Reconstruction of patients with bruxism. Live patient treatment course
Due to the rapid evolution of bonded porcelain restorations, today we have the unique possibility to provide the patient with a biologically an aesthetically fully integrated, functionally optimal reconstruction of the damaged dentition. Longevity, natural appearance and problem free function are the most important criteria of a successful restoration.
Digital smile design, 3D printing, milling, pressing, injection techniques – just a few ways to get the desired restoration. While choosing one – the clinician should be aware of the advantages and disadvantages of the technique in order to choose the appropriate techniques which would fit the treatment concept.
The course will cover the following topics:
- Interdisciplinary, interactive case planning.
- Interdisciplinary approach for occlusal rehabilitation planning and therapy.
- Photographic documentation of the case. Aesthetic Analysis. An Overview of tools and options for simulation and visualisation of the planed treatment objective / outcome.
- Reconstruction of function and aesthetics with bonded porcelain restorations vs. conventional prosthetic restorations.
- Treatment objective. Visualisation of the treatment outcome and optimising the outcome during the treatment (Wax Up, Mock Up).
- Principles of preparation planning. Principles of tooth preparation: from a preparation for an incisal edge build up to a full crown in periodontaly diseased patient.
- Managing the soft tissues: from periodontics and plastic periodontal surgery to tissue conditioning with provisionals. Tissue management during impression taking.
- Impression. Materials, techniques, mistakes.
- Provisional restorations: direct and lab fabricated. Transfer of functional and aesthetic parameters into the provisionals.
- Porcelain bonded restorations in the anterior and posterior dentition. Laboratory aspects.
- Occlusal stability and interference free function trough a successful reconstructive occlusal concept.
- Bonding of the porcelain restorations.
This course involves a live patient treatment of two – three different patients. The works include laminate veneers, full and partial coverage crowns, including all clinical and laboratory steps. It summarises the previous courses and shows the possibilities of integration of all acquired skills and knowledge into the daily restorative practice.
Thursday:
Live Demo | Lecture | |
08:30 – 09:00 | Participants registration. | |
09:00 – 11:00 | Veneer preparation, impression/ intraoral scans, provisionals. | Presentation of the first patient case |
11:00 – 11:30 | Coffee break | |
11:30 – 13:30 | Minimaly invasive tooth preparation techniques/ impression techniques | |
13:30 – 14:30 | Lunch | |
14:30 – 16:00 | Facebow, CR registration, axiography (analogue and digital aproach) | |
16:00 – 16:30 | Coffee break | |
16:30 – 18:00 | The key components of a modern comprehensive restorative concept. |
Friday:
Live Demo | Lecture | |
09:00 – 11:00 | Wax Up try in veneer patient | Esthetic criteria, esthetic analysis, photographic documentation of a restorative case |
11:00 – 11:30 | Coffee break | |
11:30 – 13:30 | Mock Up try in for case planning (separate patient) | Digital tools for esthetic planning (DSD, Smile Cloud) |
13:30 – 14:30 | Lunch | |
14:30 – 16:00 | Occlusion revised: diagnosis, pre – treatment, therapeutic occlusion and definitive reconstruction | |
16:00 – 16:30 | Coffee break | |
16:30 – 18:00 | Try in of the veneers (veneer patient). Colouring principles. |
Saturday:
Live Demo | Lecture | |
09:00 – 11:00 | Adhaesive bonding procedures (Dr. Blunck) | |
11:00 – 11:30 | Coffee break | |
11:30 – 13:30 | Adhaesive bonding procedures (Dr. Blunck) | |
13:30 – 14:30 | Lunch | |
14:30 – 16:00 | Adhaesive bonding of the veneers. | Step by step from diagnosis to recall |
16:00 – 16:30 | Coffee break | |
16:30 – 18:00 | Step by step from diagnosis to recall Final Q&A, Closing remarks |