Indirect Restoration within the Biomimetic Concept

Learn to create aesthetic and functional indirect restorations within the biomimetic concept—designed to serve your patients for more than 20 years!

Discover advanced biomimetic knowledge from leading lecturers in the field, such as David Alleman, Andrea Fabianelli, and Andras Forster.

During the program, you will study in depth:

• Preparation techniques (including minimally invasive) for veneers, crowns, ceramic/zirconia/composite onlays and overlays, and partial crowns

• Adhesive protocols for biomimetic restorations

• Methods for indirect restoration of severely damaged teeth

• Stress-reduced indirect composite restoration protocols

• Digital protocols for biomimetic aesthetic restoration

Lesson 1. The philosophy of indirect biomimetic restoration. Introductory lesson

• History and development of biomimetic dentistry

• Natural tooth anatomy and histology

• Tooth reconstruction based on a biobase: understanding the biobase and the bio-dome concept

• Dentin–enamel complex (DEC)

• Analysis of biomechanical tooth defects

• Methods and techniques to reduce stress after cementation of an indirect restoration

• Occlusal effect of caries

• Bio-dome concept: clinical examples

• Peripheral seal zone (PSZ) and preparation protocol for overlays

• Immediate dentin sealing (IDS) and degradation of bonding over time (DWT)

• Resin coating technique

• High-level adhesion with a fiberglass liner: a biomimetic approach

• Deep margin elevation (DME): keys to successful DME

• Indirect restorations: from material selection to bonding

Lesson 2. The philosophy of indirect biomimetic restoration

• History and development of biomimetic dentistry

• Natural tooth anatomy and histology

• Tooth reconstruction based on a biobase: understanding the biobase and the bio-dome concept

• Dentin–enamel complex (DEC)

• Analysis of biomechanical tooth defects

• Methods and techniques to reduce stress after cementation of an indirect restoration

• Occlusal effect of caries

• Bio-dome concept: clinical examples

• Peripheral seal zone (PSZ) and overlay preparation protocol

• Immediate dentin sealing (IDS) and bonding degradation over time (DWT)

• Resin coating technique

• High-level adhesion with a fiberglass liner: a biomimetic approach

• Deep margin elevation (DME): keys to successful DME

• Indirect restorations: from material selection to bonding

• Clinical cases

Lesson 3. Adhesion protocols for biomimetic indirect restorations

• Core goals of the biomimetic concept

• Partial vs. full crowns

• Biorim and stress distribution on the tooth surface

• The adhesion equation: maximizing restoration-to-tooth bond strength while minimizing occlusal load

• Advantages of indirect and semi-direct biomimetic restorations

• C-factor control

• Hydrodynamic theory of pain and pulpal fluid movement

• Classification of dental adhesives

• Bonding inlays/onlays to dentin, composite, or enamel

• Hybrid layer concept

• Interdiffusion zone

• Challenges of creating a uniform dentin hybrid layer

• Adhesion hierarchy in biomimetic dentistry

• Steps and protocols for maximum bonding of inlays/onlays

• Immediate dentin sealing (IDS) with gold-standard adhesives

• Biobase creation stage

• Step-by-step protocols for bonding feldspathic ceramics and E.max to the biobase

• Step-by-step protocols for cementing composite onlays

• Is bonding to cured composite possible?

• Cementation with preheated composite vs. resin cement

• Step-by-step video demonstration of cementing a composite onlay using preheated composite

Lesson 4. Prosthodontics in the bioemulation concept: vertical preparation technique

• Scientific approach to vertical preparation in bioemulation

• Differences between vertical and horizontal preparation

• Finish line types: with and without a shoulder

• Shoulderless preparation: knife-edge / feather-edge

• Pros and cons of vertical preparation

• Bur selection for vertical preparation

• Mechanical tooth preparation:

  • Finish line characteristics

  • Curettage preparation technique and over-contouring preparation

• Provisional restorations: acrylic or composite?

