Ceramic restorations of frontal teeth
Ceramic restorations of frontal teeth
Course overview
Learn every step of creating ceramic restorations for anterior teeth: from treatment planning to finishing!
Together with our lecturers you will consider the following questions:
Selection of ceramics depending on the clinical case
Preparation protocols for veneers and crowns
Clinical and laboratory protocols for creating:
non-prep veneers
pressed veneers
refractory veneers
digital CAD/CAM veneers.
Fixation of restorations.
This training was created for the “prosthodontist - dental technician” team.
Course lessons
Lesson 1. Ceramic. How to combine tradition and innovation?
Analogue protocol
Fluorescence of zirconia. Appearance and features. Where it comes?
Multilayers ceramics. Comparing to natural teeth
Shades of ceramics
Stained and layered ceramic
Review of ceramic layering techniques. Advantages and limitations
Importance of incisor edge restoration
Coloring of tooth structures. Combined techniques
Creating texture for anterior restoration. Layering. Baking, glazing, polishing
Importance of using right materials when layering ceramics
Full ceramics.
Lesson 2. Indirect anterior restorations: clinical and laboratory stages
Planning aesthetic treatment: from photography to Mock-up
Ceramics or composite: pros and cons
Direct and indirect restoration: indications
Veneers: indications and stages of treatment
Photography in dentistry: planes, light source, size
Digital smile design
Principles of communication with a dental technician
Wax-up: areas of clinical interest
Dental technician: materials for precise minimally invasive restorations
Wear, abrasion, erosion
Preparation of teeth for veneers: practical aspects of the "window" and "butt-joint" methods
Try-on and fixing of indirect restorations: adhesive preparation and materials.
Lesson 3. Clinical protocol for no-prep ceramic laminate veneers and vertical geometry
The concept of vertical geometry: paradigm shift in prosthetic dentistry
Gingitage: methods and recommendations for the prevention of complications
Gingivectomy and gingitage: differences and indications
Selection of restoration ceramic material for laminates during vertical preparation
Lithium disilicate for laminates: advantages
The same material on the teeth with different types of prosthetics: veneers and an implant
Indications for the use of non-prep veneers
Step-by-step clinical and laboratory stages of manufacturing non-prep veneers
Methods of surface treatment of veneers and teeth prior to bonding
Restoration of peg shaped and tetracycline stained teeth with non-prep veneers.
Lesson 4. Platinum foil technique, heat pressing technique, refractory-mounted veneers, and CAD/CAM
The responsibility and the psychology of the smile:
Patient’s and Dentist’s requests.
Dentist and dental technician communication
Wax up: aesthetic rules, reference points, the V concept, and the patient's desire
Buccal wax up: indications and advantages
Digital Smile Design (DSD)
Physcial properties of dental materials and the choice of materials in various cases
Materials and Techniques:
Glass Ceramics
Feldspathic Ceramics.
Analogic Approach:
Platinum foil technique
Press and stain technique
Press and Build-up technique
Refractory die technique.
Digital Approach:
Oral Scan
Digital Wax-up
Mock up
CAD/CAM Procedures
Shape and Texture.
Clinical cases.
Lesson 5. Ceramic anterior restorations: Veneers and Crowns
Ceramic veneers: indications
Planning of treatment with ceramic restorations
Additive restorations: advantages and disadvantages
Step-by-step protocol for making ceramic restorations: material selection, scanning, digital smile design, Wax-up, Mock-up
Partial indirect composition restoration: protocol
Features of the preparation of anterior teeth:
On the vestibular surface
In the cervical region
On the proximal surface.
Silicon guides for the preparation in anteriors
The minimum thickness of the veneer, depending on the manufacturing method
Adhesive veneers fixation protocol
Interdisciplinary approach in the manufacture of aesthetic restoration.
Lesson 6. CEREC ceramic veneers: detailed protocol
Treatment planning:
from Wax-up to Mock-up
from analog to digital workflow
DSD and understanding the patient's demand
CEREC BioCopy design
digital mock-up and design with CEREC.
Preparation: no prep, prep-less, full-prep:
preparation geometry and future path of insertion
feathered incisdal edge, palatal chamfer, butt-joint incisal edge.
Introduction to intraoral scanning: techniques, scaning protocols, and reference points
Material selection criteria: biocompatibility, longevity, aesthetics, optical properties, strength, and cost efficiency
Classification and characterization of chairside monolithic materials:
silica ceramics (feldsphatic porcelain)
IPS e.max lithium disilicate.
ZLS (zirconica reinforced lithium silicate):
hybrid ceramics.
Clinical cases.