PG Cert Contemporary Restorative and Aesthetic …...PG Cert Contemporary Restorative and Aesthetic Dentistry (Level I) 2 DAY 1 Periodontology Module “Contemporary Periodontics”

1

PGCertContemporaryRestorativeandAestheticDentistry(LevelI)

www.dominic-hassall-training.co.uk

2

DAY1

PeriodontologyModule“ContemporaryPeriodontics”

Tutorialandcontemporaryliterature

• Courseintroductionandphilosophyo Cosmetic,aestheticorrestorative?o DentalcareintheUK,changingtreatmentpatterns

• Currentconceptsindiagnosisandmonitoringperiodontaldisease• Therapidandcomprehensiveperiodontalexamination• Co-diagnosisandpatientmotivation/conversion• Riskassessmentandsellingvalueinperiodontics• Perio:systemicinterface• GDPtreatmentofperiodontaldisease

o Non-surgical,systemicantibiotics,localmedicaments,photodynamictherapy,lasertherapy,perio-flow–whatistheevidence?

• Peri-implantitis-diagnosisandtreatmentoptions• Periodontalstability

Handsonpractical

• Periodontalrestorativetreatmentplanningexercises

Learningobjectives

Bytheendofthissessionparticipantsshouldhavegainedthefollowing:

• AnunderstandingofthecurrentstatusofrestorativeandaestheticdentistryintheUKandchangingtreatmentpatternsandfutureneeds

• AnunderstandingoftheBPE(basicperiodontalexamination),indicesandtheroleofgeneticandmicrobialtestinginthediagnosisandmonitoringofperiodontaldisease

• Anappreciationoftheroleandmethodsofco-diagnosisinpatientconversationandmotivation• Asystemforrapidriskbasedperiodontalexamination• Aninsightintocurrentopinionsonlinkswithsystemichealthandhowtodiscussthiswithpatients• Anunderstandingofevidencebasedcurrenttreatmentoptionsandwhatrepresentsperiodontalstability• Anunderstandingofwhatperiodontaldiagnosticandtreatmentprotocolstointroduceintoyourclinicalpractice• Anoverviewofperi-implantitis• Experienceofperio:restorativetreatmentoptionsandplanning

3

DAY2

PeriodontalModule“AestheticandSurgicalPeriodontalProcedures”


• The“BiologicWidthConcept”currentevidence• Implicationsofthebiologicwidthonaestheticrestorativeprocedures• Surgicalcrownlengtheningforthe‘gummysmile’,gingivalasymmetryandclinicalcrownheight• Socketandsofttissuepreservationtechniquesinaestheticandimplantdentistry• Rootcoverageandsofttissueaugmentationforaesthetics• Aestheticgingivalmasksforcompromisedcases• Theovateponticconceptinaestheticandimplantdentistry• Lasersorelectro-surgery?

HandsonPractical

• Flapdesignandsuturingtechniques• Surgicalcrownlengtheningexercise• Practicalelectro-surgerytechniques

Learningobjectives

Bytheendofthissessionparticipantsshouldhavegainedthefollowing:

• Anunderstandingofthelatesttheoriesonthebiologicwidthandwhysomepatientsexperiencerecession/inflammation

• Anunderstandingofhowtoaccessthebiologicwidthandminimiseaestheticcomplications• Anunderstandingofsurgicalcrownlengtheningproceduresforcorrectionofgummysmile,asymmetryandclinical

crownheight/ferrule• Practicalexperienceofcrownlengtheningproceduresandstages• Aknowledgeofsocketpreservationandtheovatepontictechniqueforsofttissuehandlingintheaestheticzone• Aknowledgeofaestheticperiodonticsincludingrootcoverageproceduresandgingivalmasks• Anunderstandingoftheroleoflasersandelectro-surgeryinrestorativeandaestheticprocedures• Practicalexperienceofelectro-surgerytechniques

