Day 1: Rubber Dam Isolation

Topics covered: Isolation:

• Why rubber dam isolation: need of the hour
• Types of frames and when to use which
• Medium or heavy dam
• Winged or wingless clamps(when, which and how to use/apply)
• Soft tissue retraction clamps
• Floss: ligatures, uses and solutions
• Teflon solution: How to control leakage
• DME : Deep Margin Elevation
• Double frame technique
• Double Dam technique
• Flowable composite : Uses in isolation

Demonstration and Hands On:

• Quadrant Isolation using winged and wingless clamps
• Use of soft tissue brinker retractor clamp
• Learning floss ligature and Teflon use
• Inversion technique

Day 2: Posterior Direct Composite restorations:

Bonding:

• Total etch or self etch
• Selective etch technique
• How to overcome Hyper sensitivity
• Dry or Wet dentin bonding protocols
• Sclerotic dentin bonding and smear layer

Modern Cavity Designs

Matrices and Wedges:

• Why sectional and which matrices to use, where
• Ring: From old metal to new V ring
• No ring situations
• Wooden wedge modification
• Pre wedging
• Diamond wedge revolution
• Teflon wedges

Composite placement and application techniques:

• Condensation
• Injection(Heated composite)
• Snow plow technique
• Sonic fill
• Bulk fill techniques
• Final layer anatomy carving
• Beauty of Stains
• Polishing and finishing:
• How to finish composite restorations without loss of anatomy
• How to get highly polished surfaces
• How to remove high points

Demonstration and Hands On:

• Using sectional matrices with V ring perfect proximal contacts
• Proximal wall building: to convert Class II cavity to Class I
• Accurate and esthetic anatomy carving to incorporate minimal final adjustments
• Use of stains
• Finishing and Polishing the restoration

Day 3: Biomimetic Approach to Indirect Posterior Restorations

Lecture

• Material science and blurring lines between inlays, onlays, table tops and crowns.
• Concept of occlusal veneers and veneerlays
• Limitations of alloy restorations- PFM/zirconia
• DME: Deep Margin Elevation for indirects
• IDS: Immediate dentin sealing
• Light polymerization: Lights and curing protocols
• C-factor control
• Basic preparation designs for indirect posterior restorations
  • Conservative designs/modified design philosophy
  • Tooth banking
  • Bevel or not to bevel
  • The peripheral seal concept in dentistry
  • Occlusal considerations
• Shade selection
• Vital Vs Root canal treated teeth
• Impression techniques
• Semi direct chairside restorations: Indirect Composite with die silicon
• Composite Provisionals
• Restoration: The 4 stage try in
• Bonding protocols for indirect ceramic posterior restorations:
  • Biobase concept
  • Different generations of bonding agents
  • Conditioning of the restoration and the tooth
  • Heated composites as an option
• Finishing and polishing protocol

Demonstration:

• Tooth Preparation for an Onlay
• Try in and bonding of a pre fabricated onlay

Hands On : Models:

• Tooth Preparation for an Onlay