Fundamentals of stress reduced direct composite (SRDC) restorations in the posterior area
CLASS SIZE limited to 10-12 people
Following 20 years of clinical experience and success with stress reduced direct composite (SRDC) restorations, this program is designed for dentists seeking for a true paradigm shift in restorative dentistry. The course will present the 100% tooth preservation philosophy based on 1-Occlusion, 2-Conservation, 3-Adhesion and 4-Stress reduction. Current evidence-based research supporting this technique will be presented.
The course will offer 3 different levels of training:
- Level I: Day I
- Level II: Day II and III
- Level III: Day IV
The Level I will review the development of the SRDC protocol: from the Deliperi & Bardwell JADA 2002 to the Deliperi Operative Dentistry Journal 2012 paper. The 6-step protocol will be analyzed focusing on all the details of each step:
- cavity prep and caries removal endpoints
- structural analysis
- reliable adhesion to enamel and dentin (etch & rinse vs self-etch)
- stress reduction
- occlusal equilibration
Layering and Curing protocols to reduce the C-factor and the stress from polymerization shrinkage will be presented for both enamel and dentin. Participants will become familiar with the Selective Composite Technique: 1- the enamel shell, 2- the dentin replacement and 3- the successive cusp build-up layering techniques. The maturation of the dentin bond concept and the advantage of sculpting restorations before curing will be illustrated. This time saving technique can often result in minimal occlusal adjustment, contouring, and polishing!
The level II will include the direct restoration of structurally compromised teeth by using continuous woven polyethylene fibers. The “wall-papering” protocol will be introduced to reduce the stress, increase the bond and maintain the integrity of the tooth-restoration complex overtime (Deliperi S. wt al. Oper Dent 2017). The continuous fiber supported-stress reduced direct composite (CFS-SRDC) protocol will be reviewed starting from the Deliperi et al J Adhesive Dentistry 2005 to the Deliperi et al Operative Dentistry 2017 paper. Attendees will become familiar with the difference between an adhesive and a biomimetic stress reducing approach. The CMR (Cervical Margin Relocation) in a SRDC protocol will be presented: the one vs two appointment procedure will be discussed along with the issues related to isolation, tissue management and matrix system selection.
The level III of the course will be dedicated to the most advanced protocols in SRDC restorations which will include:
A) The ultra conservative approach for the highly structurally compromised teeth with the introduction of the cusp preservation vs “cusp protection” scenario
B) The continuous fiber supported-stress reduced semidirect composite (CFS-SRSC) restorationsfor the restoration of the “hopeless” teeth
C) The Full Mouth Rehabilitation via SRDC and CFS-SRDC protocols. This section will cover not only the rehabilitation of patients suffering from dental erosion, but also the rehabilitation of those patients with a structurally compromised dentition due to caries, failing existing restorations and tooth fracture via a 100% tooth preservation approach
- Understand a stress-reduced approach for the restoration of structurally compromised teeth with layering and curing protocols
- Compare a stress-reduced direct technique with traditional techniques available for the restoration of Class II restorations
- Understand how to replicate esthetic appearance and the creation of anatomical proximal contacts
- Learn a fiber lay down protocol to mimic the functional characteristic of the natural dentition
- Understand the ultra conservative approach for the highly structurally compromised teeth: cusp preservation vs “cusp protection”
- Become familiar with a SRDC protocol for the full-mouth rehabilitation in patients either suffering or not from TMD
Live Online Hands-on Training
SIMONE DELIPERI, D.D.S., Adjunct Assistant Professor, Tufts University School of Dental Medicine; Director of the Sardinia Dental Teaching Center, Cagliari-Italy
Clinical success with direct posterior composite restorations is predicated on both the selection of a predictable clinical protocol and the proper use of materials. A unique class II technique first published in the JADA in 2002 is presented along with further development in the last 20 years (Deliperi & Bardwell, 2002, 2006; Deliperi & Alleman, 2009; Deliperi et al. 2011) including the fiber lay down protocol (Deliperi, Alleman, Rudo 2017).
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. The SRDC biomimetic restorations aims to maximize the bond and minimize the stress in an attempt to mimic the functional and optical characteristics of the intact natural tooth.
Clinicians can preserve the remaining sound tooth structure in both 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).
The SRDC protocol produces an ideal functional occlusal anatomy prior to light curing; clinicians can avoid to spend precious extra time refining the occlusal anatomy with a high speed bur. Thus, preservation of the composite wear is dramatically reduced.
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.
- Understand a composite stress-reducing technique: maturation of the bond, layering and curing protocols
- Compare a stress-reduced direct technique with traditional techniques available for the restoration of posterior teeth
- Learn how to establish ideal proximal contacts and occlusal anatomy
- Learn a fiber lay down protocol to mimic the functional characteristic of the natural dentition
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 and wedges selection and use
- Composite layering technique for Class II restorations
- Adequate anatomical contact
- Sculpting restorations prior to curing
- Light curing sequences
- Finishing and polishing
SRDC restorations to be completed in the hands-on session:
- MO Class II on a second premolar
- MOD Class II on a first molar tooth
- Continuous Fiber Management: size and length selection, wetting & folding protocols, adaptation to the cavity walls (filled resin vs flowable composite vs conventional sculptable composite)
- Wall-papering of a large class I cavity on a molar tooth
- Management of Dentin Cracks on the pulpal floor
- Finishing and polishing of composite restorations
Please, contact us to know:
- The fee for the Live Online Hands-on Training
- The materials provided for free by our sponsors
- The materials you are required to be available in your operatory (not supplied in the hands-on)
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