AESTHETIC
DENTISTRY
CONGRESS

-Fundamental esthetic and treatment planning guidelines.
-The basic principles of planning aesthetic treatment, given the wide variety of the large variety of silica-based, high-strength, and hybrid ceramic materials
-Differentiate modern ceramic and hybrid materials and their indications
-CAD/CAM technology and its diverse applications to fabricate indirect restorations
-Strategies for success with ceramic restorations for teeth and implants based on the current scientific evidence
-Integration of digital and adhesion technologies into everyday work
-Creating a new smile design
-Adhesive dentistry concepts in combination with indirect restorations
-Adhesive preparation protocol using veneers
-Guidelines for successful and long-lasting esthetic restorations from laminate veneers to full-mouth implant-supported rehabilitation
-Special laboratory and clinical equipment for various types of ceramics
-Differences in all silica-based materials
-Cementing various ceramic structures
-The best materials for implant prosthetics

About lecturer

Professor of Restorative Dentistry, Chairman of the Department of Preventive and Restorative Sciences, and Assistant Dean for Digital Innovation and Professional Development at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania

Graduated from Albert-Ludwigs University in Freiburg, Germany, and was awarded additional Doctorate Degrees, a Postgraduate Certificate in Prosthodontics, and a Professorship from the same University.

Co-founder and immediate past President of the International Academy for Adhesive Dentistry (IAAD). Board-certified Diplomat in the German Society for Prosthodontics and Biomaterials (DGPro) and a member of multiple other professional organizations, including the American Academy of Esthetic Dentistry, the European Academy of Esthetic Dentistry, the International College of Prosthodontists, the American College of Prosthodontists (honorary member), Academy of Osseointegration, and O.K.U. Honor Dental Society.

He serves on the editorial boards of numerous recognized scientific dental journals and is Associate Editor of Quintessence International.

Author of the international bestseller “Evolution – contemporary protocols for anterior single-tooth implants”.

The recipient of multiple teaching and research awards and has published and lectured extensively on dental esthetics, restorative materials, and implant dentistry.

1. Treatment history
2. Treatment rationale & planning based on diagnostic & risk factors
3. Functional wax-up & new VDO (laboratory steps)
4. Restorative options in relation to tooth wear severity & other co-factors
5. Material choice
6. Creating a new posterior functional scheme
• direct restorations (free-hand & molding)
• the shell technique
• indirect restorations
7. Creating a new anterior guidance & smile line with
• direct composites
• indirect restorations
8. Restoration longevity
9. Maintenance and restoration repair
10. Night-guards

-Etiological factors of worn dentition: behavioural changes, unbalanced diet, various medical conditions and medications inducing acid regurgitation or influencing saliva composition and flow rate.
-The influence of day and night bruxism on the occurrence of worn dentition
-Prevention of pathological worn dentition
-Modern methods of treating worn dentition
-Recent knowledge and clinical concepts related to various forms of early restorative interventions (using adhesive techniques)

Etiological factors of worn dentition

Tooth wear represents a frequent pathology with multifactorial origins. Behavioural changes, unbalanced diet, various medical conditions and medications inducing acid regurgitation or influencing saliva composition and flow rate, trigger tooth erosion. Awake and sleep bruxism, which nowadays are widespread functional disorders, induce attrition. It then became increasingly important to diagnose early signs of tooth wear so that proper preventive, and if needed, interceptive-restorative measures are taken. Such disorders have biological, functional and also aesthetic consequences.

Modern methods of treating worn dentition

Following a comprehensive clinical evaluation, treatment objectives, such as a proper occlusal and anatomical scheme as well as a pleasing smile line, are usually set on models with an anterior teeth or full mouth waxup, depending on the severity of tissue loss. Based on the new Vertical Dimension of Occlusion (VDO) set on the articulator, combinations of direct, semi-direct and indirect restorations (using composite resins or monolithic high-strength ceramics) can help to re-establish anatomy and function. The use of adhesive and ultra-conservative techniques has proven its potential, in particular for the treatment of moderate to advanced tooth wear. A modern approach to treat tooth wear shall involve a specific and detailed treatment planning involving its aetiology, risk factors control and the biomechanical status of each tooth to be treated.

About lecturer

Was licensed in 1984 and got his doctoral and Privat Docent degrees in 1988 and 2004, respectively, at the University of Geneva, Switzerland.

Got a PhD degree in 2003 at the University of ACTA, Netherlands.

Following a 6-year period of full time teaching and research activity in Operative Dentistry and Periodontology, he started a part time activity in a private office in Geneva, dedicated to aesthetic restorative dentistry.

He holds now positions of adjunct Professor at CASE Western University (USA) and senior lecturer at the University of Geneva.

Has published over 100 clinical and scientific papers and book chapters on adhesive and aesthetic restorations.

Author of the book “Adhesive Metal-free Restorations”, edited in 1997 by Quintessence and translated in 7 languages. Dr. Dietschi is internationally acclaimed for his theoretical and practical teaching programs on adhesive & aesthetic restorations.

• Implement fundamental Perio-prostho relations guidelines
• Differentiate vertical prep vs horizontal prep and their indications
- Correlate different types of preps with periodontal tissues and how keep them healthy
- iOS technology
•Implement iOS technology, their limitations and applications along digital workflow
•Strategies for success of digital workflow under full respect of periodontal tissues based on the clinical scientific evidence
•Apply adhesive dentistry concepts in combination with digital workflow
- Scientific evidence of adhesive rehabilitation made with and without digital workflow

About lecturer

Official evaluator of Italian Research in Dentistry Committee of The Italian Minister of Education (2008-present).

