Introduction

The presentation will discuss the fundamentals required to accomplish a pleasing, functional and long lasting esthetic outcome: treatment plan, team collaboration, understanding of the patient’s needs and selection of restorative materials. A myriad of factors affect the esthetic and functional outcome of complex cases. Properly addressing those factors will facilitate the achievement of a predictable and successful prosthetic rehabilitation. Among others, factors that will significantly improve the functional and esthetic outcome include: proper preoperative esthetic and functional analysis, correct data transmission to the laboratory regarding the occlusal plane orientation and inclination, and definition of an appropriate incisal edge position. A close collaboration is also needed between the surgeon and the restorative dentist both for treating natural dentition or dental implants, especially in the anterior area in challenging clinical situations such as patients with a high smile line. Material selection plays a fundamental role in management of complex rehabilitation cases. This presentation will also illustrate how to select and optimize the use of metal-free ceramic materials even in full-mouth rehabilitations. Nowadays an innovative operative protocol allows to face highly compromised clinical situations, with a minimally invasive prosthetic procedure (MIPP) that guarantees an excellent, long lasting esthetic result and a better acceptance of the treatment by the patient.

Point by point program

DAY 1: 09:00 to 13:00 

• Proper pre-operative evaluation
• How to properly fill in the esthetic checklist:
• Esthetic analysis
• Facial analysis
• Dentolabial analysis
• Phonetic analysis
• Tooth analysis
• Gingival analysis
• Functional and occlusal analysis

DAY 1: 14:30 to 18:00

• How to properly fill in the laboratory checklist
• Esthetic information
• Position, shape and contour modifications
• Functional information
• Occlusal plane vs. horizon
• Overjet and overbite modifications
• Impressions
• Correct and adequate data transfer to the laboratory
• Perio-prosthetic considerations for optimal results
• Biological provisional restorations
• From the provisional to the final restoration

DAY 2: 09:00 to 11:00 - LIVE DEMO by Dr. Fradeani

•  Working postures
•  Maximum intercuspation or centric relation?
•  Centric relation records:
•  Bimanual manipulation
•  Lucia Jig
•  Leaf gauge
•  Protrusive records
•  Facebow taking
•  Compilation of the esthetic checklist
•  Compilation of the laboratory chart

DAY 2: 11:30 to 18:00 

•  Implants and teeth
•  Anterior area: altering soft tissue level by prosthetic design
•  Abutment material selection and design
•  Material selection for crowns, veneers and bridges
•  Critical steps for crowns, veneers and bridges
•  All-ceramics: indications, possibilites and limitations
•  Fixed full-mouth rehabilitation on implants and teeth
•  MIPP technique: the innovative procedure for full-mouth rehabilitations

LIVE DEMONSTRATION BY DR MAURO FRADEANI

DAY 2: 09:00 to 11:00 - LIVE DEMO by Dr. Fradeani

•  Working postures
•  Maximum intercuspation or centric relation?
•  Centric relation records:
•  Bimanual manipulation
•  Lucia Jig
•  Leaf gauge
•  Protrusive records
•  Facebow taking
•  Compilation of the esthetic checklist
•  Compilation of the laboratory chart