Overview

Direct composite resin restorations in the posterior dentition have become a common day-to-day treatment modality for the majority of dental practitioners in the 21^st Century. However, many retrospective studies show that the majority of composite resins placed in a General Practice setting perform poorly in comparison with silver amalgam: sensitivity, marginal staining and secondary caries are common and recurrent problems. The vast majority of these failures are a result of simple operator errors, which occur at the time of placement of the restoration: in essence, many restorations have failed before the patient even gets up from the chair.

Jason’s one-day program offers a simple, easy and predictable strategy to allow the busy dental practitioner to place beautiful, aesthetic lifelike class 1 and 2 direct composite restorations using only minimal shades of composite resin and instrumentation which is common to all dental offices. All of this within a realistic timeframe with technically uncomplicated protocols.

A popular, best selling course which is practical and intuitive with good literature support.

6 ½ Hours CPD (CE) Accreditation.

What You Will Learn:

• When direct posterior composite resins are predictable and when they are not
• Preparation design and a protocol to reduce the risk of voids, bond failure and sensitivity.
• How to implement modern high tech instrumentation such as particle abrasion and sonic activated preparation tips.
• Flowable composite as a liner: when, where and how? With supporting research.
• Photo-thermal polymerization: heating composite resin, the pros and cons.
• “C-Factor”: horizontal, vertical and oblique build-ups. Pulse activation protocols.
• How to assess the occlusal scheme preoperatively and accurately build up your restoration so that little if any occlusal adjustment is necessary.
• An overview of matrix systems: choosing the best for each situation.
• Discussion of a stratification technique using simplified instrumentation to achieve lifelike resin restorations, which require minimal finishing.
• Mono-, bi and polychromatic layering techniques. How to use tints to mimic nature and seamlessly blend the restoration with the surrounding tooth structure.

And much, much more……………….

Hands-On Component:

The hands-on component of the program introduces the participant to the technique with a simple class 1 restoration using a single shade of composite resin: the exercise focuses on mastering instrumentation and the establishment of anatomical form in the restoration

The participant will then progress through two further exercises:

• A class 1 with palatal extension (polychromatic shade and internal tints. The intention is to help the delegate understand how to create invisible margins on smooth surfaces and build lifelike cusp and fissure forms, alongside the concept of polychromatic layering.
• The class 2 (Bichromatic layering and external tints). This exercise introduces matrix systems and a simplified finishing protocol.

The class is intended to be informal with questions taken “on the hoof” throughout the day. Dr Smithson demonstrates each case in its entirety via overhead projection: the participants then have the opportunity to ask questions before completing the exercise themselves with close support from Jason.

Overview:

In recent years it has become well accepted the direct composite resin restorations are predictable in small to medium sized cavities; similarly, the durability of full coverage crowns is well known. However the grey area is when a cavity falls somewhere between the two: what do we do when a direct restoration would seem wildly optimistic, yet a crown overly destructive?

Dr Smithson’s one-day program will explore strategies and protocols for these difficult to treat teeth and suggest solutions, which will increase your professional satisfaction and reduce your practice overhead.

All of this will be presented in Jason’s usual relaxed open style with realistic, easy to implement techniques, which have strong literature support.

6 ½ Hours CPD (CE) Accreditation.

What You Will Learn:

• Modern concepts of caries diagnosis and management: when to intervene and when to monitor and implement a preventative program.
• Preventative strategies and how to implement them profitably.
• The “Peripheral Rim Theory” and the importance of Rainey’s Ridge and Web in preparation design.
• Minimally invasive cavity preparations. Why preservation of tooth structure is critical to long-term success. Marginal ridge preservation and tunnel preps.
• How to avoid collateral iatrogenic damage to adjacent teeth.
• The science behind Caries Detection Dye.
• Air abrasion and sonic preparation/cementation.
• The use of RMGIC, GIC and dual cure composite as “Mega-Fillers” to reduce cuspal flexure and potential fracture in wide class 2 cavities.
• The GIC open, closed and super-closed sandwich techniques…when, where and how.
• The chairside semi-direct inlay/onlay as a strategy for the restoration of structurally compromised teeth.
• Immediate Dentin Sealing and Gingival Margin Elevation: new concepts for the 21^st
• Preparation designs and instrumentation for partial coverage adhesive restorations

And much, much more………………

Hands-On Component:

Dr Smithson will demonstrate an MOB “Semi-Direct” composite inlay/onlay replacing a cusp, from bonding/core build-up/preparation through impression/model fabrication and finally fabrication and cementation. The delegates will then get the opportunity to fabricate their own onlay with close support by Jason.

