The Swedish Symposium:
Motions to battle
Erosions
Dr. Tif Qureshi
Dr. Francesca Vailati
Tannlege Erik Svendsrud
From Wear to Despair –
and Despair to Where?
The 3-Step-Technique:
Full-mouth adhesive rehabilitation
of severely eroded dentitions
Restoring teeth –
What is the best treatment?
STOCKHOLM - Radisson Blu Waterfront
Friday the 10th of April – Saturday the 11th of April 2015
a professional dental network
Varför är detta Symposium viktigt för Dig?
På Riksstämman i November var Erosion ett stort tema. DentaNet har de senaste åren haft stort fokus
på minimalistisk invasiv behandling i Danmark och Norge. Vi har haft en rad fantastiska föreläsare från
hela världen, både i Köpenhamn och Oslo.
Speciellt 2 av dem,Tif Qureshi och Francesca Vailati har framtagit speciella verktyg för förebyggande
av erosioner och behandling när skadan redan har skett. Detta kombinerat med den alltid minimalistiskt tänkande Erik Svendsrud från Norge har vi satt ihop ett Symposium, två dagar i Stockholm, som är
användbart i vardagspraktiken.
Vi kombinerar detta med networking, middag och festligheter som vi brukar i Danmark och Norge med
våra 750 medlemmar.
Erosions skadade tänder är ett växande problem hos våra patienter. Det är därför av största vikt att det
rande behandling innan skadorna blivit alltför stora. Traditionella behandlingsmetoder med kronterapi
innebär att även frisk tandsubstans avverkas.
En alternativ behandlingsmetod som grundar sig uteslutande på direkt adhesiv uppbyggnad av förlorad
tandsubstans har sedan sju år tillbaka testats på protetikavdelningen vid universitetet i Geneve med
lovande resultat.
Det har visat sig att man man kan förhindra förslitningar som uppstår till följd av att tänderna “vandrar” hela livet som beskrivs i en studie från 1999 (se nästa sidan)
Detta är en form av interceptiv tandvård att vid unga år räta ut och retinera tänderna för att undvika
allvarliga trångställningar och nedslitningar senare i livet. Detta kommer Dr Tif Qureshi att prata en hel
del om.
“Motions to battle Erosions” presenteras av norrmannen Erik Svendsrud som med sin minimalistiska
invasiva tankegång delar med sig av vilka saker som bör övervägas i patientbehandlingen.
Tillsammans med de två andra inläggen törs vi säga att detta håller världsklass.
Mange hälsingar
Peter Lembke Gerdes, DentaNet
a professional dental network
Tannlege Erik Svendsrud, Former president SAED (Scandinavian Academy of Esthetic Dentistry)
Friday Morning
Restoring teeth –
What is the best treatment?
To replace large amounts of tooth substance which is lost due to trauma, bruxism, erosion, anorexia/bulimia or caries gives
the therapist both a practical and an ethical dilemma: How much more tooth substance needs to be removed to be able to
replace the lost tooth substance and get a good result?
make the prosthetic replacement in compliance with durability and esthetic requirements.
Today we have the knowledge that no treatment is permanent and that all treatments will have some sort of consequences
within a 10 years period. It is also documented that subgingival preparations will eventually lead to periodontal injuries. If
a prosthetic solution could lead to less endodontic and periodontal complications, this would be a big step forward.
With the introduction of new techniques where the prosthetic replacement can gain strength from being glued to the
remaining tooth substance, a new and promising world emerged when Sverker Toreskog introduced this technique in
Scandinavia in 1985. This technique has proven to give results with durability comparable to traditional crowns and with
less endodontic and periodontal complications in addition to a better esthetic result. The technique functions both anterior
and posterior. Based on the speaker’s opinion and experience, the new adhesive technique will in the majority of clinical
cases replace the traditional full crown preparation. In spite of this knowledge and decades of experience with the adhesive
technique, the traditional crown preparation is still the most common treatmentmethod among most dentists.
This lecture will also be retrospective looking back at the development of teeth restoration from 1960 until today by looking at the consequences for patients with the use of previous treatment techniques and looking at what we can learn from
this when looking into the future.
