Contemporary Aesthetic and Restorative Strategies for treating patients with advanced tooth wear - Dr Linda Greenwall Specialist in Restorative Dentistry Specialist in Prosthodontics BDS MGDS RCS MSc MRD RCS FFGDP(UK) FICD BEM
Summary
There is an increase in patients suffering from enamel wear and tooth surface loss. There are many new contemporary options to treat these patients with a 3 Step -step by step and Additive approach. This lecture will feature these new contemporary and restorative approaches and treatment strategies to help these patients with tooth wear from a minimal invasive to more comprehensive treatments.
Treatment planning is essential when planning and preparing these cases next to the natural dentition. It will highlight the use of the digital work flow from scanning to wax ups to mock up for the patients and how to plan the increase in the vertical dimension. The restorative techniques like composite bondings, Porcelain and Zirconia onlays and inlays and palatal and buccal Veneers will be discussed. Use of zirconia for crowns, onlays and inlays and cementation and bonding techniques for Zirconia.
Whilst the shade selection of restorations, can depend on many factors that come into play such as lighting in the surgery, background lighting and daylight. There are many variations in what the dentist may see when trying to choose the correct shade. A combination approach of using digital photos, shade taking devices and direct vision will be discussed and how to select the perfect shade every time.
Aims
To consider the natural dentition in treating patients with tooth wear, evaluation, assessment and monitoring with diet modification
Treating erosive class 5 lesions, NCCLs in a simple way with Resin modified Glass Ionomers- Step by Step technique
To teach preplanning strategies and discussions with patients by using digital scanning
To teach digital scanning and digital wax up and stents
To discuss inlay onlay design and digital manufacture using emax vs Lisi vs Zirconia and bonding and cementation techniques
The mock up stages in digital planning and try in with photography and stents
To discuss when to whitening treatment for patients with tooth wear before suring or after treatment for tooth wear with sensitivty management
Learning objectives and Outcomes
At the end of the lecture, delegates will learn and understand
Treatment planning strategies and the digital work flow
Zirconia as a restorative dental material and Bonding techniques for Zirconia and lithium disilcate
To learn the skills for selecting an the different options for inlays , onlays crowns, porcelain and cement selection