4

DAY3

ComplexTreatmentandAssessmentModule


Rapidandcomprehensiveriskbasedpatientassessment“Thefoundationforsuccessfulrestorative,aestheticandfunctionaltreatment”• Periodontal• Toothbased• Occlusal/TMJ• Aesthetic

Theroleofco-diagnosisinpatientcommunicationandcareplanconversion

• Theroleoftheintraoralcamera• Modelsandinformationleaflets

Theroleofclinicalphotography

• Theessentialviewsrequiredforplanning• Patientcommunication,conversionandmedico-legalaspects• ‘Pointandshoot’ordigitalSLR• Datahandlingandpracticemarketing

Handsonpractical

• Handsonphotographypractical• Rapidandcomprehensiveriskbasedassessmentpractical

Bytheendofthesessionparticipantsshouldhavegainedthefollowing:

• Anunderstandingoftheroleofcomprehensivebutrapidriskbasedpatientassessmentasthebasisforsuccessfuldentistry

• Asystemforrapidriskbasedpatientcommunication• Theroleofriskbasedpatientassessmentinincreasingpatientco-diagnosisandreducingcomplications• Anunderstandingoftheimportanceofintra-oralcamerasandclinicalphotographyincontemporarydentalpractice• AnappreciationofpointandshootcamerasversusdigitalSLR• Knowledgeoftheimportantviewsrequiredandtheirimportanceinaestheticbasedtreatment• Practicalexperienceofriskbasedtreatmentplanning• Practicalexperienceofclinicalphotographictechniques

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DAY4

AestheticFoundationsModule


Rulesandtoolsinsmiledesign/aestheticplanning

• Theaestheticassessmentsheet/checklist• Faciallyrelatedtoothposition,thebasisofaestheticplanning• Clinicalstagesintheaestheticcase• Colourandshadeselectionindentistry• Customisingcharacterisation• Value,translucency,surfacetexture,dentineshades• Successfullaboratorycommunication• Selectingappropriatetoothvalue,shapeandform• Gingivalporcelains• Identifyingthehighriskaestheticcase

Handsonpractical

AestheticexaminationpracticalShadetakingexercise

• Trueshade• Smilelite

Laboratoryprescriptionexercise


• Knowledgeofhowtoundertakeariskbasedrapid,detailedaestheticassessment• Anunderstandingoftheclinicalstagesintheaesthetic:restorativecasetoincreaseaestheticpredictability• Appreciatetheroleandlimitationsofcosmeticimaging• Understandtheroleofcolour,shade,value,translucency,surfacetexture,dentineshadesandtoothforminshade

matchingandaestheticdentistry• Appreciatetheroleofcustomisingcharacterisationandtoothforminsuccessfulshadematchingandaesthetic

dentistry• Understandhowtocommunicatecolour,shade,value,translucency,surfacetexture,dentineshadesandtoothformto

thelaboratory• Understandtheroleofgingivalporcelainsincompromisedaestheticcases• Practicalexperienceofaestheticassessment• Practicalexperienceoflaboratorycommunicationforshade,value,translucency,surfacetextureanddentineshading

inaestheticdentistry• Practicalexperienceofcurrentshadetakingdevices• Knowledgeofhowtoidentifythehighriskaestheticcase

6

DAY5

AestheticFoundationModule


Treatmentplanningoptionsinaestheticandrestorativedentistry

• Whitening,orthodontics,compositebonding,veneersorcrowns?• Currentconceptsinwhitening

o Home,non-vital,powero Medico-legalaspectso Techniquesandmaximisingsuccess

• Theaestheticandfunctionaldiagnosticwaxup(thekeytosuccess)• Porcelainveneers

o Fromnopreptofullcoverageo Preparationguidelines,temporisationandcementationo Useof‘prepthrough’guidesandsiliconeindexestobiologicallycontrolpreparationo Avoidingfailure,patientselection,longevityandconsent

