Digitized Treatment: From Planning Through Surgery To The Final Result
Hands-on course
06 May 2018, 9:00-18:00 Dubai, UAE Area of interest: General Dentistry

Date: 06 May 2018

Location: CAPP Training Institute, Dubai, UAE

Target Audience: Dentists 

Accreditation: 7 CE


Course Description

 In modern dentistry innovative technologies developed in other industries are being offered and implemented at high speed, causing a continuous change of information flow for academic as well as marketing purposes. It can be imagined that people not fully confident with these new, most digital, technologies are confused by sometimes contradictory messages and do not feel comfortable adopting new protocols or investing important sums of money in hardware and software. During this workshop, a team of experts, led by Dr. Jakob Zwaan, will demonstrate how it is possible to convert traditional diagnostic, surgical and prosthetic protocols into a workflow that is digitized to the optimal level without compromising safety for the patient and quality and accuracy of the final result. Also will be highlighted how it is possible to integrate step by step new tools without abandoning completely the precious experiences built up during our professional careers. Delegates will be shown how dr Zwaan’s team approaches patient intake and diagnostic phase with the means of clinical, radiological and esthetic analysis. In the next step, they will learn how to perform Smile Design 2D based on a simple photo protocol. Calibration and transmission into the laboratory of measurements of the newly designed smile are essential. The dental technician will then translate this information into a traditional or a digital CAD wax-up and successively produce a silicon index necessary for mock-up in the mouth. Delegates will learn how to edit videos of the patient before treatment and the patient with the mock-up. The mock-up will be used as a 3D digital file that can be imported and matched with DICOM from CT-scan so that (implant-) treatment planning can be really prosthetic driven. Criteria to opt for guided surgery as well as how to design and produce a surgical template will be illustrated. Also, different prosthetic components available in company libraries can be used to optimize treatment planning, taking into account also the possibility of up to 25° angulated access holes for screw-retained CAM devices. In the end, the opportunity is offered to experience the use of an intraoral scanner and also will be shown how certain strategies and tools can optimize chairside time and patient comfort.

Course Objectives

Demonstrate delegates how data are collected and elaborated into a “multi-layer” digital environment for diagnosis, esthetic analysis and treatment planning

Understanding of each aspect from the point of view of the prosthodontist, the orthodontist, the surgeon and the dental technician and how the specialist can interact

Show a completely open workflow so that each participant can decide for his own practice which digital tool to implement and what part of his/her traditional protocol to maintain

Highlight the importance of Smile Design and discuss how photo- and video imaging can be applied to optimize treatment as well as communication with the patient

Promote a rational discussion about guided surgery, choice of material and methods for prosthesis

Agenda

09.30 - 10.30
Lecture:
  • patient intake: basic analysis of complex protocols for diagnosis: simple cases vs complex cases
  • patient expectations: functional and esthetic risk assessment from an esthetic point of view
  • smile design: simple/single cases vs complex/full front cases proportions in smile design
  • wax-up: CAD vs traditional 3D models for silicon index: 3Dprinting vs plaster/wax
  • mockup and motivational patient video
10.30 - 11.00
Coffee break
11.00 – 12.30
Lecture:
  • how can we transform our mock-up into a digital STL file?
  • when do we need to interface the digital mock-up with DICOM data?
  • how can we interface STL with DICOM?
  • how does the technician design a surgical template after implant position planning?
  • what other digital tools could be imported in implant planning software?
  • how can an intraoral scanner be useful in planning and post-surgery phase?
  • innovative strategies for intraoral scanning
  • what materials should we choose for our prosthodontic devices?
  • case reports of esthetics cases: a full smile on natural teeth/central incisor implant/complex hybrid case
12.30 – 13.30
Lunch
13.30 – 18.00
Hands-on:
  • step by step demonstration of Smile Design (KeyNote, with details for PowerPoint users)
  • step by step demonstration of digitized wax-up (STL)
  • the interface of STL with DICOM, implant planning software
  • the interface of libraries (prosthodontic components) with DICOM, implant planning software
  • how can we plan in advance for angulated screw access holes for screw-retained bridges?
  • design in CAD of a surgical template
  • intraoral scanning
  • innovative tools for intraoral scanning
  • conclusions and expected developments for the near future. Interactive discussion




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