All models and materials are provided, although it is suggested the delegates bring their own loupes if appropriate.

At the end of the session it is anticipated that the delegate will have the skills to prep, fabricate and cement a direct resin onlay within a timeframe of 90 minutes or less chairside. This treatment modality offers significant cost savings in terms of laboratory fees and surgery overhead, in addition to reduced operator stress and improved restoration anatomy, with the added convenience of a single visit for the patient.

Overview

Direct resins in the anterior dentition can produce functional, highly aesthetic long lasting restorations, which are conservative of tooth structure.

However, with the rise of aesthetic dentistry in the media, the public as consumers are becoming increasingly discerning: they expect and demand the best.

Dr Smithson aims to unravel and demystify concepts such as shade selection and micro and macro-anatomy and pull them together into a simple step-by-step protocol which includes treatment planning, fee setting, diagnostics, preparation, composite placement and finishing, allowing the average practitioner to achieve outstanding results on a consistent basis.  

6 ½ Hours CPD (CE) Accreditation.

What You Will Learn

• Shade selection: demystify the science and use it as a practical everyday tool.
• Translucency, opacity and opalescence: why all composite resin is not created equal.
• A simple, rapid, yet novel concept to make incisal edge shade and effects obvious and effortless.
• How to quickly and inexpensively fabricate diagnostic mock-ups and palatal silicone indices to achieve precise incisal edge position.
• Preparation design and instrumentation to realize durable resin restorations, which have margins invisible to the human eye.
• Opaque dentin shades: when and where to use them…and why.
• Simple, intuitive finishing protocols, which allow the operator to produce highly, polished restorations, which mimic natural enamel.
• Handing class 3s, 4s and 5s…simple, easy and predictable.
• How to layer resin to create lifelike incisal halos and effects such as crack lines and opacities.

And much, much more……………

Hands-On Component

The practical class is a natural partner to the presentation: all aspects will be covered on typodont models in a user-friendly manner, which is applicable to the General Practitioner and Specialist alike. Dr Smithson throughout will carry out each exercise in a stage-by-stage “Follow my Leader” fashion with close support.

The approach is casual and delegates are encouraged to ask questions as they work.

Learning Objectives:

• The invisible class 4 restoration

The Resin Class 5

Overview:

Conventionally, discolored teeth and advanced wear cases are treated with indirect restorations: crowns and veneers. This approach is well based in the literature and over time, has proven highly successful, however, in some cases it may prove expensive in terms of overall cost, treatment times and most critically loss of tooth structure.

This Master class is designed to allow the experienced practitioner to confidently approach more challenging anterior cases with direct resin in combination with simple orthodontic therapy, occlusal rehabilitation and bleaching where indicated.

• Align
• Bleach
• Composite Resin
• Dahl-Type Approach
• Equilibration

As simple as ABCDE

3-Day INTENSIVE Program with 20 hours CPD………..

*COURSE ORGANISERS SHOULD BE AWARE THE LECTURE IS HALF DAY ONLY THE REMAINING CONTENT BEING HANDS-ON

What You Will Learn:

• A simple approach to the direct resin veneer: create masterpieces easily and predictably.
• Masking discolored teeth with direct resin
• How to handle the peg lateral and microdont teeth
• Functional smile design.
• How to handle complex cases such as discolored and misaligned teeth with direct resin in conjunction with simple short-term orthodontics and home whitening.
• A predictable approach to reconstruct worn broken down teeth creating functional occlusions with direct resin. To include increasing the vertical dimension and re-establishing anterior guidance.

