International schools working with composite restorations

Lesson 1. Modern adhesive systems and their optimum application procedures.

• History of bonding technology
• The resin-coating technique
• Dentin bonding
• Dentin bonding interface of 2-step self-etching type
• The hybrid layer
• Understanding the functions of adhesive resin monomer
• Understanding the bonding mechanism of adhesive systems: etch & Rinse type, Self-etching type, and Universal Bond type
• Understanding the fundamentals of bonding and bonding performance of adhesive systems
• Keys for obtaining maximum performance of the adhesives
• Enamel bonding
• All-in-one: bonding with universal bond
• Importance of the light irradiation
• Flowable composite resin lining to avoid the bond separation in cavities
• Analysis of clinical cases.

Duration: 1 h 05 min · Presented by: Junji Tagami

Lesson 2. Strategies for Improving the Direct Composite Restoration (DCR).

• Cavity preparation technique without the post restoration tooth sensitivity
• Caries detector and removal techniques
• Deep caries treatment protocol
• Partial caries removal in deep caries lesions
• Resin coating layer and incremental filling
• Bonding procedures obtaining the maximum performance of materials
• Applications of the flowable composite resins
• Applications of the universal shade composite resins
• Keys for the success of direct composite crown
• Keys for the success of direct composite bridge
• Repair technique for direct composite restoration (DCR)
• Clinical cases and treatment results discussions.

Duration: 1 h 16 min · Presented by: Junji Tagami

Lesson 3. Reliable adhesive approach for Direct Composite Restoration.

• Protocols for reliable bonding procedures
• Rubberdamology. Evidence based guidelines on isolation and its effect of the prognosis of treatment
• The effect of air-polishing powders of dentin bonding

Caries removal guidelines and protocols:

• Selective removal technique,complete removal technique
• The resin coating technique
• Protocols of adhesion to the dentin
• Mechanism of action of self-etch adhesives
• Overview of light curing and polymerization in operative dentistry
• Approach to direct composite resin restorations of various carious cavities in the molar region
• Class I and Class II adhesive restorations
• Restorative procedures and filling techniques
• Treatment protocols of deep cavities
• Incremental layering technique
• Bulk-fill filling technique
• Polishing techniques and tips
• Clinical cases.

Duration: 54 min · Presented by: Meiken Hayashi

Lesson 4. Biomimetic Restoration of Structurally Weakened Posterior Teeth.

• Posterior teeth histology
• Structural diagnostics
• Biobase creation
• Occlusal cavity preparation
• Remineralization of the remaining carious dentin
• Partial caries elimination
• Crack removal endpoints
• Occlusal effect on caries development
• Fundamental instruments of biomimetic restorative dentistry
• Peripheral Seal Zone (PSZ)
• Central Stop Zone (CSZ)
• The hierarchy of bondability and decoupling with time (DWT) by Dr. Alleman
• Bonding to carious dentine is possible
• Stress reduction and fiber reinforcement
• The black and white aesthetics: bitewing x-ray
• Indirect composite biomimetic restorations
• Direct layered short fiber reinforced restoration of endodontically treated teeth - Bioblock
• The mechanical state of each tooth: mechanical analysis
• Deep margin elevation (DME)
• Air particle abrasion (APA)
• Immediate dentine sealing (IDS)
• Ribbond application
• Ways of restoring the biobase of a tooth: SRDC, semi-direct, indirect
• Conclusion and clinical cases.

Duration: 1 h 16 min · Presented by: Andras Forster

Lesson 5. Deep Margin Elevation (DME). Justification and techniques.

Why do we need isolation?

• Band/Matrix adaptation technique
• Evidence-based supporting the technique of Deep Margin Elevation
• Clinical justifications of the technique of DME
• Instruments and materials in biomimetic dentistry
• Techniques description and recommendations
• Step by step protocols: rubber dam isolation, adhesive installation, proximal wall reconstruction
• The 2-step direct restoration technique with DME
• DME and preserving the form of the root
• Clinical cases.

Duration: 1 h 23 min · Presented by: Jorge O'Brien

Lesson 6. Direct composite posterior restorations with stress reduced and fiber reinforcement techniques.

What happens to the composite restoration with time?

Risk assessment and diagnostic:

• Cracks,Axial loads,Reduced cuspal tensile movement,Vertical fracture risk

Techniques to maximize bond strength:

• Immediate Dentine Sealing (IDS),Resin coating,Deep Margin Elevation,Gold standard adhesive,Air particle abrasion,Peripheral Seal Zone (PSZ),Matrix metalloproteinases (MM
• Ps)
• Decoupling with Time
• Direct reconstruction of structurally compromised teeth
• Reduction of the micromovement
• Dentin replacement: how to mimic this tissue
• The stress reduced direct composite concept
• Adhesive optimization and stress control
• Special fiber reinforcement biomaterials
• Wallpapering technique
• Instruments and materials for direct restorations (class I and II)
• 2 step approach for subgingival restorations
• Sequenced bands technique
• Double ring technique
• Clinical cases.

Duration: 1 h 38 min · Presented by: Jorge O'Brien

Lesson 7. Direct anterior restorations: from fourth classes to direct veneers. Stratification Technique.

• The minimal invasive approach
• Restoration under, on, and over the cementoenamel junction (CEJ)
• The three secrets of composite restorations
• It's not aesthetic if the restoration is not functionally reliable
• Bolton analysis
• Diagnosis and treatment plan in aesthetic dentistry
• Aspects related to symmetry: waxing and shape transfer
• The color: chroma tint and value both in the natural tooth and in our materials
• Non carious cervical lesions (N.C.C.L.)
• Carious Cervical lesions (C.C.L.)
• The stratification of the composite for class III and IV restorations: video demonstration
• Direct veneers: stratification technique
• The importance of macro and micro-texture in terms of value
• The role of emergence profiles in cases of diastema closure and black space closure in the periodontal patient
• Contact points in anterior teeth restoration
• Polishing protocols
• Conclusion, clinical cases, and patient follow-up protocol.

Duration: 1 h 57 min · Presented by: Alessandro Pezzana

Lesson 8. Hyperchromatic Composite Technique. Posterior Teeth Restoration.

• Election of the restorative system
• Shade selection
• Instrument selection: spatulas and brush selection
• Class I and Class II restorations
• The occlusal compass concept: practical approach to posterior tooth morphology with composite restorations
• Occlusal veneers and the morphological concept
• Perfecting the interproximal contact point
• The matrix system: classification and clinical application
• The hyperchromatic and incremental technique for composite restoration
• The Bulk filling technique
• Steps to to minimize the final occlusal adjustment
• Polishing and finishing
• Maintenance of the restoration
• Clinical cases.

Duration: 49 min · Presented by: Maciel Júnior

Lesson 9. Hyperchromatic Composite Technique. Anterior Teeth Restoration.

• Class 3, Class 4 and Class 5 restorations
• Darkened tooth and discoloration treatment
• Peg incisors
• Black triangle closure
• Aesthetic concept of anterior teeth restoration
• Election of the restorative system
• Shade selection
• Instrument selection: spatulas, brush selection, matrix system
• Layering techniques
• Polishing and finishing
• Maintenance of the restoration.

Duration: 1 h 11 min · Presented by: Maciel Júnior