Minimally Invasive Prosthetic Procedure (MIPP): a modern approach on prosthetic rehabilitation

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Course Description

Introduction

Theoretical Treatment Planning: Lecture

The treatment of teeth with prosthodontic techniques has changed considerably over the last few years.

Traditional restorative protocols are considerably invasive and in most cases compromise dental structure, which often leads to loss of dental vitality and resistance. Nowadays, with the availabilty of new improved restoration materials, clinicians can approach prosthetic rehabilitation in less invasive ways, especially in cases of severely worn teeth.

For instance, localized and/or generalized wear can be determined by attrition, chemical erosion and abrasion. In the rehabilitation, damage of these cases can be minimized through the addition of very thin layers of ceramic/composite restorations that are bonded over the tooth structure. In most occasions, this procedure allows the dentist to avoid the need of anesthesia. In extensive cases where one or two arches are involved, it is fundamental to respect the basic functional concept of rehabilitating the patient in centric relation (C.R.) and altering the vertical dimension of occlusion (V.D.O.) in order to minimize tooth reduction.

In this program Dr Mauro Fradeani will discuss the above points extensively and provide substantial research and case study examples as well as treatment planning. In addition various kinds of tooth preparations for veneers, full veneers, buccal-occlusal veneers, table tops, onlays and overlays will be discussed.

Hands-on Course Day 1

  • Theoretical introduction of veneer tooth preparation
  • Buccal preparation
  • Incisal shoulder vs overlapped preparation
  • Interproximal preparation
  • Contact point: Maintain or not to maintain
  • Buccal Veneers or full veneers?
  • Case preparation
  • Tooth preparation
  • Impression: one step double mix impression technique
  • The correct use of retraction cords
  • Polyvinyl siloxane (PVS) or Polyether?
  • Facebow demonstration
  • Partial coverage on posterior restoration: buccal occlusal veneers and overlays
  • Bonding protocols
  • Etching of enamel and inner surface of the ceramics
  • Silanisation
  • Ideal adhesive system
  • Light cure or dual cure

Video of live treatment

Afternoon Session

  • Hands-on session
  • MIPP tooth preparation: veneers, full veneers, buccal occlusal veneers, overlays
  • Cementing a full arch under rubber dam effectively: Reality or myth

Hands-on Course Day 2

Morning Session

Theoretical session on bonding protocol

Video of LIVE TREATMENT: bonding of 2, 3, 4 restorations.

Afternoon Session 

  • Hands-on session
  • Maximal intercuspitation or centric relation?
  • When why and how Demo of CR records
  • Bimanual manipulation
  • Lucia jig
  • Leaf gauge Facebow.
  • Select the right reference line for the correct registration.
  • Proper Mounting and setting of the articulator.
  • Cross-mounting 1 arch bite, two arches bite records.
  • Protrusive record.
  • How to properly set the articulator.
  • Random mounting technique (mounting cast without CR registration, when and why?).
  • Random mounting
  • Hands-on: CR registration and cross mounting technique.
  • Demo on how to “open bite” on articulator (how to manipulate incisal pin).
  • How to take a CR record at a determined planned VDO.

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