Category: Restoration Instructor(s): Pantelis Kouros, Stefano Gelli, Gustavo Pasarelli Petris, Bora Korkut, Arthur R. Volker, David Gestakovski Course structure: Lessons: 7 lessons | Duration: 9 h 48 min Course overview Build your very own restorative approach of composite veneers, having studied the most demanded techniques in modern aesthetic dentistry in this course:– the matrix guided technique– free-hand technique– the flow injection technique– monochromatic layering technique– polychromatic layering technique– single veneer and color matching.First of all, patients evaluate the aesthetic result. This is exactly the course that will increase the patient's appreciation of your work! Curriculum Lesson 1. Color in aesthetics: the science and beauty behind direct composite veneer restorations – The subjectivity factors of visual shade matching: observer shade guides incident light composites. – The 4 color dimensions: Color reading and matching best options of available composites Methods of shade-matching. – Cross-evaluation of colorimetry tools – Visual comparison to shade-tabs: methods for shade-matching, highlighting pros and cons using explanatory examples – The importance of each color quality in human perception – Universal shade approach vs. Layering technique – Shade-related cases: indications and contra-indications – Shade approaching of major composite manufacturers: mixing and combining materials for optimum results – Evaluation of visual and digital shade selection. Analyzing step-by-step digital methods and evaluating the feasibility and results for each one. Lesson 2. Single composite veneer: corrections of shape and color – Smile design: the full protocol – Documentation, wax-up, mock-up – Pink White Balance: shape guidelines of the future restoration – The anatomy of cental incisors: buccal incisal edge proximal edge reflection area shadow area secondary and tertiary anatomy. – The shape of composite veneers – Shape correction and texture – Light and dental tissue interaction: understanding light, color, op and translucency – Composite materials accroding to their translucency and mechanical properties – Direct class IV restorations and direct repair of restorations – Repair bonded fragments: corrections on old restorations - adjusting shape and polishing steps – Sequence of finishing and polishing: the right materials and instruments selection – Layering – Clinical cases. Lesson 3. The flow injection technique – Intorduction and scientific background – Flowable composite materials: mechanical and physical properties – Case selection: purely additive and/or minimally invasive – Planning of treatment in analog and digital: photo protocols impressions: silicon or alginate wax-up: the aesthetic and functional aspects mock-up: the aesthetic and functional aspects. – Transparent silicon index production: materials used for manufacturing step-by-step video demonstration. – Advantages of The flow injection technique – Pricing and number of appointments according to Dr. David Geštakovski workflow – Most common mistakes – Tips and tricks. Lesson 4. Monochromatic and polychromatic layering techniques. From material selection to finishing and polishing – Functional and aesthetic direct composite restorations: Occlusion Pre-restorative treatment - Clear Aligner Therapy (CAT). – Indication, treatment planning, resin composite selection, and instrument selection: Indications and contra-indications for direct composite restorations Intraoral analysis and treatment planning (golden ratio for esthetic restorations) Pre-restorative resin infiltration (ICON) option Selection of resin-based composite material (poly-shade composites, simply-shade composites, single-shade universal composites, and flowable composites) Selection of instruments for isolation and composite layering (rubber-dam instruments, specific anterior restoration spatulas, and composite brushes). – Shade Analysis – Rubber-dam Isolation – Preparation – Adhesion: Clinical shade selection techniques for resin-based composite materials (visual, dental photography, cross-polarization photography, quantitative image processing) Clinical rubber-dam isolation protocols for anterior restorations Minimally invasive preparation (bur types and selection) for crown fractures and full veneers. – Monochromatic and Polychromatic Layering Techniques: Free-hand layering Layering with special matrix bands Layering with palatal templates (silicone index). – Finishing & Surface Texturing & Polishing: Material selection Primary, secondary, and tertiary morphologies Additive and subtractive finishing techniques Surface texturing Clinical application protocols. Lesson 5. Free-hand technique – Composites: chemical, mechanical, and physical properties – Clinical indications for composite veneers – Guide to the selection of the correct composite for the clinical case: Optical characteristics Polishability Mimethism. – Anatomy of the upper incisors – The longevity of composite veneers: Marginal features Discoloration Debonding. – Full protocol for direct composite veneering – Clinical cases. Lesson 6. Matrixing strategies: simplifying composite veneer restorations – Classification of composite materials according to physical, chemical, mechanical, and optical properties – The injection molding method of composite restoration: advantages of heated composite heated flowable composite heated paste composite heated composite used for monochromatic layering. – Sectional metal matrices: advantages, indications, disadvantages – Sectional plastic matrices: advantages, indications, disadvantages – Full contour metal matrices: indications, advantages, and application technique – Tofflemier modified full contour metal matrix – Full contour plastic matrices: indications, advantages, and application technique – The flat Mylar full contour plastic matrix – 1 matrix, 2 ways: clinical tips and tricks by Dr. Volker – Polychromatic and monochromatic layering strategies – Tints / opaquers: indications and application protocols – The effect of the matrix system on the gingiva – The wide range of matrices available and suggestions for practitioners – Clinical cases. Lesson 7. Modern anterior composite veneer techniques – Principles of smile design and analysis of proportions – Integration of mathematical algorithms of dental aesthetics to smile design – Composite options and determinants for matrix selection – What is Bioclear matrix? – The protocol of injection molding using Bioclear matrices – Overmolding of veneers using Bioclear matrices – Black triangles resolution and diastema closure – Bioclear method for composite restorations: biofilm removal isolation and preparation layering techniques finishing and polishing. – Clinical cases.