Focus on tissue preserving treatment has revealed the importance of cooperation between dentist and the orthodontist.
Orthodontics prior to restorative treatment can make the difference between a great case and merely a good one. Not only
speaker will give several examples on interdiscipline treatments with orthodontics and bonded porcelain technique.
Worn teeth, caused by attrition and erosion, reconstructed with bonded feltspathic porcelain
Dr. Tif Qureshi, Former President BACD (British Academy of Cosmetic Dentistry)
Friday Afternoon
From Wear to Despair –
and Despair to Where?
Occlusal disease, in its various forms is the no.1 reason most restorations fail.
And yet it is the part of dental university education that is least comprehensively taught. And yet every single day we all see
patients presenting with occlusally related issues.
For most of us it is something we learn by watching lectures, going on courses, and of course trial and error.
is clear is that many of these approaches do work but the dentists in each camp feel strongly that they are right to the point
where some people actually argue.
The treatment of large tooth wear cases can often provide some of the most amazing transformations for patients with
often life-changing results.
Most great speakers will have a few large wear cases that they throw into a presentation and this will rightly wow and stun
the audience- It takes training and skill to be able to restore these cases once a large amount of tooth structure has been
lost and muscle activity is high.
However if more of us were using interceptive techniques early on, would we see fewer patients ever needing to have these
hugely expensive showcase treatments?
This lecture will present an alternative and practical view of the use of the Dahl principle in these early and moderate wear
cases that will open your eyes to the huge possibilities in your practices.
This presentation will show how using composite in mild- moderate wear cases with less than 5mm of tooth wear could
be enough to de-programme and treat these patients predictably because it acts like a splint that they cannot remove and
economically because no prep or expensive materials are required. Canines can be built to establish guidance and the vertical dimension can be increased in early cases. The lecture will also cover the control of inter-canine width with combined
orthodontic techniques to prevent the slip to group function and natural collapse of the anterior arch. Many cases will be
presented with long-term follow up.
The essential and unique lecture will cover how to explain and treat these cases simply to ensure your patients do not lose
precious tooth substance through their lives and maintain younger looking and better functional teeth.
Intercanine width collapse - ortho and
dahl to widen / open bite
After 10 weeks
After 8 years
Francesca Vailati md, dmd, msc
Whole Saturday – The 3-Step-Technique:
Full-mouth adhesive rehabilitation
of severely eroded dentitions
Dental erosion has become a widely spread problem, as clinicians are facing an increasing number of erosion cases in their
ative materials.
In the past, patients affected by dental erosion were left mostly untreated until severe damage of their dentition occurred.
Only then, full-mouth conventional rehabilitations were proposed and executed with a little attention to the preservation
of the remaining tooth structure.
Crown lengthening procedures and multiple elective endodontic treatments were performed, without considering the
biological implications for the long-term success of the therapy.
Unfortunately the literature cannot provide strong evidence-based answers on this topic, and only few case reports have
been published.
Dr. Vailati has been a pioneer in treating this population of patients with minimally to no invasive techniques. Since 2005
all the patients affected by dental erosion, showing signs of dentin exposure, have been immediately restored with a minimal invasive approach (the 3 Step Technique).
This simple and predictable clinical approach will be also illustrated to treat other cases of dental wear (e.g.bruxism).
• With the improvement of adhesive techniques questions arise on the
necessity of still relaying on friction to deliver dental restorations (360
degree preparation).
• Since the biological success is the goal of this adhesive rehabilitation,
to guarantee the thickness of the restorations, an increase of vertical
dimension of occlusion (VDO) is planned for every patient.
• Removing intact tooth structure is an inevitable requirement in case of
crown preparation to allow for a single path of insertion. The biological
loss may be dramatic and often underestimated.
• The only limiting factor to the increase of the VDO is the position of the
PROGRAM FOR SATURDAY:
1. Dental erosion ethiology and conventional therapy
2.
3. Classic 3 STEP technique part 1
4. Classic 3 STEP technique part II
5. Palatal veneers
6. Treatment planning for a full mouth rehabilitation
7.
