The Complete Guide to Digital Dentistry

Category: Digital Dentistry

Instructor(s): Jacobo Somoza Roman

Course structure: Lessons: 10 lessons | Duration: 14 hours 58 min

Course overview

Detailed analysis of veneers, metal-free crowns, digital wax-up manufacturing on the course of Jacobo Somoza.
You will learn all the subtleties:
– Selection of equipment for the digital protocol
– Scanning in the oral cavity,
– Uploading data to the program
– Mock-up creating
– Smile design
– Printing or milling of the final design.

Curriculum

Intraoral scanners usage in statics and dynamics

• Program:
• – How does the intraoral scanner function?
• – Types of scanners
• – The main problems that occur during intraoral scanning
• – Which intraoral scanner should I choose for my clinic? Detailed comparison of models from different manufacturers
• – Detailed stages of intraoral scanning:
• Preparing the scanner and computer
• Ergonomics during scanning
• Scanning strategy: how should I move the scanner sensor in the oral cavity?
• Processing scanning result
• Additional programs for intraoral scanners
• Reception-transfer to the laboratory
• Image postprocessing.
• – Features of intraoral scanners using in implant prosthetics
• – Scanning of prepared teeth: the importance of the scanner resolution for ensuring the edge fit of the restoration
• – Bite detection by intraoral scanners: central occlusion and centric relation registration using a leaf gauge
• – Registration of dynamic occlusion
• – Retraction of the gingival margin before scanning
• – What is an prosthetic virtual key?
• – Analysis of clinical cases.
• Recommended for: Prosthodontists, Implantologists.

Guide in 3D printing

• Program:
• – Overview of working with 3D printers
• – What is support and what is used it for?
• – What are 3D printers and how do they work?
• – What printers do I use in practice: comparative characteristics of 18 printers at the Jacob Somoza`s Institute
• – Evaluation of the printed model surface quality
• – Definition of pixel and voxel? The voxel effect How to avoid it?
• – Types of light sources. DLP and SLA technologies
• – What needs to be changed during long-term operation of the 3D printer?
• – 4K printers-detailed comparative characteristics
• – The characteristic sizes of the platform in the printers
• – The gray scale is the most important tool for eliminating the voxel effect
• – Calibration of the axes of the 3D printer, resin, and light source-how to perform to avoid problems during operation
• – How to position the support system in order to correctly create a platform for printing an object.
• Recommended for: Prosthodontists, Implantologists.

Current tips and life hacks of 3D printing

• Program:
• – Disadvantages of 3D printing, forcing us to turn to milling technology
• – Principles of printing and positioning of the model in pre-printing space. Position of the support pins when printing
• – Comparison of 3D printing and milling
• – Evaluation of the quality and accuracy of printing and milling
• – Evaluation of the quality of the surgical templates produced
• – The positioning of the surgical template before printing
• – Why do I need to scan the templates before the operation? Scanning procedure
• – Which is better to use for making surgical templates: printing or milling?
• – Features of working with printed models in the dental laboratory
• – Fabrication of provisional implant-supported dentures
• – Production of splints through printing technology: features of the technological process and use
• – Veneers: printing or milling? Create perikymata on milled veneers.
• Recommended for: Prosthodontists, Implantologists.

Digital Aesthetic Analysis

• Program:
• – Analysis of a clinical case when digital planning is needed (aligners + virtual articulator + veneers)
• – Algorithm for integrating digital protocols into treatment planning
• – Experience using digital planning in conjunction with an analog facial arch
• – A combination of CBCT, photography, and a virtual articulator. How to completely abandon working with the face bow
• – Why I don’t recommend to use a two-dimensional smile design?
• – The compilation of patient’s photos with his intraoral scan data
• – Protocol of facial features analysis in the digital protocol
• – The middle line and its offset
• – Occlusal plane. The inclination angle. Correction in the digital protocol
• – Selection of working materials (E-max, zirconium dioxide, feldspathic porcelain)
• – Detailed analysis of several clinical cases.
• Recommended for: Prosthodontists, Implantologists.

