Vertical Preparation Protocols: The Complete Guide in 24 Lessons from Tomorrow Tooth

Category: Prosthodontics

Instructor(s): Marco Maiolino, Pasquale Venuti

Course structure: Lessons: 24 lessons | Duration: 15 h 29 min

Course overview

Big course on vertical preparation for prosthodontists and dental technicians.
24 online lessons are:
– 16 hours of intensive training with detailed protocols of all stages of working with VertiPrep
– Lecturers who are proficient in the vertical preparation technique from A to Z - Pasquale Venuti and Marco Maiolino
– Ideal training for the "prosthodontist - dental technician" team.
Lecturers will consider in detail:
– features of vertical preparation (biomechanics, indications and contraindications for use, used burs and handpieces
– detailed protocol of impressions: analog and digital methods
– protocol for manufacturing and cementing temporary restorations
– protocol for manufacturing and cementing final restorations.

Curriculum

Why Verti-prep?

• Lesson program:
• – Vertical approach: working with hard and soft tissues
• – 9 benefits of vertical preparation
• – Indications for vertical preparation
• – Long-term results of vertical preparation
• – Clinical and laboratory prosthetic workflows. Tips.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Definition and development of vertical preparation

• Lesson program:
• – Why Vertical Preparation is underused? Prejudices about Vertiprep
• – How to define a vertical preparation
• – Difference beetween feather and and knife edge
• – Edgeless and shoulderless preparation
• – Conceptional differencies between margin and non- margin preparation
• – What is Batt bur in prosthodontics used for?
• – Why is vertical preparation friendly for periodontally compromised patients?
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Review of preparation methods

• Lesson program:
• – Comparison of soft tissue condition with provisional restorations and without
• – Toe-Heel approach that solves many issues
• – BOPT and Vertiprep: edgeless strategy
• – Geometry of Batt bur
• – Establishment of undesired ridges, shoulders and irregularities
• – How does the bur move while preparing vertically. Possible side effects.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Preparation with flame-shaped and butt bur

• Lesson program:
• – What is the Batt bur used for in the prosthetic dentistry?
• – The Toe-Heel Concept
• – Mechanics of flame-shaped bur tooth preparation
• – Problems related to the preparation of the tooth and soft tissues around it
• – Preparation technique of hard tissues under the crown using the Batt bur
• – Advantages of the Batt bur usage
• – Analysis of clinical cases and long-term results».
• Recommended for: Prosthetist, Dental Technician, General Dentist.

The difference between edgeless and shoulderless approaches

• Lesson program:
• – Analysis of a clinical case of prosthetic restoration of a severely destroyed molar using vertical preparation:
• The creation of the crown insertion path
• Filling of subgingival undercuts
• Preparation of the tooth and soft tissues
• Permanent prosthetic restoration.
• – X-ray folllow-up of the tooth condition and periodontal tissues when deciding on the use of vertical preparation
• – Features of endodontic preparation of the tooth before vertical preparation
• – Analysis of a clinical case involving the preparation of a frontal teeth with a shoulder and taking an impression
• – Preparation of the tooth for digital impression after vertical preparation.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Tooth preparation techniques

• Lesson program:
• – The technique of maximum enamel saving
• – The selective preparation technique
• – Indications and contraindications for each of the techniques
• – Rules of vertical and horizontal rationality.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Design of a shoulder

• Lesson program:
• – Critical biomechanical zones of the tooth
• – What is a shoulder and what is it used for?
• – Features of preparation, finishing the abutment and impression taking
• – Analysis of the clinical case.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Restoration of teeth with deep subgingival and endodontic lesions

• Lesson program:
• – The biological width of the tooth, and how it is affected by various factors?
• – X-ray assessment of the condition of periodontal tissues. When should I reject performing of the restoration?
• – Risks of furcation lesions during surgical extension of the tooth crown
• – Gingival margin expansion and deepening technology (DME and DLE)
• – Analysis of clinical cases of dental restorations with extensive subgingival defects
• – Analysis of clinical cases of restoration of teeth with odontogenic cutaneous sinus tract (OCST)
• – Non-standard and extra-complicated clinical cases.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Biomechanics of restorations. Part 1

• Lesson program:
• – Structure of the complex "tooth-cement-restoration"
• – "Crackology" - the science of broken restoration. Why is this happening?
• – Physical properties of substances that affect the durability of restorations
• – The forces that affect the restoration in the oral cavity
• – Save or remove the dentin overhanging edges? How to increase the strength of the tooth after restoration?
• – Internal and external strength of tooth tissues. "Invisible" fractures
• – A strategic approach to the prevention and treatment of tooth fractures and chipped restorations
• – The importance of preserving the edge ridges to achieve long-term restorations
• – Crash tests of removed teeth
• – Is it true that adhesive restorations strengthen the tooth? Breaking the Myths of composite and amalgam
• – Structural analysis of the tooth. Optimal depth and width of preparation
• – The importance of the anterior guidance in biomechanics and gnathology
• – Why is it important to correctly reproduce tooth cusps?
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Biomechanics of restorations. Part 2

• Lesson program:
• – Advantages and disadvantages of the adhesive protocol. Analysis of the clinical case
• – Stress factors of adhesive restoration
• – Borders of the adhesion. When is possible to carry out an adhesion?
• – Features of adhesion to enamel and dentin
• – Features of enamel and dentin preparation for the adhesive protocol
• – Which adhesive should I choose?
• – The thickness of the tooth walls for the choice of treatment method
• – Analysis of errors in the implementation of the adhesive protocol in various clinical cases
• – Adhesion of various materials to tooth tissues
• – The importance of ferrule preservation in adhesive restoration
• – Ferrule as the most important factor of tooth strengthening after endodontic treatment
• – Creating a ferrule effect
• – Increasing the clinical height of the tooth crown
• – Overview and step-by-step analysis of clinical cases.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Provisional restoration

• Lesson program:
• – Provisional restorations are a necessary stage for successful prosthetics
• – Margins of provisional restorations. Working with soft tissues
• – Interproximal contacts of provisional restorations
• – Occlusal contacts of provisional restorations
• – Relining of provisional restorations
• – Materials for provisional restorations
• – Detailed protocol for creating provisional restorations in the oral cavity.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Provisional prosthetics

• Lesson program:
• – How to avoid interference between the provisional crown and the tooth?
• – The main errors that occur at the clinical and laboratory stages in the manufacture of temporary crowns
• – A confirmed and recognized approach to provisional prosthetics. Clinical cases
• – Stages of manufacturing of analog (classic) provisional restorations
• – Manufacturing provisional restorations for posterior teeth
• – Manufacturing provisional restorations for anterior teeth
• – Stages of manufacturing digital temporary crowns using Exocad
• – Tricks and lifehacks of provisional prosthetics
• – Analysis of clinical cases.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

A free space management in the vertical preparation technology

• Lesson program:
• – Pros and cons of having a free tooth/abutment height
• – The optimum thickness of the restoration
• – The relationship between reliability, aesthetics and long-term restoration
• – Reasons of chipping of restorations at the stages of fitting and chewing
• – Geometry and biomechanics of dental preparation for indirect restorations.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Indirect restoration thickness and material

• Lesson program:
• – Mechanical principles for the selection of the thickness and material of the restoration
• – Occlusal principles for the selection of thickness and material of restorations
• – Comparative characteristics of various materials
• – Comparative characteristics of different thicknesses
• – The choice of material depending on the type of preparation
• – Thickness of restoration: digital planning.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Edge and edgeless preparation. Impressions

• Lesson program:
• – Edge and edgeless preparation: indications and contraindications, pros and cons
• – Detailed comparative characteristics of edge and edgeless preparation
• – Edge location
• – Clinical case: restoration of a severely damaged tooth. Choice of preparation method
• – Ideal time to take impressions.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Die preparation. Analog and digital methods

• Lesson program:
• – Die preparation: tools and techniques
• – Errors in the die preparation
• – Features of the die preparation with digital and analog methods
• – Features of the die preparation depending on the edge type.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Die spacer setting

• Lesson program:
• – Pre-cementation retention (frictional fit)
• – Post-cementation retention (cement fit)
• – Die spacing improves post cementation retention
• – Setting for inverted spacing
• – Using digital technologies to calculate the spacing
• – Processing of the gingival margin of the crown.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Indirect restoration cementation

• Lesson program:
• – Materials for cementation of indirect restorations
• – Comparative characteristics of fixing materials
• – How to succeed in indirect restoration cementation
• – Selection of the cement according to the material of the indirect restoration
• – Clinical cases. Decision making strategy.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Managing contact areas

• Lesson program:
• – Causes of crown fit problems
• – Methods for troubleshooting the crown fitting process
• – Tools for troubleshooting the crown fitting process
• – Planning the ideal contact point using digital technology.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Vertical preparation. Provisional and final restorations

• Lesson program:
• – Vertical preparation features
• – Control of the preparation depth
• – Using a silicone key
• – Fabrication and fixation of provisional restorations
• – Taking impressions: analog method
• – Fabrication and fixation of final restorations
• – Orthodontic treatment prior to prosthetics: indications
• – Fixation of final restorations.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Your first Vertiprep. The most common mistakes for those who start

• Lesson program:
• – Discussing common mistakes
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Impression: analog method

• Lesson program:
• – When to take impressions: perfect timing
• – Analog VS digital impression: indications
• – 2-stage impression (analog method)
• – Working with soft tissues when taking an impression
• – Impression materials: characteristics, pros and cons
• – Putty impressions
• – Impression preparation.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Impressions: digital approach

• Lesson program:
• – Indications for digital impressions
• – Analog VS digital impression
• – Scanners. Short review
• – Perfect scanning. Criteria for excellent scan result
• – Undercuts analysis
• – Features of taking impressions depending on the clinical case
• – Soft tissue informations
• – Clinical case: restoration of a severely damaged tooth with milled crown
• – Features of taking impressions depending on the preparation.
• Recommended for: Prosthetist, Dental Technician, General Dentist.

Keeping Informations

• Lesson program:
• – Prosthetic and surgical treatment of malocclusion: digital planning
• – Use of surgical templates for implantation
• – JIG in composite for increasing vertical dimension
• – Impressions and bite registration using the facial bow
• – Working with models in the articulator. WAX-UP
• – Design and fabrication of provisional restorations, taking into account the VDO increase
• – Intraoral scanning with provisional restorations
• – Digital design and production of final restoration
• – Аn interdisciplinary approach in the class 3 treatment
• – Silicone key
• – Milled provisional in PMMA
• – Using Bis-Acrylic and a silicone key to obtain a provisional restorations
• – Tips in using teflon when taking digital impressions.
• In 3 parts.
• Recommended for: Prosthetist, Dental Technician, General Dentist.