And much, much more……………

Hands-On Component:

The practical class is a natural partner to the presentation: all aspects will be covered on typodont models in a user-friendly manner, which is applicable to the General Practitioner and Specialist alike. Dr Smithson throughout will carry out each exercise in a stage-by-stage “Follow my Leader” fashion with close support.

The approach is casual and delegates are encouraged to ask questions as they work.

Learning Objectives:

• The Resin Veneer for the discolored tooth (lateral incisor)
• Diastema closure (central Incisors)
• The Peg Lateral Incisor
• The Class 5 (Canine)

ORGANISERS SHOULD BE AWARE THAT EACH EXERCISE REQUIRES 3 HOURS OF TIME (IE A HALF DAY).

FOR EXAMPLE LECTURE + ONE EXERCISE= FULL DAY

FOR EXAMPLE LECTURE + THREE EXERCISES = TWO DAYS

Overview

A whistle stop tour of anterior and posterior resin: very intensive with large hands on component.

What You Will Learn

The three main problems encountered by all dentists in direct resin placement are:

• How to achieve invisible restorations
• How to avoid post operative sensitivity
• How to place adjustment free restorations.

Dentistry is a branch of medicine, which encompasses science, art and mechanical engineering: the competent operator must be a master of all three disciplines. Dr Smithson’s presentation covers the art of the anterior direct composite describing the protocol required to produce a class 4 restoration that is invisible to the human eye. This is followed by a more technical analysis of the process required to prepare and place a posterior composite resin restoration, which requires no or little occlusal adjustment. Finally, a novel technique is outlined which allows rapid restoration of deep class 1 cavities without post-operative sensitivity.

This presentation is suitable for all levels.

Hands-On Component

• The class1
• The class4

Lecture Overview (Day 1)

A new program for 2014: a comprehensive approach for the restoration of anterior and posterior teeth with all ceramic veneers, onlays and crowns. The emphasis is on adhesive, minimally invasive tooth colored restorations: from treatment planning, through preparation, impression taking, provisionalisation and final cementation/finishing. Cutting edge, evidence based theoretical knowledge will be complemented by a strong hands on component.

6 ½ hours CPD

What you will learn

Ultimate isolation for indirect preparation and cementation

Bio_Emulation principles in relation to tooth reduction, margin design and finishing

Which margin, when and why? Vertical Margin Design.

Immediate Dentin Sealing and Gingival Margin Elevation for optimal adhesion

The Pillars of Adhesive Preparation Design: make your in vivo preps approach in vitro bond strengths.

The Concept of Ferrule (Vertical and Horizontal)

Tissue Management for long-term periodontal health.

Impression Taking (materials, trays and techniques)

Conditioning of Intaglio…not all materials are equal.

Which cement and why…simple usable day-to-day protocols

Cementation and Finishing Procedures for invisible margins.

Provisionals for minimal preparation ceramic

And much, much more…….

Hands on Component (Day 2)

6 ½ hours CPD

Full Coverage Crown (Premolar) with vertical margin preparation

Partial Coverage Onlay with IDS and Margin Elevation (Molar) to include provisionalisation and impression taking with sectional tray.

*Delegates will prepare 2 teeth with close supervision and mentoring

Hands on Component (Day 3)

6 ½ Hours CPD

Prepare 3 incisor teeth for class 1,2 and 3 veneers

Provisonalise using fast simple approach

*Delegates will prepare 3 teeth with close supervision and mentoring

Overview

“Nature is chaos in balance” Tom Sing

The restoration of the anterior dentition with direct composite resin has today advanced beyond the simple “white filling”.

Modern composite resins, tint systems and finishing protocols can be utilized alongside a deep understanding of dental morphology allowing the skilled operator to create restorations which are indistinguishable from nature: fractures, cracks, wear facets and complex surface anatomy can all be modelled alongside subtle opalescence and life-like opacities.

What you will learn

• How resin selection goes far beyond simple shade taking: consideration of relative transluscence; why, when and where.
• Opalescence and how it is recreated with direct resin
• Recreation of crack lines and wear facets
• Modelling natural palatal anatomy incorporating form and function
• A polishing protocol to recreate natural enamel.

And much, much more……………….

