Vertical preparation protocols: the complete guide in 24 lessons
Vertical preparation protocols: the complete guide in 24 lessons
Course overview
Big course on vertical preparation for prosthodontists and dental technicians.
24 online lessons are:
16 hours of intensive training with detailed protocols of all stages of working with VertiPrep
Lecturers who are proficient in the vertical preparation technique from A to Z - Pasquale Venuti and Marco Maiolino
Ideal training for the "prosthodontist - dental technician" team.
Lecturers will consider in detail:
features of vertical preparation (biomechanics, indications and contraindications for use, used burs and handpieces
detailed protocol of impressions: analog and digital methods
protocol for manufacturing and cementing temporary restorations
protocol for manufacturing and cementing final restorations.
Course lessons
Lesson 1. Why Verti-prep?
Vertical approach: working with hard and soft tissues
9 benefits of vertical preparation
Indications for vertical preparation
Long-term results of vertical preparation
Clinical and laboratory prosthetic workflows. Tips.
Lesson 2. Definition and development of vertical preparation
Why Vertical Preparation is underused? Prejudices about Vertiprep
How to define a vertical preparation
Difference beetween feather and and knife edge
Edgeless and shoulderless preparation
Conceptional differencies between margin and non- margin preparation
What is Batt bur in prosthodontics used for?
Why is vertical preparation friendly for periodontally compromised patients?
Lesson 3. Review of preparation methods
Comparison of soft tissue condition with provisional restorations and without
Toe-Heel approach that solves many issues
BOPT and Vertiprep: edgeless strategy
Geometry of Batt bur
Establishment of undesired ridges, shoulders and irregularities
How does the bur move while preparing vertically. Possible side effects.
Lesson 4. Preparation with flame-shaped and butt bur
What is the Batt bur used for in the prosthetic dentistry?
The Toe-Heel Concept
Mechanics of flame-shaped bur tooth preparation
Problems related to the preparation of the tooth and soft tissues around it
Preparation technique of hard tissues under the crown using the Batt bur
Advantages of the Batt bur usage
Analysis of clinical cases and long-term results».
Lesson 5. The difference between edgeless and shoulderless approaches
Analysis of a clinical case of prosthetic restoration of a severely destroyed molar using vertical preparation:
The creation of the crown insertion path
Filling of subgingival undercuts
Preparation of the tooth and soft tissues
Permanent prosthetic restoration.
X-ray folllow-up of the tooth condition and periodontal tissues when deciding on the use of vertical preparation
Features of endodontic preparation of the tooth before vertical preparation
Analysis of a clinical case involving the preparation of a frontal teeth with a shoulder and taking an impression
Preparation of the tooth for digital impression after vertical preparation.
Lesson 6. Tooth preparation techniques
The technique of maximum enamel saving
The selective preparation technique
Indications and contraindications for each of the techniques
Rules of vertical and horizontal rationality.
Lesson 7. Design of a shoulder
Critical biomechanical zones of the tooth
What is a shoulder and what is it used for?
Features of preparation, finishing the abutment and impression taking
Analysis of the clinical case.
Lesson 8. Restoration of teeth with deep subgingival and endodontic lesions
The biological width of the tooth, and how it is affected by various factors?
X-ray assessment of the condition of periodontal tissues. When should I reject performing of the restoration?
Risks of furcation lesions during surgical extension of the tooth crown
Gingival margin expansion and deepening technology (DME and DLE)
Analysis of clinical cases of dental restorations with extensive subgingival defects
Analysis of clinical cases of restoration of teeth with odontogenic cutaneous sinus tract (OCST)
Non-standard and extra-complicated clinical cases.
Lesson 9. Biomechanics of restorations. Part 1
Structure of the complex "tooth-cement-restoration"
"Crackology" - the science of broken restoration. Why is this happening?
Physical properties of substances that affect the durability of restorations
The forces that affect the restoration in the oral cavity
Save or remove the dentin overhanging edges? How to increase the strength of the tooth after restoration?
Internal and external strength of tooth tissues. "Invisible" fractures
A strategic approach to the prevention and treatment of tooth fractures and chipped restorations
The importance of preserving the edge ridges to achieve long-term restorations
Crash tests of removed teeth
Is it true that adhesive restorations strengthen the tooth? Breaking the Myths of composite and amalgam
Structural analysis of the tooth. Optimal depth and width of preparation
The importance of the anterior guidance in biomechanics and gnathology
Why is it important to correctly reproduce tooth cusps?
Lesson 10. Biomechanics of restorations. Part 2
Advantages and disadvantages of the adhesive protocol. Analysis of the clinical case
Stress factors of adhesive restoration
Borders of the adhesion. When is possible to carry out an adhesion?
Features of adhesion to enamel and dentin
Features of enamel and dentin preparation for the adhesive protocol
Which adhesive should I choose?
