Pilot: Dr Federico Ferraris
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- COMPOSITE VS CERAMIC
The versatility of composite resin, its potential for layering intra-orally, the ease of repair and the fairly good prognosis in the medium & long term, make it a reliable material and the tendency of new materials to improve the wear resistance and the stability of the surface means that, in many cases, composite is a worthy substitute for ceramic materials.
By contrast, ceramic materials, often considered the gold standard for colour characteristics and mechanical and physical properties, see an increase in the ability to produce restorations with minimum thicknesses while maintaining dimensional stability, prognosis and aesthetics. The choice, therefore, to use ceramic or composite materials is always less clear but also offers to the dentists the greater possibility of diversification in restorative. Many aspects will be discussed, including indications, mechanical characteristics, aesthetics, predictability and durability.
- MORPHOLOGICAL COMPOSITE MODIFICATIONS AND IV CLASSES
The ultimate conservative approach takes into consideration to have a no-prep at all.
In some cases we can select the indirect approach as well, but most frequently if we want to have an ultra conservative approach we have to consider the direct way with resin-based materials. The new composite materials can allow us to have a nice color and shape stability and the clinician can manage them properly in order to obtain an excellent result.
An accurate finishing and polishing has to be done in order to replicate also the primary, secondary and tertiary morphology.
Thanks to a DSD planning, a wax-up and silicon index, we can follow the project to do the morphological modification directly into the mouth. We can use just a palatal shell or an index technique with the transparent silicon key. All the knowledge that we have in the IV class type of restorations should be considered from the shade matching to the layering technique to the finishing and transfer to this shade modification or direct veneering approach.
Nowadays we can have different kind of opportunities to achieve a remarkable esthetic improvement in our patients and we have to take in consideration all the possible indications, advantages and disadvantages of different techniques.
- PREPARATION OF A VENEERLAY
In this workshop, we will see all the codified steps for this kind of posterior preparations and we will talk about the opportunity to use this kind of conservative approach, and directly performing by the participants during the hands-on.