Abstracts and Speaker Biographical Sketches

Prof. Gerard Chiche

Recipes for Predictable Anterior Esthetics

This presentation will discuss the key areas for efficient esthetic diagnosis and smile design. These key points will be formulated into a simple and systematic step-by-step approach to resolve esthetic problems and achieve predictable esthetic results and improved laboratory support. This presentation will also offer an outline of prosthetic and adhesive techniques in terms of armamentarium and products as well as practical techniques for tooth preparations, bonding sequence, and cementation for all-ceramic crowns and porcelain veneers. Topics to be covered include:

ESTHETIC DIAGNOSIS and TREATMENT PLANNING

1) Key Factors for Treatment Planning of Anterior Restorations: A Methodical

Treatment Sequence Applicable to Major and Minor Anterior Restorations.

2) Step-by-step Esthetic Analysis for maximum predictability. How to identify the red flag areas prior to treatment and how to establish a Prognosis for Predictable Esthetic Outcome.

3) Effective Rules of Comprehensive smile design with complex case. Strategies for managing Elective and Comprehensive Treatment.

ESTHETIC QUALITY CONTROL: KEYS to SUCCESS

1) Porcelain Veneers: System Selection, Tips on Optimum Preparation, Shade Control

and Masking strategies. Step-by-step Bonding Technique and systematic Cement Selection.

2) Establishing a Comfort Zone with the different systems of All-Ceramic Crowns and Fixed Partial Dentures. Selection Criteria, Cement Selection and update on bonding research, Step-by-step Bonding Technique.

3) Communication with the Dental Laboratory: Shade Matching, Shading effects, step-by-step Planning for Optimum Arrangement and Composition, Special Effects and Smile Design Variations.

4) Esthetic-Restorative and Periodontal – Restorative Complications.

RECIPES FOR PREDICTABLE ESTHETICS

Course Objectives:

1. Learn the key factors for treatment planning of anterior restorations.

2. Evaluate the key factors critical to a positive esthetic outcome.

3. Establish a prognosis for esthetic success.

4. Shade taking in three simple steps.

5. Identify the typical shading effects for the young tooth.

6. Plan the arrangement and prescribe imperfections for life-like restorations.

7. Discuss essential strategies for communication with the laboratory.

8. Establish selection criteria between ceramic systems based on esthetic performance.

9. Systematize all-ceramic crown systems for cement selection.

10. Establish simple precautions to maximize the prognosis of all-ceramic crowns.

11. Demonstrate a predictable all-porcelain crown cementation technique.

12. Discuss preparation variations for porcelain veneers and three-quarter crowns.

13. Discuss cement selection and bonding for porcelain veneers.

14. Set Strategies for presenting and managing elective restorative treatment.

15. Discuss esthetic-restorative and periodontal restorative complications.

Dr. Gerard J. Chiche is the Helmer Professor and former Chairman of the Prosthodontics Department at Louisiana State University School of Dentistry. He has given numerous programs nationally and internationally and holds membership in the American College of Dentists, the American Academy of Esthetic Dentistry, the American Academy of Fixed Prosthodontics, the American Academy of Restorative Dentistry and the Omicron Kappa Upsilon Dental Honor Society. He is a Past President of the American Academy of Esthetic Dentistry and is also, respectively with Alain Pinault and Hitoshi Aoshima the author of the textbooks: Esthetics of Anterior Fixed Restorations, and Smile Design - A guide for Clinician, Ceramist and Patient both published by Quintessence Pub. Co. He serves as adjunct faculty at the Pankey Institute, he is the recipient of the 2003 LSU Alumni Award, the 2003 Educational Community Achievement Award of the Seattle Study Club for best dental educator of the year and the 2007 Distinguished Lecturer Award of the Greater New York Academy of Prosthodontics.

Dr. Fred Bergmann

Lecture:

Requirements and Treatment Protocols for the Ultimate Outcome of Red and White Esthetics in Implantology, from socket preservation, augmentation and maintenance of bone and soft tissue in a long term basis.

The high success rate in implant osseointegration with long time results (more than 10 years) of about 98 % is evidence based and documented in plenty of scientific papers worldwide.

More and more in the focus of interest in the last couple of years is the predictable aesthetic outcome with the balance of hard and soft tissue.

The wishes and demands of our patients are the accelerated implant therapy with a short treatment period, minimum of operation trauma, cost effective and predictable implant concept and a high aesthetic outcome of the ceramic frame and periimplantological soft tissue with a physiological papilla formation for the red aesthetics.

For that reason we need implants and treatment protocols which preserve, create and maintain the bone in the aesthetic osseointegration.

