regional – how to master aesthetic pontics
How to master aesthetic pontics
Avoiding the Pitfalls in Adhesive Bridgework: improving retention and managing soft tissue aesthetics using the “Ovate Pontic” technique when replacing missing teeth with adhesive bridgework.
Many general dentists have yet to fully embrace Implantology and equally many patients decline the Implant option for reasons of their own. Consequently, within the general dental practice environment, there still remains a significant need to provide a cosmetic solution when replacing missing teeth in the aesthetic zone, which does not involve Implantology.
In these days of Minimally-Invasive Dentistry (MI) we might expect to be seeing a resurgence in the provision of adhesive bridgework in general dental practice. However, due to the historically poor retention record, the numbers of these restorations being placed has slumped spectacularly in recent times.
The biologic gain of adhesive bridgework is without doubt, but the reality of life in General Dental Practice means dentists and patients alike are increasingly preferring the more destructive, but arguably more retentive option of full coverage when choosing fixed bridgework.
This presentation will outline the areas where improvements in retention can be made such that dentists gain the confidence to offer minimal-preparation adhesive bridgework in their own practices once again.
The speaker will also describe a step by step clinical technique, which can be used by general dentists to predictably create beautiful gingival architecture when replacing missing teeth with fixed bridgework, as the appearance of the Pontic can often determine success or failure of the entire restoration.
A cosmetically acceptable pontic will appear to grow out of the ridge just like a natural tooth, and it is the relationship of the pontic to the ridge beneath that is key in this respect.
The “Ovate Pontic” differs from conventional ridge-lap type pontics by having a concave design which actually fits into a carefully prepared “dimple” in the soft tissue on the crest of the ridge.
The ridge therefore needs precise surgical alteration, thereby allowing the pontic to appear to be “growing out of the tissue”; which is the ultimate aim of Ovate Pontic therapy. The technique is easy to learn and implement into general dental practice and will be demonstrated in great detail using examples from the speakers own clinical practice
The presentation is equally of interest to forward-looking dental technicians who wish to develop the “Cosmetic” side of their businesses. Implementing the Ovate pontic technique requires a close collaboration between clinician and technician in order to create a beautiful result.
After attending the presentation, both Dentist and Technician will be able to:
- Appreciate the role of Retention and Resistance form when designing adhesive bridgework.
- Appreciate the aesthetic advantages of “ovate” pontics over traditional pontic designs.
- Understand the relevance of “sounding to bone” when altering soft tissue to accept an “ovate” pontic within the edentulous ridge.
- Communicate the relevant information to allow your laboratory to create a correctly contoured “ovate” pontic form.
This event will have elements of Enhanced GDC learning outcome C
regional – minimally invasive cosmetic dentistry in general practice
Minimally invasive cosmetic dentistry in general practice
The perfect course for dentists who want to develop a successful career in private, cosmetic dentistry
This is a three hour presentation by Dr Ashish B Parmar (Ash) of The Academy By Ash (www.theacademybyash.co.uk)
. Ash will give a comprehensive and inspiring lecture on the A-Z of cosmetic dentistry, as practiced by him at his state-of-the-art private dental practice in Chigwell, Essex (www.smiledesignbyash.co.uk)
The following is a list of the content or material that Ash will cover:
- The Vision of the ideal, modern private dental practice
- Communication skills and techniques to show the patient what is possible for them in cosmetic dentistry (includes use of the 3Shape (Trios) digital scanner, photography, iPAD video use, mock ups with composite, wax ups & creation of a trial smile and cosmetic imaging)
- Use of a Smile Questionnaire to boost cosmetic dentistry in your practice
- The importance of a comprehensive dental assessment and treatment planning to reach accurate diagnoses, and then recommend the ideal treatment plan for the patient based on their needs or wants, and budget
- General clinical tips to improve your standard of dentistry
- Smile Analysis – what to look for when assessing a person’s smile
- Cosmetic contouring – minor reshaping of teeth edges to create the best smile
- Teeth whitening – a comparison of the ZOOM and Enlighten systems
- Orthodontics in general practice – case studies showing Invisalign and 6 Month Smiles
- Fibre/Composite dentistry – innovative treatment solutions using composite and fibres. Examples will be shown of how to replace a single missing tooth, extract a loose tooth and resplint it back in place, periodontal splinting, and creating a custom fibre post
- Composite veneers – step-by-step training on how to do them
- Single discoloured/broken anterior tooth – a philosophical debate on doing a composite veneer vs a porcelain veneer
- Porcelain veneer preparations using the “Galip Gurel” technique – this is the best technique to ensure minimal tooth preparation
- Smile Makeovers – offering life changing dentistry using porcelain restorations
- An insight in to implant dentistry, and full mouth wear cases
Aims & Objectives
The main objective of this Course is to give a dentist that wants to do more cosmetic dentistry a very good insight in to how to go about doing that. There are many courses available and sometimes it becomes confusing where to start, or which course to do.
