Conference Programme

Guided Concept on Managing the Worn Dentition
Stefen Koubi

This full-day workshop will focus on sharing recipes for designing a smile in eroded dentition, tackling specific clinical issues particularly worn dentition and learning about a precise and repeatable method for managing simple and complex case along with the necessary steps taken in executing a guided protocol. Dr. Koubi will also share more about the recipes used in cementation laminate veneer, table top, crown and the use of e.max material for each clinical indication (choice of ingot, thickness required, etc.), including the latest e.max improvement (multi, MT) with lab pictures. Additionally, participants can also look forward to learning how to jump into digital dentistry from cosmetic to functional rehabilitation.

Morning: Hands-on Session

The morning workshop will provide participants with a practical session on the full mock-up technique used in worn dentition and novel design of occlusal veneer. The hands-on component of the workshop includes:

• How to place a precise full mock-up on 1 arch
• Preparation driven by functional mock-up in the posterior area
• Preparation driven by aesthetic mock-up in the anterior area
• Functional laminate
• Preparation for a table top
• Sandwich restoration in the posterior area

Afternoon: Interactive Session

The afternoon workshop will focus on the presentation of various clinical cases and provide participants with the opportunity to discuss, interact and make the synthesis of the morning workshop and lecture. The interactive session will compromise of: 

• Treatment planning and clinical steps
• Choice of materials- Video of a case
• Cementation of laminate veneer, tabletop, crown 
• Workshop on face references record using ditramax device to improve communication with the lab

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The Power of Pink: Techniques for Pink Composite Restorations with Bioactive Giomer Composites 
Frank Milnar

The gingival architecture represents the frame for the teeth. If it is not restored correctly, either surgically or prosthetically, it will impair the final three-dimensional aesthetic outcomes. This workshop will teach you how to enhance your skills and gain confidence using pink composites that utilize minimally invasive concepts. Workshop modules include restoring multiple gingival recessions with sulcus reproduction and surface characterizations.

Learning Objectives:

• Understand the mechanics of building “prosthetic gingival restorations” with bioactive Giomer pink composite.
• Learn how prep, layer and finish/polish pink composites.
• Learn the art of “sulcus reproduction” including gingival micro-texture.

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Direct Anterior Restorations – Clinical Techniques and Challenges
Giulio Pavolucci

Adhesive techniques and solutions have changed the way dentists conceive aesthetic restorations. This workshop aims to equip the participants with the principles of material selection and adequate layering techniques as well as understanding the correct finishing and polishing protocol for highly aesthetic and functional anterior restoration. This also helps the practitioner to understand the clinical and preparation techniques that can be applied easily to boost their quality of work in order to overcome day-to-day anterior restorative challenges, and ultimately achieving predictable results and aesthetics.

Learning objectives:

• Unique techniques to simplify direct bonding
• Class IV restoration, aesthetic bonded veneers
• Materials selection and manipulation
• Colour mapping and layering techniques
• Practical advice for practice integration

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Teamwork in Everyday Practice: Cosmetic/ Worn Dentition/ Implant; A Guided and Predictable Approach Between the Dental Clinician and the Dental Technician - I 
Stefen Koubi & Hilal Kuday

Partial bonded restorations have become for the last fifteen years the most aesthetic, biologic and biomechanic solution to restore dental defects and mimic nature. At the same time materials, technique, concepts brought us all the solution to offer contemporary dentistry to our patient. Dental manufacturers offer awesome products. These need to fit with a precise methodology in order to propose solutions to the dentist and improve their daily life.

The aim of this presentation will be to suggest a simple way of working and thinking which can be resumed by these 3 keywords: simple, teachable and repeatable. Laminate veneer would be presented as a versatile tool to solve the cosmetic problem and worn dentition topic. Both of these topics use the same philosophy (minimal invasive approaches), same bonded materials (CAD CAM material, press material), same concept (visualization, validation, navigation through the mock up) and same clinical procedure (prep design, temporization, and cementation).
Aesthetic dentistry becomes simple, digital and more than this accessible.

Treating tooth wear has increased over the last two decades. Nevertheless, the treatments involved have not been satisfactory to most patients, nor have they achieved the expected goal 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 technique 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 and a mock-up are mostly used for designing aesthetic outcomes and then used as a guide (preparation through the mock-up or the wax up- apt for the preparation of anterior teeth). The technique can also be used on the posterior occlusal surfaces of the teeth. This will not only provide the exact new vertical dimension of the occlusion but also let the dentist use it as a guide for precisely controlling occlusal preparation simultaneously with buccal preparation.

