Lectures - Day 1

Full digital workflow in implant dentistry: New perspectives and challenges

 

New technologies are changing traditional concepts and protocols in Implant Dentistry. Currently, a 100% digital procedures can be carried out to complete an implant treatment, from planning to final restoration without tray impressions, plaster models, diagnostic wax-up, radiographic guides.

This workflow has been limited for single restorations and short span bridges, but where is the limit today? New indications for full digital workflow in implantology and new clinical procedures will be shown in this presentation.

Endodontic Retreatment. Is it Predictable?

 

Although endodontic treatment is highly predictable, with survival rates greater than 97%, we can find in our clinical practice patients who present with poor endodontic treatments or with periapical pathology due to a lack of disinfection or sealing of the root canal system. In these situations, it is extremely important to assess endodontic retreatment and its different variants in our treatment plan. After a three-dimensional evaluation of the case and a correct diagnosis, we will have a good chance to save the tooth by opting for non-surgical, surgical retreatment or intentional replantation. In this lecture, these possibilities will be exposed, reviewing clinical cases and the scientific basis of these treatments. The objective is to focus on more biological treatments and preserving these compromised teeth. A dentistry fundamentally focused on saving teeth that can become functional again and without pathology.

 

Learning Objectives:
 
  • Present data on the predictability of endodontic retreatment and its different variants.
  • Expose treatment protocols, available armamentarium and the result of their use, exemplified in various clinical cases.
  • Analyze the scientific basis of the different techniques

New CAD/CAM Material and New Perspectives

 

Digital dentistry is a reality, and everything starts with a scan. With the growth of this treatment modality, dentistry professionals are faced with a wide range of equipment and materials to manufacture tooth and implant supported restorations.

The main objective of this lecture is to demonstrate recently launched materials, which have very interesting and promising composition, mechanical and aesthetic properties. Within the digital flow, these materials present simplicity and speed in the fabrication of restorations.

The main objective of this lecture is to show evidence-based requirements and conceptual bases to efficiently choose restorative materials in modern restorative and implant dentistry. Focus will be given in the digital workflow.

Success Protocol - Greatness in a 100% Digital Workflow

 

How an orthodontist integrates dental specialties with predictability and results
 

Throughout my clinical practice, I understood that it was not enough just to be an orthodontist with a high level of knowledge in orthodontics. I also needed to develop a protocol that would allow me to achieve extraordinary results through the integration of dental specialties. 

Although clear aligner therapy is at its best today, proving to be a very effective treatment modality, with predictability and results, many doctors find it difficult to work with reverse treatments in their planning; to diagnose and plan integrated treatments of dental specialties before the orthodontic treatment is performed. 

And, consequently, being able to present to the patient a pre-ortho and post-ortho planning with or without final aesthetics.

So, the use of this protocol I developed:

 

  • Creates internal management opportunities for staff and dentists
  • Generates predictability so that the patient better understands their treatment
  • It favors the effectiveness in the execution of the treatment and obtaining of results
  • Learn how an orthodontist developed a successful protocol in her practice by integrating digital equipment, software and integrated flows - observing it from the moment the patients arrive at the clinic until the end of the treatment:
  • Their first appointment
  • How the dental check-up is done 
  • The integration of the team and specialists in the execution of 
    • planning 
    • the diagnosis
    • and treatment

 

Through observing my experience with the integration of Intra-oral scanners, 3D Imaging, photography, orthodontic software, CAD Softwares, diagnostic and Aligner Softwares and 3D Printing

 

  • Learn how to successfully integrate Softwares and equipment
  • Learn with the presentation of integrated clinical cases, where precious tips and tricks will be shared on how to achieve excellent and predictable results

Root to crown Digital Workflow: from Diagnosis to Restoration

 

Modern Endodontics offers great opportunities in terms of simplicity and predictability of results. Precise diagnosis using low dose CBCT clarifies treatment needs. Today we can rely on a new shaping approach based on reduced tooth structure removal so to leave more sound dentine in the restorative section of the tooth  and still achieve ideal endodontic treatment. The new instruments involved have unique designs associated with the use of the ideal alloy for each instrument  and, most important, can offer the chance to be minimally invasive due to reduced tapers and diameters of the wires.

Irrigation is easily achieved through the use of plastic flexible needles and sonic activation of irrigants. Three dimensional obturation is by now obtained combining injection molded guttapercha cones or carrier based to the files used in order to fulfill all empty spaces ideally. Post-endodontic restoration shows problems and limitations which are very well known. Residual space geometry is not ideal for materials commonly used. Modern adhesives offer the chance to have better performance in restoration of teeth weather they are vital or non vital. A number of evidences state the importance of the coronal restoration of endodontically treated teeth in order to obtain the reestablishment of the system.

The choice of using a post or not is driven by the restoring plan based on the tooth type and involvement. Today’s restorative dentistry on endodontically treated teeth is based on modern adhesives and modern composites; yet it has to face a number of problems that will be analyzed through the lecture: treatment plan in relationship to the remaining structure in anterior and in posterior teeth, kind of composite and adhesive in relation of the type of restoration adopted and correct behavior in cases color is an issue, what kind of material to be used in case of full crowns and how to obtain the best performance including the new possibilities offered by CAD/CAM integrated system for chair side dentistry.

