Ceramic restorations of frontal teeth

Ceramic restorations of frontal teeth

Category: Prosthodontics

Instructor(s): Fabio Scutella, Jan Schünemann, Giuseppe Marchetti, Renzo Revelant, Ali Murat Kökat, Alessandro Conti

Course structure: Lessons: 6 lessons | Duration: 9 h 47 min

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:

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.

Who is this course for?

This online course is designed for dentists and dental professionals interested in prosthodontics, clinical decision-making and evidence-informed dental practice.