AESTHETIC
DENTISTRY
CONGRESS

Aesthetic and functional treatment plan with a digital approach.

Designing full-mouth rehabilitations with optimum esthetics requires correct treatment planning, evaluation of a suitable ceramic material and skillful application and techniques. Today technology validly supports the clinician in the definition of an ideal treatment plan and in the optimization of time and costs. In particular the dentist can count on new digital tools guiding him/her in the step-by-step collection of all the necessary data. Selecting the ceramic material with the dental ceramist is another fundamental step in the management of complex rehabilitation cases.

Minimizing the invasiveness of prosthetics, changing the VDO, reducing the thickness of the ceramics and using appropriate adhesion procedures.

Nowadays a systematic approach based on an over 10-year experience allows the dentist to face highly compromised clinical situations with a minimally invasive prosthetic procedure. Thanks to the alteration of the of the vertical dimension of occlusion (VDO) it is possible to take advantage of the newly created space between the two arches with the result of dramatically minimizing the invasiveness of the prosthetic treatment when using veneers, full-veneers, buccal-occlusal veneers and table tops, even with very reduced ceramic thickness.

Achieving a predictable and long-term aesthetic and functional outcome of complete orthopedic rehabilitation.

This procedure also enables the clinician to re-establish an ideal occlusal relationship and avoid additional endodontic and/or surgical procedures that were traditionally necessary in order to improve the retention of the restorations. Furthermore, the maintenance of a maximum amount of enamel and the use of the appropriate bonding technique guarantee a remarkable resistance and a long-lasting result of the prosthetic rehabilitation.

ESTHETIC ANALYSIS
• Facial analysis
• Dento-labial analysis
• Phonetic analysis
• Tooth analysis
• Gingival analysis
• Esthetic checklist

FUNCTIONAL ANALYSIS AND OCCLUSAL CONSIDERATIONS
• Achieving, recording and verifying a repeatable mandibular position
- RC: why, when and how
- MI: why, when and how
• Occlusal-vertical dimension (OVD): how and when to modify it?
• Anterior guidance: how to optimize it?
• Parafunctions: can the occlusion play a role in the bruxer patient?
• Worn dentition: different etiology and related treatments

COMMUNICATING WITH THE LABORATORY
• Direct and indirect mock-up
• Laboratory chart
• Innovative digital tools for data collection and data processing
• Digital workflow for treatment plan
• Data transmission to the laboratory for the diagnostic wax-up
• Facebow and esthetic orientation
• Communication of the anterior guidance and occlusal schema to the technician with a customized incisal guide table
• Mounting and setting the articulator

FROM THE PROVISIONAL TO THE FINAL RESTORATIONS
• Data transfer
• Customized anterior guidance

IMPLANTS
• Esthetics in implantology
• Parameters for optimizing the esthetic result in the anterior area

ALL-CERAMICS
• Selection criteria, indications, possibilities and limits of different materials Silica-based ceramics
- Silica-based ceramics
- Zirconia based ceramics
- Feldspathic ceramics
• Cementation procedure and materials update
• Critical clinical steps

MIPP TECHNIQUE (Minimally Invasive Prosthetic Procedure)
• New trends in restorative dentistry
- MIPP 0
- MIPP 1
- MIPP 2
- MIPP 3
• Different types of restorations
- Veneers, Full Veneers, Buccal-Occlusal Veneers (BOV) , Table Tops
• Principles and advantages
- minimal tooth preparations
- preservation of sound tooth structure
- minimal thickness restorations
- luting procedure
- clinical follow-up

About lecturer

Past President of EAED European Academy of Esthetic Dentistry (biennial 2003/2004) and Past President of AIOP Accademia Italiana di Odontoiatria.

After graduating in Medicine and Surgery in 1979, Mauro Fradeani completed a specialization in Dentistry at the University of Ancona, Italy in 1983

Protesica, he has served as Visiting Associate Professor in Prosthetics at Louisiana State University New Orleans from 1999 until 2008.

Active Member of The American Academy of Esthetic Dentistry, he maintains membership in The American Academy of Fixed Prosthodontics.