Handsonpractical

• Veneerpreparations• ‘Prepthrough’andsiliconeindexes


• Knowledgeofthetreatmentoptionsinrestorative:aestheticdentistryincludingwhitening,orthodontics,compositebondingorindirectrestorations

• Anunderstandingofhome,non-vitalandpowerwhitening• Appreciatethemedico-legalaspectsandmaximisingsuccessinwhitening• Understandtheroleofthediagnosticwaxupasthekeytofunctionalandaestheticsuccess• Anunderstandingofhowtouse‘prepthrough’andsiliconeindicestominimisetoothremoval• Anunderstandingofhowtotemporiseveneersandundertakepredictableveneerbonding• Anappreciationoftheriskfactorsforveneerfailure,patientselectionandconsentissues

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DAY6

AnteriorandPosteriorAestheticsModule

BioclearMethodLevel1–Techniquesformodernanteriorcompositedentistry


• BioclearMethodbackgroundandmethod• DavidClarkMatrixselectionandadaptation• Heatingandinjectionmoldingofcompositematerials• Biofilmremoval• Clark2-stepPolishtechnique• ClarkClassIIIcavitydesignwithradius/infinitymargin• InjectionmoldingforClassIIIrestorations• Blacktriangleclosure/treatment• Reshapingundersizedteeth• Treatmentofpeglaterals

Handsonpractical

• Cavitydesignincludingtheinfinityedgemargin• AnatomicDavidClarkmatrixselectionandadaption• Injectionmouldingcompositetechnique• RockStar2steppolish• AnteriordeepclassIIIcaries• TreatmentofBlackTriangles• Diastemaclosureandreshapingofundersizedpeglateralteeth

Bytheendofthesessionparticipantsshouldhavegainedthefollowing

• AnunderstandingoftheBioclearmethodincludinganteriorcavitydesignusingtheinfinitymargin,injectionmoulding,andthe2-stepBioclearpolishtechnique

• BeabletorestoredeepanteriorcavitiesusingtheDavidClarkmatricesandBioclearmethod• BeabletotreatblacktrianglediseaseusingtheDavidClarkmatricesandBioclearmethod• BeabletoclosediastemasusingtheDavidClarkmatricesandBioclearmethod• BeabletoreshapeundersizedteethusingtheDavidClarkmatricesandBioclearmethod

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DAY7


BioclearMethodLevel2–IntroductiontoPosteriorComposites


• Modernscienceofdurableposteriorcomposite• Preventionofwhitelinesandvisiblemarginsincomposites• DavidClarkMatrixselectionandadaptation• Heatingandinjectionmoldingofcompositematerials• Biofilmremoval• Clark2-stepPolishtechnique• ClarkClassIIcavitydesign• InjectionmoldingforinterproximalClassIIrestorations• ModernizeG.V.BlackcavitydesigntoClarkModernCompositeRestoration

Handsonpractical

• Newscienceofstrongposteriorrestorationsandteeth• Marginaldesignandpreventionofwhitelinesorvisiblemarginsincomposites• MinimallyinvasiveClarkClassIIrestorationwithinjectionmolding• AnatomicClarkmatrixselectionandadaption• CallaLilypreparation–atoothreinforcingpreparation• Achievingrocksolidcontactswithrounded,flossfriendlyembrasures.• RockStar2steppolish

Bytheendofthesessionsparticipantsshouldhavegainedthefollowing;

• AnunderstandingoftheBioclearmethodincludingposteriorcavitydesign,injectionmoulding,andthe3-stepBioclearpolishtechnique

• Beabletoselectcorrectanatomicalmatrix• UnderstandtheCallaLilypreparation• Demonstrateexcellentcontactpoints

9

DAY8



• Selectionofcontemporarycrownandbridgematerialso E.maxandZirconiao Conventionalmetalceramicandgoldo Compositematerialso Chair-sideandlaboratoryprovisionalrestorations

