Porcelain Laminate Veneers
How to give your patient their desired esthetic result.

Fully Digital Workflow Applied to Minimally Invasive Cosmetic Dentistry
A 55-year old man came to a first appointment complaining chiefly of his unpleasant smile aesthetics. The concern was solved following a fully digital protocol. Thanks to the evolution of technology in dentistry it is possible to do a full digital case, obtaining a more precise outcome and reducing time on a dental chair.

Integrative Management of the Gummy Smile: Lip repositioning, Crown Lengthening & Restorative Nuances
The gingival smiles can be mild, moderate and severe , according to the degree of gingival exposure while smiling . Depending on the etiology of the problem , mild and moderate gummy smiles can be treated with moderate periodontal plastic surgery , however for severe , this procedure is not enough .

Biofunctional Dynamic Occlusion
Overall, this lecture will create an understanding and relationship between the cervical spine and mandibular movements and the trilogy between Joints, Muscles and Occlusion. Most of the patients that we treat for dysfunction, were compromised during the early stages of growth and development. Overtime these created accommodations and compensations in the system induced by the physiology of the airway. After a proper structural, functional analysis, and diagnostic, phase II offers the alternative of orthopedic facial development where we can restructure the architecture of the face and the airway.

Back to the Future: Feldspathic Veneers & Zirconia Layering Techniques
Full monolithic zirconia with external stain technique is one of the popular preference techniques used today. There are many selections of multi-layered zirconia disks and blocks available in the market, which enable dental technicians to produce faster and more esthetic results. When it comes to anterior fabrication, however, full monolithic is not always the best option to process the case. There are many varieties; unique translucencies and characterization that can be seen naturally, making it nearly impossible to achieve with just an external stain technique. That is to say, in order to achieve a natural and lifelike fabrication, a layering technique must be done. This lecture will speak about all ceramic layering technique with current technology of digital tools and how these technologies may be able to assist us.

The Digital Smile Designer Journey: Step-by-Step of the Facially Driven Smile Design Process Powered by 3D Technology
Understanding how to break down into rational steps the challenging process of designing beautiful smiles in harmony with faces and integrating esthetics with function. Utilizing 3D digital technology to facilitate this process. Integrating the DSD principles of documentation and facial analysis with CAD softwares and utilizing this 3D process to improve team communication, interdisciplinary diagnostics and treatment planning.

Surface Roughness of Restroation Margin Preparations: A Comparative Analysis of Finishing Techniques
This study compared the margin profile and surface roughness created by the tips of four different finishing instruments: fine diamond, dura white stone, tungsten carbide, and ultrasonic diamond-coated tips (UDTs). The aim was to determine which of these instruments produced the smoothest finish and created the most evenly contoured margin characteristics. It was hypothesized that UDTs would produce a rougher dentin surface than a fine diamond bur, that a tungsten carbide bur would provide a smoother finish than a fine diamond, and that the dura white stone would produce an intermediate finish.

Clinical Performance of Porcelain Laminate Veneers: Outcomes of the Aesthetic Pre-evaluative Temporary (APT) Technique
The article evaluates the long-term clinical performance of porcelain laminate veneers bonded to teeth prepared with the use of an additive mock-up and aesthetic pre-evaluative temporary (APT) technique over a 12-year period. Sixty-six patients were restored with 580 porcelain lamintate veneers. Over 12 years, 42 laminate veneers failed, but when the preparations were limited to the enamel, the failure rate resulting from debonding and microleakage decreased to 0%. Porcelain laminate veneers presented a successful clinical performance in terms of marginal adaptation, discoloration, gingival recession, secondary caries, postoperative sensitivity, and satisfaction with restoration shade at the end of 12 years. The APT technique facilitated diagnosis, communication and preparation providing predictability for the restorative treatment. Limiting the preparation depth to the enamel surface significantly increases the performance of porcelain laminate veneers.

Consecutive Case Series of Monolithic and Minimally Veneered Zirconia Restorations on Teeth and Implants: Up to 68 Months
The aim of this study was to evaluate the performance of monolithic zirconia in function and minimally veneered zirconia (feldspathic ceramic, not in function, on then facial surface to enhance tooth esthetics or replace gingival structures) on both teeth and implants. The restoration parameters monitored in the patient base were fracture, cracking, or chipping of the zirconia structure and/or the minimally veneered feldspathic ceramic. There were no observed complications with respect to these parameters associated with any of the restorations included in this study.