Online Dental CE

Earn live, interactive and self-study dental continuing education credits

Preservational Prosthetic Strategies: Posterior Focus

Presenter: Dr. Clarence Tam Release Date: 9/1/22
Credits:  1 CEU   Expiration Date: 9/1/25
AGD Subject Code: 610
CE Supporter: VOCO America

Posterior restoration success has much to do with the principles in primary anatomy that are often focused on and restricted to only anterior teeth. The art of layering posterior composites is not only a functional art, it reflects our desire to mimic nature in esthetics also in our practice of Bio-Emulation. Conversely, there are anatomical features of anterior teeth that are often neglected, just because they are out of direct frontal sight. When are teeth "too weak" for some restorative materials? How does one dial in the occlusion to maximize success using modern direct materials some never thought possible to use in extensive applications? How can we humanely and successfully place large restorations with a conservative slant in youngsters with massive structural deficits? What are the keys to success in posterior bonding besides esthetic? How do we minimize post-operative sensitivity and marginal leakage? How do we maximize shear bond strengths to the substrate, much of which is "unpredictable" dentin? We will review curing strategies for best long-term clinical success.

In this CE webinar, the attendee will
• learn the ideal balance of pink:white esthetics for functional and esthetic restorative harmony in both posterior and anterior applications
• review the protocol to achieve optimal bond strengths to zirconia and a technique factor that can weaken certain types of zirconia.
• be guided through the placement of anterior palatal anatomy with composite resin to protect eroded surfaces from further damage.
• learn to consider the residual structural features of compromised teeth to determine the best restorative technique and prognosis.
• be guided through a case featuring a semi-direct back to back composite crown fabrication and cementation sequence in a 13 year old female.
• be guided through an ideal layering protocol for Class I and II situations along with staining mode and timing of placement.
• learn the ideal method of minimizing cervical leakage which is the primary concern in Class V direct restorations long-term.
• learn a novel technique for marginal ridge fabrication that features vertical layering.
• learn how to simultaneously maximize micro shear bond strengths in marginal ridge layering technique as well as minimize post-operative sensitivity
• review what features of modern curing lights are essential for maximal effectiveness. What are the caveats?   ( disclaimer, bio and commercial disclosure )

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