The Hands-On Component:

The hands-on element forms the major component of the program and focuses on how to model an entire upper central incisor from apex to incisal edge utilizing freehand resin bonding. The exercise will include a crack line, a wear facet, an opacity and all of the polishing and finishing procedures required to reproduce natural enamel surface topography.

Overview

Teeth become discolored for a variety of reasons: tetracycline staining, loss of vitality or after restoration with silver amalgam to name but a few. These teeth were classically treated with full coverage crowns: however, today this would be considered to be unnecessarily destructive. Sometimes these teeth are amenable to bleaching; however, what do we do when bleaching fails or is inappropriate

In this fast-moving evidence based tips and tricks class Dr Smithson discusses:

• Diagnosis of tooth discoloration: not all are created equal.
• The Modified Walking Bleach Protocol: a simple predicable approach for the home whitening of discolored non-vital teeth.
• Optimal resin selection for the discolored tooth: microfill vs nano vs microhybrid
• Translucence and opacity, when and where
• Tooth preparation, layering and finishing to recreate natural tooth structure

And much much more……………

The Hands-On Component:

An upper incisor tooth is restored with a direct composite resin veneer utilizing varying opacities of resin to mask the discoloration yet maintain a life-like level of translucency. The exercise also includes an efficient step-wise polishing protocol which enables the operator to recreate enamel macro and micro-morphology to render the restoration indistinguishable from natural tooth structure.

3 Hours CPD

Overview

The Peg Lateral Incisor is a form of Microdontia, which is fairly prevalent, and indeed is found in between 0.3 and 8.4 % of the general population. Classically, this tooth form presents an orthodontic and aesthetic defect and patients often request restoration. Typically, placement is technically demanding in terms of masking shine through; incisal edge position, emergence profile and contact points. Restoration in composite resin is often more conservative and less costly than ceramics.

In this engaging presentation Dr Smithson will discuss:

• A general overview of microdontia
• To prepare or not to prepare? When, why and how.
• The fabrication of a simple PVS stent to allow control of palatal form
• The role of opaque composite to block out unwanted light transmission
• Layering with varying chromas to recreate a gradient from gingival to incisal
• How to simply create tight contact points
• Opalescence and the incisal halo

And much, much more………………

The Hands-On Component

An upper lateral incisor tooth is restored with direct composite resin using a simple elegant approach, which is predictable and confers significant time saving advantages over traditional layering protocols. Composite resin of varying chromaticity and translucence is employed to achieve the appearance of truly lifelike enamel and dentin in conjunction with a simple tinting technique, which recreates the incisal opalescence in addition to superficial white enamel infractions. Finally the resin veneer is polished to emulate the natural enamel surface characteristics, thus achieving high-end aesthetics and durability to rival ceramics.

3 Hours CPD (CE)

OVERVIEW

Due to improvements in healthcare people are now retaining their teeth throughout their life and complete dentures are being consigned to the history books. However, TSL (tooth surface loss) due to abrasion, attrition and erosion (or a combination) is becoming a common problem for the General Dental Practitioner. Traditionally, TSL has been treated with indirect restorations , however, these treatments are often beyond the budgets of many patients. This fast paced and evidenced based class will allow any dental practitioner to restore worn teeth in a simple, predictable, cost effective and minimal invasive manner improving patient treatment acceptance, dentist job satisfaction and practice revenue.

Discussion points:

• Diagnostic Waxing: tips and tricks. How to transfer a diagnostic wax up accurately to the mouth
• How to achieve tight contact points
• Why morphology is far more important than shade selection to aesthetic success
• How line angles and lobe contour create shape
• Simple effective polishing protocols
• Subtle effects to fool the eye and create teeth that look like teeth and not just “fillings”

THE HANDS-ON COMPONENT

The class has a strong hands-on component (75% of the course) and techniques/concepts are learned and re-enforced during the practical exercises. These are conducted in a logical relaxed style with ample time to ask questions and discuss.

EXERCISE 1: Reconstruction of a worn incisor with transitional bonding. This approach is ideal for budget cases in the busy office. The tooth will be restored with a single shade of composite resin with strong focus on morphology, line angles and polishing.