The main aims Ash had in creating this presentation were:
- Explain to dentists in a simple and clear way the most fundamental skills and strategies required to become a successful cosmetic dentist
- Show a diverse range of clinical cases with a concept of doing things in the safest and best way for the patient using a minimally invasive approach. The goal is to create beautiful smiles suited to the individual, improving dental health and achieving long lasting results
- Simple treatments: Cosmetic contouring, teeth whitening and bonding
- Understanding the value of offering orthodontic treatment in general practice, e.g. Invisalign
- Opening up a whole new world of dentistry using fibres and composite – many dentists don’t use fibres in general practice
- A critical comparison of composite and porcelain – advantages and disadvantages of both materials
- Teach dentists how to do composite veneers in one visit
- Share tips on porcelain veneer preparation – i.e. which burs to use, the sequence of tooth preparation and which records are needed
- Show many life changing Smile Makeovers done at Smile Design By Ash
This CPD Course meets the following of the GDC’s development outcomes: A and C
As part of the GDC’s requirements related to CPD, it is advised that dentists do their due diligence in choosing CPD training courses that are relevant, and of a high quality. Ash has invested £1/4 million on his own CPD training over the last two decades, learning from the best dentists and dental business coaches in the world. His CV showing the courses and training he has undertaken can be downloaded as a PDF from his Academy website at www.theacademybyash.co.uk/about-ash
Speaker – Ken Harris
Dr Ken Harris graduated with BDS from the University of Newcastle upon Tyne in 1982, passed MFGDP(UK) in 1996, finally achieving Fellowship of Royal College of General Dental Practice FFGDP(UK) in 2017. He also holds an MSc in Restorative & Aesthetic Dentistry (with distinction) from the University of Manchester. Ken maintains a fully private referral practice with branches in Sunderland and Newcastle upon Tyne specialising in complex dental reconstruction cases based upon sound treatment planning protocols. As one of only 2 Accredited Fellows of British Academy of Cosmetic Dentistry (BACD), Ken acts as tutor and examiner for the BACD Accreditation process. He is a sustaining member of American Academy of Cosmetic Dentistry (AACD) and holds membership of British Academy of Aesthetic Dentistry (BAAD). Ken was the first UK Graduate of the Kois Center across in Seattle where he now acts as a Mentor. He is currently UK Clinical Director for the California Center for Advanced Dental Studies and acts as Clinical Director for Dentist Direct; the UK-based dental corporate group. Ken is a member of the editorial board of the International Journal of Cosmetic Dentistry (IJCD), and despite being a full-time Practitioner, he has penned numerous articles in the dental press while still managing to fulfil a busy teaching schedule both nationally and internationally.
speaker – Ash Parmar
Ash is an internationally respected dentist with a special interest in cosmetic dentistry and dental implants, supported by a strong foundation in general dentistry.
Motivated and inspired to deliver the best possible smile makeovers and dental care, Ash works very closely with his patients to embark on the journey together. Ash instills trust and confidence helping his patients feels comfortable and in control of the outstanding results they are seeking, and which Ash delivers.
Ash is humble in his personal life and has a firm commitment to ongoing personal and spiritual development and charitable support, all with a structured work/life balance, which facilitates important time with his family.
venue – Village Hotel Club Glasgow
Village Hotel Club
7 Festival Gate
Glasgow G51 1DB
sponsor – CALCIVIS
supported by CALCIVIS
sponsor – Dental Directory
supported by Dental Directory
sponsor – Visage Dental Laboratory
supported by Visage Dental Laboratory