Program

Up to now, metal-ceramics has been considered the gold standard for fabricating fixed prosthesis since it reconciles excellent mechanical and physical properties with the ability to deliver, at least in many situations, a satisfactory aesthetic appearance. In the past three decades, the advent of metal free ceramic materials and systems has attempted to challenge this standard. The introduction of these materials has increased the choice, but also the confusion and uncertainty among dental professionals. While providing better esthetics more easily, many of these products have proven to be short lived and erratic in behavior once cemented in the oral cavity.
This lecture will analyze whether metal-ceramic prosthesis are still indicated while addressing the relative advantages, disadvantages and potential risks for failure of the metal free materials. An effort will be made to explain the real differences among the various types and brands of all ceramic restorations. Variables such as single crowns vs. bridges, the color of the substrate, the shape and position of the preparation margin, the ease of use and marginal precision of the materials, and the accessibility of the finish line for an adhesive cementation will be critically analyzed and discussed.
From the dental technician's perspective, the introduction of many of these materials has implied new protocols to be learnt and applied, a frustrating learning curve, and major economic investments to be made. Certainly, there does not seem to be an alternative: the advent of CAD-CAM systems has started a revolution in prosthodontics that, eventually, will change radically the way both dentists and dental technicians work. So, it's better to be part of this silent revolution through continuing education rather than victims!

At the end of the course, the participants will learn:
1. Which materials are available and makes sense to utilize to manufacture prosthetic restorations in different clinical situations.
2. Which clinical criteria to apply in order to select the best material to restore the oral cavity of our patients.
3. Which conservative or minimally invasive restorative solutions to replace missing teeth are possible thanks to the adhesive revolution and what is their predictability.

Up to now, metal-ceramics has been considered the gold standard for fabricating fixed prosthesis since it reconciles excellent mechanical and physical properties with the ability to deliver, at least in many situations, a satisfactory aesthetic appearance. In the past three decades, the advent of metal free ceramic materials and systems has attempted to challenge this standard. The introduction of these materials has increased the choice, but also the confusion and uncertainty among dental professionals. While providing better esthetics more easily, many of these products have proven to be short lived and erratic in behavior once cemented in the oral cavity.
This lecture will analyze whether metal-ceramic prosthesis are still indicated while addressing the relative advantages, disadvantages and potential risks for failure of the metal free materials. An effort will be made to explain the real differences among the various types and brands of all ceramic restorations. Variables such as single crowns vs. bridges, the color of the substrate, the shape and position of the preparation margin, the ease of use and marginal precision of the materials, and the accessibility of the finish line for an adhesive cementation will be critically analyzed and discussed.
From the dental technician's perspective, the introduction of many of these materials has implied new protocols to be learnt and applied, a frustrating learning curve, and major economic investments to be made. Certainly, there does not seem to be an alternative: the advent of CAD-CAM systems has started a revolution in prosthodontics that, eventually, will change radically the way both dentists and dental technicians work. So, it's better to be part of this silent revolution through continuing education rather than victims!

At the end of the course, the participants will learn:
1. Which materials are available and makes sense to utilize to manufacture prosthetic restorations in different clinical situations.
2. Which clinical criteria to apply in order to select the best material to restore the oral cavity of our patients.
3. Which conservative or minimally invasive restorative solutions to replace missing teeth are possible thanks to the adhesive revolution and what is their predictability.

This presentation will review the contemporary surgical and prosthetic concepts in management of implants in the aesthetic zone with a view to achieving optimum long term aesthetics and stability.
The outcomes depend on the clinical management and an understanding and application of the biological factors that influence our treatment outcomes. The optimal management of the interplay between bone, soft tissues and prosthetics determines the aesthetic outcome and the long-term stability of soft tissue aesthetics. An interdisciplinary approach is the key to success. The aesthetic rehabilitation of multiple failing teeth and the periodontally compromised dentition remains a challenge despite the numerous advances in the treatment of periodontitis, regenerative and dental implant therapies. With this in mind, novel approaches for aesthetic rehabilitation of periodontally compromised teeth in the aesthetic zone will be presented.
Participants will:-
• Learn the key principles for the diagnosis, treatment planning and management (both surgical & prosthetic) of implant restoration in the aesthetic zone
• Gain an understanding of the biology of the periodontal and peri-implant tissues and the application of this knowledge to clinical decision-making.
• Comprehend the behaviour of the bone & soft tissues around post-extraction sites and around dental implants
• Learn the principles of bone and soft tissue management around implants, as well as how to manage bone and soft tissue defects in post-extraction sites and peri-implant defects
• Learn to manage both delayed and immediate implants
• Be taught the keys to the management of single tooth and multiple tooth cases
• Learn the benefit of interdisciplinary case management

