Practice: The APT concept: indirect restoration manufacturing

Day 1

Basic introduction to the APT concept

– The story of APT (Aesthethic Pre-evaluative Temporaries);

– The story of the silicone indexes;

– The story of the preparation through the APT technique;

– Basic Analog workflow for the anterior bonded porcelain restorations;

– Video of a live recorded case.

Tooth Preparation by Dr. Gurel (video)

– Designing the smile;

– Mock-up - Wax-up;

– Preparing silicone indexes in the lab or chair side;

– Analyzing the smile with the indexes;

– Aesthetic pre-recontouring- APR (if needed) ;

– Aesthetic Pre-evaluative Temporaries - APT;

– Evaluation of the aesthetics through APT;

– Evaluation of occlusion through APT;

– Evaluation of phonetics through APT;

– Tooth preparation through the APT;

– Using depth cutters;

– Using extra fine diamond burs;

– Finishing the margins;

– Utilizing the loops and microscope;

– Customising your Arkansas stone burs for finalising gingival margin preparations;

– Using the softlex paper discs during the preparation;

– Handling exposed dentin at time of preparation;

– Impression making using retraction cords (if needed);

– Provisionals (discussing different techniques depending on different indications);

– Rechecking the provisionals for aesthetics, functions, phonetics.

– Importance of the mock up (analog/digital);

– Presenting the case to the patient - the direct mock up;

– The mock up as the navigator;

– The mock up as the diagnostic tool;

– Classification and different types of direct mock up;

– The Art of the Personalised Smile Design;

– Different personalities, different choices;

– Personality traits (Hippocrates);

– Different cultures, religions, backgrounds, traditions however a single universal VISUAL LANGUAGE (Carl Jung);

– Importance of the mock up (analog/digital);

– Presenting the case to the patient - the direct mock up;

– The mock up as the navigator;

– The mock up as the diagnostic tool;

– Classification and different types of direct mock up;

– The Art of the Personalised Smile Design;

– Different personalities, different choices;

– Personality traits (Hippocrates);

– Different cultures, religions, backgrounds, traditions however a single universal VISUAL LANGUAGE (Carl Jung);

Visagismile in 3D REBEL Digital (LIVE)

In this LIVE section Dr Gurel will be demonstrating LIVE on a patient (and may be one for one of the attendees), how to make an Indirect Mock up through the brand new 3D Digital software called the REBEL.

A new Smile Design will be created and tried one of the attendees according to the VisagiSMile proposal.

The protocol for the REBEL will be explained in to full details. Bring your laptops with you.

All you have to do is:

– Make a very simple mockup ONLY on the CENTRALS;

– Make a full face picture of the patient;

– Digitally scan intraorally, and send the 3D STL file to the digital wax up center. Within less than an hour the 3D STL file of the New Smile design proposal will arrive. Then will be 3D printed to be ready for the second day.

Day 2

Theory

– Tooth preparation techniques for complicated situations (in details);

– Additive vs Subtractive conditions;

– How to deal with the protruded teeth;

– How to to handle the teeth that are to much palatally positioned.

Hands-on Course On Models For All Participants

– Mock-up (according to Visagismile and REBEL proposal);

– Preparing the translucent silicon impression through the wax up model;

– Preparing the silicon index;

– Checking the smile with index;

– Aesthetic Pre-recontouring - APR ;

– Aesthetic Pre-evaluative Temporaries - APT. Evaluation of aesthetics through APT;

– Tooth preparation through the APT;

– Using depth cutters;

– Using different diamond burs;

– Finishing the margins;

– Modifying the translucent silicon impression for the provisionals;

– Making the provisionals using RSVP technique ;

– Rechecking the provisionals for aesthetics.

– LIVE application of the REBEL 3D Digital wax up;

– Analysing the 3D printed models from REBEL;

– An impression of the 3D printed model is made with a silicone impression;

– And an APT is made through the silicone impression in the patient’s mouth;

– Checking the final outcome LIVE on the patient;

– Bonding - adhesives;

– Update on Dental adhesives;

– The hybrid layer;

– Ingredients of the adhesive systems;

– How to classify the adhesive systems in their most simplistic way;

– Total etch vs. Self etching;

– Advantages vs. Disadvantages, when to use which one?

– Possible post op problems;

– Light sources (important or not);

– Video of the live recorded case (from the first day);

– Bonding the Porcelain Laminate Veneers by Dr. Gurel;

– Removing the provisionals;

– Try-In;

– Whether or not to use the rubber dam;

– Surface treatment of the prepared tooth surface;

– Surface treatment of the intaglio surface of the porcelain restoration;

– Seating the porcelain restoration;

– Bonding the Porcelain Laminate Veneers;

– Light curing (Technique for the minimum invasive margin cleaning);

– Final Cleaning (burs or ?);

– Checking the aesthetics, occlusion.

FINAL QA.