Planning & Finishing Techniques
Longevity and optimal aesthetics are critical aspects to consider when planning for direct composite resin restorations. While strength, wear resistance, and superior micromechanical retention are typically associated with functional durability, during the planning stage clinicians must equally consider aesthetic longevity, which includes retension of the original morphology, color stability, stain resistance, and marginal adaptation. To ensure optimum results for direct composite resin restorations,…

Ethics and Economics of Composite Resin Restoration
When I began my dental career, the full crown was really the main option being taught for esthetic dentistry. With the development of composite resins, we could refrain from reducing valuable enamel.

Fatigue Resistance and Crack Propensity of Novel "Super-Closed" Sandwich Composite Resin Restorations in Large MOD Defects
To asses the influence of conventional glass ionomer cement (GIC) vs resin-modified GIC (RMGIC) as a base material for novel, super-closed sandwich restorations (SCSR) and its effect on shrinkage-induced crack propensity and in vitro accelerated fatigue resistance. A standard MOD slot-type tooth preparation was applied to 30 extracted maxillary molars. A modified sandwich restoration was used, in which the enamel/dentin bonding agent was applied first, followed by a Ketac Molar or Fuji II LC base, leaving 2mm for composite resin material. Shrinkage induced enamel cracks were tracked with photography and transillumination. Samples were loaded until fracture or to a maximum of 185,000 cycles under isometric chewing, starting with a load of 200 N and gradually up to a maximum of 30,000 each...

Total Esthetic Reconstruction; A Phased Step by Step Approach
Most studies report a wait of between six weeks and three months before taking the impression and placement of any type of restoration. But if we manage adequate surgical protocol and include certain processes (subject of the study), we can have more predictable results in relation to the marginal stability in the medium and long term. We are showing Claudia's case she is 20 years old with a clear gummy smile and small teeth in proportion to her face to whom we practice periodontal plastic surgery on ten of her upper pieces from premolar to premolar and cemented her veneers three weeks after the surgical procedure. We also present part of the elaboration process of the indirect resin veneers by our laboratory.

Preparation-less Veneer Technique: Esthetic Rehabilitation for Anterior Teeth
In this case, the sequences of using preperation-less veneer and direct bonding technique not only preserving the tooth substance as much as possible but also maintaining the aesthetic result are expounded.

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 2
A step-by-step protocol will be presented in how to fabricate the proper screw-retained provisional restoration from the fabrication of the acrylic shell to managing and capturing the proper supportive subgingival contour.

Excellence in Cosmetic Dentistry: Anterior Esthetics
Dr. Mike Koczarski demonstrates composite techniques that will increase speed of placement for maximum quality and optimal esthetics.

Team Work: The Role of the Restorative Dentist in the Multidisciplinary Practice
In this presentation, Drs. Conti and Rossi share their experiences in treating challenging cases from a comprehensive multidisciplinary perspective. Emphasis will be placed as to when and how the restorative dentist enhances overall periodontal and esthetic therapy.

Preventing Subgingival Margins by Implementing Supra-gingival Dentistry Protocol
Restorative margins ending subgingival are considered “normal” and out of the control of the restorative dentist, but in reality subgingival margins are mostly avoidable and preventable! We have the technique and materials to be able to consider all of the above part of the history of dentistry.