Dr. Stephane Browet - Fractures - Biomimetic Theory and Hands-on Course - Oslo

Today, being the 3rd leading cause of tooth loss, cracked teeth are considered as a real epidemic. From a clinical perspective there might still be a huge difference between common sense and com-mon practice.This course focusses on the understanding of the origin of cracksand the advanced diagnostics. Early diagnosis by both the hygienist and/or the dentist is extremely power-ful in the demise of old school mechanical thinking. It will help the patient in long term tooth preservation at reduced cost. Particular attention will be brought to the way how to address the issues with the patient. Reforging bonds between patient, hygienist and dentist has never been so much fun and rewarding

Friday 9.00-17.00: Theory: BIO-MECHANICAL BEHAVIOUR 

The “molar lifecycle” or the “Circle of Death”, whereby a small filling can eventually lead to loss of vitality or even extraction of a tooth, is well known. Nevertheless, a clear strategy and guidelines on how to prevent this dramatic scenario to develop has not been proposed. Thorough understanding of the bio-mechanical behaviour of teeth, both sound and restored, on a macro- and micro-level will allow us to come forward with elective measures to save teeth. A pro-active approach will be proposed, both for vital and non-vital teeth.

How to communicate with patients when dealing with cracks is the juicy cherry on the cake.

At the end of the theory course Friday dentists and hygienist will be able to:

• understand crack origin and progression

• perform advanced diagnostics

• differentiate between superficial cracks and deeper structural

  dentin cracks

• communicate concisely and fluently

• help the patient with his positive behavioural change

This course is targeted both dental hygienists and dentists who want to be able spot and prevent cracks and fractures.

Saturday 9.00-12.30: Content of the hands-on parts

The objective of this hands-on is to become highly effective in your diagnosis and treatment of cracked teeth. You will learn to use flowchart flashcards that help you in the decisive protocol to be used for these teeth. You will perform a direct composite cuspal coverage restoration and also bond two onlay restorations with two different bonding protocols. Specific attention will  go to the preparation, immediate dentin sealing (IDS), provisional phase.

You will learn:

• Making the right decisions about cuspal coverage … where, when, how ?

• Correct tooth preparation and prepping

• Using the right materials for direct cuspal coverage

• Using the correct bonding protocols for indirect restorations

What others said about the hands-on course: 

"Browet gave an interesting and educational insight into the world of infractions. Many impressive clinical photos. Good clinical tips for direct adhesive technique. For me, these had a lot of practical relevance on a “connoisseur level” without getting too elaborate."

Haakon Andersen, Norway

"I have a lot of patients with large fillings at my dental clinic, so different types of cracks in the teeth are a part of everyday life. After the course by Stephane Browet, I have a more systematic approach. Diagnosis, documentation, and classification form the basis for how I should treat the tooth and inform the patient. The aim is to prevent and restore the tooth in a tissue-saving manner."

Solveig Skaar, Norway