Indirect Restorations in the Biomimetic Concept

History and development of biomimetic dentistry
Natural anatomy and histology of the tooth
Tooth restoration based on the bio-base. Understanding the bio-base and bio-dome concept
Dentino-enamel complex (DEC)
Analysis of tooth biomechanical defects
Methods and techniques for stress reduction after cementation of indirect restorations
Occlusal effect of caries
Bio-dome concept. Clinical examples
Peripheral sealing zone (PSZ) and preparation protocol for overlay
Immediate dentin sealing (IDS) and weakening of adhesive bonds over time (DWT)
Resin coating technique
High-level adhesion with a fiber-glass layer: biomimetic approach
Raising deep subgingival margins (DME). Keys to successful DME
Indirect restorations: from material selection to bonding.

History and development of biomimetic dentistry
Natural anatomy and histology of the tooth
Tooth restoration based on the bio-base. Understanding the bio-base and bio-dome concept
Dentino-enamel complex (DEC)
Analysis of tooth biomechanical defects
Methods and techniques for stress reduction after cementation of indirect restorations
Occlusal effect of caries
Bio-dome concept. Clinical examples
Peripheral sealing zone (PSZ) and preparation protocol for overlay
Immediate dentin sealing (IDS) and weakening of adhesive bonds over time (DWT)
Resin coating technique
High-level adhesion with a fiber-glass layer: biomimetic approach
Raising deep subgingival margins (DME). Keys to successful DME
Indirect restorations: from material selection to bonding
Clinical cases.
 

Main goals of the biomimetic concept

Partial vs full crowns

Bioring and stress distribution on the tooth surface

Adhesion equation: maximizing restoration retention to the tooth and minimizing occlusal load

Advantages of indirect and semi-indirect biomimetic restorations;

Control of C-factor

Hydrodynamic theory of pain and pulpal fluid movement

Classification of dental adhesives

Bonding of inlays and onlays to dentin, composite or enamel

Hybrid layer concept

Interdiffusion zone

Problems creating a homogeneous dentin hybrid layer

Hierarchy of adhesion in biomimetic dentistry

Steps and protocols for maximal bonding of inlays and onlays

Immediate dentin sealing (IDS) with gold standard adhesives

Stage of creating the bio-base

Step-by-step bonding protocols of feldspathic ceramic and Emax to the bio-base

Step-by-step protocols for cementing composite onlays

Is bonding to polymerized composite possible?

Cementation of an indirect restoration with heated composite compared to composite cement

Step-by-step video demonstration of cementing a composite onlay using heated composite.

Scientific approach to vertical preparation in the bio-emulation concept

Differences between vertical and horizontal preparation techniques

Types of margins: preparation with and without a shoulder

Preparation without a shoulder: feather-edge margin or thin edge

Advantages and disadvantages of the vertical preparation technique

Selection of burs for the vertical preparation technique

Mechanical tooth preparation:

characteristics of the margin during preparation

curettage preparation technique and over-contour preparation.

Temporary prosthetics: acrylic or composite?

Impression taking: materials, impression trays, impression technique and use of retraction cord

Use of face-bow and articulator

Laboratory phase of crown restoration in the bio-emulation protocol:

material selection

use of compensating lacquer

casting and welding

how to choose alloys.

Occlusion in clinical practice:

occlusal stability and centric relation

vertical dimension of occlusion

occlusal functional and aesthetic planes: Wilson, Spee and Monson

aesthetic face-bow, articulator and axiography.

Discussion of clinical cases: zirconia restorations in the bio-emulation concept

Discussion of clinical cases: ceramic restorations in the bio-emulation concept

Crown cementation:

permanent cementation using zinc phosphate–based cement

adhesive cementation.

Main goal of full mouth rehabilitation

Traditional approach to full mouth rehabilitation and the biomimetic approach

Difference between types of partial restorations: onlays, inlays, lingual, buccal, occlusal veneers

Advantages of partial ceramic restorations

Clinical steps for preparation for inlays and onlays

Rebuilding a severely damaged tooth with composite before a partial restoration. Concepts and indications

Improving fracture resistance of partial restorations

Minimally invasive preparation protocols for partial biomimetic restorations

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

Full mouth rehabilitation and increasing vertical dimension of occlusion in cases with severe erosion and tooth wear: lingual veneers, inlays and occlusal veneers

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

Cementation of ceramic veneers using preheated composite material

Clinical cases.

Advantages of adhesive dentistry

Three-step adhesive protocol

Bonding techniques for improved outcomes

Conditioning protocols before restoration cementation

Silanization protocols to improve bonding of ceramic restorations

Cementation protocols for ceramic restorations using heated composite: advantages and indications

Mechanical, physical and biological properties of various ceramic materials

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

Step-by-step review of clinical full mouth rehabilitation cases. Preparation, laboratory phases and cementation.

Rubber damology. The importance of isolation

Bonding. Protocols for maximal adhesion

Tooth preparation protocols for indirect composite restorations in the biomimetic concept

Buildup of severely damaged teeth

Intraoral scanning. Scanning under rubber dam isolation

Step-by-step restoration cementation protocols

Clinical cases.

Diagnosis and virtual treatment planning

Evaluation of intraoral scanners available on the market and software assessment

Strategies and protocols to improve intraoral and facial scanning

Digital thinking: integrating patient photography with DICOM and STL files to improve planning and treatment outcomes

Digital planning in aesthetic cases: tips for creating a mock-up

Effective protocols for biomimetic CAD/CAM restorations

Protocols for scanning under rubber dam isolation

How to reproduce the emergence profile in the final restoration

Digital temporary restorations

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

Laboratory VS in-office: indications

Which items should be milled and which should be printed in dentistry?

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

Zirconia: classification of different types

Physical, chemical and biological properties of zirconia

Restoration morphology in the bio-emulation concept

Processing of zirconia restorations

Macro- and microtexture

Layering of monolithic restorations

Color theory and its application

Understanding liquid ceramics

Layering using liquid ceramics

Process of applying white and pink layers

Real case outcomes: step-by-step case explanation.