Digital planning in 2D and 3D. Achieving aesthetics and function without an analog articulator

• Program:
• – Landmarks for facial analysis
• – Guidelines for 2D and 3D smile design
• – How to correlate the planning result with the patient`s smile
• – JSi Teeth Libraries
• – Where to position the gingival margin and the neck of the teeth? When do we need plastic surgery?
• – Integration with face photography and CBCT for planning implantation and bone grafting
• – Overview of the photo equipment required for operation
• – The angles of the photos of the patient to smile design
• – Modeling, fitting, correction, and adaptation of mock-up restoration
• – Analysis of facial asymmetry
• – Comparison of the virtual articulator and the Motion 3Shape module
• – Analysis of clinical cases according to the author`s protocols of Jacob Somoza.
• Recommended for: Prosthodontists, Implantologists.

Integration of CBCT into 3D smile design

• Program:
• – 2D and 3D smile design in 3Shape and Nemotec programs
• – Planning of the jaw position and occlusion. Design of occlusional splints
• – Analysis of movements with a splint for planning a total restorations
• – Managing STL files. Three-dimensional coordinate axis
• – How to evaluate and quantify 3D images of CBCT when integrated into digital protocols
• – The ratio of the X-ray load on the patient and the final voxel resurrection
• – Mapping DICOM files to STL files
• – Combining the results of intraoral scanning and CBCT
• – Integration of CBCT into 3D smile design. Analysis of clinical cases with the author's protocol of smile design.
• Recommended for: Prosthodontists, Implantologists.

Progressive protocols in guided surgery

• Program:
• – Digital technologies in surgery
• – Dual scan protocol as the basis for predictable implantation
• – Major challenges in guided surgery and how to overcome them
• – Which templates are most accurate: milled or printed?
• – Perfect hole in the template. Why is it so important?
• – 3D planning in dental surgery. Analysis of clinical cases
• – Comparison of templates produced on different 3D printers
• – Surgical lengthening and autotransplantation using templates
• – Complete edentia: rehabilitation using a surgical template
• – Artifacts on CBCT. How to get rid of them?
• – Why the temporary restoration should be made prior to surgery
• – Surgical template for zygomatic implants.
• Recommended for: Prosthodontists, Implantologists.

Basic and progressive protocols of total rehabilitation

• Program:
• – 3D smile design for prosthetics on implants: integration of the face and the anatomy of natural teeth
• – Is it possible to create a beautiful and functional smile in 2 visits
• – Total rehabilitation for 3 visits on a clinical example
• – How to avoid distortion when scanning
• – How accurate is the intraoral scanner for prosthetics on implants
• – Types and forms of prosthetic structures on implants
• – Photogrammetry: where it is used and why it is used by the dentist
• – PIC-abutments: advantages of their application
• – Overview of the ICAM4-D system
• – Prosthetic Virtual key: application protocol
• – How to accurately record the position of soft tissues
• – Materials for prosthetic restorations on implants
• – Secrets of getting a high-quality restoration.
• Recommended for: Prosthodontists, Implantologists.

Digital interdisciplinary dentistry: restoration + orthodontics + implantation

• Program:
• – Facial Analysis: new protocol
• – Treatment planning depending on the expected facial aesthetics
• – JSi photos
• – JSi teeth library
• – Surgical crown extension: clinical case
• – NIM protocol: function + aesthetics. Interdisciplinary approach
• – Planning and treatment of patients with edentia
• – Creating a NIM mock-up
• – Orthodontic Set-Up.
• Recommended for: Prosthodontists, Implantologists.

Guide to creating milled ultra-thin veneers. Analysis of clinical cases

• Program:
• – Detailed full digital protocol of patient rehabilitation with aligners + prosthetic restoration
• – The choice of material for prosthetic restorations
• – Features of the Empress Multi feldspathic porcelain
• – Tricks of ceramic polishing to optimize the fluorescing effect
• – Ultra-thin milled veneers (0.4 mm): is it real?
• – Create perikymata on CAD-CAM-veneers
• – Life hacks for milled veneers adhesion in the oral cavity
• – How to get rid of ceramic salts after HF etching?
• – The effect of natural scalloped gums on the aesthetics of a smile
• – Detailed analysis of clinical cases with an analysis of the aesthetics of the gums and lips
• – Combining the results of intraoral scanning and CBCT
• – Analysis of clinical cases with the author’s protocol of smile design.
• Recommended for: Prosthodontists, Implantologists.