Continuing Education
Apr 10, 2014
www.scb.lb
Dr. Eduardo Mahn's Esthetic Course
All we need to improve our outcome in esthetic rehabilitations

When most of us finished dental school, PFM crowns and amalgam fillings used to be the standard treatment options. At that time, the focus was to restore the patient’s oral health by eliminating infected areas in the soft tissues or repairing the hard structures with fillings or crowns. There was no real scope for esthetic improvements, because the materials available could not reproduce the optical properties of our teeth. Nowadays, however, we do have materials that can restore the health and function of natural structures as well as their esthetics.

The challenge we are facing now is to choose the right technique for each case and select the appropriate material depending on the indication. We need to have a deep understanding of esthetic parameters and how to prioritize and relativize them in accordance with each patient. We should also keep up to date on new developments in terms of techniques and materials and be aware of their respective advantages and limitations.

In most cases, we tend to believe that we fail because of a lack of knowledge, inexperience and the poor quality of the laboratory we work with. Fortunately, this is not entirely true: In most cases, we fail because we do not integrate what we already know and we do not have the clarity to find the solution. The reason is that most of us tend to ignore the necessary mental structure to succeed in creating esthetic rehabilitations.

Very often clinician fail in understanding patient’s needs. They come to us with concerns regarding the final outcome of the treatment and most of the time with false or unrealistic expectations. For us, it is sometimes difficult to decide which tooth form we can give and which form and esthetic they would like to have. Fortunately, we have tools and techniques, that based on simple photography, smile analysis and morpho-psycology that can help us with a new way of approaching the important first appointment.

The course will provide the necessary tools to master esthetic rehabilitations based on several clinical cases and the challenges that each of them presents during the examination, treatment planning and execution. The following aspects will be covered:

1-      Communication between the dentist and the lab

2-      Diagnostic protocol, basic photography, visagism, videos

3-      Basic photo and video edition with no special software

4-      Digital mock-up, standard mock-up

5-      Importance of facial parameters, facial lines, smile design

6-      When to prepare, and how much should be removed

7-      Indications for direct and indirect veneers

8-      Non prep veneers concept and execution

9-      When should we make what kind of veneers or crowns

10-  Material selection and cementation protocols

All these topics will be exemplified with clinical cases fully documented from A to Z in HD resolution.

 

The course will first present the necessary theoretical backround, then the information will be discussed with clinical cases. Afterwards the participants will practice, make preparations for different kinds of veneers and all-ceramic crowns, will layer direct composites, close diastemas, take impressions, temporize and final cementation will be done. Realistic models will be used. A simplified and fast method of taking pictures and videos will be shown and the participants will also make them.

The course will also provide the participants with written material explaining several techniques presented during the lectures.

 
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