EXERCISE 2: Reconstruction of a worn incisor with a “simplified bonding approach”. This technique allows recreation of subtle details such as opalescence, hypocalcifications and fracture lines whilst remaining simple, predictable and time efficient.

EXERCISE 3: Reconstruction of a worn incisor using the “Natural Layering Approach”. This concept is for the aesthetically demanding patient and covers opaque vs higher translucency resins (when, where and how) the creation of a very thin palatal shell in a predictable manner and opalescent resins.

13 HOURS CPD

*COURSE ORGANISERS SHOULD BE AWARE THE LECTURE IS HALF DAY ONLY THE REMAINING CONTENT BEING HANDS-ON

ORGANISERS SHOULD BE AWARE THAT EACH EXERCISE REQUIRES 3 HOURS OF TIME (IE A HALF DAY).

FOR EXAMPLE LECTURE + ONE EXERCISE= FULL DAY

FOR EXAMPLE LECTURE + THREE EXERCISES = TWO DAYS

OVERVIEW:

Historically, Tooth Surface Loss affecting the anterior teeth was treated with full coverage restorations, often to the full mouth; although predictable and durable this approach is expensive both financially and in terms of further iatrogenic loss of tooth structure. More recently, Dahl proposed an approach whereby composite is used additively to restore worn tooth structure: this offers a less expensive, conservative solution, however, it can be somewhat unpredictable to plan and often requires multiple adjustments.

This Master class is designed to allow the experienced practitioner to confidently approach more challenging anterior cases starting with transferring information from the patient to the articulator, functionally planning the smile design and occlusal scheme on the articulator and finally accurately transferring the treatment plan back from the articulator to the patients mouth in a predictable time efficient manner.

WHAT YOU WILL LEARN:

DAY 1 (LECTURE AND HANDS-ON)

• Functionally Generated Smile Design. Begin with the end in mind.
• A predictable approach to reconstruct worn broken down anterior teeth creating functional occlusions with direct resin.
• Occlusion in relation to restorative dentistry. Basic TM Joint anatomy and definition of terms (CR|MIP|Guidance). Posselt’s Envelope of Function and its practical application. Facebows and occlusal records. Choosing the Vertical Dimension. Instrumentation: when and why. A whistle-stop tour of the articulator. When to restore conformatively and when to reorganize. Occlusal Splints an overview.
• How to transfer information from the articulator to the mouth: accurate and repeatable.
• Dahl- an overview. When it works and when it is not a good idea.
• DEMONSTRATION AND HANDS-ON
  • Taking a facebow.
  • Load testing the TMJs and taking a CR Occlusal Record with a Leaf Gauge.
  • Fabricate your own Anterior Mid-Point Stop Appliance (AMPSA) and deprogram your Lateral Pterygoids.
  • Taking a protrusive record and customizing the condylar path of the articulator.
  • How to fabricate custom incisal guidance table.

And much, much more……………

DAY 2 (HANDS ON)

Resin veneers 2 ways

Learn how to completely restore 2 central incisors with worn broken down palatal surfaces using two completely different approaches

• A simple approach for the busy office
• An advanced approach to restore ultimate aesthetics

14 hours of CPD (CE)

OVERVIEW

Historically, the vertical margin was the first to be used in fixed prosthodontics; however, with the advent of the turbine it was widely abandoned in favor of the horizontal shoulder or chamfer. The vertical margin is not widely taught in UK dental schools since it is incorrectly considered to result in over contoured restorations and periodontal issues. Today, with the advent of new materials, a broader understanding of tissue biology and proven evidence-based protocols the vertical margin can produce an elegant minimally invasive solution for patients with periodontally involved and discolored teeth and may offer more simplified, cost-effective protocols for patients undergoing grafting procedures and soft-tissue surgery.

A full emersion comprehensive class, which is 75% hands-on, encompassing everything you need to know to know about vertical margins in fixed prosthodontics. The course includes close support coaching by Dr. Smithson and an extensive course manual.

