DIRECT
RESTORATION

1- Work philosophy - sharing 40 years of experience
2- Dental Bleaching - Basic Principles and Technique
3- The use of composites in fractured anterior teeth
3.1- Restorative techniques
3.2- Finishing and polishing
4- The use of composites in discolored anterior teeth
4.1- Restorative techniques
4.2- Finishing and polishing
5- Composite resin veneers
6 .The use of tints; and opaquers

About the lecturer:

Professor and Chair Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina

Professor and Chair, Postgraduate Program in Operative Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil

Education
School of Dentistry, Federal University of Santa Catarina, DDS
School of Dentistry, University of Bauru, Periodontics Certificate
School of Dentistry, University of São Paulo, Operative Dentistry, MSD, PhD
University of Sheffield, Great Britain, Post-Doctorate

Over 1,000 lectures in Brazil, USA, Belgium, France, Italy, Portugal, Argentine, Chile, Uruguay, Spain, Paraguay, Costa Rica, Peru, Ecuador, Dominican Republic, Bolivia.

Over 100 publications of Operative and Esthetic Dentistry in Portuguese, English, Spanish, French, Russian, Japanese, Italian, Slovak.

Author of 23 books translated for several languages

Advanced Operative Dentistry (Quintessence Books, 1989) (Spanish and English versions, 1993)

Dental Bleaching (Quintessence Books, 1993) (Spanish version, 1994)

Esthetics – Direct Adhesive Restorations on Fractured Anterior Teeth (Quintessence Books, 1995) (Spanish and English versions, 1998, Korean version, 2000)

Composite Resin Restorations on Posterior Teeth (1998) (Spanish version, 2001

Essential Shade and Shape, recipes for success in composite: Solving difficult cases starts and finishes always in restorative dentistry, if the adhesive dentistry is not planned well, it is impossible to solve a complex case. Is common to hear that aesthetic composites are difficult to plan, hard to perform and complicated to match. We have heard as well that simplification is not for refined dentistry, but this statement could not be more wrong. During this lecture we will see how simplification can lead you to the path of success, from the digital and analogue color matching, to the clinical tips and tricks for placing composites, up to the flawless finalization with a perfect shape. We will learn that improvisation must be completely abolished and for this purpose it will always be perfect to have a recipe and solve your most difficult case by following protocols.
- Overcoming restorative difficulties
- Aesthetic composites
- Color matching
- Layering recipes
- Surface and morphology
- Finishing and polishing
- Restoration longevity

About the lecturer:

Graduated with a degree in dentistry from the Technological University of Mexico (UNITEC) with major grants.

He continued his postgraduate studies in operative and aesthetic dentistry, earning a master’s degree from the International University of Catalonia (UIC) in Barcelona, Spain.

Member of Styleitaliano.

He has developed and currently is developing various materials and instruments for aesthetic dentistry and photography in collaboration with international companies.

Author and coauthor of many publications in international journal.

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: complex re-organisation of anterior guidance.
• Managing discolored tooth substrates with predictable non-vital nightguard bleaching in combination with direct resin bonding.
And much, much more...
• How to handle the peg lateral and microdont teeth
• Classification and planning of diastema closure. How to close the diastema simply without creating overhangs
• Simple, intuitive finishing protocols, which allow the operator to produce highly, polished restorations, which mimic natural enamel.

About the lecturer:

Qualified at the Royal London Hospital in 1995; achieving a number of awards including The Constance Klein Memorial, The Stafford Millar, and The Malcolm Jenkins Scholarships, The American Association of Endodontics Prize and the Overall Award for Clinical Dentistry.

After spending 3 years in oral surgery residency in London and a further year practicing restorative dentistry in London’s Harley Street Medical District, he relocated to Cornwall in the extreme southwest of England. Jason practices at Revitalise, Cornwall, UK where his main focus is microscope enhanced adhesive dentistry.

His specific interest is direct composite resin artistry and minimally invasive all ceramic restorations and he has presented to dentists locally, nationally and internationally (USA, Canada, Australia, New Zealand, South East Asia and Europe) on this topic.

He has given hands on programs in the UK, Europe, Asia, and North America on behalf of GC, Ivoclar, Kerr, Kulzer, Optident, Micerium, Carl Zeiss, Zumax, Global, Velopex and Triodent. He is a European “Key Opinion Leader” for Kulzer and is a member of the European Prosthodontic Advisory Board for GC Europe. Jason is Resident Faculty at The Centre for Esthetic Excellence, Chicago, USA. He is an Accredited International Trainer for Carl Zeiss Dental Academy.

Jason has achieved Diplomat Status in Restorative Dentistry from the Royal College of Surgeons (England).

