Additive Direct Composite Restorations (ADCR) in the Anterior Area
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.
The course will cover an additive approach for the restoration of both vital and devital teeth in the anterior area. Tooth whitening procedures will be presented as a mean to preserve as much tooth structure as possible (Deliperi, 2008); a step-by-step protocol will guide clinicians to “go additive” in most direct anterior applications! Participants will learn how to mimic both the mamelon expression, the incisal characterization and the incisal halo.
Particular attention will be given to the non invasive restoration of discolored and structurally compromised teeth as well as teeth resistant to bleaching procedure. A fiber lay down protocol will be presented to increase the fracture toughness of these teeth.
Attendees will also learn how to integrate direct composite and indirect porcelain restorations in a patient smile.
Completion of the course should provide attendees with many tips and tricks they may apply the next Monday in their practice.
Topics covered through demonstration and hands-on experience:
- Silicone Matrix Fabrication
- Criteria for composite choice: single mass vs dual vs polychromatic technique
– Shade selection for the cervical, middle and incisal third
- Composite layering protocols for Class IV, diastema closure, composite veneers and the biomimetic SRDC crown
- Additive composite layering procedure for both vital and devital teeth
- Finishing and polishing: how to reproduce the macro and micro-texture of the natural teeth
- Fiber lay down protocols for structurally compromised teeth
- Understand plus and minus of different composite systems
- Learning specific layering protocols for different composite brand to restore vital and devital anterior teeth
- Compare a direct technique with traditional techniques available for the restoration of anterior teeth (porcelain laminate veneers, zirconia crowns)
- Understand how to replicate the esthetic appearance of porcelain restorations with a step-by step protocol for direct restorations
- Become familiar with a new technique for the restoration of discolored teeth resistant to bleaching
- Learn a fiber lay down protocol to mimic the functional characteristics of the natural dentition when teeth are structurally compromised
Day I: Class IV restorations and Additive Direct Composite Veneers
Guidelines to mimic the optical characteristics of the young, adult and mature dentition in the cervical, middle and incisal third of the tooth
The 3D meticulous management of the body, dentin, trans and enamel shades to achieve both color integration and vitality (color depth) of the restoration in the incisal third
Class IV, diastema closure, composite veneers
How to avoid aesthetic failures
Day II, III: Veneers and Fiber lay down protocols for structurally compromised teeth
Stress-reduced direct composite restorations (SRDC) for structurally compromised teeth
How to preserve ultra thin remaining cavity walls via fiber lay down protocols
Combined endodontic access and class IV-Class III restorations
How to mask the tooth discoloration through a prepless approach: contraindication for tooth preparation in shade matching
Day IV: Advanced protocols for ADCR
The perio-restorative approach to class V lesions and gingival recession: a combined restorative and surgical approach
Treatment of localized dental erosion in the anterior area via ADCR
The Full mouth rehabilitation via SRDC and ADCR protocols
ADCR vs Porcelain Veneers and the combined ADCR-Porcelain veneer restoration approach
Dr. Deliperi’s SRDC course is foundational to my pursuit of mastering biomimetic dentistry. I can’t help but practice dentistry differently now to the benefit of my patients and my own sense of doing my best work.
Dr. Deliperi is an expert in his own right, and he also gifted us with guest speakers such as Ribbond creator Dr. Rudo. Dr. Deliperi clearly grounds his protocols in evidence based published literature and offers many case examples and discussions on their application. I would learn a protocol and be excited to apply it the next day.
He himself is a very patient and kind instructor and was able to make the virtual group environment feel connected.
Dr. Ata, California
The SRDC course that I recently completed was extremely worthwhile.
I have studied with Dr. Deliperi for many years and he is a superb clinician and mentor.
The online format, the support of the what’s app group as well as the superb guest lecturers all contributed to a wonderful experience.
One could immediately implement the protocols presented in this course for the benefit of our patients.
I strongly recommend this course for dental clinicians who want to improve their skill set and provide the best tooth conserving Biomimetic dental care for their patients.
Saul Pressner DMD. FAGD FICD FABD
President-Elect and Past President, Academy of Biomimetic Biomimetic Dentistry
After 22 years of practicing dentistry, I finally discovered and learned about Biomimetic Restorative Dentistry and Stress Reduced Direct Composites.
These techniques have completely changed the way I approach restorative care. I am thankful to have gained this knowledge and am excited to hone my skills every day to provide minimally invasive treatment. I only wish that I had learned about these techniques years ago!
If you would like to offer your patients more options for restoring their dentition in an ultra-conservative way, take Simone’s classes! You will be inspired and challenged to preserve and save tooth structure.
Dr Jamie Brooks, Washington
I am a General Dentist practicing in Alexandroupolis, Greece for 28 years.
The SRDC Online Course by Dr. Simone Deliperi was a great chance for me to change my way of thinking when performing everyday dentistry!
It helped me to fully understand and implement into my practice all the SRDC and Biomometic Dentistry protocols and make me feel more sure and comfortable, especially when restoring Structurally Compromised Teeth.
Now I can treat Deep Caries with a piece of mind, offering my patients a great service saving teeth and pulps!
I consider this course one of the best investments I have ever made to improve my clinical skills as a dentist.
Dr.Deliperi is a great teacher, innovator, mentor and also a very friendly and simple person!
Thank you Dr Simone!
Sarantis A.Tsirtsidis, General Dentist
President of the Local Dental Association of Evros,
With the arrival of the pandemic, dentists have been exposed to a new way of learning via the internet. Dr Simone Deliperi’s Fundamentals of Stress Reduced Direct Composite Restorations courses are one of the best online courses to enhance your restorative skills during this time.
If you are a clinician with an interest in Biomimetic dentistry, and preserving tooth structures in compromised teeth to maximize longevity, this is the right course for you.
The benefits from taking this course are immense.
You will not only gain Dr Deliperi’s clinical wisdom but also gain valuable colleagues who have similar minds.
Thank you Simone for this amazing learning opportunity!
Michelle Jun, Canada
Having been introduced to the concept of biomimetic dentistry less than a year ago, I came across Dr Deliperi’s Stress Reduced Direct Composite (SRDC) course, when I was looking for the right mentor in this new approach to dentistry. And I’m very pleased to say that I have found a great mentor in Dr Deliperi.
Since enrolling in the course I have not only gained a very thorough understanding of the foundations of biomimetic dentistry, but have also had the pleasure of interacting with a great group of dentists I have, and am learning so much from.
Dr Deliperi always watches out for you, makes sure your doubts are cleared and personally, has infused so much more enthusiasm into my everyday dentistry. As a young dentist who felt stuck and needed some help moving forward into more conservative dentistry, Dr Deliperi and this course, have motivated me immensely.
Dr Geethanjali Senthilkumaran, UK