Guided implantology will be presented to highlight the purpose and extend the purpose.

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Teamwork in Everyday Practice: Cosmetic/ Worn Dentition/ Implant; A Guided and Predictable Approach Between the Dental Clinician and the Dental Technician - II
Stefen Koubi & Hilal Kuday

Partial bonded restorations have become for the last fifteen years the most aesthetic, biologic and biomechanic solution to restore dental defects and mimic nature. At the same time materials, technique, concepts brought us all the solution to offer contemporary dentistry to our patient. Dental manufacturers offer awesome products. These need to fit with a precise methodology in order to propose solutions to the dentist and improve their daily life.

The aim of this presentation will be to suggest a simple way of working and thinking which can be resumed by these 3 key words: simple, teachable and repeatable. Laminate veneer would be presented as a versatile tool to solve the cosmetic problem and worn dentition topic. Both of these topics use the same philosophy (minimal invasive approaches), same bonded materials (CAD/CAM material, press material), same concept (visualization, validation, navigation through the mock up) and same clinical procedure (prep design, temporization, and cementation).
Aesthetic dentistry becomes simple, digital and more than this accessible.

Treating tooth wear has increased over the last two decades. Nevertheless, the treatments involved have not been satisfactory to most patients, nor have they achieved the expected goal 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 technique 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 and a mock-up is mostly used for designing aesthetic outcomes, and then used as a guide (preparation through the mock-up or the wax up- apt for the preparation of anterior teeth). The technique can also be used on the posterior occlusal surfaces of the teeth. This will not only provide the exact new vertical dimension of the occlusion but also let the dentist use it as a guide for precisely controlling occlusal preparation simultaneously with buccal preparation.

Guided implantology will be presented to highlight the purpose and extend the purpose.

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The Power of Pink: Techniques for Restorations with Bioactive Composites
Frank Milnar

Developing treatment strategies for MID anterior restorations can be challenging. Materials used for these restorations must be easy to handle, exhibit beautiful aesthetics and have the ability to reproduce missing tooth structure or gingival tissue. In this presentation, you will learn how to enhance your skills and gain confidence using pink and white bioactive composites that utilize minimally invasive concepts.

Learning Objectives:

• Learn about a new generation of bioactive materials that will simplify your bonding cases.
• Understand the mechanics of building teeth from the inside out using a new generation of pink and white nanohybrid composites.
• Learn the proper sequence for finishing and polishing composites.

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Simplified Restorative Procedures in the Daily Practice
Giulio Pavolucci

The purpose of the lecture is to make a critical appraisal of modern materials and procedures in restorative dentistry, including dentin bonding agents, resin composites, colour, aesthetics principles, post-endodontic restorations, dental traumatology and the step-by-step procedures for direct anterior and posterior restorations. Many different aspects of multidisciplinary treatment planning will also be discussed.

Adhesive technologies have contributed to change the way dentists conceive aesthetic restorations. The silent revolution of dentin bonding agents have allowed practitioners to minimize their preparations: It is now possible to obtain an “invisible” restoration in terms of colour, shape and surface texture. Due to the improvements of materials and techniques, dentists can restore aesthetic appeal and function with a low biological and financial cost. Reparability of resin composites is also highly appreciated as this allows restorations to be easily redone should the result not be perfect in the first stage. Moreover, performing aesthetic dentistry is nowadays one of the main goals of our profession. Patients are aware of the new technologies, and require treatments that are highly aesthetic, minimally invasive, repairable and not too expensive. Resin composite restorations can fulfil all these requirements. However, the correct protocols have to be implemented to achieve clinical success and to obtain invisible restorations. Multidisciplinary treatment planning is most often the key to success: Many patients need a combination of different treatments to solve their problems. It is extremely important to combine the skills of several specialists to establish the most constructive treatment plan so as to ensure the best possible result for the patient.

Learning Objectives:

• To learn how to make an invisible resin composite restorations.
• To learn how to prepare a silicon key.
• To learn how to perform a fragment re-attachment procedure.
• To learn how to manage a fibre post-restoration.
• To learn how to simplify the daily practice in restorative dentistry.

