IDD - International Digital Days

Participants will attend a 3-hour interactive, hands-on digital dentistry workshop which focuses on 3D printing.
This course aims to describe the background, theory, and procedures related to intraoral optical image production, implant planning, and fabricating surgical guides.
Participants will become exposed to software for generating 3D printed fixed and removable prosthetics as well as printing techniques using optical scanning, and software design. Additionally, participants will actively participate with 3D printing processing procedures including finishing and characterization of prosthetics.

Learning Objectives:

1. Understand principles, theory, and procedures of 3D printing
2. Exposure to information related to clinical workflows and software manipulation of optical images
3. Acquire knowledge and confidence in generating surgical guides and prosthetics utilized in clinical practice
4. Exposure to laboratory procedures to produce, finish, and prepare prosthetics for intraoral applications

3D printing seems to be the hottest trend in dentistry but the big question is.... it clinical reality or just the latest hype?
This captivating evidence-based presentation describes utilizing 3D printing technology and features clinical workflows that the author utilizes daily in practice.

From prototyping to surgical guides to producing fixed and removable prosthetics, the author highlights real clinical cases where 3D printing technology has made progress in improving clinical procedures. Additionally, examples of where 3D printing falls short of meeting expectations are discussed including demonstrating challenging cases.

​Learning Objectives:

- Understand principles, theory, and procedures of 3D printing technology

- Exposure to clinical workflows related to clinical utilizing 3D printers

- Become familiar with 3D printing techniques related to fixed and removable prosthetics

If you have basic knowledge of dental photography and you want to skip to the next level, this is your workshop.

All the 3 hours will be focused on how to make fancy slides or super pictures to get all the super effect you have ever desired from your tooth, opalescence, super texture, fluorescence, photo portrait like in a professional.

Throughout the years proper protocols were created by top world specialists.
Then, microscopes and other magnification systems were introduced into daily practice, and now it is difficult to imagine dentistry without them.
Everything seemed completed. But no… Modern dentistry moves one. We are going digital.

Topics:

- First visit.
- Scanning strategies.
- Initial scan
- Photo/video protocol for clinic/lab co-operation.
- 3D design.
- 3D printing technologies.
- Mock-up and case analysis.
- Pre-preparation scanning
- Preparation in a digital workflow.
- After preparation scanning
- Final restorations designing.
- Milling machines.
- 3D staining.
- Bonding procedures.

No matter how much emphasis is placed on the importance of a thorough diagnosis and treatment plan, it is never enough.... which is why this field continues to be the focus of ongoing research. As a result, various digital diagnostic methods have been recently introduced.

Through these technologies, we are able to acquire vast amounts of diagnostic information. As a next step, we should focus on how to utilize this precious information properly. Based upon this concept, 9 years ago, we started the EUREKA R2 project to develop a unique digital solution; the creation of a completely digitalized 3D patient. The patient thus visualized brings the dentist into a comprehensive world of treatment. It shows 3D relationships between bone and bone, bone and teeth, teeth to teeth and hard tissue to soft tissue. In my presentation, I will introduce how we make a digitalized 3D patient and how we can interpret individual characteristics, as well as how to utilize CAD/CAM technology based on the digitalized patient information.

Welcome to the Digital Oral Design world !!.

The lecture will discuss the benefits of utilizing CadCam technology in comparison to analogous methods but will also point out some limitations of the technologies available and where clinicians should try carefully when considering changing their workflow to fully digital.

Understanding how the technology works, clearly defining the aims of treatment and making evidence-based decisions on the clinical direction to take will allow the clinician have control over the final treatment outcome, ultimately benefiting the patients long term dental health.

Dental photography is important to spot case, send pictures to the lab, do a correct plan and follow up control but usually, we do not document 100% of our cases because we think it is a long waste of time procedure just because we do not have a correct protocol.

In this workshop we will describe with video, techniques , tip & tricks how to have a basic easy procedure in order to obtain an easy and speed basic documentation, repeatable for every person in the practice.

The 3D technologies based on CT/CBCT imaging combined with interactive surgical planning softwares, stereolithographic anatomical models and CAD-CAM procedures, can be very useful in the implant treatment of advanced maxillary bone atrophy. The therapeutic options for Cawood-Howell IV, V, VI, in our experience, include Bone Grafting, Zygomatic Implants and a new High-Tech Sub-Periosteal Implants: the AMSJI.

The use of zygomatic implants has proven to have a high success rate and is emerging as an alternative treatment to the large bone reconstructions of the maxilla. Many works show that, in addition to the intra-sinus path of the original protocol (Branemark 1988), different variants can be used, and the implants can be inserted in the zygomatic body with different trajectory based on accurate anatomical evaluations. The surgeon, however, is forced to make accurate assessments of the entrance point, path and exit point of the zygomatic implants during the surgery. To overcomes these problems we have developed a surgical protocol with the aim of providing tools for study and control of implant placement and have a tool to transfer the surgical and prosthetic project to the surgical phase. We believe that this protocol can improve safety and reduce both surgical and prosthetic risks related to zygomatic implant surgery.The additively manufactured sub-periosteal jaw implants (AMSJI) rapresent an alternative solution to zygoma implants or to extensive bone grafting.

