WAX-UP AND CERAMIC EXTENSIVE COURSE Dr. Dario Adolfi Dr. Ivan Ronald Huanca

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1 WAX-UP AND CERAMIC EXTENSIVE COURSE Dr. Dario Adolfi Dr. Ivan Ronald Huanca Duration: 6 meses

2 STEP 1: WAX-UP OF FOUR UPPER POSTERIOR TEETH with Dr. Ivan Ronald Huanca The objective of this course s step is the improvement and the updating of new concepts about dental morphology. It is adressed to dental technicians and dentists that are going to acquire news technical knowledge through practical exercises of dental wax-up. The correct handling of the instrumental and a perfect viewing of each dental element will be shown through practical demonstration, video and reproduced by each student. Welcome desk ( 9:00-9:30) Basic course outline Hands on demonstration (9:30-10:30) Wax-up to evaluate the participants Theory (11:00-13:00) Lunch (13:00-14:00) Hands on demonstration (14:00-15:45) Wax-up of the two upper premolars Coffee-Break (15:45-16:15) Hands on (16:15-17:30) Wax-up of the two upper premolars Hands on demonstration (9:00-10:30) Wax-up of the upper first molar Hands on (11:00-13:00) Wax-up of the first upper molar Lunch (13:00-14:00)

3 STEP 1: WAX-UP OF FOUR UPPER POSTERIOR TEETH with Dr. Ivan Ronald Huanca Hands on demonstration (14:00-15:45) Wax-up of the upper second molar Ceramic build-up with opalescent materials Coffee-Break (15:45-16:15) Hands on (16:15-17:30) Wax-up of the upper second molar

4 STEP 2: WAX-UP OF THE FOUR LOWER POSTERIOR TEETH with Dr. Ivan Ronald Huanca Hands on demonstration (9:00-10:30) Wax-up of the first lower premolar Ceramic build-up with opalescent materials Hands on (11:00-13:00) Wax-up of the first lower premolar Lunch (13:00-14:00) Hands on demonstration (14:00-15:45) Wax-up of the second lower pre-molar Coffee-Break (15:45-16:15) Hands on (16:15-17:30) Wax-up of the second lower premolar Hands on demonstration (9:00-10:30) Wax-up of the first lower molar Hands on (11:00-13:00) Wax-up of the first lower molar Lunch (13:00-14:00) Hands on demonstration (14:00-15:45) Wax-up of the second lower molar Coffee-Break (15:45-16:15) Hands on (16:15-17:30) Wax-up of the second lower molar

5 STEP 3: CERAMIC BUILD-UP OF THE TREE POSTERIOR TEETH Objectives Development of the most modern build up ceramic techniques through a logical construction and utilizing all of the NobelRondo ceramic materials, for a better understanding of the characteristics of the natural teeth with metal free system. The students should develop the sense of observation of the basic forms of the posterior teeth as well as the surface texture and superficial gloss. The use of nonedge technique for the development of the occlusal anatomy with a natural appearance and finish of bridges. Correct utilization of the semi-adjustable articulador, as a precise instrument for the oral rehabilitation. Welcome desk ( 9:00-9:30) Basic course outline Theory (9:30-10:30) Nonedge technique Natural development of the occlusal anatomy for the posterior teeth Hands on demonstration (11:00-12:00) Nonedge technique Carbide burs preparation and how to use it Round diamond burs of natural development of occlusal surface morphology Correction material of final adjustment with the glaze bake Hands on demonstration (12:00-13:00) Ceramic build-up of the de upper premolar Lunch (13:00-14:00) Hands on (14:00-15:00) Ceramic build-up of the upper premolar Hands on demonstration (15:00-16:00) Ceramic build-up of the upper molar Coffee-Break (16:00-16:30)

6 STEP 3: CERAMIC BUILD-UP OF THE TREE POSTERIOR TEETH Hands on (16:30-17:30) Ceramic build-up of the de upper molar Live on demonstration with patient (17:30-18:30) Posterior tooth preparation, impression and temporary restoration for Procera crown Hands on Demonstration (9:00-10:30) Nonedge technique for the upper teeth Glaze bake Hands on (11:00-13:00) Nonedge technique and glaze bake for the upper posterior teeth Lunch (13:00-14:00) Hands on Demonstration (14:00-15:30) Ceramic build-up for the lower second molar Nonedge Technique Coffee-Break (15:30-16:00) Hands on (16:00-17:30) Ceramic build-up for the lower second molar Nonedge Technique Live on demonstration with patient (17:30-18:30) Cementation for posterior Procera crown