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Contemporary Anterior Esthetic Implant Prostheses using Computer-Guided Implant Placement
Kim Ki-Seong

Based on the three-dimensional CT data, a surgical guide that will help the implant placement to the desired location has been introduced a long time ago. Recently, accelerated digitization of the dental division, development of various oral and model scanner and the dental CT and 3D printer further enhanced the usability of a digital surgical guide.

Implant surgery in the aesthetic area requires more careful diagnosis, treatment planning, surgery, and prosthetic restoration than in posterior area. In order for implants in the maxillary anterior area to be successful, fixtures must be placed precisely at the right site. The purpose of this lecture was to evaluate final outcome of anterior aesthetic implant prostheses after implant placement using a computer-guided surgery system.

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Tips & Secrets in Direct Aesthetic Dentistry 
Paulo Monteiro

Aesthetics has become a trend for both patients and dentist. At the same time, in dental treatments, the dentist must always combine aesthetics with functionality, longevity and bio-compatibility of the materials. The evolution of dental materials in aesthetic dentistry has been exponential in the last years, allowing dentists to create restorations with optical and mechanical properties similar to the natural tooth with the use of layering techniques. While some of these techniques use several different opacities and increments of composites, the clinical reality of most dental clinics is based on simple procedures, easy to perform with suitable aesthetic and longlasting results. Simple layering techniques make the dentist daily work simple and predictable, enabling direct aesthetic and invisible composite resin restorations. Furthermore, the development of new composites for posterior teeth leading to aesthetic results with less polymerization shrinkage allows the dentist to perform restorations in a very simple and fast manner. In this lecture, Dr. Monteiro will present a simplified technique for aesthetic restorations using only one or two opacities of composite resins (Class III, IV, and diastema closure), and discuss the step-by-step clinical procedures, indications and benefits of use composite restorations in anterior and posterior tooth in order to preserve the remaining tooth tissue and achieving a natural and invisible outcome.

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Aesthetic Consideration of Endodontically Treated Anterior Teeth 
Shamsul Alam

The restoration of endodontically treated teeth has undergone significant changes in the last 20 years. Most of these changes are associated with the preservation of tooth structure, this has been achieved first of all with the increasing use of operative microscopes, nickel-titanium instruments and more recently cone beam computed tomography; these instruments have allowed the clinicians to reduce significantly the amount of coronal and radicular hard tooth tissue removed in the process of cutting access cavities. The use of composites has also allowed the clinicians to restore with adhesive techniques teeth that would otherwise require extensive and destructive mechanical retentions. With a wide variety of post systems and materials available for the restoration of lost tooth structure of endodontically treated teeth, the clinical decision of which to use constitutes a challenge to dental practitioners. The use of partial crowns, monoblock system & componeer becoming increasingly popular and this also helps prevent tooth structure loss and ultimately strengthen the tooth. This lecture will focus on the choices available to restore anterior teeth and will focus more on these contemporary adhesive techniques.

Orthodontics in Dento-facial Aesthetics
Ratna Dissanayake

Orthodontics is a well-established speciality in Sri Lanka as well as an important aspect of aesthetic dentistry. New technologies in the delivery of orthodontic care are emerging at an alarming rate. Basically, orthodontics is the prevention and correction of occlusal anomalies, which is intimately related to facial growth and development of the dentition. Removable, Functional and Fixed appliances are the main armaments used in daily orthodontic practice.

Cleft lip and palate is the most common developmental dentofacial anomaly that an Orthodontist would encounter. This will demand orthodontic intervention beginning from birth till about the completion of growth. In fact, advances in orthodontics have contributed immensely, to the improvement of the overall aesthetics and functional outcomes of these patients.

Therefore an attempt is made to discuss and illustrate different modern treatment approaches using the cases managed by the author with special emphasis on diagnosis and treatment planning. Further the case selection, timing and management of patients with the help of interceptive measures, removable appliances, functional appliances, fixed appliances and the multidisciplinary approach in order to, obtain optimum aesthetics will be discussed.

Using records of completed cases, covering a wide spectrum of dento-facial aesthetic problems seen among Sri Lankan patients, practitioners will be educated on different aspects of management of patients with aesthetic problems.