The thickness of the tooth walls for the choice of treatment method
Analysis of errors in the implementation of the adhesive protocol in various clinical cases
Adhesion of various materials to tooth tissues
The importance of ferrule preservation in adhesive restoration
Ferrule as the most important factor of tooth strengthening after endodontic treatment
Creating a ferrule effect
Increasing the clinical height of the tooth crown
Overview and step-by-step analysis of clinical cases.
Lesson 11. Provisional restoration
Provisional restorations are a necessary stage for successful prosthetics
Margins of provisional restorations. Working with soft tissues
Interproximal contacts of provisional restorations
Occlusal contacts of provisional restorations
Relining of provisional restorations
Materials for provisional restorations
Detailed protocol for creating provisional restorations in the oral cavity.
Lesson 12. Provisional prosthetics
How to avoid interference between the provisional crown and the tooth?
The main errors that occur at the clinical and laboratory stages in the manufacture of temporary crowns
A confirmed and recognized approach to provisional prosthetics. Clinical cases
Stages of manufacturing of analog (classic) provisional restorations
Manufacturing provisional restorations for posterior teeth
Manufacturing provisional restorations for anterior teeth
Stages of manufacturing digital temporary crowns using Exocad
Tricks and lifehacks of provisional prosthetics
Analysis of clinical cases.
Lesson 13. A free space management in the vertical preparation technology
Pros and cons of having a free tooth/abutment height
The optimum thickness of the restoration
The relationship between reliability, aesthetics and long-term restoration
Reasons of chipping of restorations at the stages of fitting and chewing
Geometry and biomechanics of dental preparation for indirect restorations.
Lesson 14. Indirect restoration thickness and material
Mechanical principles for the selection of the thickness and material of the restoration
Occlusal principles for the selection of thickness and material of restorations
Comparative characteristics of various materials
Comparative characteristics of different thicknesses
The choice of material depending on the type of preparation
Thickness of restoration: digital planning.
Lesson 15. Edge and edgeless preparation. Impressions
Edge and edgeless preparation: indications and contraindications, pros and cons
Detailed comparative characteristics of edge and edgeless preparation
Edge location
Clinical case: restoration of a severely damaged tooth. Choice of preparation method
Ideal time to take impressions.
Lesson 16. Die preparation. Analog and digital methods
Die preparation: tools and techniques
Errors in the die preparation
Features of the die preparation with digital and analog methods
Features of the die preparation depending on the edge type.
Lesson 17. Die spacer setting
Pre-cementation retention (frictional fit)
Post-cementation retention (cement fit)
Die spacing improves post cementation retention
Setting for inverted spacing
Using digital technologies to calculate the spacing
Processing of the gingival margin of the crown.
Lesson 18. Indirect restoration cementation
Materials for cementation of indirect restorations
Comparative characteristics of fixing materials
How to succeed in indirect restoration cementation
Selection of the cement according to the material of the indirect restoration
Clinical cases. Decision making strategy.
Lesson 19. Managing contact areas
Causes of crown fit problems
Methods for troubleshooting the crown fitting process
Tools for troubleshooting the crown fitting process
Planning the ideal contact point using digital technology.
Lesson 20. Vertical preparation. Provisional and final restorations
Vertical preparation features
Control of the preparation depth
Using a silicone key
Fabrication and fixation of provisional restorations
Taking impressions: analog method
Fabrication and fixation of final restorations
Orthodontic treatment prior to prosthetics: indications
Fixation of final restorations.
Lesson 21. Malocclusion: surgical and prosthetic rehabilitation
Prosthetic and surgical treatment of malocclusion: digital planning
Use of surgical templates for implantation
JIG in composite for increasing vertical dimension
Impressions and bite registration using the facial bow
Working with models in the articulator. WAX-UP
Design and fabrication of provisional restorations, taking into account the VDO increase
Intraoral scanning with provisional restorations
Digital design and production of final restoration
Аn interdisciplinary approach in the class 3 treatment.
Lesson 22. Provisional restorations: protocol
Silicone key
Milled provisional in PMMA
Using Bis-Acrylic and a silicone key to obtain a provisional restorations
Tips in using teflon when taking digital impressions.
Lesson 23. Impression: analog method
When to take impressions: perfect timing
Analog VS digital impression: indications
2-stage impression (analog method)
Working with soft tissues when taking an impression
Impression materials: characteristics, pros and cons
Putty impressions
Impression preparation.
Lesson 24. Impressions: digital approach
Indications for digital impressions
Analog VS digital impression
Scanners. Short review
Perfect scanning. Criteria for excellent scan result
Undercuts analysis
Features of taking impressions depending on the clinical case
Soft tissue informations
Clinical case: restoration of a severely damaged tooth with milled crown
Features of taking impressions depending on the preparation.
