International Schools Working with Composite Restorations

International Schools Working with Composite Restorations is organized by OHI-S.

Total Lecture Time: 10h 20 min

Description:
Protocols for working with composite in the techniques of the world most famous schools of restorative dentistry: Japanese, European and South American!

Within the course, you will learn:

• Modern adhesive protocols in direct restoration
• Methods of non-invasive and minimally invasive restoration
• Biomimetics concept protocols
• Stress reduced direct restorations technique
• Deep margin elevation technique
• The wallpapering technique
• Stratification techniques and protocols for creating anterior veneers
• Hyperchromatic layering technique in the treatment of posterior and anterior teeth.

After completing the course, you will be able to apply numerous techniques, protocols, and concepts to your daily practice and will be ready to treat cases, regardless of their complexity, using the most effective life hacks in direct restorations!

Lesson 1.Modern adhesive systems and their optimum application procedures

– History of bonding technology

– The resin-coating technique

– Dentin bonding

– Dentin bonding interface of 2-step self-etching type

– The hybrid layer

– Understanding the functions of adhesive resin monomer

– Understanding the bonding mechanism of adhesive systems: etch & Rinse type, Self-etching type, and Universal Bond type

– Understanding the fundamentals of bonding and bonding performance of adhesive systems

– Keys for obtaining maximum performance of the adhesives

– Enamel bonding

– All-in-one: bonding with universal bond

– Importance of the light irradiation

– Flowable composite resin lining to avoid the bond separation in cavities

– Analysis of clinical cases. 

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 2.Strategies for Improving the Direct Composite Restoration (DCR)

– Cavity preparation technique without the post restoration tooth sensitivity

– Caries detector and removal techniques

– Deep caries treatment protocol

– Partial caries removal in deep caries lesions

– Resin coating layer and incremental filling

– Bonding procedures obtaining the maximum performance of materials

– Applications of the flowable composite resins

– Applications of the universal shade composite resins

– Keys for the success of direct composite crown

– Keys for the success of direct composite bridge

– Repair technique for direct composite restoration (DCR)

-Clinical cases and treatment results discussions. 

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 3.Reliable adhesive approach for Direct Composite Restoration

– Protocols for reliable bonding procedures

– Rubberdamology. Evidence based guidelines on isolation and its effect of the prognosis of treatment

– The effect of air-polishing powders of dentin bonding

– Caries removal guidelines and protocols: 

- selective removal technique

- complete removal technique.

– The resin coating technique

– Protocols of adhesion to the dentin

– Mechanism of action of self-etch adhesives

– Overview of light curing and polymerization in operative dentistry

– Approach to direct composite resin restorations of various carious cavities in the molar region

– Class I and Class II adhesive restorations

– Restorative procedures and filling techniques

– Treatment protocols of deep cavities

– Incremental layering technique

– Bulk-fill filling technique

– Polishing techniques and tips

– Clinical cases.

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 4.Biomimetic Restoration of Structurally Weakened Posterior Teeth

– Posterior teeth histology

– Structural diagnostics

– Biobase creation

– Occlusal cavity preparation

– Remineralization of the remaining carious dentin

– Partial caries elimination

– Crack removal endpoints

– Occlusal effect on caries development

– Fundamental instruments of biomimetic restorative dentistry

– Peripheral Seal Zone (PSZ)

– Central Stop Zone (CSZ)

– The hierarchy of bondability and decoupling with time (DWT) by Dr. Alleman

– Bonding to carious dentine is possible

– Stress reduction and fiber reinforcement

– The black and white aesthetics: bitewing x-ray

– Indirect composite biomimetic restorations

– Direct layered short fiber reinforced restoration of endodontically treated teeth - Bioblock

– The mechanical state of each tooth: mechanical analysis

– Deep margin elevation (DME)

– Air particle abrasion (APA)

– Immediate dentine sealing (IDS)

– Ribbond application

– Ways of restoring the biobase of a tooth: SRDC, semi-direct, indirect

-Conclusion and clinical cases. 

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 5.Deep Margin Elevation (DME). Justification and techniques

– Why do we need isolation?