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Smile-Makeovers Gone Wrong!
Jerry Lim

Aesthetic dentistry is a field where many want to play in but are not prepared to pay the price. Often times, it is a combination of factors that lead to a smile makeover nightmare. Performing a smile over reconstruction requires us to be diligent in understanding the patients desired expectations. The ability to listen, feel and get in sync with patients goals of an aesthetic smile is crucial to delivering a truly exceptional experience to the patient.

A smile makeover treatment is a multidisciplinary process. Good knowledge of various disciplines of dentistry and working with a great team are crucial to the success of the treatment outcome. But what happens when it does not go right? How do we handle the issues? Could they be avoided? How do you assess your risks and responsibilities?

At the end of the day, we must focus on what we want as our outcome for the smile makeover guided by values we must install in our work systems. This presentation shares the experience of handling smile makeover cases that have gone wrong and how it was salvaged to achieve a mutually acceptable result for both patients and dentist alike.

Importance of Restoring the Small but Terrible Lower Anterior Teeth
Cheung Lai Chun

The lower anterior teeth are the first teeth to erupt in the oral cavity in the deciduous set and in the permanent set. They are the ones that gain the first contact with the upper anterior teeth. Actually, they are the front line protectors of our occlusion, but unfortunately, their role in our oral cavity is usually overlooked. In this lecture, the important roles of the lower anterior teeth will be revisited. When we restore aesthetics, we should not forget to harmonize with function because function follows form. Clinical cases which fail to prioritize the treatment of the lower anterior teeth will be featured so as to bring back the awareness of it to the dental practitioners and laboratory technician.

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Incorporate Periodontal Surgery to Optimize the Treatment Result
Ho Feng Chuan

Interdisciplinary dental therapy (IDT) integrates the knowledge, skills, and experience of all the disciplines of dentistry to maximize treatment result.  In our clinic, we approach our treatment by IDT concept and the final goal is to provide our patients with healthy dentition, aesthetic prosthesis, beautiful smile and good function. Periodontal surgery is one of the crucial factors in accomplishing the ideal treatment goal such as the symmetry gingival line by incorporating the root coverage surgery. By performing crown lengthening procedure could create a beautiful smile for patients. The soft tissue augmentation to mask pontic area and implant prosthesis. For full mouth rehabilitation cases, through proper implant's posterior support and good hygiene could establish a healthy environment which is the key to long-term stable treatment result. I would like to share the experiences of our team with the participants.

Optimising Pink Aesthetics around Dental Implants
Rita Singh

Implant dentistry has already been established as a predictable treatment modality for replacing missing or non-restorable teeth with excellent clinical success rates. During the last decade, the focus of implant research has shifted from the osseointegration of the implant to its aesthetic integration in the smile. However, the aesthetic rehabilitation of dental implants constitutes a major challenge for dentists. The final aesthetics of an implant restoration in the aesthetic zone is dependent not only upon the appearance of the crown but also equally on the position and appearance of the surrounding gingival tissues. This requires attention to detail in a three-pronged approach that includes treatment planning, surgical management, and restorative management.

In her presentation, the presenter will highlight the ways to optimise pink aesthetics around dental implants, which plays a crucial role in the success of implant therapy.

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Anterior Teeth Alignment for Aesthetic Dentistry
Park Chul Wan

Coming Soon

Aesthetic Restoration Techniques Using High Translucent Multi-Layered Zirconia
Kazunobu Yamada

The course will introduce clinical cases using the new innovative KATANA High Translucent Multi-Layered Zirconia; ideal for both outstanding durability for posterior crowns and high translucency for the aesthetic restoration of anterior crowns and veneers. The block features a smooth multi-layered gradation from cervical to incisal. Beneficial for both dentists and dental technicians, the presentation provides anterior fabrication techniques of colour adjustments by applying dedicated external stain and discusses a number of clinical cases demonstrating applicable techniques.

Learning Objectives:

• Understand features and benefits of new KATANA High Translucent Multi-Layered Zirconia.
• Learn successful restorative treatment protocols and fabrication techniques based on clinical case examples.
• Learn step-by-step procedures for desirable shading on monolithic anterior zirconia crowns.