WHAT YOU WILL LEARN:

DAY 1 (LECTURE AND HANDS-ON)

LECTURE

• The vertical margin- a historical prospective
• Horizontal vs. vertical- which approach is best and when
• Instrumentation- an armamentarium to optimize your workflow.
• Biomechanics- the Ferrule Effect and the restoration of the endodontically treated tooth (to include the post-core foundation)
• Biology- respecting the Biologic Width, the cornerstone of pink aesthetics
• Step-by-step tooth preparation for both posterior and anterior teeth illustrated both on detailed models and extensive clinical cases.
• Tissue management and provisionalisation- not just a “temporary”
• Bridgework and the ovate and “E” Pontic
• Capturing impressions and lab communication
• Laboratory procedures and materials selection
• Final cementation
• Common errors, misconceptions and trouble shooting

HANDS-ON:

• Prepare an upper central incisor for a crown with vertical margins.
• Fabricate an aesthetic provisional with correct sulcus extension and emergence profile

DAY 2 (HANDS ON)

• Prepare an upper premolar and upper molar for crowns with vertical margins, to include core build up.
• Place a provisional on the premolar.
• Prepare an upper canine and second premolar for a classic 3-unit fixed-fixed bridge.

14 hours of CPD (CE)

OVERVIEW

When dismantling and restoring broken down posterior teeth have you ever considered:

• Should I do this indirect or can I get away with direct?
• Is cuspal coverage necessary?
• What material should I use- composite resin or ceramic?
• Would an indirect onlay be more conservative or should I use a full crown?

These and many other similar questions go through the mind of the busy general practitioner many times every day. This comprehensive, evidence-based class offers clear, easily understandable protocols to simplify the decision making process and compliments this with end-to-end workflows to rapidly restore posterior teeth with direct and indirect composite resin, ceramic onlays and crowns.

WHAT YOU WILL LEARN

DAY 1 (LECTURE)

• When direct posterior composite resins are predictable and when they are not.
• Modern concepts of caries diagnosis and management: when to intervene and when to monitor and implement a preventative program.

• Biomechanics- The “Peripheral Rim Theory” and the importance of Rainey’s Ridge and Web in preparation design. Minimally invasive cavity preparations. Why preservation of tooth structure is critical to long-term success. Marginal ridge preservation and tunnel preps.

• Preparation design and a protocol to reduce the risk of voids, bond failure and sensitivity.
• Discussion of a direct stratification technique using simplified instrumentation to achieve lifelike resin restorations, which require minimal finishing.

• Immediate Dentin Sealing and Gingival Margin Elevation: new concepts for the 21^st
• Preparation designs and instrumentation for partial coverage adhesive restorations
• Horizontal vs. vertical- which approach is best for full crowns and when
• Instrumentation- an armamentarium to optimize your workflow.
• Tissue management and provisionalisation- not just a “temporary”

And much, much more

DAY 2 (HANDS-ON)

RESTORE4TEETH

• The class 1 direct resin restoration
• The class 2 direct resin restoration
• Partial Coverage Onlay with IDS and Margin Elevation (Molar)
• Prepare an upper molar for a crown with vertical margins.

The class is intended to be informal with questions taken “on the hoof” throughout the day. Dr Smithson demonstrates each case in its entirety via overhead projection: the participants then have the opportunity to ask questions before completing the exercise themselves with close support from Jason.

14 HOURS CPD

OVERVIEW

In the 21^st Century orthodontic therapy is not just for teenagers: increasingly, more and more adult patients seek orthodontic alignment of their teeth. Orthodontic management of the adult patient almost always involves a restorative component, so the competent practitioner should master both disciplines. For optimal results in a minimally invasive manner, direct composite resin is often the material of choice: this class aims to give a comprehensive overview of the restorative care of the adult orthodontic patient including diastema closure, black triangle management, the peg lateral and management of wear.

A full emersion comprehensive class, which is 75% hands-on, encompassing everything you need to know to know about the restorative management of the adult orthodontic patient. The course includes close support coaching by Dr. Smithson and an extensive course manual.