Handsonpractical

• Useofpreparationindices• E.maxpreparations• Zirconiapreparations• Metalceramicpreparations• Fullveneergoldpreparations

Learningobjectives


• Beabletounderstandcurrentcrownandbridgematerialsandtheirindicationsandlimitationsintheiruse• Beabletoundertakesuccessfulallceramic,metalceramic,goldcrownandbridgepreparations• Beabletoundertakesuccessfulshorttermandlongtermprovisionalrestorations• Beabletoselecttheappropriatematerialandrecognisetheinherentrisksincurrentlyavailablematerials

10

DAY9



• Directorin-directrestoration• Inlay/onlayorcrown?• Successfulcoretechniquesforvital/nonvitalteeth• Successfulpostsystems• Contemporarybridgetechniques

o Successfuladhesivebridges(metalandzirconiabased)o Largespanbridgeso Fixedmoveablebridgesforangulationdifficultieso Copingbridgesforpoorprognosisabutments

Minimisingfailureinfixedprosthodonticsandaestheticdentistry

• Mechanicalandbiologicfactorsinfailure• Appropriateabutmentselection• PulpalprotectionandthePashleytechnique• Theimportanceofparticleabrasion• Predictableimpressiontechniquesandmaterialselection• Currentrecommendationsincementchoice• Core/postmaterialsandtechniques• Patientandlaboratoryfactorsinfailure• Importanceoftheferruleeffect

Handsonpractical

• Inlayandonlaypreparationtechniquesandtemporisation• Adhesivebridgetechniques

Learningobjectives


• Beabletoappropriatelyselectaninlay,onlayorcrown• Appreciatecurrentaestheticandfunctionalcoreandpostmaterialsandtechniquesforvitalandnon-vitalteeth• Beabletoundertakesuccessfuladhesivebridgetechniques• Understandadvancedbridgetechniquesincludinglargespan,copingandfixedmoveablebridges• Appreciatehowtominimisecomplicationsandfailureinfixedprothdotontics• Beabletoassessriskinabutmentselection• Beabletoselectappropriatecements• Beabletoundertakepredictableaccurateimpressions• Beabletoundertakeinlayandonlaypreparationsandpredictabletemporisation• Appreciatetheimportanceofandhowtoachievetheferruleeffect

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DAY10

OcclusionModule(Participantswillrequireasetofstudymodelsoftheirownmouthforthissession).


• Featuresofthe‘idealocclusion’andtherapidocclusalexamination• Articulatorsandfacebows–why,whichsystemandwhentouse?• Mountingmodelsonthearticulator• Occlusalanalysisofstudymodels

HandsonPractical

• Thefacebowrecord• Mountingmodelsonthearticulator• Occlusalanalysis

LearningObjectives


• Anunderstandingofthefeaturesofthe‘idealocclusion’andhowtoexaminetheocclusion• Anunderstandingoftheroleofarticulatorsinrestorativeandaestheticdentistry• Knowledgeofthefeaturesofarticulatorsforrestorativeandaestheticdentistry• Anunderstandingofthefacebowtransferanditsimportance• Beabletoundertakeanaccuratefacebowrecord• Beabletomountstudymodelsonthearticulator• Beabletoundertakeanocclusalanalysis

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DAY11

OcclusionandComplexTreatmentModule


• SuccessfulocclusionfortheGDP• Comprehensiveriskbasedrapidexaminationoftheoro-facialmusclesandjoints• Diagnosisofocclusal/TMJdisorders• Currentconceptsinthetreatmentofocclusion/TMJdisorders(includingbruxism)• Roleofsplintsinrestorativedentistryandocclusion/TMJdisorders(includingbruxism)• Clinicalaspectsofcentricrelation• Whentoconformtoorreorganisetheocclusion

ComplexTreatmentandAssessmentModule


• Saveorextract?• Endodonticsorimplant?• Preventativestrategiesforcaries,toothsurfacelossandperiodontaldisease