• Impressions: materials, trays, techniques, and use of retraction cord

• Use of a facebow and articulator

• Laboratory stage in bioemulation crown protocols:

  • Material selection

  • Use of die spacer

  • Casting and welding

  • Alloy selection

• Occlusion in clinical practice:

  • Occlusal stability and centric relation

  • Vertical dimension of occlusion

  • Functional and aesthetic occlusal planes: Wilson, Spee, and Monson

  • Aesthetic facebow, articulator, and axiography

• Clinical cases: zirconia restorations in bioemulation

• Clinical cases: ceramic restorations in bioemulation

• Crown cementation:

  • Conventional cementation with zinc phosphate cement

  • Adhesive cementation

Lesson 5. Partial biomimetic restorations: onlays, inlays, lingual/buccal/occlusal veneers

• Main goal of full-mouth rehabilitation

• Traditional vs. biomimetic approach to full-mouth rehabilitation

• Differences between partial restoration types: onlays, inlays, lingual, buccal, and occlusal veneers

• Advantages of partial ceramic restorations

• Clinical preparation steps for inlays and onlays

• Rebuilding severely damaged teeth with composite before partial restorations: concepts and indications

• Improving fracture resistance of partial restorations

• Minimally invasive preparation protocols for partial biomimetic restorations

• Step-by-step protocols for minimally invasive and functional ceramic lingual veneers

• Full-mouth rehabilitation and increasing VDO in severe erosion/tooth wear cases: lingual veneers, inlays, and occlusal veneers

• Step-by-step protocols for buccal veneers in the biomimetic approach

• Cementation of ceramic veneers using preheated composite

• Clinical cases

Lesson 6. Partial biomimetic restorations: from single-tooth restoration to full-mouth rehabilitation. Adhesive and laboratory aspects

• Advantages of adhesive dentistry

• Three-step adhesive protocol

• Bonding techniques for optimal outcomes

• Conditioning protocols before cementation

• Silanization protocols to improve bonding of ceramic restorations

• Cementation protocols using preheated composite: benefits and indications

• Mechanical, physical, and biological properties of different ceramic materials

• Fabrication of partial ceramic restorations by pressing and by digital CAD/CAM

• Step-by-step review of full-mouth rehabilitation clinical cases: preparation, lab stages, and cementation

Lesson 7. Stress-free restorative dentistry using digital composite onlays: from preparation to cementation

• Rubber damology: the importance of isolation

• Bonding: maximum adhesion protocols

• Tooth preparation protocols for indirect composite restorations in the biomimetic concept

• Build-up of severely damaged teeth

• Intraoral scanning: scanning under rubber dam isolation

• Step-by-step cementation protocols

• Clinical cases

Lesson 8. Digital “recipes” for biomimetic restorations: onlays, inlays, and crowns

• Diagnosis and virtual treatment planning

• Review of available intraoral scanners and software evaluation

• Strategies and protocols to improve intraoral and facial scanning

• Digital thinking: integrating patient photography with DICOM and STL files for better planning and outcomes

• Digital planning in aesthetic cases: mock-up tips

• Effective protocols for biomimetic CAD/CAM restorations

• Scanning protocols under rubber dam isolation

• Reproducing the emergence profile in the final restoration

• Digital provisional restorations

• Step-by-step video demonstration of a biomimetic CAD/CAM restoration: from intraoral scan to ceramic inlay cementation

• Laboratory vs. in-office: indications

• What should be milled vs. printed in dentistry?

• 3D printing: index technique for direct restorations, preparation guides for indirect restorations, surgical and periodontal guides

Lesson 9. Monolithic restorations in the bioemulation concept: the full process from A to Z

• Zirconia: classification of different types

• Physical, chemical, and biological properties of zirconia

• Restoration morphology in the bioemulation concept

• Finishing zirconia restorations

• Macro- and microtexture

• Layering monolithic restorations

• Color theory and clinical application

• Understanding liquid ceramics

• Layering using liquid ceramics

• White and pink layering workflow

• Real case results: step-by-step case explanation

8 lessons + 1 free (9h 41min)