Vertical Preparation: Updated Concept for Aesthetic Rehabilitation
Vertical Preparation: Updated Concept for Aesthetic Rehabilitation
Course overview
Explore the precision and artistry of vertical preparation with Dr. Marco Maiolino, a Vertiprep-driven specialist!
It's very important to approach all aesthetic cases from a prosthodontic and periodontic standpoint. The aim of indirect restorations is to achieve both healthy periodontal tissue and an aesthetic smile. With the vertical preparation technique, you will provide your patients a pink and white aesthetic and long-lasting treatment!
What you will learn
The vertical preparation technique
The perio-prostho and endo-prostho approach to indirect restorations
Edge and edgeless preparation of anterior and posterior teeth
Protocols for bonding and delivering the restoration.
Preparation techniques and clinical protocols — Everything you need to know in one big course! Join and don't miss out!
Course lessons
Lesson 1. Why Vertiprep?
Updates on the Vertiprep technique:
Bur protocols designed specifically for the Vertiprep technique
Minimal prep
Verticrowns
Lap protocols designed specifically for the Vertiprep technique.
Soft tissue stability with the Vertiprep approach
Step-by-step lab protocols to achieve biological stability with the Vertiprep technique.
Lesson 2. Why not vertical?
The history of vertical preparation
Dental specialists opinion on vertical preparation then and now
Evolution of vertical preparation technique
Critical evaluation of the vertical preparation technique
Periodontal aspect to vertical preparation technique
Literature review and analysis of clinical cases.
Lesson 3. The foundation of long term dentistry
The endo-prostho approach to a long lasting restoration
Treatment approach to endodontically treated teeth
Advantages of vertical preparation technique. Minimal invasive approach
Evaluation of tooth fracture risks in various clinical cases
Occlusal load evaluation in the vertical preparation technique
Compressive and tensile toughness of tooth structure and dental prosthetic restorative materials
Material selection for prosthetic restorations
The ferrule effect
Analysis of clinical cases.
Lesson 4. Flame-shaped bur vs Batt-shaped bur. Indication, advantages and clinical application
Features of of the flame-shaped bur
Analyzing results of clinical cases using the flame-shaped bur
The Toe-Heel Concept. Application of the Toe-Heel concept during preparation
Preparation protocols using the flame-shaped bur. Evaluation of the most common mistakes
Steps to dealing with supragingival and subgingival undercuts
Indication and advantages of working the batt-shaped bur
Conventional approach vs edgeless preparation approach
When to take impressions: perfect timing
Step-by-step video demonstration of tooth preparation with the vertical preparation technique using a batt-shaped bur
Analysis of clinical cases and long-term results.
Lesson 5. Tooth preparation strategies and techniques and emergence profile
The technique of maximum enamel saving
The correct bur axis when preparing the tooth
Excessive tapering of the restoration and how to avoid it
Minimal invasive preparation for maximum dentin preservation
Selective dentine drilling technique for anterior teeth
Selective dentine drilling technique for compromised teeth
The emergence profile consideration with vertical preparation technique.
Lesson 6. The inverted shoulder approach and minimal invasive approach of tooth preparation
Critical biomechanical zones of the tooth
Evaluation of occlusal contact
Determination of the critical area of thickness for occlusal stability
Protocols of inverted shoulder preparation
Features of preparation, finishing the abutment and impression taking
Clinical cases analysis of application of inverted shoulder preparation approach.
Lesson 7. Laboratory protocols of manufacturing provisional crowns
Analysis of common mistakes when preparing a tooth
How to avoid interference between the provisional crown and the tooth?
Analysis of common mistakes when manufacturing provisional crowns
A confirmed and recognized approach to provisional prosthetics. Clinical cases
Step-by-step Video demonstration of analogic temporary crown fabrication:
Fabrication protocols of posterior temporary crowns
Fabrication protocols of anterior temporary crowns.
Evaluation of tooth and soft tissue margins in relation to the temporary crowns
Tricks and lifehacks of provisional prosthetics
Analysis of clinical cases.
Lesson 8. Video guide of tooth preparation and laboratory protocols of manufacturing provisional crowns
Video demonstration of a clinical case in an endo-prostho approach for clinical crown lengthening:
Full steps of an endo surgery and retrograde obturation
Tooth preparation protocols for a full crown restoration.