WHAT YOU WILL LEARN

• A simple approach to the direct resin veneer-: create masterpieces easily and predictably.
• How to create believable life-like features such as fracture lines, opalescence and hypocalcification
• Simple efficient polishing protocols to reproduce natural enamel-like resins.
• Closing midline diastemas- simple, intermediate and complex
• The black triangle- a modern restorative challenge.
• How to handle the peg lateral and microdont teeth
• Functional smile design
• A predictable approach to reconstruct worn broken down teeth creating functional occlusions with direct resin. To include increasing the vertical dimension and re-establishing anterior guidance.

And much, much more………

HANDS-ON

EXERCISE 1: MIDLINE DIASTEMA CLOSURE (2 teeth)

EXERCISE 2: PEG LATERAL

EXERCISE 3: BUCCAL AND PALATAL DIRECT RESIN VENEER FOR WORN TOOTH

EXERCISE 4: RESTORE CANINE GUIDANCE

The class is intended to be informal with questions taken “on the hoof” throughout the day. Dr Smithson demonstrates each case in its entirety via overhead projection: the participants then have the opportunity to ask questions before completing the exercise themselves with close support from Jason.

14 hours of CPD (CE)

OVERVIEW

Heavily broken down, structurally compromised teeth are conventionally restored with indirect full coverage ceramic crowns with horizontal chamfer or shoulder margins. This approach is well based in the literature and has been successful over time. However, it often requires significant preparation of the remaining tooth structure, which may result in pulp necrosis, root fractures and periodontal problems.

Dr. Smithson’s class aims to illustrate a more contemporary minimally invasive approach with partial ceramic onlays to retain tooth structure and extend the overall lifespan of the tooth. The concept of “Vertical Crown Margin” is also explored to recover and preserve ferrule in the fragile endodontically treated tooth and preserve vitality in teeth with significant recession.

WHAT YOU WILL LEARN

THE CERAMIC ONLAY

• Biomechanics, how do teeth behave in function- The “Peripheral Rim Theory” and the importance of Rainey’s Ridge and Web in preparation design.
• Minimally invasive cavity preparations. Why preservation of tooth structure is critical to long-term success.
• Immediate Dentin Sealing and Gingival Margin Elevation: new concepts for the 21^st century.
• Preparation designs for partial coverage adhesive restorations

HANDS-ON

• Partial Coverage Ceramic Onlay with Immediate Dentin Seal and Margin Elevation (Molar)

THE FULL CROWN WITH VERTICAL MARGINS

• The Ferrule Effect and the restoration of the endodontically treated tooth (to include the post-core foundation)
• The vertical margin- a historical prospective
• Horizontal vs. vertical margins for crowns- which approach is best and when
• Instrumentation- an armamentarium to optimize your workflow.

HANDS-ON

• Fabricate a direct post-core foundation with resin and a fibre-post.
• Prepare an upper central incisor for a crown with vertical margins.

And much, much more

7 HOURS CPD

The three main problems encountered by all dentists in direct resin placement are:

• How to achieve invisible restorations
• How to avoid post operative sensitivity
• How to place adjustment free restorations.

Dentistry is a branch of medicine, which encompasses science, art and mechanical engineering: the competent operator must be a master of all three disciplines. Dr Smithson’s presentation covers the art of the anterior direct composite describing the protocol required to produce a class 4 restoration that is invisible to the human eye. This is followed by a more technical analysis of the process required to prepare and place a posterior composite resin restoration, which requires no or little occlusal adjustment. Finally, a novel technique is outlined which allows rapid restoration of deep class 1 cavities without post-operative sensitivity.

This presentation is suitable for all levels.

Direct composite resin restorations in the posterior dentition have become a common day-to-day treatment modality for the majority of dental practitioners in the 21^st Century. However, many retrospective studies show that the majority of composite resins placed in a General Practice setting perform poorly in comparison with silver amalgam: sensitivity, marginal staining and secondary caries are common and recurrent problems. The vast majority of these failures are a result of simple operator errors, which occur at the time of placement of the restoration: in essence, many restorations have failed before the patient even gets up from the chair.

This 60minute presentation outlines a simple, easy and predictable technique to allow the operator to produce aesthetic, life-like class 1 and 2 restorations, which require little occlusal adjustment within a realistic timeframe.

