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In this CE webinar, we will review digital and analog shading techniques for direct and indirect restorations. The need to blend as well as maximize bond strength drives modifications in both preparation approach and material depending on the intra-arch and intra-tooth position and size. Controlling tooth position especially when balancing spaces with pre-prosthetic orthodontics is critical, especially when a maxillary lateral incisor is involved.
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.
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