Team Expectations When Restoring the Full Arch: Technology and Clinical Challenges
Full Arch restorations has always presented it self with clinical and technical
challenges, from working in the clinic with the patient to the laboratory bench and to the
need for improved communication between the involved team members . With the
speed that the technology has improved so has the way we diagnose, treatment plan
and restore the the full arch patient, what hasn’t changed is the sound prosthodontic
principals. This lecture will highlight some of the clinical challenges, materials and the
protocols needed to meet the expectations of the TEAM to deliver a successful
Multitasking Digital Dentistry - Part 1 of 2
The "Digital Smile Design" is a technique codified and published in 2011 by Christian Coachman and Marcelo Calamita. This approach has radically changed the way we analyze the aesthetics of our patients and at the same time gave the clinician a great tool of communication with the laboratory and with the patient. In recent years, software's and applications have been introduced on the market in order to simplify the workflow and make more predictable the outcome. The purpose of the lecture is to resume the current concepts about digital aesthetic preview, and to show new trends.
Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team.
This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.
Invisalign Records for the Dental Team
It is evident there are a variety of malocclusion and health concerns that can be treated by orthodontic therapy. Factors from treating systemic issues to minor tooth movement can be addressed specifically to the patients’ needs and desires. Not only is it important for the dental team to be aware that orthodontics can improve one’s quality and longevity of life, but that the knowledge of current orthodontic therapy treatment modalities available will enhance the overall comprehensive care the patient receives.
CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions
Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.
Updating Classifications of Ceramic Dental Materials
The indications for and composition of today’s dental ceramic materials serve as the basis
for determining the appropriate class of ceramics to use for a given case. By understanding
the classifications, composition, and characteristics of the latest all-ceramic materials,
which are presented in this article in order of most to least conservative, dentists and
laboratory technicians can best determine the ideal material for a given treatment.
Retrospective Analysis of 26 Complete-Arch Implant-Supported Monolithic Zirconia Prostheses with Feldspathic Porcelain Veneering Limited to the Facial Surface
The purpose of this retrospective study was to evaluate the clinical performances of 26 implant-supported, complete-arch, monolithic zirconia restorations with facial feldspathic porcelain veneers for the rehabilitation of completely edentulous patients.
Eighteen patients were treated with a total of 26 complete-arch fixed prostheses. The mean follow-up time was 20.9 months. In total, 154 implants were placed supporting 309 retainers and pontics.
The results of this retrospective evaluation showed that monolithic zirconia restorations
with facial porcelain veneer provided satisfactory clinical performance and suggest that these
rehabilitations are a viable treatment option for completely edentulous patients.
The "Hybrid Abutment": A New Design for Implant Cemented Restorations in the Esthetic Zones
Cemented implant restorations are widely used by many dentists. The traditional abutment design resembles a natural tooth prepared for a crown with a similar taper and a chamfer finish line. A frequent complication associated with implant restorations in the esthetic zones is the recession of buccal gingiva over time. Abutment morphology, among several other prosthetic factors, may play an important role in the stability of gingival margin in esthetically sensitive areas, but this has never been thoroughly analyzed. With many considerations in mind and recent techniques released, this article proposes the "hybrid abutment: design (HAD), a new design that includes a combination of the two types of features - a feather edge on the buccal side, and a chamfer finish line on the lingual side. This article also presents a rationale for the use of different abutment designs for different situations.
Adhesive Dentistry: From Direct to Indirect Restorations
Restorative dentistry has changed in recent years. A good esthetic and functional rehabilitation starts from the proper clinical evaluation of the patient and of his problems, planning all the clinical and laboratory procedures in order to reduce the possibility of performing a subpar restoration.
It is very important to have a synergy between the clinician, the dental technician and the patient and to make the right use of the protocols and a flow chart to address all patient needs. The goal is to achieve the right balance between biology, esthetic and function by applying a minimally invasive approach.
Crowns and Bridges