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what you will learn

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
2. SMILE DESIGN
Principles of 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
4. LABORATORY COMMUNICATION
(see objective 8)
5. TREATMENT PLANNING
Plan multidisciplinary treatment confidently
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 

7. WAX UPS
Evaluation of wax ups

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
9. CAUSES & MANAGEMENT OF DARK ROOTS
10. MANAGEMENT OF SOFT TISSUES

Bone sounding

Laser gum contouring
Laser depigmentation 

11. HAEMOSTATIC AGENTS & THEIR USES
12. IMPRESSION TAKING & EVALUATION OF IMPRESSIONS
13. BONDING TEMPORARIES
14. OCCLUSAL CONSIDERATIONS FOR TEMPORARIES
15. TROUBLESHOOTING TRIAL SMILE ISSUES
Chipping 
 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
17. WIDENING BUCCAL CORRIDORS
18. Lab Communication 

Communication methods 
 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
20. TROUBLESHOOTING LONG TERM INDIRECT RESTORATION ISSUES