- Occlusal and postural evaluation before reconstructive treatment of the posterior and lateral sectors.
- Diagnosis and classification of the patient with occlusal and postural problems. Diagnostic and therapeutic pathway.
- Occlusion and Posture: Literature Based Evidence and Clinical Based Evidence.
- Problems related to postural imbalance.
- Postural Syndrome: signs, symptoms and diagnosis. - Temporo-Mandibular Joint.
- Muscles of the neck, shoulder girdle, pelvis: anatomy and biomechanics.
- Magnetic resonance of the temporomandibular joint and muscles.
- Temporo-mandibular joint pathologies.
- Clinical and instrumental examinations.
- Applied Kinesiology test.
- The clinical protocol for the treatment of postural syndromes.
- Type and choice of occlusal plates.
- How to determine the vertical dimension in respect of the neuromuscular system.
- Step-by-step clinical cases of simple and complex postural rehabilitations.
- Restorative materials for the posterior sectors: biocompatibility and biomechanics, clinical and research.
- Maintenance and results at a distance.
- The role of Physiotherapy in postural rehabilitation.

About lecturer

Active member of the Italian Society of Conservative Dentistry and the Italian Academy of Conservative Dentistry.

Lecturer and curator of the Department of Restorative Dentistry, University of Chieti, Italy.

Co-author of manual atlases “New concepts in the world of restoration dentistry” and “Conservative restoration of lateral teeth”

Contributed to research discoveries among composite materials in Italy and Germany

Author of many scientific articles

He practices privately in Chiasso, Switzerland.

Sometimes whitening a smile means to restore teeth with composite, while sometimes it means veneers, or gingival surgery, sometimes it means only bleaching teeth. We will see the bleaching strategy as the mandatory "antipasto" (starter) of an italian dinner. We use bleaching as an important part of any treatment plan. Sometimes we decide to bleach first, sometimes we restore instead and we bleach in a second stage. In other occasions we make a smile whiter using only restorative procedures. Sometimes we need gingival modifications and we do the surgery the same day we perform our restorations. Regardless of the timing of procedures, we try to be very conservative, meaning we avoid the turbine whenever possible, for example we prefer patrial composite restorations than fukk ceramic coverage. In this lecture, through the series of clinical cases presented, you will learn about our philosophy and workflow and learn some tips to apply next monday on your practice. The advantages of composites and bleaching strategies are big and if you are not taking full advantage of them you are loosing your time and money.

- Smile improvement with no preparation philosophy. Whitening the smiles with bonding techniques.
- Whitening the smiles with other procedures like teeth whitening or gingival surgery.
- The treatment planning are the key of success.
- Let's see our daily problems!
- Composite world:
1) How to choose the composite.
2) How to choose the stratification technique (single mass vs. dual technique vs. other techniques)
3) How to create the perfect contact points
4) How to polish and finish composites to make them look awesome
Not only composites:
- Bleaching as the starter of our treatment plans
- Crown lengthening as the first dish
- BIR (Bleach Infiltrate and Restore) techniques
- Orthodontics - cosmetic dentist communication: pre - restorations and the RBR (Restore, Bleach, Restore)

About lecturer

Studied dentistry in Universitat Internacional de Catalunya (UIC), Sant Cugat, Barcelona.

Made the specialization in Aesthetic and Restorative Dentistry in the same university where she became professor in the same department.

Has been visiting professor in Siena, Marseille, Valencia, Barcelona, Lisbon.

The author of publications in international journals such as the European Journal of Aesthetic Dentistry or the Tropical Dental Journal.

Together with Dr.Manauta she wrote the book "Layers", an atlas of composite resin stratification.

She is the honorary member of StyleItaliano group.

How much can VDO be increased?
When is it necessary to increase the VDO?
Treatment of worn dentition.
The use of long term splint and fast leaf gauge.
Veneers or crowns? The right choice in every single situation.
Treatment for hypermobility of the upper lip 17 mm: the use of prosthetic guided implantology.
The use of Botox.
Crown lengthening : when and how?

During the lecture, information will be presented from the point of view of evidence-based dentistry.

About lecturer

A member of the Polish Academy of Aesthetic Dentistry and the International Congress of Oral Implantologists.
An international lecturer and founder of Master Level courses.