The concepts of AMSJI are unique in many ways and uses the most modern technologies like: 3D-printing, finite element analysis, topological optimization, to create a custom-made sub-periosteal implant. This customized, prosthesis-driven reverse-engineering represents a therapeutic alternative implant approach avoids the problems related to bone grafting and to zygomatic implants and provides immediate functional restorations.

The digital revolution transforms the world of dentistry. Intraoral, desktop and face scanners, cone beam computed tomography (CBCT), computer-assisted-design / computer-assisted-manufacturing (CAD / CAM) software, milling machines and 3D printers, new materials represent an opportunity to improve the quality of our work. In all this, the accuracy of the machines becomes essential, and the dentist enters the world of numbers. Mathematics is the new challenge for the digital dentist: the challenge of numbers.

The digital applications began more than twenty years ago in dentistry. So why is dentistry not digital in 100% of the practices?

There are three possible answers to this question ; the acquisition and confection systems are not yet reliable enough, or they are too complicated to use, or they are too expensive, or all three at once?

This presentation proposes to examine these questions, without taboos or commercial accents, in restorative dentistry, prosthetics and aesthetics, with the point of view of a general practitioner at the diagnostic and therapeutic stages.

This workshop will summarise the modern OroFacial principles for ideally integrating smiles with faces and participants will perform the smile simulation step by step with the DSDapp, understanding how to link the smile design with the 3D interdisciplinary treatment plan and smile test drive journey.

Full guided maxillofacial surgery is used to simulate total or partial osteotomies of the jaws and to ensure the control of their execution thanks to custom made cutting and drilling guides and titanium miniplaques.
These new technologies now make it possible to implement the most appropriate therapeutic strategies for the patient in both reconstructive implant surgery and orthognathic surgery.
The full implant reconstructive surgery allows to reposition edentelous atrophic maxillary. The ultimate goal is to position the implants in a physiological orientation and avoid false gums.
The full guided orthognathic surgery allows to precisely reposition the bone bases according to the aesthetic and functional needs.
The objective of this essentially clinical communication, based on numerous meaning cases and a 9-year author's experience, is intended for implantologists as well as orthodontists and oro-maxillofacial surgeons.

The recent digital technology offers numerous new and efficient options for restorative dentistry. Within digital dentistry the optical impressionning is the first step towards a digitalization of the patient’s intraoral situation.
The resulting digital file is then used for the virtual plannification and the virtual design of reconstructions, which thereafter can be milled out of prefabricated blanks of different materials with aid of CAD/CAM systems.
The digital systems available today offer numerous advantages, like e.g. the precision of the reconstructions.
A high number of studies has demonstrated good accuracy of the current subtractive manufacturing, i.e. the computer-aided milling or the grinding of ingots. More recently, additive procedures have been introduced.
Stereolithography, laser sintering or printing of materials like wax, resins or metals has shown to be even more precise than the subtractive manufacturing.

Finally, the „digital workflow“, is not only interesting for the fabrication of dental reconstructions but also for a better patient/dentist communication.

Technology, Marketing, and Corporate Dentistry are changing our industry creating a disruptive moment full of new opportunities and challenges.
Incorporating digital solutions to promote better, diagnose, design, plan, motivate and perform is paramount to succeed in the new, extremely competitive, dental market that is forming ahead of us.

Planning the investments, creating key partnerships, overcome the learning curve, implementing workflows and getting the team on board are some of the obstacles to differentiate ourselves in the eyes of our current and possible clients, becoming a modern clinic and creating value towards our community.

Immediacy in dental implant therapy is an increasingly raising interest of dental community because of the clinical benefits it provides in terms of minimally invasiveness, reduced morbidity, length of treatment, and cost efficiency.

In the meantime, the field of implant dentistry is currently undergoing significant changes. In the last decade, technological improvements in 3D imaging, intra-oral optical scanning, and Computer Aided Design / Computer Aided Manufacturing (CAD / CAM) are propelling dentistry and implantology into a more computerized and integrated workflow. These changes should allow the clinicians to approach diagnosis, surgery and final restorative as a whole unique and connected treatment process.

The constant effort of the industry to provide performant implant design combined with the ongoing evolution of CAD-CAM technologies lead clinicians to modify clinical protocols toward a more efficient, minimally invasive and streamlined treatment process.

This lecture will discuss treatment optimization in posterior area through SSA concepts ( customized healing abutments for molars sites) and digitalized and time efficient workflows for immediate restoration in the esthetic area.