In the first part of the lecture we summarize the requirements for the aesthetic outcome respecting the biological width, the implant macro and micro design, the implant position and angulations, the dynamic osseointegration and bone training with temporary abutments and prosthetic solutions to achieve and maintain the hard tissue.

In the second part of the lecture we look at clinical cases from single tooth replacement to multi teeth defect cases with 8 to 10 implants, especially in cases of limited bone amount .

Treatment planning in a prosthetic driven way of understanding by using 3 D data and final restorations in all ceramic for the high esthetic outcome round up the lecture.

Hands on course:

Current techniques of bone augmentation and soft tissue management with practical Hands on training on bone cadaver ( pig jaw )

Hands On with indroduction in different augmentation procedures of enhancement of the alveolar ridge in horizontal, vertical and 3 dimensional way. From bony socket preservation, bone spreading and splitting to the different ways of sinus floor elevation and bone block transplantations. Using piezolelectric surgery ( Piezotom- Acteon), autogenous bone as well as bio oss and bio gide membranes ( Geistlich ) in selected indications.

Placement of implants (Xive and Ankylos -Dentsply Friadent ) in combination with augmentation procedures. Using the surgical instruments ( Stoma )for bone and soft tissue grafting.

Learn and practice the different soft tissue techniques like vestibuloplasty, connective tissue grafts and reposition flaps as requirements for the red esthetics.

Achieve the balance of hard and soft tissue in a long term basis.

Mr. Ernst Hegenbarth MDT

Into the future - advances in dental technology and materials

The application of digital technology in dentistry has developed from an inconvenient truth to reality. The focus is on patient’s communication, digital treatment planning for surgical and prosthetic options, digital impressions and the state of the art and limitations of current CAD/CAM systems. New materials are aiming at optimizing biocompatibility and longevity of dental restorations.

Mr. Ernst Hegenbarth MDT owns a laboratory focussing on functional and esthetic rehabilitations with attached Teaching Institute for post graduate education in Germany. Active member of the “European Academy of Esthetic Dentistry”, Associate member of the “American Academy of Esthetic Dentistry” and the scientific board of several dental journals. Author of numerous publications on function and occlusion, dental ceramics, esthetics, Dental CAD/CAM-Technology and implantology. Lecturing extensively worldwide since 28 years.

Dr. Stefen Koubi

"Esthetic Approach": How to combine predictability and repeatability using bonded ceramics

Because of new patient demands, laminate veneer rehabilitation is becoming common and popular. This therapeutic method needs a multidisciplinary approach (periodontology, orthodontic treatment) to achieve the final result.

For most dentists laminates are very exiting but a only a few of them are using it. This phenomenon can be explained with a list of black points which deter the dentist : the choice of the material, type of esthetic project and how to realize it, prep approach and the concept evolution and adhesive procedure.

All these point will be discussed tin order to achieve a simple and predictable result.

In order to allow the patient to have a preview of the final result before any treatments, we will proceed in a different and original way.

In deed, after a complete clinical and paraclinical exam, we do a precise diagnosis that allows the creation of the esthetic project through a wax up.

This will be transferred in the mouth (mock up) using a silicon key and a temporary resin therefore the patient can visualize the design modification of his smile.

Then we can start a pre-prothetic treatment (muccogingival step) and at last the teeth reduction will be made using the silicon guide .

Laminate veneer production requires meticulous and artistic qualities on behalf of the technician.

To obtain predictable results, bonding techniques will be organized according to a precise and strict methodology.

Bonding techniques and modern ceramics associated with a clinical methodology are the basis of the new esthetic dentistry ; Biomimetic approach (Magne) is the aim of our practice.

Dr. Wynn Okuda

Lecture:

Hollywood and Natural Esthetic Dentistry:

Understanding the differences and how to be successful with both.

Cosmetic and esthetic dentistry has been very popular for several decades and is now a world wide phenomena. Because of the internet and popular makeover programs, patients are more educated and have higher expectations about the type of smile they want to attain. Beauty is in the eye of the beholder. Whether the patient chooses a Hollywood smile or decides to go with a natural esthetic smile, the modern dentist needs to know how to create both styles. This presentation focuses on techniques, materials and patient management skills to achieve predictable success with both Hollywood and natural dentistry.

Learning Objectives:

1 Understanding the differences in creating a Hollywood smile vs. a natural smile.

2 How to make bleached esthetic restorations appear natural and not look like “white chicket teeth”.

3 How to create predictable and consistent esthetic success with progressive dental materials and techniques.

Hands On Course: