OHI-S High aesthetic restorations 2023

Part I. Principles and analysis in aesthetic dentistry

• – Creating colour, counture and texture
• – Creating optimal surface
• – Artistic principles
• – Aesthetic analysis
• – Basic skills of perception
• – Types of aesthetics
• – Facial and oro-facial analysis
• – Oral and dental aesthetic.
• Part II. Photography in dentistry
• – Photoshop smile design technique.
• Part III. Contemporary dental ceramics, material selection, treatment planning
• – Clinical decision making
• – Anterior and posterior adhesive restoration
• – Defect driving preparation.

• – Definitions and characteristic of aesthetics, aestetic and cosmetics dentistry
• – Creating a teeth in 3D
• – Characteristic of natural teeth
• – Problems in aesthetic dentistry
• – Patient examination
• – Types of aesthetics:
• – Facial aesthetics
• – Dento-facial aesthetics
• – Dento-gingival aesthetics
• – Dental aesthetics (micro and macro).

• – Basic artistic principles:
• – Balance
• – Emphasis
• – Proportion
• – Variety
• – Movement
• – Rhythm
• – Harmony.
• – Artistic principles in dentisty:
• – Blend of symmetry and subtle asymmetry
• – Emphasis or the dominant element
• – Proportion
• – Variety
• – Perspective and illusion
• – Frames: lips and gingiva.
• – Basic skills of perception
• – Goals of aesthetic dentistry.

• – Facial aesthetics:
• – Key points
• – Anatomical orientires
• – Facial thirds.
• – Steps of facial analysis:
• – Face examination
• – Asking critical questions
• – Checking mid/lower face balance.
• – Profile changing:
• – By using aesthetic dental prototype
• – By using cotton rolls or cured composite.
• – Evaluation of facial aesthetic:
• – Frontal view
• – Sagittal view.
• – Oral-facial aesthetics:
• – Key points
• – Lines and angles.

• – Oral (labio/dento/gingival) aesthetic
• – Relationships of lips to arches, gingiva and teeth
• – Treatmnent plan:
• – Maxillary incisal edge position
• – Smile line
• – Gingival position.
• – Criteria for the lenght of the maxillary centrals
• – Lip framing
• – Diagnosis keys points.

• – Gummy smile:
• – Diagnosis
• – Digital smile design
• – Treatment plan.
• – Clinical cases
• – Dentist/ceramist possibility
• – Step-by-step treatment protocols
• – Dento-gingival aesthetics
• – Gingival and papilla height.

• – Key points of dental aethetics
• – Macro-dental aesthetics:
• – Facial relationship to dental aesthetic
• – Intra-dental arch space
• – Incisial line
• – Inter-tooth proportion
• – Intra-tooth proportion.
• – Tooth form depending on the face
• – Clinical cases.

• – Levels to create the optimal surface:
• – Primary anatomy: outline form
• – Secondary anatomy: line angles
• – Tertiary anatomy: major grooves
• – Quaternary anatomy: fine grooves
• – Surface color, polish, luster.
• – Ideal aestetics centrals and laterals view
• – “The final touch” protocol.

• – Camera recommendations:
• – Cameras characteristics
• – Lenses
• – Flashes
• – Polarizing filters
• – Mirrors.
• – Camera settings
• – Photoshop smile design images:
• – Characteristics and features
• – Types.
• – Dental photography guidelines:
• – Shooting position
• – Cheeks retraction
• – Lower 1/3 smiling
• – Arrangement of auxiliary equipment.
• – Types of retractors
• – Using the photo box JoStage in dentistry
• – Clincal examples of simple portraits technique
• – Lightning in dental photography.

• – Important moments in dental photography:
• – Movements
• – Surface
• – Sequences
• – Pink porcelain
• – Glass ceramic
• – Lips position
• – Composition.
• – Light exposure
• – Exposure time
• – Characteristic of ISO photography format
• – Cleaning of camera sensor
• – Necessary equipment
• – Techniques for making photos from social networks.

• – Necessity of photoshop smile design in dentistry
• – Clinical cases of smile design
• – Photoshop key functions
• – Custom interface:
• – Bridge
• – Layers
• – Selectioning
• – Retouching
• – Dodge and Burn
• – Transform, rotation, crop
• – Sharpen.

Basics of photoshop: interface setup

• – Photoshop interface
• – File opening
• – Photography interface:
• – Reset interface
• – Libraries
• – Information palate activation
• – New workspace creation
• – Tools characteristics.

File opening and Bridge

• – Images opening
• – Adobe Bridge interface.

Working with files in the Camera Raw add-on

• – Features of Camera Raw
• – Image formats NEF, CR2 and JPG
• – Camera Raw interface
• – Working with tools:
• – Exposure
• – Shadows
• – Highlights
• – White and Black
• – Clarity
• – Vibrance
• – Saturation
• – Temperature
• – Luminance.

Basics options of Camera Raw

• – Editing multiple images at the same time
• – Features of work with programm tools
• – Images transformation and rotation
• – Сropping a photo
• – Images zoom in / out
• – Moving images.

Layers in Photoshop

• – Layers interface
• – Panel options
• – Image duplication
• – Work with «brush» and «pencil» tools
• – New layer creation.

Selection in Photoshop

• – Layers modifications
• – Work with selection tool
• – Tooth selection
• – Tooth shape and color changing.

