Enhancing Smiles at Minimal Biological Cost

Minimally Invasive Cosmetic Dentistry (MICD) and its treatment protocol was introduced globally in 2009 with the basic aim for a clinician to preserve tooth structure, prolong tooth longevity, reduce treatment cost and number of replacement cycles in a lifetime, increase patient’s confidence and trust and enhance the image of the profession.

The establishment of oral health, function and smile aesthetics of the patient is directly related with the overall harmony of his/her teeth, muscles, joints and airway (TMJA) system, and oral rehabilitation procedure should always consider the underlying functional and para-functional forces and achieve stable jaw position for long-term clinical success. If force components are not analysed and finished properly during oral rehabilitation, clinicians may encounter various clinical problems like; damaged restorations (veneers, onlay, crowns, and bridges), fractured teeth, tooth mobility, abnormal tooth wear and sensitivity, pain in the teeth, muscles, and jaw joints with various other sign and symptoms of occlusal force diseases (OFD).

There are various clinical techniques in oral rehabilitation; conventional methods use full coverage crowns that required aggressive tooth preparation and generally demands high biological, financial and time cost. However, with the advancement of science and technology in adhesive restorative materials and availability of the digital dental technology that can precisely measure different clinical parameters of the underlying forces and jaw movements in dynamic state, have now supported a modern clinician to treat even complex oral rehabilitation with non or minimally invasive ways so that the biological cost of the treatment can be drastically reduced.

Time Duration
8:30 - 9:00 Registration
9:00 - 10:30 FMR Fundamental Principles - Part I
Minimally Invasive Cosmetic Dentistry (MiCD) concept and treatment protocol; FMR classification; Occlusion, jaw position theories & controversies; Occlusal Force Diseases (OFD) and Clinical Evaluation; Vertical Dimension of Occlusion (VDO) Issues (Maintaining existing VDO, Re-Establishing lost VDO, Creating therapeutic VDO ); Selection of restorative materials for MiCD-FMR; Three step protocol of MICD - Full Mouth Rehabilitation (FMR).
Dr. Sushil Koirala
10:30 - 10:45 Tea Break
10:45 - 13:00 FMR Clinical Technique Demonstration - Part II
Esthetic/functional treatment protocol to reestablish esthetics together with harmony and stability to the stomatognathic system. Key stages: Examination-Diagnosis-Esthetic Mockup-Creation of prosthetic space without raising the VDO-Occlusal analysis-Occlusal adjustment-Functional/esthetic wax up-Provisional restoration fabrication and verification- Rational and methodology of use of minimal and non invasive bonded ceramic restorations to restore/create the required esthetics and function. Step by step MiCD - FMR using indirect ceramic restorative materials
Dr. Dinos Kountouras
13:00 - 14:00 Lunch
14:00 - 15:00 FMR Clinical Technique Demonstration – Part III
Step by step MiCD- FMR using composite resin restorative materials & combination
Dr. Sushil Koirala
15:00 - 15:30 Tea Break
15:30 - 16:00 Certificate Distribution & Closing Ceremony
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