Indirect Restoration in the Biomimetic Concept

• The history and development of biomimetic dentistry
• The natural tooth anatomy and the natural tooth histology. Enamel, dentin, cementum, and pulp tissue
• The biobase restoration. Understanding the bio-dome and the bio-rim
• The DEC (dentino enamel commplex)
• Analyzing biomechanical defects
• Stress reducing methods and techniques
• The occlusal effect carries
• The bioDome concept. Clinical examples
• The peripheral seal zone and tooth preparation for overlay restoration
• Immediate dentine sealing (IDS) and decoupling with time (DWT)
• Resin coating technique
• High level adhesion with fiber reinforced biomimetic materials
• Deep margin elevation (DME). The keys to successful DME
• Indirect restorations from material selection to adhesive luting

• The history and development of biomimetic dentistry
• The natural tooth anatomy and the natural tooth histology. Enamel, dentin, cementum, and pulp tissue
• The biobase restoration. Understanding the bio-dome and the bio-rim
• The DEC (dentino enamel commplex)
• Analyzing biomechanical defects
• Stress reducing methods and techniques
• The occlusal effect carries
• The bioDome concept. Clinical examples
• The peripheral seal zone and tooth preparation for overlay restoration
• Immediate dentine sealing (IDS) and decoupling with time (DWT)
• Resin coating technique
• High level adhesion with fiber reinforced biomimetic materials
• Deep margin elevation (DME). The keys to successful DME
• Indirect restorations from material selection to adhesive luting
• Clinical cases

The main goals of the biomimetic concept

Partial coverage restorations vs full crowns

The bio-rim. Stress distribution

The adhesion equation: maximizing the bond and minimizing the stress

The advantages of indirect and semi-direct biomimetic restorations

The C-factor

Hydrodynamic theory of pain and the pulpal fluid movement

Classification of dental adhesives

Bonding partial coverage restorations to dentin, composite, or to enamel

The hybrid layer concept

The inter diffusion zone

The challenges in creating a uniform dentin hybrid layer

The hierarchy of bondability

Steps and protocols to maximize bond of partial coverage restorations

Immediate dentin sealing (IDS) with gold standard adhesives

The biobase stage

Step-by-step protocols of of bonding of Emax and feldspathic ceramics to the biobase

Step-by-step protocols of bonding composite onlays

Bonding to cured composite, is it possible?

Indirect restoration bonding with heated composite vs resin cement

Step-by-step video demonstration of bonding composite overlay with heated composite.

The scientific approach to vertical bioemulative preparation

The difference between vertical and horizontal preparation technique

Classification of the finish line margins: preparation with and without the margin

Marginless preparation: feather edge and knife edge

Advantages and disadvantages of vertical preparation technique

The burs choice for vertical preparation technique

The mechanical preparation of a natural abutment:

characteristics of the finishing line

curettage preparation and overcontour preparation technique.

Provisional prostheses: acrylic or composite?

Impressions: materials, impression trays, impression techniques, tissue retraction, and impression protocols

Application of the facebow and the articulator

The laboratory part of bioemulative crown restoration:

the choice of materials

application of die spacer paint waxing

casting and welding

how to choose alloys.

Occlusion in clinical practice:

occlusal stability and centric relation

occlusal vertical dimension

occlusal functional and esthetic planes: Wilson, Spee and Monson,

esthetic facebow, articulator, and axiography.

Clinical cases of zirconia bioemulated restorations

Clinical cases of ceramic bioemulated restorations

Crown restoration bonding and cementation:

zinc oxyphosphate permanent cementation

adhesive bonding.

The main goal of total oral rehabilitation

Traditional approach of oral rehabilitation vs the biomimetic non-invasive approach

Differentiating different kinds of partial restorations: inlays, onlays, overlays, table tops, palatal veneers, occlusal veneers

The benefits of partial ceramic indirect restorations

Clinical steps of preparing onlays

The build-up of severely destructed tooth with composite prior to partial restoration. Concepts and indications

Improving the fracture resistance of partial restorations

Minimal invasive preparation protocols for partial biomimetic restorations

Step-by-step protocols to achieving minimally invasive and functional ceramic palatal veneers

Full mouth rehabilitation and increasing the VDO in severe erosion and tooth wear cases: platalal veneers, onlays, table tops and occlusal veneers

Step-by-step protocols of the biomimetic approach of buccal veneers

Ceramic veneers cementation using pre-heated restorative composite

Clinical cases.

Advantages of adhesive dentistry

The three step dental bonding agents (DBAs)

Bonding techniques to receive the best performance

Protocols of ceramic conditioning prior to bonding of the restoration

Protocols of silanization to improve ceramic adhesion

Protocols of ceramic restoration cementation using pre-heated restorative composite: Advantages and indication

Mechanical, physical, and biological properties of various ceramic materials

Pressed vs CAD/CAM partial ceramic restorations

Step-by-step walkthrough of full mouth rehabilitation cases. Preparation, laboratory stage, and bonding.

Rubberdamology. The importance of isolation

Bonding. Protocols to maximize adhesion

Tooth preparation protocols for indirect composite biomimetic restoration

Build-up of severely damaged teeth

The peripheral seal zone and tooth preparation for overlay restoration

Immediate dentine sealing (IDS) and decoupling with time (DWT)

Resin coating technique

Intraoral scanning. Scanning in rubber dam isolation

Step-by-step protocols of cementation of the restoration

Clinical cases.

Diagnosis and virtual treatment planning

Evaluation of intraoral scanners available in the market and intraoral softwares

Strategies and protocols to Improve intraoral and facial scanning

Think digital: integration of extraoral pictures with DICOM and STL files to improve treatment planning and treatment outcome

Digital planning in aesthetic cases: tips for mock-up

Effective protocols for biomimetic CAD/CAM restorations

Protocols to scan under rubber dam isolation

How to reproduce the emergence profile in the final restoration

Digital provisional restorations

Step-by-step video demonstration of CAD/CAM biomimetic restoration: from intraoral scanning to overlay bonding

When to send to the lab and when to fabricate in house?

What to mill and what to print?

3D printing: from direct restorations index technique and indirect restoration preparation guides to surgical and periodontal guides

Clinical cases.

Zirconia: classification of different types

The physical, chemical and biological properties of zirconia

Morphology of the bioemulated restoration

Finishing of zirconia in the white stage

Macro and Micro Texture

Layering of monolithic bioemulated restorations

The color theory and its application

Liquid ceramic understanding

Layering with liquid ceramic

White and pink layering process

Real cases results: step-by-step of case explanation.