8. Bruxism and dysfunctional occlusion.
• In case of major destruction of the vestibular aspect of the maxillary
anterior teeth, another restoration (a ceramic facial veneer) may be
delivered to the patient. The use of two veneers to restore a tooth is
called Sandwich approach.
• Thanks to the use of palatal veneers, the incisal edges are reinforced
and the pulp protected, eliminating the need of aggressive therapies
(elective endodontic treatments and/or crown lengthening).
• In case of Sandwich approach, clinicians may decide if the will remove
completely the length added by the palatal composite veneer (total
removal) and replace with the facial veneer or if the prefer to leave some
of the palatal veneer’s length (partial removal).
• The esthetic result of a full-mouth rehabilitation is very predictable,
since the gingiva responds very well to veneers.
• Thanks to the two different paths of insertion of the two veneers,
palatal and facial, the mesial and the distal crests could be almost
entirely preserved.
• At the same token, teeth restored with crowns often present gingival
• In addition, the vestibular aspect is also preserved by additive
• Clinical outcome up to 7 years of full-mouth adhesive rehabilitations,
following the 3 Step technique, shows aesthetic, mechanical and
biological success very promising.
teeth restored.
remake.
Stability and Relapse of Mandibular Anterior Alignment:
University of Washington Studies
Robert M. Little
ABSTRACT
For more than 40 years, research in the Department of Orthodontics, University of Washington (Seattle, WA) has focused on a
growing collection of more than 800 sets of patient records to assess stability and relapse of orthodontic treatment.
All patients had completed treatment a decade or more before the last set of data. Evaluation of treated premolar extraction
patients, treated lower incisor extraction patients, treated nonextraction cases with generalized spacing, patients treated with
arch enlargement strategies, and untreated normals showed similar physiologic changes:
(1) Arch length decreases after orthodontic treatment.
(2) Arch width measured across the mandibular canine teeth typically reduces posttreatment, whether or not the case was
expanded during treatment.
(3) Mandibular anterior crowding during the posttreatment phase is a continuing phenomenon well into the 20-to-40
years age bracket and likely beyond.
(4) Third molar absence or presence, impacted or fully erupted, seems to have little effect on the occurrence or degree of
relapse.
(5) The degree of postretention anterior crowding is both unpredictable and variable and no pretreatment variables either
(Semin Orthod 1999;5:191-204.)
Copyright © 1999 by W.B. Saunders Company
Kursmiddag
FREDAG KVÄLL DEN 10 APRIL
Fredag kväll är det kursmiddag på Radisson Blu Waterfront Hotel. Vi avnjuter en 3 rätters meny
med goda viner och efterföljande dans och musik med trevliga kollegor.
Anmäl dig till middagen tillsammans med kursanmälan. Middagen ingår inte i kursanmälan.
Hoppas att se Dig där!
Program
Praktisk Info
Kursplats
Radisson Blu Waterfront Hotel
Nils Ericsons Plan 4
111 64 Stockholm
Fredag
08.15 Registrering
09.00 Välkommen
09.15 Dr Erik Svendsrud
12.00 Lunch
13.00 Dr Tif Qureshi
16.30 Avslut på dag 1 med Drinkar och snacks
18.30 Middag
Lördag
09.00 Dr Francesca Vailati - del 1
12.30 Lunch
13.30 Dr Francesca Vailati - del 2
16.45 Svenska Symposium om
Dentala Erosioner avslutas
Kursavgift ex moms
Före 1:a Mars 8.895- SEK
Efter 1:a Mars 10.995- SEK
Kursmiddag
1.250 SEK inkl moms
Glöm inte att anmäla dig till middagen
med kursgänget!
Du får en faktura på posten efter anmälan.
Anmäl dig via:
www.dentanet.dk
Vi har korta pauser under dagen.
Hotell:
Hotellrum är förbokade på Radisson Blu Waterfront Hotel.
Du kan boka hotell rum i samband med kursanmälan på hemsidan.
a professional dental network
A dental network of 750+ Danish and Norwegian members - together we help each other making the patients even happier