what you will learn
HAND CRAFT EVERY SMILE
Learn our hand-made trial smile technique, to help patients who are seeking a beautiful, functional smile makeover with predictability, and without the complications.
This is worlds away from a traditional “wax up”. Because we build up by hand every design individually for each patient, it allows us to amend it to be exactly what we want before anything is finalised in to ceramics.
1. OCCLUSION
- To identify occlusal disease
- To classify wear patterns
- Confidently deprogram patients
- Identify the first point of contact
- Understand CO vs CR
- Excursions and guidance and their relevance
- Understand an articulated bite record
- Relevance of a stick bite
- Relevance of a Kois facial analyser record
- Occlusal scheme check at cementation
- Long term occlusal considerations
- To classify wear patterns
- Confidently deprogram patients
- Identify the first point of contact
- Understand CO vs CR
- Excursions and guidance and their relevance
- Understand an articulated bite record
- Relevance of a stick bite
- Relevance of a Kois facial analyser record
- Occlusal scheme check at cementation
- Long term occlusal considerations
2. SMILE DESIGN
- Principles of Smile design
- Protocol of smile designing from images
- Line angles and their uses
- Facially driven smile design
- Protocol of smile designing from images
- Line angles and their uses
- Facially driven smile design
3. COMMUNICATION
- Case Assessment communication
- Case presentation
- Verbal skills for case acceptance
- Verbal skills for patient management
- Use of photography
- Case presentation
- Verbal skills for case acceptance
- Verbal skills for patient management
- Use of photography
4. LABORATORY COMMUNICATION
(see objective 8)
5. TREATMENT PLANNING
- Plan multidisciplinary treatment confidently
- Plan cosmetic cases
- Plan wear cases
- Thorough case assessment protocol
- Plan cosmetic cases
- Plan wear cases
- Thorough case assessment protocol
6. DIRECT MOCK UPS
- Smile designing in the mouth by hand using DMG Luxaflow
- Recording the mock up for laboratory communication
- Recording the mock up for laboratory communication
7. WAX UPS
- Evaluation of wax ups
- Modify wax up in the mouth by hand
- Modify wax up in the mouth by hand
8. TRIAL SMILE & TOOTH PREPARATION
- Construct a bespoke trial smile using Luxatemp/Luxaflow
- Minimally invasive prep technique
- Management of no prep teeth
- Management of prepped teeth
- Minimal preparation of deflective / retroclined/ palatally placed teeth
- Minimal preparation of proclined teeth
- Removal of existing restorations
- Minimising damage to tooth structure
- Removal of trial smile minimising damage to tooth structure
- Smoothing preps
- Margin design
- Minimally invasive prep technique
- Management of no prep teeth
- Management of prepped teeth
- Minimal preparation of deflective / retroclined/ palatally placed teeth
- Minimal preparation of proclined teeth
- Removal of existing restorations
- Minimising damage to tooth structure
- Removal of trial smile minimising damage to tooth structure
- Smoothing preps
- Margin design
9. CAUSES & MANAGEMENT OF DARK ROOTS
- Learn how to avoid choosing the wrong ingots
- Learn to choose veneer cements
- Learn to choose veneer cements
10. MANAGEMENT OF SOFT TISSUES
- Bone sounding
- Laser gum contouring
- Laser depigmentation
- Laser gum contouring
- Laser depigmentation
11. HAEMOSTATIC AGENTS & THEIR USES
- Control bleeding, during fits, and preps
- Manage soft tissues
- Manage soft tissues
12. IMPRESSION TAKING & EVALUATION OF IMPRESSIONS
- Pros and cons of digital vs analogue impressions
- How to assess quality of analogue impressions
- Common mistakes and how to avoid them
- How to assess quality of analogue impressions
- Common mistakes and how to avoid them
13. BONDING TEMPORARIES
- Bonding temp veneers without difficulty removing
- Manage oral hygiene and gum health during temps
- Manage oral hygiene and gum health during temps
14. OCCLUSAL CONSIDERATIONS FOR TEMPORARIES
- Design a stable functional occlusal scheme
- Understand the risks and likely complications
- Choose articulating paper for the situation
- Read the articulating paper marks
- Become confident on how to and where to adjust marks from articulating paper
- Understand the risks and likely complications
- Choose articulating paper for the situation
- Read the articulating paper marks
- Become confident on how to and where to adjust marks from articulating paper
15. TROUBLESHOOTING TRIAL SMILE ISSUES
- Chipping
- Staining
- Soft tissues
- Aesthetics
- Function
- Speech
- Staining
- Soft tissues
- Aesthetics
- Function
- Speech
16. EXPECTATION MANAGEMENT & COMMUNICATION
- How the teeth feel
- How the teeth look
- How the temporaries and finals will differ
- Compromises for no prep techniques
- How the teeth look
- How the temporaries and finals will differ
- Compromises for no prep techniques
17. WIDENING BUCCAL CORRIDORS
18. Lab Communication
- Communication methods
- Instructions
- Lab prescriptions
- Instructions
- Lab prescriptions
19. CEMENTATION
- Techniques for trial smile removal
- Restoration fit check and try in
- Patient approval and communication
- Porcelain preparation steps and materials
- Cementation and materials
- Cleanup techniques
- Light curing protocol
- Restoration fit check and try in
- Patient approval and communication
- Porcelain preparation steps and materials
- Cementation and materials
- Cleanup techniques
- Light curing protocol