This presentation will review the contemporary surgical and prosthetic concepts in management of implants in the aesthetic zone with a view to achieving optimum long term aesthetics and stability.
The outcomes depend on the clinical management and an understanding and application of the biological factors that influence our treatment outcomes. The optimal management of the interplay between bone, soft tissues and prosthetics determines the aesthetic outcome and the long-term stability of soft tissue aesthetics. An interdisciplinary approach is the key to success. The aesthetic rehabilitation of multiple failing teeth and the periodontally compromised dentition remains a challenge despite the numerous advances in the treatment of periodontitis, regenerative and dental implant therapies. With this in mind, novel approaches for aesthetic rehabilitation of periodontally compromised teeth in the aesthetic zone will be presented.
Participants will:-
• Learn the key principles for the diagnosis, treatment planning and management (both surgical & prosthetic) of implant restoration in the aesthetic zone
• Gain an understanding of the biology of the periodontal and peri-implant tissues and the application of this knowledge to clinical decision-making.
• Comprehend the behaviour of the bone & soft tissues around post-extraction sites and around dental implants
• Learn the principles of bone and soft tissue management around implants, as well as how to manage bone and soft tissue defects in post-extraction sites and peri-implant defects
• Learn to manage both delayed and immediate implants
• Be taught the keys to the management of single tooth and multiple tooth cases
• Learn the benefit of interdisciplinary case management

Aesthetic deficiencies in natural anterior teeth may have the following reasons:
discolorations of teeth and soft tissues due to non-vital roots or foreign body incorporation, soft and hard tissue deficiencies due to trauma or periodontitis, and missing teeth due to genetic, traumatic or periodontal reasons. The presentation will show how to analyze properly these cases to define the optimal treatment strategy. Limitations of each of the treatment options are shown and discussed by numerous clinical cases, and solutions are shown how to convert an esthetic no-go case into an acceptable case both in terms of treatment time, effort, risk and aesthetic result.

To place implants has become a routine procedure, and results can be
achieved with high predictability. The most challenging field is still
the aesthetic zone. Optimal hard and soft tissue quantity and quality
are the key factors for success. The surgical procedure can be planned
based on the pre-operative situation, whereby the difficult lies in
selecting among a variety of surgical methods the one that can offer
the best possible esthetic result in each particular case.
The tendency to reduce treatment time by placing implants
immediately after tooth extraction is very often not a benefit for the
aesthetic outcome, on the other hand in a few selected cases this
method offers the best possible results.
In most of the cases a staged procedures and enough healing time
between different treatment steps is a key factor to achieve optimal
aesthetic results.
The analysis of the case and treatment planning based on the
understanding of the limits of each technique will be discussed.

Zirconia as a material for implants is available in oral implantology since more than 20 years. However, Zirconia implants are considered to be a minority within the dental implants market. Using Zirconia implants in dentistry still awakes emotions either on the patient's or on the dentist's side.
The aim of the presentation is to scientifically identify the possible benefits or drawbacks of Zirconia implants on the level of the bone, on the level of the soft tissue and on the level of the prosthetic reconstruction.

This presentation will provide a review of the current problems in achieving a durable bond to dentin which is the base for a durable and esthetic treatment result. Main topics addressed will be
1. Matrix-metallo-proteinases (MMP's)
2. Nano layer
3. Immediate dentin sealing (IDS)
4. Selfadhesive cements & composites
5. One bottle bonding systems

Clinical examples and conclusive remarks will provide valuable practical hints for interested practitioners.

Today's dentist has a wide choice of restorative materials available when replacing missing or damaged tooth structures.
Since introduction in dentistry of composite resins, those materials have undergone a tremendous development and their adhesive properties on both enamel and dentin have been constantly improved, allowing a more conservative approach during the tooth preparation. Patients' demands for a more aesthetic and metal-free restoration on posterior and anterior teeth increased during the last decade focusing the interest of the dental profession towards aesthetic restorations with composite resins.
However, it is vital that the treating clinician have a thorough understanding of the principles that lead to a successful outcome.
Naturally appearing and problem free outcome can be achieved if certain rules are followed by a conscientious operator.

Classical indications of composite resins in the smile frame are well established, as well as a few other cosmetic applications. Less in known from the public and the profession in regard to the potential of modern composite technology and novel clinical protocols. Free-hand bonding has actually evolved from a mere filling material to a versatile esthetic solution for a broad range of moderate to complex clinical situation such as post-orthodontic smile enhancements, the esthetic and functional rehabilitation of tooth wear or even the veneering of eroded, and discoloured anterior teeth. Composite resins allow the aesthetic concerns of many young patients to be fulfilled, without damaging their healthy dentition. Practically, their only remaining drawback is practitioner experience and knowledge of their aesthetic potential.
This program will overview the most recent clinical progresses of direct composite application, with multiple case presentation and relevant clinical knowledge.