DentaNet Symposium 2024 - Prof. M. Blatz, Dr. A. Malisauskiene, Dr. Cobb

Every day dentists are facing challenges in anterior free-hand restorations. Patients ask for same day treatments of chipped, worn or decayed teeth. Class III and small class IV restorations take up most of our daily anterior dentistry. Patients expect invisible margins, perfect shade and shape match. Dentists on the other hand want to provide efficient and reliable dentistry. The lecture will explore materials and methods of how to connect the dots in direct anterior restorations.

During this lecture you will learn:

• Will revise tooth primary, secondary and tertiary anatomy
• How to notice tooth anatomical landmarks
• How to know how much length to add when restoring worn or chipped anteriors
• How to classify all your composite resins to make your daily workflow efficient
• How to restore line angles, marginal ridges and tight contact
• How to hide tooth - composite margins

Dr. Agne Malisauskiene will cover anatomical landmarks that should be taken into consideration in direct anterior restorations. Lecture will begin talking about the most important aspects of primary, secondary and tertiary anatomy. Speaker will explore anatomical and optical tooth shape with a focus on line angles. How to notice them, recreate them and use them to hide tooth - composite margins. The importance of marginal ridges and incisal edge shape and position in terms of recreating them with composite resin will be explained. The most important aspect of first lecture is following natural tooth anatomy in order to restore decayed or chipped teeth without veneering them with composite resin.

Second lecture will focus on the materials and methods used for direct anterior restorations. Classification system for composite resin and the use for each class will be proposed. Speaker will demonstrate what composites and methods should be used to restore a tight and anatomically correct contact point. Dr. Agne will focus on opacity and texture of composite resin and how to use it’s variables in order to achieve lifelike restorations in a fast-paced environment. Shade matching and layering techniques will be explored in a step - by - step manner.

Utilising the knowledge of the tooth shape and the skill of adding just enough composite to restore anterior teeth with composite resin in timely efficient manner is a desired skill be any dentist. Dr. Agne Malisauskiene will help you to connect the dots in direct anterior restorations.

TMD and Sleep Disordered breathing affects many of our patients and has a negative impact on the health of the masticatory system as well as systemic complications. To often restorative dentists jump to correct dental issues and fail to diagnose TMD and Airway problems. Long term predictable results begin with a complete examination which includes TMD and Airway evaluation. A systematic pathway for successful  management of TMD and Sleep Disordered Breathing will be presented. This presentation will be broken down into three parts and include patient examples: 
 

1. TMD and Orofacial Pain:

• The complete exam, TMJ health and airway evaluation 
• Systematic Pathway to Diagnosis and Treatment
• Diagnosis and Phase I reversible orthotic therapy  
• Orthotic types and when to use  
• What to do when Phase I therapy is successful

2. Sleep Disordered Breathing:

• Airway screening and diagnosis 
• American Academy of Dental Sleep Medicine Guidelines
• Working with our medical colleagues 
• MAD appliances, initial position and titration
• Treatment options: CPAP v Mandibular Advancement Device (MAD)  

3. What to do when Phase I TMD therapy is not successful:

• Surgical Intervention
• Interdisciplinary team management
• Treating TMD and Airway issues simultaneously