• Discussion of a stratification technique using simplified instrumentation to achieve lifelike resin restorations, which require minimal finishing.
• A protocol to reduce polymerization shrinkage and sensitivity in the deep class 1 situation
• How to assess the occlusal scheme preoperatively and accurately build up your restoration so that little if any occlusal adjustment is necessary.

OVERVIEW:

Composite resin is now almost ubiquitous in Restorative Dentistry and the majority of dental surgeons are comfortable approaching simple class 1,2 and 4 restorations and perhaps even the resin veneer. However, when problems become more complex multi-disciplinary approaches must be employed and the case becomes more challenging as a whole.

How do we approach the worn dentition in a minimally invasive way?

What if teeth are adversely rotated, proclined or misaligned?

How do we seamlessly integrate a single discolored, non-vital incisor into the overall aesthetic picture?

This fast moving, practical, evidence-based presentation aims to equip the advanced practitioner with the knowledge and tools to confidently approach more demanding case.

WHAT YOU WILL LEARN

• Managing occlusion with direct resin: from simple adjustment -free class 1 restorations through to complex re-organisation of anterior guidance.
• Using simple removable orthodontic appliances to rapidly align teeth and reduce or even obviate the need for aggressive preparation of misaligned teeth.
• Managing discolored tooth substrates with predictable vital and non-vital nightguard bleaching in combination with direct resin bonding.

And much, much more

OVERVIEW

The class 2 direct composite restoration is the most common day-to-day operative procedure in general dental practice; that being said it is often technically challenging. Procedural errors commonly result in white lines; open margins; sensitivity; overhangs and defective contact points: the net result being retreatment and financial cost to the office and dissatisfaction for both the operator and patient alike. This 60-minute presentation offers simple logical evidence based protocols for the regular general dentist to provide functional aesthetic class 2 restorations with firm proximal contacts on a predictable basis.

WHAT YOU WILL LEARN

• Preparation design for optimal adaptation of direct resin within the class 2 box
• How to finish the class 2 margins to avoid white lines
• Choosing the best matrix systems for ideal contact points and avoiding overhangs
• Efficient layering solutions for amazing aesthetics in short time frames
• The effect of “C-Factor” and its impact on stress and potential post op sensitivity
• Optimal finishing for optimal periodontal health

And much, much more.

90 MINUTES CPD

OVERVIEW

The ceramic veneer, both pressed and CAM Lithium Disilicate and the classic stacked feldspathic has been acknowledged to be a conservative solution for a number of dental issues for many years: minimal-moderate wear, diastema, peg laterals and discoloration to name but a few. This presentation offers the attendee a simple predictable and evidence based road map, an A-Z if you will, to progress from treatment planning a case; through ideal preparation; lab communication; provisionalisation and finally fitting and maintaining the reconstruction.

WHAT YOU WILL LEARN

• When are feldspathic veneers optimal and when might you consider lithium disilicate.
• Which ingot is best for which situation
• A simple rapid and accurate preparation protocol
• How to place amazing provisionals efficiently to test drive the aesthetics of your case.
• How to avoid the “black scuzz” beneath your temporaries
• Cementation and conditioning the ceramic: silane and HF etching
• Costing the case and fees

And much, much more……..

180 MINUTES CPD

OVERVIEW

Direct resins in the anterior dentition can produce functional, highly aesthetic long lasting restorations, which are conservative of tooth structure.

However, with the rise of aesthetic dentistry in the media, the public as consumers are becoming increasingly discerning: they expect and demand the best.

Dr Smithson aims to unravel and demystify concepts such as resin selection and micro and macro-anatomy and pull them together into a simple step-by-step protocol which includes preparation, composite placement and finishing, allowing the average practitioner to achieve outstanding results on a consistent basis

WHAT YOU WILL LEARN

• Translucency, opacity and opalescence: why all composite resin is not created equal.
• A simple, rapid, yet novel concept to make incisal edge shade and effects obvious and effortless.
• Opaque dentin shades: when and where to use them…and why.
• Simple, intuitive finishing protocols, which allow the operator to produce highly, polished restorations, which mimic natural enamel
• The importance of line angles and height of contour
• Creating tertiary anatomy such as perikymata and fracture lines.

And much, much more.

45 MINUTES CE