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The Value of Diagnostic Wax-up in Aesthetic Dentistry
Lim Zhi Yin, Joan

Coming Soon

eLAB_direct: Using Quantification Instead of Guessing in Direct Anterior Composite
Onny Eryanto

Natural tooth always forms an individual complex structure and optical properties that create complex colour differentiation. Tooth colour analysis is still one of the most difficult task in aesthetic area. To achieve an aesthetically pleasing result from our direct composite we need to learn about natural tooth structure and composite system that we use. The eLAB protocol original by S.Hein, P.Bazos, and J.Tapia allows for direct and objective colour comparison between the natural tooth and our composite or ceramic material. Combination between eLAB and custom_eyes, an innovative bi-laminar composite custom shade guide system based on the histo-anatomical architecture of natural teeth, provides an easy to use and powerful tools for choosing the right composite masses for direct restorations in aesthetic area.

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Posterior Composites: Achieving Composite Artistry 
Jerry Lim

Performing a functional composite resin restoration is difficult but getting it to look natural is even tougher. This workshop aims to equip the participants with the necessary skills to perform simple and difficult Class 2 composite not just functionally but also natural looking.

The challenges of posterior composites are:

• Proximal contacts are hard to obtain.
• Gingival margin adaptation.
• Deep cavities that are subgingival.
• Getting it to look natural.

Techniques that we will be doing for the hands-on are:

• Positive proximal contact with proper matrices, wedges and instruments.
• Deep margin elevation (DME) for deep cavities.
• Bulk fill to make posterior composite restoration faster and predictable.
• How to avoid open margins and overhanging composites at the gingival margins.

Participants are advised to bring their loupes for the workshop.

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Precise Replication of Mock-Up from the Cast to the Teeth
Cheung Lai Chun

Treatment planning is usually done in 3D by doing wax mock-up to correct the defects of the dentition. The presentation of a 3D treatment plan to the patient is an effective way to convince the patient to accept our proposed treatment. On the other hand, the dentist too will have a more predictable result in treatment. But once the treatment plan is approved, how to transfer the exact 3D mould from cast to the real teeth is a challenge. The workshop lets the participants do mock-up on the cast, then transfer the mock-up exactly the same to the patient’s teeth. Working time and adjustments inside the patient’s mouth are minimized.

Learning Objectives:

• To demonstrate procedures for transferring the wax mock-up of anterior contact from the cast to the patient’s mouth.

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Predictable Direct Anterior Restoration Through Digital Color Analysis (eLABor_aid^® Protocol) and Two-Layer (Bi-laminar) Technique
Onny Eryanto

Nowadays we are faced with a lot of composite systems that are available in the market with different optical properties and colouring system to be applied in the clinical case. However,it is not an easy job to combine composite with a huge range of colour and optical variation in the human tooth. What we need is a workflow that can help us to understand colour and optical properties in our composite system and human tooth in a predictable way using quantification. The eLAB protocol invented by S.Hein, P.Bazos, and J.Tapia allows direct comparison between the natural tooth and ceramic material or composite. The combination between eLAB and custom_eyes, an innovative bi-laminar composite custom shade guide system based on the histo-anatomical architecture of natural teeth, provides an easy to use and powerful tool for choosing the right composite masses for direct restorations in aesthetic area. With eLAB_direct protocol, we can analyse our mistakes and it also provides room for improvement.

Learning Objectives:

• Creating bi-laminar composite custom shade guide using custom_eyes^® based on histo-anatomical architecture.
• Analyzing composite sample and natural target teeth colour with eLAB^® protocol.
• Build class 4 restoration using the bi-laminar approach based on eLAB_direct^® analysis.

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Discovering Ceramic Veneers
Lim Zhi Yin, Joan

This full-day veneer workshop is designed for dentists who are currently not providing ceramic veneers in their daily practice or do not feel confident in placing veneers after doing a few cases. This workshop will provide the participants with the fundamental to successfully place ceramic veneers and at the same time enhance their confidence in providing this service.

A significant amount of changes has occurred in of aesthetic dentistry in recent years. As more patients demand to have a better smile to look good, younger and have higher self-esteem, ceramic veneers for smile makeover have considered an essential procedure for dentists involved in aesthetic.

The primary goal of this workshop is to provide the participants with insights in achieving predictable aesthetic outcomes with ceramic veneers. A lecture will be given before the hands-on workshop as an introduction about ceramic veneers to the participants. The lecture will include smile design principles, diagnostic wax-up, diagnosis and treatment planning, shade taking and laboratory communication, etc. At the end of the lecture, the participants shall understand how to treatment plan and manage a case. During the workshop, a step-by-step technique for tooth preparation, temporization and predictable bonding protocol will also be demonstrated.

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