Conventionally, discoloured 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.

This Master class is designed to 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

What You Will Learn:

• A simple approach to the direct resin veneer: create masterpieces easily and predictably.
• Masking discoloured teeth with direct resin.
• How to handle the peg lateral and microdont teeth.
• Functional smile design.
• How to handle complex cases such as discoloured 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.

And much, much more...

A comprehensive approach for the restoration of anterior and posterior teeth with all ceramic onlays and crowns with Vertical Margins. The emphasis is on adhesive, minimally invasive tooth coloured restorations: from treatment planning, through preparation, impression taking, provisionalisation and final cementation/finishing.

What You Will Learn:

• Biologically sound principles in relation to tooth reduction, margin design and finishing.
• Which margin, when and why? Vertical Margin Design.
• Immediate Dentine Sealing and Gingival Margin Elevation for optimal adhesion.
• The Pillars of Adhesive Preparation Design: make your in vivo preps approach in vitro bond strengths.
• The Concept of Ferrule (Vertical and Horizontal).
• Tissue Management for long- term periodontal health.
• Which cement and why…simple usable day-to-day protocols.
• Cementation and Finishing Procedures for invisible margins.
• Provisionals for minimal preparation ceramic.

In recent years it has become well accepted that direct composite resin restorations are predictable in small to medium sized cavities; similarly, the durability of full coverage crowns is well known. However the grey area is when a cavity falls somewhere between the two:

• What do we do when a direct restoration would seem wildly optimistic, yet a crown overly destructive?
• Similarly, how do we approach anterior teeth that have large fractures without removing more and more enamel?

These and many other similar questions go through the mind of the busy general practitioner many times every day. This comprehensive, evidence-based class offers clear, easily understandable protocols to simplify the decision making process and compliments this with end-to-end workflows to rapidly restore posterior teeth with indirect ceramic onlays and anterior teeth with direct composite resin.

Concepts:

• How to prepare ultra-conservative ceramic onlays in teeth, which are too heavily broken down for direct resin whilst avoiding aggressive full veneer crown preparations: step-by-step protocols for simple, rapid preparation from compromised tooth to ideal prep within 10 minutes.
• How to deal with margins, which are deep within the gingival sulcus: GME (Gingival Margin Elevation) for hard tissue conservation, simplified impression taking and easy cementation.
• How to optimise bond strengths in conservative non-retentive onlay preparations with IDS (Immediate Dentine Sealing).
• How to restore a large MID fracture on an anterior tooth with direct-resin, yet achieve aesthetics to rival porcelain.
• How to create believable incisal edge effects such as opacities, incisal edge halos and crack lines.
• How to rapidly polish to recreate natural enamel surfaces.

What You will Learn:

Morning:

Restore an upper incisor tooth class 4 with direct resin, create life-like incisal edge effects and finish with a rapid efficient polishing protocol.

Afternoon:

Prepare an upper first molar for an MOD Ceramic Onlay with IDS, GME and fabrication of a provisional restoration.

The class is intended to be informal with questions taken "on the hoof" throughout the day. Dr Smithson demonstrates each case in its entirety via overhead projection: the participants then have the opportunity to ask questions before completing the exercise themselves with close support from Jason.

NB: This program is identical to the Sunday Program.

In recent years it has become well accepted that direct composite resin restorations are predictable in small to medium sized cavities; similarly, the durability of full coverage crowns is well known. However the grey area is when a cavity falls somewhere between the two:

• What do we do when a direct restoration would seem wildly optimistic, yet a crown overly destructive?
• Similarly, how do we approach anterior teeth that have large fractures without removing more and more enamel?

These and many other similar questions go through the mind of the busy general practitioner many times every day. This comprehensive, evidence-based class offers clear, easily understandable protocols to simplify the decision making process and compliments this with end-to-end workflows to rapidly restore posterior teeth with indirect ceramic onlays and anterior teeth with direct composite resin.

Concepts:

• How to prepare ultra-conservative ceramic onlays in teeth, which are too heavily broken down for direct resin whilst avoiding aggressive full veneer crown preparations: step-by-step protocols for simple, rapid preparation from compromised tooth to ideal prep within 10 minutes.
• How to deal with margins, which are deep within the gingival sulcus: GME (Gingival Margin Elevation) for hard tissue conservation, simplified impression taking and easy cementation.
• How to optimise bond strengths in conservative non-retentive onlay preparations with IDS (Immediate Dentine Sealing).
• How to restore a large MID fracture on an anterior tooth with direct-resin, yet achieve aesthetics to rival porcelain.
• How to create believable incisal edge effects such as opacities, incisal edge halos and crack lines.
• How to rapidly polish to recreate natural enamel surfaces.

What You will Learn:

Morning:

Restore an upper incisor tooth class 4 with direct resin, create life-like incisal edge effects and finish with a rapid efficient polishing protocol.

Afternoon:

Prepare an upper first molar for an MOD Ceramic Onlay with IDS, GME and fabrication of a provisional restoration.

The class is intended to be informal with questions taken "on the hoof" throughout the day. Dr Smithson demonstrates each case in its entirety via overhead projection: the participants then have the opportunity to ask questions before completing the exercise themselves with close support from Jason.