– Band/Matrix adaptation technique

– Evidence-based supporting the technique of Deep Margin Elevation

– Clinical justifications of the technique of DME

– Instruments and materials in biomimetic dentistry

– Techniques description and recommendations

– Step by step protocols: rubber dam isolation, adhesive installation, proximal wall reconstruction

– The 2-step direct restoration technique with DME

– DME and preserving the form of the root

-Clinical cases. 

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 6.Direct composite posterior restorations with stress reduced and fiber reinforcement techniques

– What happens to the composite restoration with time?

– Risk assessment and diagnostic:

- Cracks

- Axial loads

- Reduced cuspal tensile movement 

- Vertical fracture risk.

– Techniques to maximize bond strength: 

- Immediate Dentine Sealing (IDS) 

- Resin coating

- Deep Margin Elevation

- Gold standard adhesive

- Air particle abrasion

- Peripheral Seal Zone (PSZ)

- Matrix metalloproteinases (MMPs).

– Decoupling with Time

– Direct reconstruction of structurally compromised teeth 

– Reduction of the micromovement

– Dentin replacement: how to mimic this tissue

– The stress reduced direct composite concept

– Adhesive optimization and stress control

– Special fiber reinforcement biomaterials

– Wallpapering technique

– Instruments and materials for direct restorations (class I and II)

– 2 step approach for subgingival restorations

– Sequenced bands technique

– Double ring technique

– Clinical cases.

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 7.Direct anterior restorations: from fourth classes to direct veneers. Stratification Technique

– The minimal invasive approach

– Restoration under, on, and over the cementoenamel junction (CEJ)

– The three secrets of composite restorations

– It's not aesthetic if the restoration is not functionally reliable

– Bolton analysis

– Diagnosis and treatment plan in aesthetic dentistry

– Aspects related to symmetry: waxing and shape transfer

– The color: chroma tint and value both in the natural tooth and in our materials

– Non carious cervical lesions (N.C.C.L.)

– Carious Cervical lesions (C.C.L.)

– The stratification of the composite for class III and IV restorations: video demonstration

– Direct veneers: stratification technique

– The importance of macro and micro-texture in terms of value

– The role of emergence profiles in cases of diastema closure and black space closure in the periodontal patient

– Contact points in anterior teeth restoration

– Polishing protocols

– Conclusion, clinical cases, and patient follow-up protocol.  

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 8.Hyperchromatic Composite Technique. Posterior Teeth Restoration

– Election of the restorative system

– Shade selection

– Instrument selection: spatulas and brush selection

– Class I and Class II restorations

– The occlusal compass concept: practical approach to posterior tooth morphology with composite restorations

– Occlusal veneers and the morphological concept

– Perfecting the interproximal contact point

– The matrix system: classification and clinical application

– The hyperchromatic and incremental technique for composite restoration

– The Bulk filling technique

– Steps to to minimize the final occlusal adjustment

– Polishing and finishing

– Maintenance of the restoration

– Clinical cases.

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Lesson 9.Hyperchromatic Composite Technique. Anterior Teeth Restoration

– Class 3, Class 4 and Class 5 restorations

– Darkened tooth and discoloration treatment

– Peg incisors

– Black triangle closure

– Aesthetic concept of anterior teeth restoration

– Election of the restorative system

– Shade selection

– Instrument selection: spatulas, brush selection, matrix system

– Layering techniques

– Polishing and finishing

– Maintenance of the restoration. 

Recommended for: Pediatric dentists, Restorative dentists, General dentists.

Skills I Will Learn in the Course:
Direct Restoration:

• Treatment methods:
  • Anterior teeth direct restoration
  • Posterior teeth direct restoration
• Pathologies:
  • Cracked teeth
  • Tooth shape anomalies
  • Non-carious lesions
  • Caries of permanent teeth
  • Trauma of permanent teeth
• Restoration:
  • Class I restorations
  • Class II restorations
  • Class III restorations
  • Class IV restorations
• Stages of treatment:
  • Adhesive preparation
  • Tooth preparation
  • Finishing of restoration
  • Working with rubber dam

ALL OHI-S ONLINE COURSES ARE DISCOUNTS:

- 20% for residents, students and interns