Webinar course on direct restoration: Aesthetic Evolution 2

- Pre-op mock and/or wax-up to determine the final form of the restoration- Shade selection and optical characteristic reproduction based on tooth age- Evaluation of tooth thickness to manage the three-dimensional layering of dentin and enamel shades- Shade selection technique for the cervical, middle and incisal third- Additive layering protocol for Class IV, diastema closure and composite veneers- Reproduction of the aesthetic appearance of porcelain restorations using composite materials- New technique for the restoration of discolored teeth resistant to bleaching

The final aesthetic outcome of an anterior restorations depends on the combination of the final form of the restoration with the color selection, tooth anatomy and the thickness of each composite shade.

Clinicians should have a precise idea of the form of the final restoration in their mind before starting color selection and composite layering (Deliperi, 2011).

- Stress-reduced approach for the restoration of structurally compromised teeth with layering and curing protocols- Stress-reduced direct technique with traditional techniques available for the restoration of Class II Aesthetic appearance and the creation of anatomical proximal contacts- Fiber lay down protocol to mimic the functional characteristic of the natural dentition

- Indications for composite direct restoration and indirect restoration on posterior teeth- New adhesive materials: guidelines for the right choice of the proper material in each specific clinical case- Which composite is indicated for direct Composites restorations on posterior teeth:- Cavity preparation: principles and procedure- Adhesive system classification- Adhesion techniques on natural tissues (dentin and enamel)- The right choice of the proper adhesive system in each specific clinical case- How to select and employ the proper interproximal matrix- Composite Anatomical stratification: how to replicate anatomy and color- How to take under control the polymerization shrinkage- Finishing and polishing- Restorations maintenance over time

- Aspects of aesthetic determinants- Composite options as well as determinants of matrix selection in the anterior dentition- Techniques to improve symmetry and texture in composite restorations- Protocols to address Class IV fractures, including the “Blank Canvas Technique”- Finishing and polishing techniques

- Рrinciples of smile design and analysis of proportions

- Utilize the intra-oral direct mock-up to prototype interdisciplinary smile design

- Оrthodontic space analysis as a predictor for comprehensive treatment planning

- The protocol of combining orthodontics and restorative modalities for esthetic improvement while minimizing tooth reduction

- Techniques to address conditions such as diastema closure and black triangles utilizing direct composite

- Analysis and evaluation of the clinical case- Patient Photograph Registration- Wax-up- Transparent silicone mask properties- Flow composite properties- Mock-up- Evaluation and right material choice according to the case- Definitive impression- Aesthetic Preview and provisionalization- Provisional restoration: Chemical or mechanical adhesion?- Provisional restoration: Function- Provisional restoration removal- Laboratorial evaluation of the lithium dissilicate veneers- Try-in paste- Criteria for choosing the right cement shade- Cementation Technique- Finishing and Polishing- Final photograph registration- Discussion and evaluation

- Rings for matrix system. Selection criteria depending on the clinical situation. The advantages and disadvantages for the use of various rings.
- Matrix Selection System 
- Various teflon floss  techniques
- Cavity design
- Composite material selection to avoid voids creation
- Protocols for using the matrix system

- Clinical guidelines for color perception- Planning a multi-shade layering- Protocol of preparation- Layering dentin and enamel shades on previously created palatal shell- Finishing and polishing procedures to create live looking restorations

The rapid innovation of composite material in the last decade and the availability of various types of composites has given today’s clinician an extremely convenient and cost effective tool for their practice. Direct composites provide the clinician with the ability to provide excellent aesthetic results with minimal tooth destruction in a very efficient manner. In this lecture, you will be shown how to achieve excellent aesthetic standards in your everyday dentistry using direct chairside composites.