Modern posterior ceramic restorations: Adhesive onlays, cuspal coverage, oclusal veneers (table tops) and endocrowns

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Face-to-Face Training | CAPP Training Institute Dubai (full day)

Course outline

The course will start with a lecture that will cover the biological backround necessary to make appropriate tooth preparations for all-ceramic restorations. The classic indications are going to be shown in contrast with new indications like non retentive onlays, oclusal veneers for the worn dentition and endocrowns. The new philosophy, defect oriented and not material oriented will prove to be more conservative and more reliable on the long term. Different ceramics will be classified, in order to asses the properties of different materials. Advantages and disadvantages will be discussed. Afterwards several clinical cases fully documented in high resolution will be presented showing a wide array of preparation techniques and cementation materials and protocols. A comparison between the needs for CAD-CAM and non CAD-CAM restorations will be given.

The hands-on section will start in the afternoon of the first session. First, preparation guides will be made and several tips for the orientation during preparation will be given.

The biological preparation for inlays and onlays with and without cuspal coverage are going to be shown.

The second day, the focus will be on the severe worn dentition, were the need of crowns is going to be discussed. New indications like table tops and endocrowns are going to be presented.. At the end of the session, an all/ceramic restoration will be cemented as a demonstration. Different cementation materials and techniques will be introduced.

Objectives

At the end of the program, the participants will be able to:

Understand the biological principles of tooth preparations
Indicate the right type of preparation depending from the patient needs
Understand the advantages of certain materials for each indication
Prepare for inlays, onlays, crowns and oclusal veneers, based on the limitations and advantages of CAD-CAM and non CAD-CAM technology.
Understand the geometry necessary for improvements of fit and duration of all-ceramic CAD-CAM and non CAD-CAM restorations.
Discuss how and when cusps need to be covered
Indicate new restorations like table tops and endocrowns for the benefit of their patients

Important note

The course is designed and planned for CAD-CAM users as well as non CAD-CAM users

Course Schedule

Day 1

9:00 - 10:30	Biological backround. Properties of enamel and dentin Burs, turbines, micromotors, oscillating instruments, reciprocating instruments Preparation techniques Preparation rules for inlays, onlays with and without cuspal coverage
10:30 - 11:00	Coffee break
11:00 - 12:30	Basic science of ceramic materials. Classification Advantages and limitations of milled materials and CAD-CAM machines Clinical cases discussion, preparation rules for the different type of materials (PFM, All-ceramics, composites. Cementation techniques (short overview) Preparation guides will be done and tips and tricks for orientation during preparation will be given
12:30 - 14:00	Lunch
14:00 - 16:00	Hands-on: Preparation of an Inlay Preparation of an Onlay.
16:00 - 17:30	Coffee break (Whoever needs to rest can take the break, otherwise we will continue doing the preparations in the room) Hands-on: When to cover a cusp, when not. Teeth after RCT, what to do? Adhesive build ups, with or without posts. Endoonlays? Do they make sense
17:30	Discussion and end of the program

Day 2

9:00 - 10:30	Table tops or oclusal veneers: Why are they now better than crowns? Enamel preservation. Biomechanics Endocrowns vs Richmond crowns
10:30 - 11:00	Coffee break
11:00 - 12:30	What materials can we use for these new indications Zirconium oxide vs lithium disilicate Modern cements
12:30 - 14:00	Lunch
14:00 - 16:00	Hands-on: Preparations of table tops Preparations of endocrowns Chamfer or butt joints?
16:00 - 17:30	Coffee break (Whoever needs to rest can take the break, otherwise we will continue doing the preparations in the room) Hands-on: Adhesive cementation of all indications.
17:30	Discussion and end of the program