7 STEP 4: CERAMIC BUILD-UP OF FOUR ANTERIOR TEETH: UPPER CENTRAL, LATERAL AND CANINE AND LOWER CANINE Theory (9:00-10:30) Oral Rehabilitation - General considerations Full Crown indications - To protect weakened tooth structure - To restore the tooth to function - To improve or restore esthetics - For use as a retainer for fixed bridge - General considerations Abutment resconstruction - Methods and materials - Composite - Fiber posts - Composite materials and adhesive systems Abutment preparation - Burs and instruments - Preparation technique - Preparation concepts for Procera System - Finishing and polishing Relationship of the finishing line with esthetics and soft tissue health - Biological distances - Periodontal characteristics - Types and localization of finish lines - Importance of fitting, finishing and polishing of ceramic crown Fluid control - Instruments and materials Impression techniques / Materials and methods - Double cord technique Master Cast - Die Confection - Correct finishing line visualization - Maxilo-mandibular relationship - Mount onto the articulator Occlusion Basic concepts - Occlusal compass - Nonedege technique for developmente of occlusal anatomy

8 STEP 4: CERAMIC BUILD-UP OF FOUR ANTERIOR TEETH: UPPER CENTRAL, LATERAL AND CANINE AND LOWER CANINE Theory (11:00 12:00) Esthetics concepts - Provisional restorations - Harmony without symmetry - Esthetic checklist a) Middle line / tooth axis b) Gingival level c) Zenith of gengival contour d) Interdental closure e) Interproximal contact points f) Interincisal angle g) Morphology / Proportion and basic shape of natural teeth h) Incisal edge position i) Lip lines j) Incisal edge configuration k) Implant tridimensional position l) Shade m)surface Texture and superficial gloss - Communication between dentist, technician and patient a) Digital photography Metal free system Procera Allceram / AllZirkon - System Concept - Specific considerations - Master cast and die preparation - Double scanning - Zirconia bridges - Preparation of the framework - Alumina and Zirconia ceramics - Nobel Rondo Cementation - Glass ionomer cement - Chemically-cured resin cement Clinical Cases Hands on demonstration (12:00 13:00) Ceramic build up of the upper central Lunch (13:00 14:00) Hands on (14:00 15:00) Ceramic build up of the upper central

9 STEP 4: CERAMIC BUILD-UP OF FOUR ANTERIOR TEETH: UPPER CENTRAL, LATERAL AND CANINE AND LOWER CANINE Hands on demonstration (15:00 16:00) Ceramic build up of the upper lateral Coffee-Break (16:00 16:30) Hands on (16:30 17:30) Ceramic build up of the upper lateral Live on demonstration with patient (17:30 18:30) Anterior tooth preparation, impression and temporary restoration for Procera crown Hands on Demonstration (9:00-10:30) Ceramic build-up of the upper canine Hands on (11:00-13:00) Ceramic build-up of the upper canine Lunch (13:00-14:00) Hands on Demonstration (14:00-15:30) Ceramic build-up of the lower canine Surface texture and superficial gloss Coffee-Break (15:30-16:00) Hands on (16:00-17:30) Finish all the crowns Surface texture Superficial gloss Live on demonstration with patient (17:30-18:30) Cementation for Posterior Procera crown

10 TM STEP 5: NOBELRONDO PRESS Today there is a movement in the market toward press ceramics. In addition to existing NobelRondo Concept, Nobel Biocare developed NobelRondo Press. NobelRondo Press offers the universal technology for all metal free solutions in dental esthetics. The purpose of this program is to give you an overview of the NobelRondo Press concept, differents possibilities and indications. Update on new products, current assortment in conjunction with hands on of NobelRondo Press. Theory (9:00 10:30) TM NobelRondo Press Concept Resistance and credibility Flexural Strength Biocompatibility Fracture force Light transmission and fluorescence Product description Indications and contraindications Preparation and framework design Wax-up and spruing Pressing program Pressed ceramic shoulder Devesting, sandblasting and cutting of sprues TM NobelRondo Press Alumina and Zirconia - Standard - Professional TM NobelRondo Press Solo Hands on demonstration (11:00-13:00) Spruing and investing the wax-up for the molar and central

