resin restorations, which require minimal finishing.
- Mono-, bi and polychromatic layering techniques. How to use tints to mimic nature and seamlessly blend the restoration with the surrounding tooth structure.
Day 2 Overview:
Direct resins in the anterior dentition can produce functional, highly aesthetic long lasting restorations, which are conservative of tooth structure.
However, with the rise of aesthetic dentistry in the media, the public as consumers are becoming increasingly discerning: they expect and demand the best.
Dr Smithson aims to unravel and demystify concepts such as shade selection and micro and macro-anatomy and pull them together into a simple step-by-step protocol which includes treatment planning, fee setting, diagnostics, preparation, composite placement and finishing, allowing the average practitioner to achieve outstanding results on a consistent basis.
What You Will Learn
- Shade selection: demystify the science and use it as a practical everyday tool.
- Translucency, opacity and opalescence: why all composite resin is not created equal.
- A simple, rapid, yet novel concept to make incisal edge shade and effects obvious and effortless.
- How to quickly and inexpensively fabricate diagnostic mock-ups and palatal silicone indices to achieve precise incisal edge position.
- Preparation design and instrumentation to realize durable resin restorations, which have margins invisible to the human eye.
- Opaque dentin shades: when and where to use them…and why.
- Simple, intuitive finishing protocols, which allow the operator to produce highly, polished restorations, which mimic natural enamel.
- Handing class 3s, 4s and 5s…simple, easy and predictable.
- How to layer resin to create lifelike incisal halos and effects such as crack lines and opacities.
Day 2 Overview (Continued):
Conventionally, discolored teeth and advanced wear cases are treated with indirect restorations: crowns and veneers. This approach is well based in the literature and over time, has proven highly successful, however, in some cases it may prove expensive in terms of overall cost, treatment times and most critically loss of tooth structure.
Here we will focus on the techniques that will allow the experienced practitioner to confidently approach more challenging anterior cases with direct resin in combination with simple orthodontic therapy, occlusal rehabilitation and bleaching where indicated.
- Align
- Bleach
- Composite Resin
- Dahl-Type Approach
- Equilibration
As simple as ABCDE
What You Will Learn:
- A simple approach to the direct resin veneer: create masterpieces easily and predictably.
- Masking discolored teeth with direct resin
- How to handle the peg lateral and microdont teeth
- Functional smile design.
- How to handle complex cases such as discolored and misaligned teeth with direct resin in conjunction with simple short-term orthodontics and home whitening.
- A predictable approach to reconstruct worn broken down teeth creating functional occlusions with direct resin. To include increasing the vertical dimension and re-establishing anterior guidance.
