Restoring Fragile and Endodontic Treated Teeth (10_OCT)

with dr Jordi Manauta

A complete rationale on the structural and functional damage suffered by teeth and how to restore them. A conservative but smart approach that gives the clinicians the right tools, judgment and understanding on how to reinforce compromised teeth. Understanding when a tooth is compromised is the first step to take action. With these simple concepts, the clinician will be able to immediately stabilize teeth, create strong temporary restorations during the endodontic stage, long term temporaries and definitive restorations for these fragile teeth. Using unique instruments and new techniques, this task becomes very easy and thus, applicable to everyday practice.

Partial bonded adhesive restorations in the posterior region and how to reinforce the teeth with the help of the laboratory or the chair side CAD-CAM. Indications and material selection. Build-up rationale and universal cavity preparation. Cementation options with last generation materials and disadvantages of the classic approaches. Long term evaluation and maintenance.

Objective evaluation of the remaining cusps in compromised molar, preparation of the cusps to be covered, full hand-free build-up with composite.

Build-up with composite of a compromised posterior tooth, retention elimination and adhesive restoration of the internal lost structure. Preparation for Overlay following the conservative and adhesive principles for function and longevity.

Discolored teeth are often structurally compromised, and if they are not, the aggressiveness of the classical treatments will make them weaker. In order to avoid tooth destruction while providing the patient with an optimal aesthetic result. The most conservative treatments are discussed in this first part, as bleaching, cleaning and bonded composite restorations.

Prosthetic set-up and evaluation of discolored and fragile teeth, preparation principles and additive management of the crown and veneers dimensions. Material selection, material arrangement, substrate evaluation and substrate set-up.

Full immersion in traumatized anterior teeth, indications for the anterior Inlays, onlays, overlays and crowns, all the rationale on how the remaining enamel of the anterior teeth will define the type of anterior indirect restoration, from a small fracture to a complicated crown trauma. The decision making and planning will allow the clinician to obtain success in aesthetic and longevity for these kinds of restorations.

Preparation of a dark tooth for the laboratory, information collection and restoration selection to send to the laboratory digitally. Analogical method will be analyzed, proposed and discussed. Live demo on different types of restoration and the cement influence.

with prof Angelo Putignano and dr Walter Devoto

To place posts or not to place them has been a big debate in the last few years. The discrepancy between authors that never place posts or authors that always place posts have harmed somehow the mentality of innumerable clinicians that don’t know what to do. A set of rules based on 30+ years of experience in adhesive dentistry. Preparation principles and warnings. Material selection and the right post to use will be linked to last generation materials, cements and techniques to boost the success of this type of build-up.

How to master the task of sending your patient home with a stable preparation and comfortable temporary crown, focusing on situations such as an emergency appointment of a lost crown or a fractured tooth, and how to be capable of preparing, building-up and placing the best possible temporary restoration even without having one prepared from the lab.

Post-pre selection, canal reparation, fitting and try-in, post and canal conditioning, cementation and core build-up following restorative and adhesive principles.

Preparation of the previously built tooth (Post and core) following a conservative strategy to preserve as much as possible the resistance of the tooth. Followed by a demonstration on how to build a temporary crown without having one from the laboratory.