11 TM STEP 5: NOBELRONDO PRESS Lunch (13:00 14:00) Hands on demonstration (14:00 15:30) Nonedge technique for the upper molar Standard technique (staining) Correction material and glaze Coffee-Break (15:30-16:00) Hands on demonstration (16:00 17:30) Professional technique for the anterior teeth Standard technique (staining) for the inlays/ onlays and laminates veneer. Hands on (9:00 10:30) Cut off the sprues Nonedge technique Hands on demonstration (11:00 13:00) Standard technique Correction material Glaze Superficial gloss Cut back for the upper central for professional technique Lunch (13:00-14:00)

12 TM STEP 5: NOBELRONDO PRESS Hands on (14:00 15:30) Professional Build up with translucent and opalescent materials Finishing and surface texture Coffee-Break (15:30-16:00) Hands on demonstration (16:00 17:30) Standard technique Correction material Superficial gloss

13 STEP 6: PORCELAIN LAMINATE VENEERS Porcelain laminate veneers are considered the most esthetic means of creating a more pleasing and beautifull smile. They require a minimal amount of tooth reduction and are therefore, a more conservative restoration. Porcelain veneer allow us to alter tooth position, shape, and color High quality of impression and preparation are essencial for laboratory success. All the labotratory procedures will be made with semi adjustable Protar/Kavo articulator. Welcome Desk (9:00 10:30) Basic course outline Theory (9:30 10:30) Clinical and laboratorial considerations - Diagnostic wax-up - Temporary restorations Esthetic and Functional Planning - Indication - Material - Step by step for adhesive cementation and selection of resin cement to achieve a natural match of shade. Impression Master cast Refractory master cast Ceramic build up and internal stains Coffee-Break (10:30 11:00) Hands on demonstration (11:00 11:30) How to produce the master cast and refractory master cast Hands on (11:30 13:00) Construction the master cast and refractory master cast Lunch (13:00 14:00) Hands on (14:00 15:30) (continuation) refractory master cast

14 STEP 6: PORCELAIN LAMINATE VENEERS Coffee-Break (15:30 16:00) Hands on demonstration (16:00 17:30) C eramic build-up of the upper central and lateral Live on demonstration with patient (17:30 18:30) Preparation and impression for porcelain laminate venner Hands on (9:00 10:30) Ceramic build-up of the upper central and lateral Coffee-Break (10:30 11:00) Ceramic build-up of the upper central and lateral Hands on demonstration (11:00 13:00) Internal stain technique Ceramic build-up with opalescent materials Lunch (13:00 14:00) Hands on (14:00 15:30) Internal stain technique Ceramic build-up with opalescent materials Coffee-Break (15:30 16:00) Hands on demonstration (16:00 16:30) Surface Texture Glaze Superficial Gloss

15 STEP 6: PORCELAIN LAMINATE VENEERS Hands on (16:30 17:30) Surface Texture Glaze Superficial Gloss Live on demonstration with patient (16:30 17:30) Porcelain laminate veneer cementation

16 INFRASTRUCTURE Reaching excellence in our acting field needs more than will and dedication. It is necessary to have the adequate tools and a favorable place. To accomplish this, our facility include different spaces for every student s needs including a room with work benches for laboratorial courses, a surgery center, consultation rooms, a room with searching terminals connected to the internet and an auditorium for 120 people (able to make teleconferences and to receive long distance images). The entire infrastructure was planned to offer the best possible experience for the students. DR. DARIO ADOLFI - Graduated at University of Sao Paulo in Caramist, director of Spazio Odontologico - International lecturer with practical and demonstrative courses in South America, Europe, Australia, USA and Asia - Author of the Book The Natural Esthetics published by Quintessence International in Portuguese, English, Spanish and Russian - Author of articles in the Esthetic field. CONTACT FOR MORE INFORMATION, CALL: + 55 (11) FAX: (11) o Adress: Av. Presidente Juscelino Kubitschek, andar - Itaim Bibi - CEP Site:

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