Vertical preparation protocols: The complete guide in 24 lessons from Tomorrow Tooth

– 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.

– 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 Butt-bur in prosthodontics used for?

– Why is vertical preparation is friendly for periodontal patients?

– Comparisson on soft tissue condition with provisional restorations and without;

– Toe-Heel approach that solves many issuses;

– BOPT and Vertiprep: edgeless strategy;

– Geometry of Batt Bur;

– Establishment of undesired ridges, shoulders and irregularities;

– How does the bur mover while preparing vertically. Possible side effects.

– Why is the Butt 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 Butt bur;

– Advantages of the Butt bur usage;

– Analysis of clinical cases and long-term results.

– Analysis of a clinical case of prosthetics 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 prosthetics;

– 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 making an impression;

– Preparation of the tooth for digital impression after vertical preparation.

– The technique of maximum enamel saving;

– The selective preparation technique;

– Indications and contraindications for each of the techniques;

– Rules of vertical and horizontal rationality.

– Critical biomechanical zones of the tooth;

– What is a shoulder and what is it used for?

– Features of preparation, finishing the abutment and impression making;

– Analysis of the clinical case.

– 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 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 periodontal and pulp origin fistulous lesions;

– Non-standard and extra-complicated clinical cases.

– 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 gnatology;

– Why is it important to correctly reproduce tooth cusps?

– 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;

– Analysis and step-by-step analysis of clinical cases.

– 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 provisional restorations;

– Materials for provisional restorations;

– Detailed protocol for creating provisional structures in the oral cavity.

– How to avoid interference between the provisional crown and the tooth?

– The main errors that occur at the clinical and laboratory stages of the manufacture of temporary crowns;

– A conformist and reorganizing approach to provisional prosthetics. Clinical cases;

– Stages of manufacturing of analog (classic) provisional restorations;

– Making provisional restorations for posterior teeth;

– Making provisional restorations for anterior teeth;

– Stages of manufacturing digital temporary crowns using Exocad;

– Tricks and lifehacks of provisional prosthetics;

– Analysis of clinical cases.

– 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 for chipping restorations at the stages of fitting and chewing;

– Geometry and biomechanics of dental preparation for indirect restorations.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– Vertical preparation features;

– Control of the preparation depth;

– Using a silicone key;

– Fabrication and fixation of provisional structures;

– Taking impressions: analog method;

– Fabrication and fixation of final structures;

– Orthodontic treatment before prosthetics: indications;

– Fixation of final structures.

– 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 constructions, taking into account the VDO increase;

– Intraoral scanning with provisional constructions;

– Digital design and production of final restoration;

– Аn interdisciplinary approach in the class III treatment.

– Silicone key;

– Milled provisional in PMMA;

– Using Bis-Acrylic and a silicone key to obtain a provisional constructions;

– Tips in using teflon when taking digital impressions.

– When to get 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.

– 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.