Single tooth restorations. From temporaries to definitive restorations

 

Aesthetics in dentistry today is an all-encompassing multidisciplinary treatment process that dentists provide for patients. While some cases may have obvious solutions, many can leave us indecisive on the best treatment options, especially when we are faced with a numerous possibility of restorative materials. Having a working protocol is vital in equipping both practitioners and patients to make important informed decisions. 

Topics will include: 

The workflow of indirect restorative treatment focusing on tooth preparation design and tooth surface topography.

Provisional restorations and tissue management

Optical impression technique and cements. 

Different workflows will be discussed both for teeth-supported as well as implant-supported restorations.

The main objective of this Lecture is to show evidence-based requirements and conceptual bases that should be followed to optimize and efficiently achieve results in modern restorative and implant dentistry. Focused will be given in the digital workflow.

Lectures - Day 2

A Critical Assessment of Minimally Invasive Endodontic Procedures

 

Minimally invasive dentistry (MID) is the application of “a systematic respect for the original tissue.” This implies that the dental profession recognizes that an artifact is of less biological value than the original healthy tissue. MID is a concept that can embrace all aspects of the profession. The common delineator is tissue preservation, preferably by preventing disease from occurring and intercepting its progress, but also removing and replacing with as little tissue loss as possible. With regards to endodontic procedures, it can range anywhere from diagnosis to deciding not to treat, to a minimally but purposefully crafted access openings based on anatomical challenges, to minimal removal of dentin during access opening, enlarging, and shaping of the root canal to retain as much sound dentin as possible, to retention of tooth structure during disassembly and retreatment or considering apical surgical intervention, to performing a crown lengthening procedure to establish sound tooth margins for core/crown restorations as opposed to tooth extraction and implant or bridge placement. This presentation will address the concept of MID, critiquing, from a realistic viewpoint, its contemporary impact on endodontic procedures.

Biomimetic restorative dentistry - How to push the efficiency to the maximum by using Rubber Dam

 

Modern restorative dentistry is relying on proper adhesive protocols and understanding the principles of biomimetic dentistry which means essentially to restore the tooth with materials that have the same  properties as the part of the tooth that is lost. This approach aims to preserve intact tooth structure and restore the function and biomechanics of natural teeth. 

In this presentation, I will speak about the role of Rubber Dam isolation in modern restorative dentistry and how we can transform Rubber Dam from something that it's often seen as being a hectic and complicated process into something that actually brings clarity and comfort and efficiency in daily protocols. If properly explained to the patient we can raise the case acceptance for preventive dentistry which means we can transform a one tooth approach into a full quadrant approach or even full mouth rehab by treating all problematic teeth not only the one that the patient is complaining about.

 

Learning Objectives:

 

  • To understand the principles of biomimetic dentistry and the role of this approach in maintaining as much healthy tooth structure as possible
  • To learn how to integrate rubber dam isolation simply and efficiently in daily work restorative scenarios

Simplified Restorative Procedures in Direct Anterior Restorations: the Importance of a Multidisciplinary Approach Part 1

 

The purpose of the lecture is to make a critical appraisal of modern materials and procedures in anterior adhesive restorations, including dentin bonding agents, resin composites, color and aesthetics principles, the “step by step” procedures for direct anterior restorations. Many different aspects of multidisciplinary treatment planning will also be discussed, together with a comprehensive approach to the diagnosis and treatment of traumatism.

The digital approach in the Anterior Area

 

With this presentation I would like to propose a new approach to digital dentistry showing new surgical-prosthetic work processes about complex aesthetic rehabilitation in the frontal area, with reference to "Gummy Smile" patients. More precisely, I would like to introduce the digital process, that I apply when I need to preserve the original morphology of the soft tissues (gingival margin and papillae) in the frontal areas, a protocol that involves the use of customizable collagen matrix and temporary devices created by a digital method using my CAD/CAM system.

 

The Evolutionary of Implant design philosophy (Crown Down Approach)

 

The continuous Evolution of Implant System has undergone since decades. With a strong philosophy in biomechanics and biology. The next step of this Evolution Based on a “crown down approach” this system aims to deliver a clinically relevant and robust implant, with enhanced drilling protocols for improved primary stability, designed with the 21st century digital workflow in mind, while staying true to a classic and well documented design. This presentation will also focus on significant improvements in restorative ease and system logic. The new iteration of Implant System Evolution is sure to deliver outstanding clinical results.

The Evolutionary of Implant design philosophy (Crown Down Approach)

 

Outline:
 
  • Re-visit the classical design around the BioManagement Complex
  • Introduce the new Evolution of implant
  • Focus on robustness
  • Focus on new index – with One Position Only option
  • Focus on Digital workflow.
  • Present data on bone maintenance

 

Aims & Objectives:
 
  • To refresh knowledge and understanding of the implant philosophy
  • To understand the biomechanics around the Evolution of implants
  • To understand the value of the One Position Only index and how it relates to the digital Workflow
  • To introduce the Bone Care Concept

Simplified Restorative Procedures in Direct Anterior Restorations: the Importance of a Multidisciplinary Approach Part 2

 

The purpose of the lecture is to make a critical appraisal of modern materials and procedures in anterior adhesive restorations, including dentin bonding agents, resin composites, color and aesthetics principles, the “step by step” procedures for direct anterior restorations. Many different aspects of multidisciplinary treatment planning will also be discussed, together with a comprehensive approach to the diagnosis and treatment of traumatism.