Retouching in Photoshop

• – Spots visualization
• – Image preparing for retouching
• – Image simple retouching technique.

Dodging and burning in Photoshop

• – Dodge tool settings
• – Burn tool setting
• – Dodging and burning for smile design.

Rotation in Photoshop

• – Images rotation
• – Separatly layers rotation
• – Crop tool.

Sharpening in Photoshop

• – Step-by-step images sharpening techique
• – Features of working with sharpening.

Size and save in Photoshop

• – Images size changing
• – File saving.

• – Using of filters masking and liquify
• – Step-by-step video of smile design
• – Simple photoshop smile design technique
• – Reshaping of teeth and gingiva
• – Digital bleaching with the dodge tool
• – Photoshop smile design technique:
• – Selecting
• – Duplicating
• – Transforming
• – Warping.
• – Quick photoshop smile design technique
• – Redesigning with individual library teeth or tracings.

• – Indications and necessity of using bonded functional esthetic prototype (BFEP)
• – Step-by-step protocol of BFEP technique:
• – Occlusion registration
• – Wax Up design
• – Wax Up impression and silicone key making
• – Teeth preparing: etching, bonding
• – BFEP making
• – Polishing.
• – Material choosing depends on potentional lenght of service
• – Clinical cases of BFEP using.

• – Treatment choise
• – Crown:
• – Functional definition
• – Materials and characteristics.
• – Restoration and ceramic choosing:
• – Space requirements for material
• – Substrate condition
• – Potential for flexure
• – Tensile stresses
• – Bond or seal.
• – Mistakes in the restoration choice and ways of prevention
• – Fracture resistance of all-ceramic crowns
• – Occlusal veneers or onlays
• – Ceramic selection guidlines
• – Lingual enamel as a treatment planning key
• – Clinical cases of mistakes prevention.

• – Classifications of dental ceramics:
• – By micro-structure
• – By etchability
• – By micro-structure and processing techniques.
• – Rational for ceramic selection
• – Ceramics characteristic
• – Comparison of ceramics and metals
• – Material selection
• – Flexural strenghth of ceramic cores and veneering porcelains
• – Critical elements that causing materials failure
• – Translucent zirconia.

• – Minimally invasive approach to teeth preparation
• – Keys for successful minimal preparation
• – Step-by-step video protocol of minimal invasive tooth preparation
• – Removing A-prismatic layer and sclerotic layer
• – Vertical preparation and esthetic re-contour
• – Recommendations for tooth preparation
• – Features of interproximal area micropreparation
• – Cord technique
• – Non-conventional tooth preparation
• – Reduction controlling
• – Instruments selection
• – Video protocols of preparation:
• – Incisal zone
• – L-zone
• – Margine zone
• – Interproximal area.
• – Clinical cases:
• – Esthetic rehabilitation
• – Diastema closing
• – Teeth fracture treatment
• – Discoloration masking.

• – Inlays and onlays indications
• – Recommendation for teeth preparation
• – Step-by-step onlay/inlay protocols
• – Finish line design
• – Adhesive metal-free restorations
• – Burs selection
• – Material selection
• – Onlay preparation video protocols:
• – On patient
• – On typodont.
• – Vonlays: conservative alternative to full crown
• – Clinical cases analysis.

• – Ceramic onlay fracture causes
• – Keys for long-term ceramic restorations success
• – Build-up or foundation restorations: indications and contraindications
• – Resin-coating technique
• – Video protocols:
• – Dentin sealing
• – Block out restorations
• – Standard immediate dentin sealing technique.
• – Clinical cases.

• – Color choosing
• – Shade trilogy:
• – Visual shade analysis
• – Shade analysis photography
• – Computerized shade analysis.
• – Contrast enhancement
• – Classical shade guide
• – Camera position for taking photography
• – Shade guides positioning for photography
• – Photoshop for shade analysis.

• – The «Digital Dental Team»
• – Digital scanning
• – Digital dental team concept
• – Laboratory perspective
• – Material choosing.

• – Treatment planning and communication:
• – 1st visit
• – 2nd visit
• – Laboratory stage
• – 3rd visit.
• – Patient examination:
• – Visual analysis
• – Photoprotocol
• – Digital scanning
• – Photoshop smile design.
• – Digital scans analysis
• – Patient motivation
• – Digital smile design
• – CAD/CAM techologies
• – Bonded functional esthetic prototype
• – Guided dental preparation
• – Implant dentistry planning
• – CAD/CAM materials.

• – Surface cleaning before veneer fixation:
• – Cleaning systems
• – Steam cleaning.
• – Video protocols of:
• – Restoration preparing
• – Tooth etching
• – Adhesive tooth preparing
• – Anterior restoration cementation and polishing
• – Posterior onlay cementation.
• – Conventional and new universal adhesives
• – Immediate dentin sealing vs Delayed dentin sealing
• – De-sensitisers and adhesion
• – Occlusion correction.

• – Levels of macro-dental esthetic
• – Optimal surface creations levels
• – Choosing tooth form depending on the patients face
• – Steps of tooth shaping:
• – Initial measurements on tooth proportion
• – Canine angle creation
• – Lingual surface creation
• – Embrasure forming.
• – Profile and incisal view
• – Step-by-step video protocol of surface creation
• – Burs selection
• – Wax texturing
• – Polishing tools and materials.