Calendar of Courses

The Alleman-Deliperi Centers for Biomimetic Dentistry

Accreditation Course on Biomimetic Dentistry 2019

Biomimetic Dentistry:The Extreme Tooth Preservation”

Level I (Basic training)- Dallas, Texas on April 14, 2019:

-hands-on courses on Stress-reduced direct Anterior and Posterior Restorations

This program reviews the Stress-Reduced Direct Composite (SRDC) protocol on both anterior and posterior teeth. The two hands-on sessions allow clinicians to become familiar with a predictable composite layering technique for the restoration of large size cavities.

 

Level II (Intermediate training)– Salt Lake City, Utah on  June 6-8, 2019: 

-workshop, lecture and literature review on both posterior and anterior stress-reduced direct composite restorations

The masters demonstrate the SRDC protocol for structurally compromised anterior and posterior teeth. Attendees observe a step-by-step technique while the masters replicate some clinical cases shown through both slide and video presentations.

 Level III (advanced training)– Cagliari, Italy on Sept 16-19, 2019:

-live patient demo, hands-on courses and literature review on Stress-reduced direct

composite restorations in the anterior and posterior area

A great chance to gain the biomimetic skills and knowledge for mastering the technique. Participants can see the inventor of the SRDC protocol working on his patients to solve challenging clinical cases. The most advanced protocols, the tips and tricks of extreme tooth preservation and composite layering can only be learned at the Sardinia Dental Teaching Center.

Biomimetic Dentistry:The Extreme Tooth Preservation”

1-Course description  1– Dallas, Texas on April 14, 2019 

Additive Composite Resin Restorations: a Biomimetic Approach

This program is designed for dentists wishing to achieve excellence with direct anterior composite restorations.

The final aesthetic outcome of an anterior restorations depends on the combination of the final form of the restoration with the color selection, tooth anatomy and the thickness of each composite shade.

Clinicians should have a precise idea of the form of the final restoration in their mind before starting color selection and composite layering (Deliperi, 2011).

Three mandatory steps are recommended when placing direct anterior composite restorations:

1-pre-op mock and/or wax-up to determine the final form of the restoration

2-shade selection and optical characteristic reproduction based on tooth age

3-evaluation of tooth thickness to manage the three-dimensional layering of dentin and enamel shades

Current evidence-based research supporting this technique will be presented.

Completion of the course should provide attendees with the skills to “go resin” in most direct anterior applications and confidence to achieve consistent long-term success.

Topics covered through demonstration and hands-on experience:

– Silicone Matrix Fabrication

– Selection of composite shades for the cervical, middle and incised third

  • Composite layering technique for Class IV, diastema closure and composite veneers
  • Finishing and polishing: how to reproduce the macro and micro-texture of the natural teeth

The next level in direct posterior composite restorations:

The stress-reduced biomimetic approach

The stress generated from polymerization shrinkage and the lack of adequate protocols have discouraged many clinicians from selecting a direct technique for the restoration of class II cavities for many years. However, stress-reducing direct composite (SRDC) restorations have been proposed as a valid alternative to indirect resin-bonded composite restorations (Deliperi & Bardwell, 2002, 2006; Deliperi, 2008; Deliperi & Alleman, 2009; Deliperi, Bardwell, Alleman, 2012; Deliperi 2012). The goal of SRDC biomimetic restorations is to adopt protocols able to maximize the bond and minimize the stress in an attempt to mimic the functional and optical characteristics of the intact natural tooth. Both the maturation of the bond , the strategic layering and curing protocols are the milestone for stress reduction on the residual cavity wall.

After two decades of clinical success with SRDC, clinicians can confidentially preserve the remaining sound tooth structure in both medium, large size restorations and cusp-replacing restorations to either resist the mode of failure or mimic the performance characteristics of the intact natural tooth!

Six basic steps will be followed during the hands-on course to complete stress-reduced direct composite (SRDC) restorations: 1. Analysis of the occlusion and opposing dentition; 2. Cavity preparation and caries removal endpoints; 3. Analysis of  residual tooth structure; 4. Preparation of the dental  substrate to achieve  a reliable  bond to  enamel and dentin; 5. Control of polymerization stresses by using appropriate layering and curing techniques; 6. Occlusal force equilibration (Deliperi 2012).

With a solid scientific background in mind and a continuous training, clinicians may perform restorations able to recover the original strength of the natural teeth.

Learning objectives:

1- Understand a stress-reducing technique: maturation of the bond, layering and curing protocols

2-Comparing  a  stress-reduced direct technique with traditional  techniques available for the restoration of posterior teeth

3-Become familiar with the stress-reducing direct composite (SRDC) technique through a step-by-step clinical protocol

Topics covered through demonstration and hands-on experience:

Composite resin and light curing system selection

Selecting of a bonding agent (etch & rinse vs self-etch)

Matrix selection and use

Composite layering technique for Class II restorations

Adequate anatomical contact

Light curing sequences

Finishing and polishing

2- Course description 2Salt Lake City, Utah on  June 6-8, 2019:

Day I: workshop

 The masters demonstrate the SRDC protocol for structurally compromised anterior and posterior teeth. Attendees observe a step-by-step technique while the masters replicate some clinical cases shown through both slide and video presentations.

Day II: literature review

Fundamentals of Biomimetic Restorative Dentistry

1. Structural Analysis

2. Increasing Bond strength

3. Decreasing Polymerization and Functional Stresses

4. The Biomimetic Restorative Dental Paradigm.

By decreasing stresses of polymerization and occlusion, dental bonds are maximized and preserved.  By preserving high dental bonds, peripheral seals are maintained.  By maintaining peripheral seals re-decay and fractures are eliminated

We will review each area and present 27 key scientific facts that have been established from the scientific literature. These facts are the foundation of the Alleman-Deliperi protocols which biomimetic restorative dentistry is founded on.

Day III: lecture

From science to clinical practice: clinical protocols on biomimetic restorative dentistry 

1. Stress-reduced direct composite (SRDC) restorations in the anterior area

2. Form, Shade and Layering from Deliperi S. JERD 2011

3. SRDC veneers

4. Additive protocol for the worn dentition

5. Fiber lay down protocols for structurally compromised teeth

6. Full-mouth rehabilitation

3-Course description 3– Cagliari, Italy on Sept 16-19, 2019:

A great chance to gain the biomimetic skills and knowledge for mastering the technique. Participants can see the inventor of the SRDC protocol working on his patients to solve challenging clinical cases. The most advanced protocols, the tips and tricks of extreme tooth preservation and composite layering can only be learned at the Sardinia Dental Teaching Center.

Day 1 : Additive Direct Composite Veneers for Structurally Compromised Anterior Teeth

Direct composite veneers for the worn dentition

The Dahl principle

Day 2: Cusp replacing restorations on vital teeth

 Stress-reduced direct composite  restorations (SRDC) for structurally compromised teeth: 10-year results

How to preserve ultra thin remaining cavity walls via fiber lay down protocols

Day 3: Cusp replacing restorations on endodontically treated teeth

 Advanced fiber lay down protocols for multiple cusp replacement:

The direct approach vs  the combined Bio-Base + semidirect composite restorations approach: 6-year results

Day 4: The Biomimetic full mouth rehabilitation

How to stress reduce teeth which were prepped for a crown: from crown to SRDC restorations

TMJ, TMD and Full mouth rehabilitation via SRDC and SRSD restorations: 5-y results