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Success Simplified in the indirect dental restoration workflow
Best-practice recommendation for prosthodontic procedures
Simplifying the indirect restoration workflow
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Indirect restorative procedures are highly complex. They consist of many different clinical and laboratory steps, and each separate step involves a number of clinical challenges. That's why 3M has worked with five expert clinicians to develop a consensus for best-practice recommendations in prosthodontic procedures. These are based on the latest scientific research findings and personal long-term experience in clinical environments.
Our objective is to give you, as a clinician, an orientation on indication-specific crown material selection and clinical tips for successful and highly efficient use, striving for the ultimate objective of zero defects.
The result is a simplified 7-step procedure, covering each stage from restorative dental material selection to maintenance, captured in a booklet to give you a taste of what to expect. In-depth training is provided through our Success Simplified blog, live webinars, personal lectures and workshops.
The 7 steps of the indirect workflow
Each specific procedure step will discuss the most important options, selection criteria and relevant factors for the decision(s) to be made.
The idea is that in the clinical environment, the dental practitioner will select the differentiating factors for each individual case resulting in a case-specific recommended clinical dental protocol.
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1. Dental material selectionMaterial selection is one of the most crucial factors in indirect restorative dentistry, and it needs to be done before anything else. To tailor the dental restoration individually to the indication and the patient´s needs, multiple clinical and material associated parameters have to be considered. Go for success!
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2. Dental foundation restorations (post and core)The patient’s oral hygiene status, and the quality and amount of remaining tooth structure are key to enhance the prognosis of the tooth and the restoration. Does a fiber post need to placed? How are the soft tissue conditions? Do we need to do crown lengthening? What is used as post cement? If the remaining tooth structure fails to offer the required retention for an indirect restoration, different treatment options are available. Discover the options
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3. Dental preparation designPreparation quality has a decisive impact on the longevity of the final dental restoration. Biology needs to be respected on the one hand, and the production process and crown material requirements on the other. In this context, it's essential to determine the number of different designs used in specific clinical situations, and the number of instruments needed to obtain the desired results. Especially with regard to this task, it's good to remember that less is often more. Gain more insight
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4. TemporisationRestorations made from temporary dental material fulfill many different functions which are crucial to the final treatment outcome. They protect the underlying tooth structure, function and aesthetics, and can help to condition the gingival tissues prior to making the final dental impression. If the soft tissue is healthy and well adapted, it will ease the dental impressioning and dental cementation procedure, with a positive impact on the treatment outcome. Temporary crowns and bridges are also used as a basis for the production of the final restoration, a “mock up” allowing for a therapeutic clinical test drive. Do you know which option fits your needs? Read more
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5. Dental impression takingIn the dental impression taking procedure, several different dental impression materials and techniques are available. Elastomers are the best materials to comply with the requirements needed for indirect dental restorations. Polyether impression material, Impregum for example, produces highly accurate results in a single step using one or two different viscosity materials (monophase or one-step impression technique). Vinyl polysiloxane impression material (VPS) is the most widely used material for one- or two-step impression techniques, again using two different viscosities. In many clinical situations, digital dental impression taking is now a predictable method that facilitates a direct transfer of the intraoral situation into the virtual world of CAD/CAM procedures. Find out what dental impression material is most suited for your case
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6. Dental cementationDifferent dental restorative materials have different cementation needs and different substrate pretreatment requirements. However, the situation is not as complex as it might seem at first, provided that some basic principles are respected. The goal is to select a limited number of dental cement products, which cover all possible indications. In conjunction with a standardisation of prosthodontic procedures, this measure helps reduce the risk of possible errors in the process. See what dental cement works best for you
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7. MaintenanceLong-term success of indirect dental restorations is not only dependent on the right decisions and a proper execution of prosthodontic procedures during treatment, but also on suitable measures taken in the post-treatment phase. Maintenance measures include the development of good oral hygiene practices at home and a regular recall schedule in the dental office. Reactive measures should be taken when small defects become apparent, including polishing and repair with composite resin. This section gives several examples on how to proceed in specific clinical situations
Meet the certified members of Success Simplified
This concept started with a team of five international experts made up of both clinicians and academic researchers. Together, they've developed a consensus that's based on the latest scientific findings, but also takes into account the challenges and constraints of a modern dental practice.
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Jan-Frederik Güth holds the position of Deputy Director of the Department of Prosthodontics at the University Hospital of the Ludwig-Maximilians University Munich.
