Dancing with nature: Using modern ceramics for comprehensive cosmetic and functional dental rehabilitation

16 Nov 2019, 14:10 - 14:50
Stefen Koubi

In the past fifteen years, adhesively placed dental restorations have become the most suitable solution from an esthetic, biological and biomechanical point of view to restore dental defects and mimic nature. The materials, techniques and concepts available today allow us to offer our patients state-of-the-art dental treatments. Dental manufacturers provide us with great products. These need to fit in with a precise methodology in order to improve the daily practice routine and make our lives easier. Adhesively placed restorations made of lithium disilicate have developed into the standard treatment over the past 15 years both in cosmetic and functional rehabilitation.

The aim of this presentation is to suggest a simple restorative approach that can be summarized in three words: simple, teachable and repeatable. Laminate veneers will be presented as a versatile option to solve cosmetic problems and restore worn dentition. Both of these topics involve the same philosophy (minimally invasive approach), the same restorative materials (CAD/CAM-processed or pressed), the same concepts (visualisation, validation, navigation by means of the mock up) and the same clinical procedures (prep design, temporization, cementation). Esthetic dentistry thus becomes simple, digital and, above all, accessible.

The treatment of tooth wear has increased over the last two decades. Nevertheless, the treatments performed have not been satisfactory to most patients, nor did they bring the expected results in some worn teeth scenarios. New approaches have emerged to reconstruct full arches in a minimally invasive way. These new concepts constitute a revolution in dentistry and their application requires adapted techniques and training to achieve optimal results.

The purpose of this session is to suggest a precise and reproducible method that simplifies the treatment of worn dentition. A wax up or mock-up is mostly used for achieving aesthetic outcomes, and it also serves as a guide (preparation based on the mock up or wax up - suitable for the preparation of anterior teeth). The technique presented can also be used for the occlusal surfaces of posterior teeth. This method will not only ensure the establishment of a correct vertical dimension of the occlusion, but also allow the dentist to precisely control the occlusal preparation simultaneously with the buccal preparation. Finally, template-guided implantology will be addressed to highlight its importance in this context.

Key word: worn dentiton, minimally invasive, table top, digital planning