Handsonpractical

• Restorative/aesthetictreatmentplanningexercises

Learningobjectives

Bytheendofthesessiontheparticipantsshouldhavegainedthefollowing:

• AnunderstandingoftheprinciplesofsuccessfulocclusionfortheGDP• Beabletorapidlyassessocclusal/TMJdisordersandrecognisetheirimportance• Appreciatecurrentevidencebasedconceptsinthetreatmentofocclusal/TMJdisorders(includingbruxism)• Understandtheroleofsplints(anteriordeprogrammer,flatplane,softbiteguardandrestorative)inocclusal/TMJ

disorders(includingbruxism)• Anappreciationofwhentoconformtotheexitingocclusionorreorganise• Understandtheimportanceofcentricrelationasthefoundationforthereorganisedapproach• Anappreciationofriskanalysisindecidingsaveable,questionableorteeththatrequireextraction• Anappreciationofwhentoendodonticallytreatorprogresstoimplanttreatmentandriskfactorsfor

endodontic/implanttreatment• Anunderstandingofcurrentevidencebasedpreventativestrategiesforcaries,toothsurfacelossandperiodontal

diseaseandbeabletoimplementtheseintoyourclinicalpractice• Anunderstandingofrestorative/aesthetictreatmentplanningexercises

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DAY12

ComplexTreatmentModule


• Marketingtheadvancedaestheticpractice• Structuredriskbasedpatientconsultationandcasepresentation

Advancedtreatments• Toothsurfaceloss

§ Aetiologies§ Localisedtoothsurfaceloss

• TheDahlappliance§ Generalisedtoothsurfaceloss

• Diagnosis• Composite,indirectonlaysandoverdentures• Assessingrisk‘parafunction’or‘erosion’

• Aestheticpartialdentureso Roleofattachmentso PredictableattachmentsfortheGDP;copingsandlocators

Handsonpractical


Learningobjectives


• Anunderstandingofinternalmarketingmethodsandattractingnewpatientstoyourpractice• Anappreciationoftheriskbasedpatientconsultationandcasepresentationfornewpatients• Anunderstandingoftheaetiologiesoftoothsurfacelossandimportanceinpredictingprognosis• Thetreatmentoflocalisedtoothsurfaceloss‘TheDahlconcept’• Anunderstandingoftheroleofdirectcomposite,onlaysandoverdenturesinthetreatmentoftoothsurfaceloss• Anunderstandingoftheroleofaestheticdenturesinpartiallydentatepatients• Anunderstandingofpredictableprecisionattachmentsinrestorativedentistry• Anunderstandingofrestorative/aesthetictreatmentplanningexercises

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DAY13

ComplexTreatmentModule


• Theorthodontic,aesthetic,restorative,functionalinterface• GDPorthodontics;clearaligners,shortterm,comprehensivespecialistandlingualorthodontics

o WhatcanGDP’streatandwhatshouldspecialiststreat?• Aesthetic,restorativeaspectsofImplantology• Coursesummary–“puttingitalltogether”

Handsonpractical


Learningobjectives


• Anunderstandingoftheindicationsandlimitationsofclearaligners,shorttermorthodontics,lingualandcomprehensiveorthodontics

• Anappreciationoftheaestheticandfunctionalbenefitsoforthodonticsandaesthetic/functionaladjunctiveroleinrestorativeaestheticdentistry

• AnunderstandingoftheaestheticaspectsofImplantology• AnappreciationofrestorativeaspectsofImplantology• Anunderstandingofrestorative/aesthetictreatmentplanningexercises

Pleasenotedaysmayvaryduetolectureravailability/availabilityofcoursematerials

Documents

PG Cert Contemporary Restorative and Aesthetic …...PG Cert Contemporary Restorative and Aesthetic Dentistry (Level I) 2 DAY 1 Periodontology Module “Contemporary Periodontics”