He obtained his Dr. med. dent. Degree in 2018 and his postdoctoral lecture qualification (“Habilitation”) in 2014 from the same University.
In 2013 he was a visiting researcher at the University of Southern California (with Pascal Magne) and is a specialist in the field of Prosthodontics (DGPro, the German Association of Prosthodontics) and Implantology (especially Implant Prosthetics; DGI).
His main field of attention and research are digital impression technology and workflows, CAD/CAM, aesthetics and prosthetic materials.Paulo Monteiro obtained his degree as a Doctor of Dental Medicine at the Instituto Superior de Ciências da Saúde in Caparica (ISCSEM), Portugal.
Here, he started to develop a passion for aesthetic dentistry. In 2005, the author completed post-graduation programs in Aesthetic and Restorative Dentistry at the ISCSEM.
He also obtained a Master’s degree in Dental Medicine at the same institute.
He's a coordinator and professor of the restorative post-graduation program Aesthetic and Restorative Dentistry at Instituto Universitário Egas Moniz and has an exclusive dental practice in Lisbon that focuses on aesthetic and cosmetic dental treatments.Akit Patel graduated from Guy’s Hospital Dental Institute in 2002.
He then completed a prosthodontics specialist programme at UCL (University College London) Eastman Dental Hospital and Institute and received his Masters in Clinical Dentistry (Fixed and Removable Prosthodontics) in 2008 with distinction and award for clinical and academic excellence.
He was awarded the Membership in Restorative Dentistry by the Royal College of Surgeons of England in 2009.
Dr. Patel is a specialist prosthodontist and works in a private specialist practice focusing on Implant, Aesthetic & Reconstructive Dentistry.
He is also a Clinical Senior Teaching Fellow at UCL Eastman Dental Institute, a lecturer at Bristol University, and an ITI Fellow.Carlos Eduardo Sabrosa received his DDS in 1992 from the State University of Rio de Janeiro Dental School (Brazil) and the Clinical Advanced Graduate Studies (CAGS) in Prosthodontics from Boston University Goldman School of Dental Medicine in 1996.
He earned the Steven Gordon Research / Clinical Award in 1995 and 1996 and the Tylman Research Grant Award in 1993 from the American College of Prosthodontics.
Dr. Sabrosa also received his MSD and DScD in Prosthodontics/Biomaterials from Boston University Goldman School of Dental Medicine in 1997 and 1999, consecutively.
He has a private practice, focused on Oral Rehabilitation and Implantology, in Leblon, Rio de Janeiro, Brazil and is a visiting professor at Instituto Universitário Egas Moniz in Portugal.Stefan Vandeweghe completed his studies in dentistry at Ghent University in 2006 and subsequently specialised in oral implantology.
In 2010, he obtained his PhD with his thesis “Factors affecting bone remodeling around surface-modified Southern Implants”.
From 2010 to 2011, Dr. Vandeweghe was a postdoctoral researcher at the University of Malmö, Sweden, before he returned to Belgium, where he started his private practice with his wife Charlotte.
In addition, he continued his research at Ghent University, where he became Professor and Head of the department of Reconstructive Dentistry in 2017.
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You're invited to the Brain Floss blog
We invite you to visit the Success Simplified section on the Brain Floss blog where we continuously share clinical dental tips and tricks, recommendations and newly developed guidelines. Every post published on the platform follows the basic principles defined by our experts: simplicity, minimal invasiveness, and cost efficiency. Subscribe to the monthly blog update to stay up to date with the latest news.
Introducing 3M™ Impregum™ Super Quick Polyether Impression MaterialImpregum Super Quick impression material combines the outstanding performance and reliability of a polyether with the speed of a VPS.
- New and improved formulation
- Super quick two-minute setting time
- Significantly improved taste and smell
Join our live Success Simplified events
It's your choice how you'd like to learn. Do you feel like watching a live online webinar with the possibility to direct your questions at the experts? Just enroll, sit back, relax and learn.
Would you rather go for in-depth learning in personal lectures and workshop? We would love to meet you at one of our live events.
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Live online webinar - June 2nd 2020
In this webinar founding member prof. dr. Stefan Vanderweghe takes you through all the 7 steps of the Success Simplified indirect dental procedure by demonstrating them on patients in his operatory room. He guides you through all the steps, from material selection to impression taking and finally dental cementation and maintenance, to reach a reliable end-result.
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