President of National Conference of Schools of Dental Medicine (2010-present), the organization that collect all Italian Deans of Schools of Dentistry.

Member of the National Agency for Evaluating Research of Italian Minister of Education (2011-present).

He was the founder and now is Coordinator of Tuscan School of Dental Medicine, merged School between Florence and Siena Schools of Dental Medicine (2010-present).

He was Director of Department of Medical Biotechnology of University of Siena (2012-2013) the new organization that took over of a wide part of the Medical School of University of Siena.

The value of the natural tooth has diminished dramatically among many dentists, who no longer see themselves as a dentition-preserving healthcare provider but rather prefer to work with screw and nuts. Even minor concerns about the prognosis of a tooth needing endodontic treatment often lead to extraction followed by implant replacement. This action, under the best circumstances,is probably due to poor knowledge of the true survival rate of endodontically treated teeth but in the worst scenario it has to be considered just business! If a tooth is deemed restorable from a restorative and periodontal aspect, endodontic therapy should be the first treatment option considered. If a tooth has a poor restorative or periodontal prognosis, extraction and implant should be considered.

It is important to note that the two treatment alternatives have different aims; endodontic and restorative treatments are provided to treat or prevent apical periodontitis and to give back function, whereas implants are used to replace missing teeth.

Nowadays the maintenance of “a nice smiling” represents the main desire of our patients and the request for tooth coloured restorations is very high in posterior areas too. Predictable and repeatable results can be achieved through materials and clinical practices that, on one hand, preserve the original structure of the compromised tooth and, on the other hand, involve a very low biologic price. New technologies for the enamel-dentin adhesion and the continuous evolution of more sophisticated esthetic materials (composite resins and porcelains) allow the effective reaching of verifiable and predictable results.

Technologies and materials have to follow an operative approach that strictly involves operative steps which have been carefully codified referring to the materials typology used from time to time.

This lecture aims to point out the relevant guidelines for indirect posterior esthetic restorations for both vital and not-vital teeth in order to reach a correct.standardized and longlasting clinical result.

About lecturer

Professor at the Faculty of Medicine and Surgery School of Dentistry / Restorative Dentistry and Dental Esthetics, Tor Vergata University,Rome

He is Honorary Consultant Professor at the State University (UBA), School of Dentistry - Buenos Aires (Arg)

He is Honorary Consultant Professor at the Maimonides University, School of Dentistry - Buenos Aires (Arg)

He is Honorary Adjunct Professor at the Benemerita Univerdidad Autonoma de Puebla (Mex),Maestria en Estomatologia Integra

President Elect and Active Member of the Italian Academy of Conservative and Restorative Dentistry

Past-President and Active Member of the Italian Society of Conservative Dentistry

Active Member of the Italian Society of Endodontics

Active Member and Co-founder of the Italian Academy of Esthetic Dentistry

Affiliate member of the European Academy of Esthetic Dentistry

Fellow of the International Academy of Dental-Facial Esthetic

Author of 6 textbooks, 9 chapters, more than 250 scientific publications and abstracts in restorative dentistry and endodontics

His private practice is limited to Restorative Dentistry and Endodontics

Aesthetic Preview: Easy Solutions in Aesthetic Dentistry from composite to ceramics.

-Dental photography
-Aesthetic Preview
-Lithium disilicate and zirconia
-Inverse Layering Technique: Direct and Indirect
-Differences between digital and analog aesthetics restoration techniques
-Simple work protocol for direct and effective communication with the patient
-Application of the Aesthetic Preview to best manage cases of minimal dental preparation
-The choice of restoration material
-Simple and predictable job protocol “From waxing to definitive work" by printing the composite with Inverse Layering technique direct and indirect
-An inverse Layering Technique protocol in simple cases: Veneers, inlays, Onlays, Overlays
-An inverse Layering Technique protocol in complex cases: Full mouth with implant

The achievement of Aesthetics cannot but go through the patient's expectations. Disappointing results are not only due to technical or clinical problems. Often they are the result of a poor communication with the patient. A correct Aesthetic Preview is the system that allows us to control the function and, above all, the final aesthetic result before start working.Through this technique, dental preparations will be minimally invasive and in any case less destructive than traditional preparations.

About lecturer

Graduated in Dental Technician and graduated in Dentistry at the University of Ancona Italy

Speaker at national and international conferences.

He is a member of the reading committee of national and international journals.

Collaborate actively in the development of new materials and construction of clinical cases.

Adjunct Professor, Dentistry and Dental Prosthesis, University of Modena and Reggio Emilia, in Modena.

Creator of the systems Aesthetics Preview.

Creator of the system Inverse Layering Technique direct and indirect

Provincial President AIO: Italian Dental Association

Member of the group Styleitaliano

Author of the book “Modern Aesthetic Dentistry Workflow A to Z” published by Quintessence

- The difference between various types of margin geometry for full crowns
- Indications and contra-indications for different types of margin geometry
- Use of vertical margins in perio involved patients
- Use of vertical margins in non perio patients
- Different types of materials for crowns suitable with vertical preparations
- Step by step preparation procedures
- Temporisation. Laboratory provisionals
- Soft tissues interactions and management of provisionals
- Impression techniques. Conventional and digital
- Cementation techniques, protocols and materials

Tooth preparations without a defined finish line have been termed in several different ways, such as a knife edge, feather edge, or shoulderless. With slight differences between each other, all this preparation types may be defined “vertical” as opposed to “horizontal” ones (shoulder, chamfers) and since the introduction of metal ceramic they have been almost abandoned.