Leading Dentists

Minimally Invasive Tooth Preparation Techniques A to Z

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Course Description


A beautiful smile reflects a certain lifestyle and the enhancement of facial beauty has become one of the primary goals sought after by patients in elective dental care. The lower one-third of the face has a major impact on one’s perception of facial aesthetics, and the role of a beautiful smile design not only changes the smile alone but also the overall facial appearance.

Creating the precision in terms of the preparation, fit and the aesthetic final outcome needs proper treatment planning, which is different for each unique case. Designing a new smile consists of many steps which are very important and if followed correctly, will produce predictable success.

After careful treatment planning, in order to achieve precise and predictable tooth preparation, techniques such as APR (Aesthetic Pre Recontouring) and APT (Aesthetic Pre-evaluative Temporaries) are crucial for tooth preparation. These techniques eliminates the possible mistakes and destruction of the depth cutters that could have been done if the tooth was to be prepared without realizing the aging effects on the enamel (volumetric enamel loss) or their inappropriate teeth positions on the dental arch.

At this point, what needs to be emphasized is the importance of minimally invasive dentistry. This is only possible if we can ensure that proper tooth position in the arch is established, eliminating the need for any soft or hard tissue removal as well as a careful consideration of the importance of the interdisciplinary team (in contrast to multidisciplinary). The major difference between an interdisciplinary versus a multidisciplinary approach is that with an interdisciplinary approach, treatment planning is accomplished in a group setting with all treatment team members present. All treatment planning and treatment challenges can be discussed in a collaborative environment with team members complementing and supporting the efforts of each other. A multidisciplinary approach only represents that each discipline or area of dentistry is involved in one aspect of the treatment without necessarily working together in a unified manner. This also applies to minor or major soft tissue deficiencies. In this lecture, pink esthetics will also be emphasized and discussed thoroughly.

Day 01: Lecture

8:30 - 9:00
Registration and Breakfast
9.00 - 11:00
Minimally Invasive Tooth Preparation
Techniques A to Z
11:00 - 11:30
Tea/Coffee Break
11:30 - 13:30
Treating complex cases
13:30 - 15:00
15:00 - 16:30
Aesthetic dentistry in the digital era:
Smile Design vs DSD; Connection &
16:30 - 17:00

Day 02: Workshop

9:00 - 14:30
(30 minutes of coffee break at 11:30)
VIDEO DEMONSTRATION of treatment on a patient
• Tooth Preparation by Dr Gurel
• Designing the smile
• Occlusal Check
• Mock-up
• Wax-up
• Preparing silicone indexes in the lab or chair side
• Analysing the smile with the indexes
• Aesthetic pre-recontouring — APR (if needed)
• Aesthetic Preevaluative Temporaries — APT
• Evaluation of the aesthetics through APT
• Evaluation of occlusion through APT
• Evaluation of phonetics through APT
• Tooth preparation through the APT under the microscope
• Using depth cutters
• Using double gridded diamond burs
• Finishing the margins.
• Customising your Arkansas stone burs for finalising gingival margin preparations
• Handling exposed dentin at time of preparation
• Impression making using retraction cords (if needed)
• Preping the provisionals (discussing different techniques depending on different indications)
• Rechecking the provisionals for aesthetics, functions, phonetics
14:30 - 15:30
15:30 - 17:00
Personalized smile design: The visagism concept
17:00 - 17:30

Day 03: Workshop

09:00 - 14:30
(30 minutes of coffee break at 11:30)
Hands On Course on models for all participants
• Mock-up
• Preparing the translucent silicon impression through the wax up model
• Preparing the silicon index
• Checking the smile with index
• Aesthetic Pre-recontouring — APR
• Aesthetic Preevaluative Temporaries — APT
• Evaluation of aesthetics through APT
• Tooth preparation through the APT
• Using depth cutters
• Using double gridded diamond burs
• Finishing the margins
• Modifying the translucent silicon impression for the provisionals
• Preping the provisionals using RSVP technique
• Rechecking the provisionals for aesthetics
14:30 – 15:30
15:30 – 16:30
Video of Patient Treatment / Bonding Update
• Removing the provisionals
• Try – in
• Whether or not to use the rubber dam
• Surface treatment of the prepared tooth surface
• Surface treatment of the intaglio surface of the porcelain restoration
• Seating the porcelain restoration
• Light curing (different options for the minimum invasive margin cleaning
• Checking the aesthetics, occlusion, etc.
• Bonding the bonded porcelain restorations (BPRs)
16:30 - 17:00

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