The use of anatomical healing abutment immediately after extraction and immediate implant placement for molar sites has the potential to improve treatment workflow from a surgical as well as prosthetic standpoint. SSA concept (Sealing Socket Abutment), offers a minimally invasive solution for wound closure and a mechanical support for tissue stabilization during healing time.

Learning Objectives:

- Understand the benefits of the SSA workflow from patient experience standpoint
- Understand the benefits of the SSA workflow from clinician standpoint
- Understand the importance of atraumatic extraction
- Exposure to digital and analog step by step workflow

Course Outline:

- Minimally invasive extraction technique
- Immediate implant placement molar
- Chairside fabrication of SSA with CONVENTIONAL technique
- Chairside fabrication of SSA with DIGITAL technique
- Digital impression and digital workflow for single unit prosthetic

Full Arch restorations have always presented itself with clinical and technical challenges, from working in the clinic with the patient, to the laboratory bench, and to the need for improved communication between the involved team members.
With the speed that the technology has improved, so has the way we diagnose, treatment plan and restore the full arch patient. What hasn’t changed is the sound prosthodontic principles.
This lecture will highlight some of the clinical challenges, materials and the protocols needed to meet the expectations of the team to deliver a successful outcome.

​Lecture Objectives:

- Cover common treatment modalities for fixed full arch implant candidates

- Understand factors involved in treatment planning for immediate extraction or the edentulous arch

- Review role of CAD/CAM in full arch prosthetics

- Understand indications & process for immediate load full-arch prosthodontics

- Understand the role of CBCT and 3D software for diagnosis and planning

The utilization of CBCT in dentistry has been met with resistance in the past. With the popularity of digital dentistry , CBCT has now become the standard of care because of its many applications into all aspects of our treatment workflow. Societies demand for Facial aesthetics has pushed us to raise the bar in diagnostics and treatment planning, leading to more exact and precise results.

This lecture will deal with the use of CBCT in facial aesthetics especially related to immediate implant placement, socket shield technique and altered passive eruption.

The contribution of computer science in aesthetic implantology is a major technological breakthrough in terms of precision, time-saving, data storage, guarantees, and customization of work.

Digital wax-up, guided-surgery, and CAD/CAM are perfectly defined and protocoled with satisfactory results. However, this Digital workflow must nevertheless be at the service of implant biology. Innovative solutions that integrate into the digital flow allow us to understand the bone and tissue response of our patients better. This aim is to validate an implant treatment using the digital flow, which is certainly easy and fast to realize but especially safe in the long term.

This presentation describes how to anticipate this biological response during the execution of all the elements of the implant chain from the prosthetic project and the surgical phase to the final prosthetic realization for a better result in terms of predictability, durability, and safety in the management of dental aesthetics.

Since 2000, we have lived in the digital age, just the time when Aligner Orthodontics became popular. It has become possible to move teeth complex and very accurately according to the software planning with aligners.
Diagnosis including parts of TMJ – diagnosis, treatment planning, and the orthodontic treatment is digital and will be demonstrated step by step.
Today, we know better according to which guidelines we should treat with aligners in a digital workflow. Many scientific statements on various topics exist. We know today which tooth movements with aligners are possible and which not.
Some basic rules must be followed in the treatment planning by the orthodontists. These will be illustrated clearly by showing different examples.
The lecture will present complex treatments that are possible nowadays using Aligner Orthodontics. The most recent studies will be demonstrated.

With dentistry becoming more computer controlled, the dental profession has experienced an exciting amount of technological growth during the last years.

Implant placement through digitally designed guide stents becomes more and more popular as the accuracy, the efficacy, and handling of this procedure are evolving fast. On the other hand, CAD CAM prosthetic implant restorations have been already used for many years with the help of well-developed lab scanners, and software’s already implemented in the everyday lab work. The last missing link, the use of intraoral scanners seems to gain more and more the trust of the practitioners in the daily practice.

The aim of the presentation is to analyze the implant abutment design and the digital workflow in the esthetic zone through scientific evidence and daily experience as well as the indications and the limitations of the digital process depending on existing materials and known procedures. Chairside intraoral scanning, handling digital impressions, common mistakes, and all the full process from digitization to manufacture and final cementation through all the design steps will be clarified. Clinical cases will be presented discussing different clinical approaches, showing the synergy of older and newer biological concepts in the treatment workflow.

Objective: The use of autologous bone grafts is considered as gold standard for preimplantological alveolar ridge reconstruction.
Nevertheless, the use of autologous tissue does have limitations and drawbacks such as availability, increased operation time and risk of donor site morbidity. Allogeneic bone grafts do not only avoid these drawbacks, but represent as well in our digital times a modern treatment alternatives as they can be customized with CAD /CAM technology.

Material and Methods: In a retrospective analysis 100 allogeneic CAD /CAM customized bone grafts were radiologically measured regarding volume stability in CBCT Scans after certain healing intervals. Furthermore they were clinically analysed concering postoperative complications, success rates of the grafts theirselves and dental implants put in after 6 month healing period.

Results: under progress