Step-by-step protocols for manufacturing digital provisional crowns on EXOCAD
Protocols of finishing and polishing of the digital provisional crown in the lab
Protocols of delivering the digital provisional crown to the patient
Protocol of in-office adjustment of the provisional crown
Confederation of the most common mistakes with provisional restorations
Mistakes when preparing teeth
Step-by-step prosthetic restoration of endodontically treated teeth:
Defining a missed canal, endo surgery and retrograde obturation
Healing and follow-up
Evaluation of the prosthetic restoration.
Lesson 9. The finish line of provisional restorations. Prostho-perio considerations
Provisional restorations in relation to the periodontal tissue. Where to stop doing provisional restorations?
Guided periodontal tissue adjustment with provisional restorations
Adjustment of subgingival provisional crown margin
Analysis of clinical cases:
Application of the inverted shoulder approach when preparing the abutment tooth
Fabrication and clinical adjustment of the provisional crowns.
Lesson 10. Post and core treatment approach. Is this treatment still valid? Part 1
Defining of the interaxial dentin
Occlusal force distribution on the coronal and apical part
Literature and clinical analysis review of the success rate and failure of crown post and core treatment approach
Clinical indications of fiber posts
Adhesion of fiber posts to the tooth tissue
Analysis of clinical cases:
Failure of fiber posts
Dr. Maiolino overview of fiber post restoration.
Lesson 11. Post and core treatment approach. Is this treatment still valid? Part 2
Post and core approach to prosthetic restorations. Evaluation of treatment outcome
The biomechanical aspects of a post and core restoration
Comparing the advantages and disadvantages of metal cast posts and fiber posts
Step-by-step video demonstration of metal cast post placement and abutment build-up and preparation
Application of metal cast posts in the aesthetic zone:
Laboratory aspects
Clinical aspects.
Analysis of clinical cases.
Lesson 12. Crown bonding. Prosthetic and die space
What is the true prosthetic space and why is it important?
Pros and cons of having a free tooth/abutment height
Prosthetic crown thickness: consideration in different prosthetic crown materials
Evaluation of the crown marginal seal and the occlusal seat in different clinical scenarios and in different tooth preparation techniques
Die spaces and the precementation space of a crown
The optimum thickness of the restoration
The relationship between reliability, aesthetics and long-term restoration
Reasons of chipping restorations at the stages of fitting and chewing
Geometry and biomechanics of dental preparation for indirect restorations
Analysis of clinical cases.
Lesson 13. Analysis of prosthetic crowns structural elements. The evaluation of different applied materials
Literature review on the crown thickness and occlusal force load resilience
Classification of cracks and fractures of prosthetic crowns
The influence of preparation design on fracture resistance
The effect of reduced occlusal thickness of a crown on fracture resistance
Analysis of clinical cases. Follow-up on a prosthetic crown of the upper first molar.
Lesson 14. Edge and edgeless preparation protocols. Impression taking protocols
Ideal time to take impressions
Advantages and indications of delayed impression
Advantages and indications of immediate impression
Edge and edgeless preparation: indications and contraindications, pros and cons
Detailed comparative characteristics of edge and edgeless preparation
Clinical case: restoration of a severely damaged tooth. Choice of preparation method.
Lesson 15. Die preparation in an analog and digital method. Protocols of die spacer setting
Die preparation: tools and techniques
Step-by-step protocols of die preparation with digital and analog method
Die preparation protocols during edge and edgeless preparation
Pre-cementation retention (frictional fit)
Post-cementation retention (cement fit)
Die spacing for improving post cementation retention
Setting for inverted spacing
Using digital technologies to calculate spacing
Processing of the gingival margin of the crown.
Lesson 16. Clinical protocols for indirect restoration cementation
Materials for cementation and bonding of indirect restorations
Comparative characteristics of luting materials
Selection of the luting cement in accordance to the structural materials of the indirect restoration
Clinical cases. Decision making strategy.
Lesson 17. Video guide of vertical preparation technique
Ergonomics of working the with the dental microscope and red-ring hand piece
Utilizing the coliberated notches for occlusal reduction
Step-by-step video demonstration of preparing upper molar on a dental model:
Protocols of occlusal reduction
Protocols of interproximal separation and preparation
Protocols of buccal and lingual reduction and the inverted shoulder approach
Protocols of working with a batt-bur
Edgeless vertical preparation protocols.
Step-by-step video demonstration of fabrication of inverted shoulder:
Bur selection
Preparation technique
Finishing and polishing.
