By treating adult patient we do find very often clinical situation with dental wear.
In our protocol of interdisciplinary Dental Antiaging, Invisalign, restorative and surgery are the key factors to achieve a correct equilibrium between aesthetic, biology, function and mechanic of the masticatory system.
The Dental aging is a process due to wear producing, over time, the lost of dental tissue.
The Additive rehabilitation philosophy of worn dentition is based on the concept of respecting, above all, the biology of the system.
Thus, we have to restore the lost dental tissues by replacing them with artificial bonded restorations choosing a “minimally invasive approach” and involving the minimum number of teeth necessary to achieve a satisfactory clinical outcome.
That’s why a new and specific diagnosis flowchart and classification of wear are presented to choose the right management of the adult patient rehabilitation.
Adding and bonding restorations on worn dentition needs space. The restorative room can be easily recreate by the orthodontist.
There is a need for a combination of restorative and orthodontic care to achieve ideal form and function.
The dental antiaging interdisciplinary concept consists in align the teeth first, not only to reduce the amount of tooth structure sacrifice during prosthetic procedure, but also to improve occlusion and the periodontal health.
Invisalign is really a key factor to help the adult patients to accept interdisciplinary treatment with orthodontics.
Prof. Tiago Borges
Individual solutions and aesthetic aspects in implantology
The rehabilitation of the maxillary anterior region with implant-supported prostheses has been reported to be a difficult procedure because of the
high aesthetic expectations of patients. Soft tissue defects associated with volumetric changes in the alveolar ridge can be unfavorable for both
aesthetics and implant placement. Substantial dimensional changes may be expected at the buccal aspect of single implants inserted in the premaxilla. As a result, contour augmentation procedures before or at the time of implant placement should be considered to counteract these bone alterations, even when implants are fully embedded in bone upon insertion. According to the literature, minimally invasive techniques are generally considered to lead to better results in reconstruction processes given the importance of tissue injury influences speed and quality of healing.
Dr Federico Ferraris
The ever-increasing demand for functional and aesthetic materials is leading companies to continuous evolution and research. Indications about full ceramic or composite restorations are becoming ever less absolute: considering many clinical aspects you can opt for a material rather than the other.
The versatility of the composite resin, its possibility of layering intraorally, the ease of repair and the fairly good prognosis in the medium and long period, making it a reliable material and the tendency of new materials to improve the wear resistance and the stability of the surface candidates it in many cases as a worthy substitute of ceramic materials.
By contrast, ceramic materials, often considered the gold standard for colour characteristics and mechanical and physical properties, see an increase in the ability to produce restorations with minimum thicknesses while maintaining dimensional stability, prognosis and aesthetics.
The choice, therefore, to use ceramic or composite materials is always less obvious, but, on the contrary, offers to the dentists greater possibility of diversification in restorative. Finally many aspects could be discussed as: indications, mechanical characteristics, esthetics appearance, predictability and durability.
Dr Marco Martignoni
Endodontics today means complete understanding of the clinical situation via imaging and planning the treatment eventually through the use of dedicated software.
Still the importance of having a clear view of the treatment before and during the treatment is crucial for good results on the functional side and also when aesthetics is involved.
New Endodontic files are offering more conservative shapes so to leave more resistant teeth after the root canal treatment is over.
The key is understanding how much tooth structure needs to be removed from the tooth when the tooth is accessed so to simplify the overall procedure from Endo treatment to final restoration in order to accomplish the most resistant structure and also reduce the chance of aesthetic issues when the tooth is in the aesthetic zone.
Principles and clinical solutions to the different situations will be presented during the lecture.
dr Paulo Monteiro
dr Marco Nicastro
Continuous developments in the field of adhesive restorative techniques have permitted to significantly broaden the originally defined spectrum of indications for bonded ceramic restorations and thus to contribute to some of the major objectives of conservative restorative dentistry: the maximum preservation of sound tooth structure and the maintenance of the vitality of the teeth to be restored. The mastering of the basic principles of tooth preparation is fundamental in order to create optimum conditions for the dental ceramist for the fabrication of the ceramic work piece. The meticulous application and handling of modern composite resin technology including dentin adhesives of the latest generation will in turn guarantee the reliability and longevity of the bonding. This lecture addresses in detail the related diagnostic aspects, sequential treatment planning, tooth preparation and provisionalization as well as ceramic stratification and the final step-bystep adhesive cementation procedure and the maintenance protocol.