| Dr Fradeani, author of the best-selling two-volume series Esthetic Rehabilitation in Fixed Prosthodontics, will revisit the topics explored in his books in this full-day lecture. The presentation will discuss the three fundamentals required to accomplish a pleasing, functional, and long-lasting esthetic outcome: a treatment plan, team collaboration, and an understanding of restorative materials.
Myriad factors affect the esthetic and functional outcome of complex cases. Properly addressing those factors will facilitate the achievement of a predictable and successful prosthetic rehabilitation. Some of the factors that will significantly improve the functional and esthetic outcome include: proper preoperative esthetic and functional analysis, correct data transmission to the laboratory regarding the occlusal plane orientation and inclination, and definition of an appropriate incisal edge position.
A close collaboration is also needed between the surgeon and the restorative dentist for treating either the natural dentition or dental implants, especially in challenging clinical situations such as a high smile line.
Material selection plays a fundamental role in the management of complex rehabilitation cases. This presentation will demonstrate how to select and optimize the use of metal-free ceramic materials—even in full-mouth rehabilitations.
COURSE OUTLINE
• The prosthetic treatment plan: Key elements of esthetic analysis
—Facial analysis
—Dentolabial analysis
—Phonetic analysis
—Tooth analysis
—Gingival analysis
—Guide to the correct completion of the esthetic checklist
• Communicating with the laboratory
—Laboratory chart
—Data transmission to the laboratory for the diagnostic wax-up and provisional restoration
—Tooth preparation, final impression, and provisional restoration: Clinical steps for esthetic, biologic, and functional integration
• Team approach to prosthetic and periodontal treatment
—Biologic width violation
—Gingival asymmetries
—Periodontal cases
• Esthetics in implant dentistry
—Parameters for optimizing the esthetic result in the anterior area
—Postextractive approach
—Pre-extractive approach
—Immediate loading for full arches and a single implant
• Ceramic crowns, bridges, and veneers
—Selection criteria, indications, possibilities, and limits
—Feldspathic ceramics
—Glass ceramics
—Alumina ceramics
—Zirconia-based ceramics
COURSE OBJECTIVES
1. Understand how to handle and finalize complex cases with extensive rehabilitation
—Treatment sequence
—The importance of correct provisionalization
—Periodontal and implant surgery
—Soft tissue healing and maturation timing prior to the prosthetic finalization
—Biologic, functional, and esthetic integration
2. Learn how to communicate functional and esthetic information to the laboratory
—Correct use of the facebow
—Bite record registrations
—Filling in the lab data sheet
—Copying the integrated provisional into the final restorations
3. Understand how to select the appropriate ceramic material
—Single restorations: Crowns or veneers?
—Mutliple restorations: Metal-porcelain or all-ceramic?
—When to use glass-ceramics, alumina, or zirconia?
—The rehabilitation of full arches with all-ceramics
—10- to 20-year follow-up
CE Credits: 5 hours
ABOUT THE SPEAKER
Mauro Fradeani, MD, DDS, is a visiting associate professor in prosthodontics at Louisiana State University in New Orleans and a past president of both the European Academy of Esthetic Dentistry and the Italian Academy of Prosthetic Dentistry. He runs a private practice limited solely to prosthodontics on natural dentition and implants in Pesaro and Milan, Italy, and is an active member of the American Academy of Esthetic Dentistry. Dr Fradeani has published two volumes on Esthetic Rehabilitation in Fixed Prosthodontics, Volume 1: Esthetic Analysis (Quintessence 2004), Volume 2: Prosthetic Treatment (Quintessence 2008).
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