He is on the Editorial Board of The Russian Journal of Esthetic Dentistry and has published numerous peer-reviewed articles on adhesive and aesthetic dentistry in both the UK and abroad. He is joint author of “Vertical Margin Finish Lines In Fixed Prosthodontics”

Abstract:
Dental caries remains a global public health burden as 44% of all people worldwide is suffering from untreated caries in primary and permanent teeth. Caries is today regarded as a preventable non-communicable disease (NCD), sharing similar biological, behavioral, socioeconomic and lifestyle risk factors with other NCD’s within the metabolic syndrome. Therefore, caries should be subjected to a similar model of chronic disease management. Caries prevention has traditionally relied on fluoride exposure, diet control, proper oral hygiene and antibacterial agents. Prevention of caries as a NCD does certainly not disqualify these methods but bring them into a new context. The lecture will give a brief overview on how these preventive measures can interfere with the drivers of dysbiosis and promote the growth of health-associated clusters in the oral microbiome. Besides the established routines of regular tooth brushing with fluoride products and fluoride varnish applications, there is an opportunity for additional technologies based on ecological principles to address and modify the oral biofilm. Methods to reduce dietary sugar, slow down plaque metabolism and support saliva functions should be further developed and investigated in terms of efficacy, compliance and cost-effectiveness.

Learning objective:
- To understand and embrace the 4D-loop (Determine, Detect, Decide and Do) for caries management and care in everyday practice.
- To practice evidence-based caries risk assessment, early caries detection, clinical decision-making followed by a personalized care plan for children.

Strategies for choosing restoration material
Understanding light interaction with tooth structures as well as proper histo-anatomic principles is essential for a better material and shade selection strategy during restorative procedures. Tooth structures form a complex optical medium for light as it passes through enamel, dentin-enamel junction and dentin. Furthermore, this behaviour changes over the years, as tissues change in morphology and composition.

Bioemulation Concept Philosophy
The Bio-Emulation approach as written in structural analysis and visual synthesis defined the new bases to consider for replication of natural tooth structures with dental materials. The penta_laminar concept represents the ultimate implementation of this philosophy: analysing different ageing stages to build a dynamic shade concept that adapts to nature. However, feasibility of application of this concept is compromised by it’s intrinsic complexity, not accessible to all clinical conditions. By analysing the key factors of natural structure’s ageing process and applying this knowledge to the material selection, it is possible to simplify techniques to make them approachable in all situations.

From a bi-laminar technique to the penta_laminar technique we can learn to adapt our work in order to optimise the clinical outcome achieving cost-effective treatments to cover our patients needs and expectations. Defining proper shade selection strategies for both composites and ceramics is of paramount importance for our daily work. The Bio-Emulation approach provides specific tools designed to increase dramatically the accuracy of our shade matching, including the custom_eyes shade tabs as well as the “state of the art” eLAB protocol for ceramics. Ultimately, a successful treatment will always be the outcome of a good communication with patient and perfect teamwork between dentist and technician.

Penta Laminar concept for reproducing aging of teeth
The Bio-Emulation approach as written in structural analysis and visual synthesis defined the new bases to consider for replication of natural tooth structures with composite resin. The penta_laminar concept represents the ultimate implementation of this philosophy: analysing different ageing stages to build a dynamic shade concept that adapts to nature.

Simplified reproduction of aging of teeth
However, feasibility of application of this concept is compromised by it’s intrinsic complexity, not accessible to all clinical conditions. By analysing the key factors of natural structure’s ageing process and applying this knowledge to the material selection, it is possible to simplify techniques to make them approachable in all situations. From a bi-laminar technique to the penta_laminar technique we can learn to adapt our work in order to optimise the clinical outcome achieving cost-effective treatments to cover our patients needs and expectations.

About the lecturer:

Javier Tapia Guadix was born in 1978 in Madrid, Spain. He finished dental school at the European University of Madrid in 2003. Working then as associate professor in the prosthetics department during 2004.

In 2005 he started his career as professional computer graphics artist, focused on illustration, animation and application development. He founded the company Juice - Dental Media Design for this purpose. He received the Collegiate Merit Award by the Spanish College of Dentists from the 1st Region in 2005, for his collaboration in the commission of new technologies.

In 2011 he founded together with Panaghiotis Bazos and Gianfranco Politano the Bio-Emulation group. He actively collaborates with several universities across Europe and is member of GC Restorative Advisory Board. In 2014 he became official reviewer for the Journal of Clinical and Experimental Dentistry. Then in 2017 he became official reviewer for the International Journal of Esthetic Dentistry.

Javier works in his private practice in Madrid, focused on restorative dentistry and aesthetics.

He is an international lecturer with participation in more than 250 congress, hands-on courses and live courses. He published several articles in restorative dentistry, dental photography and computers in dentistry.