I always say- never diagnosed, never treated. It is critical to master diagnosis of the clinical conditions that mandate or at least lead us to a perio-restorative treatment protocol. Without a clear diagnostic map, we will miss so many opportunities to help our patient’s become healthier, benefit from meticulous esthetic and biologic restorative dentistry and maintain it for years.

• Learn the specific clinical conditions that indicate a perio/restorative treatment protocol.
• Understand that marginal teeth, when treated appropriately, can be saved predictably over a long period of time.
• Realize that the proper treatment intervention at the correct time used with early perio/restorative issues can save teeth for a life time.
• Review the relevant literature on the topic of perio/restorative treatment and track the prognosis of this treatment.

A core is the foundation for all restorative dentistry. It serves as the aesthetic and biologic template for the restorative process. And a core MUST be performed prior to any periodontal correction, or the perio-restorative interface may be incorrect. A step by step detailing of how to remove old dentistry, be certain all old restorative materials and caries are removed and the placement of an adhesive core and surgical provisional will be covered. Emphasis will be placed on the exact protocol, materials and instrumentation used to produce predictable and perfect results. Without a core, effective perio-restorative treatment is not possible.

• Learn how to remove old restorations, old restorative materials and complete caries removal.
• Learn why a core buildup is the most foundational aspect of restorative dentistry.
• Master a cookbook process disinfecting and conditioning teeth to ensure a successful adhesive core.
• Learn the current state-of-the-art and science in adhesive philosophy.
• Learn how to preform a perfect core even in a subgingival environment.
• Understand how to refine the core buidup using the exact burs, instruments and finish lines required to facilitate periodontal correction if necessary.

Provisional restorations are the blueprint to successful biologic, aesthetic and functional restorations. A complete review of different techniques and materials will be presented. Provisional restorations are necessary for 360 degree access for successful periodontal correction and biologic shaping. Cementation protocols will be discussed that allow easy removal of provisional restorations by the periodontist.

• Learn the available materials and techniques to make provisional restorations you can be proud of.-
• Make provisional restorations that support cosmetics, occlusion and biology.
• A review of direct and indirect techniques is detailed as well as an in-depth discussion of methyl-methacrylate vs. Bis-GMA materials.
• Finishing, polishing and cementing protocols are discussed in an easy to repeat cook-book fashion.

For lasting perio-restorative health, a healthy subgingival environment is essential. This means eliminating subgingival furcations, root concavities, divots, and defects. While patient hygiene plays a role, achieving long-term success depends on idealizing and correcting this environment with biologic shaping and soft tissue grafts.

• Learn the principles of furcation management with BIOLOGIC SHAPING.
• Incorporate soft tissue grafts to ensure the long term success of your restorative work and minimize further periodontal breakdown.
• Understand why root concavities can destroy a beautiful case by harboring calculus and how to correct this problem.

There's a specific biological reason for performing the provisional reline at the 4-week post-operative mark. This timing allows for initial tissue healing while also providing the necessary space for continued coronal migration of the attachment, crucial for long-term success.

• Learn the management protocols for the first 4 weeks following periodontal corrective surgery.
• Review the concept and rationale for relining temporary restorations at the 4 week post op visit.
• Detail the exact technique, provisional margin placement with respect to the tissue, finishing and cementing technique for the reline.

Learn how to capture the perfect final impression or digital scan with predictable accuracy and efficiency. A well-executed impression or scan is not only essential for a successful restoration but also contributes significantly to patient comfort and chairside efficiency. This module will equip you with the skills and knowledge to streamline your workflow, minimize patient discomfort, and achieve consistently accurate results. We'll cover everything from proper tissue management and material handling to advanced scanning strategies and troubleshooting common challenges.

• Bur selection, margin design and position will be detailed. A review of impression materials, retraction techniques and strategies will be fully covered.
• Triple tray, scan, quadrant impression? PVS, Polyether?
• Understand the theories of restorative contours and their importance on long term outcome..
• Learn why a 2 cord technique is never necessary and actually may be harmful for properly treated restorative cases.

This module goes beyond simply listing restorative materials; it explores the "why" behind material selection, empowering you to make informed decisions based on the specific needs of each patient. With so many new materials entering the market, a deep understanding of their properties and indications is essential. We'll review a rationale for restoration selection, covering PFM, full gold, and all-ceramic options such as Empress, feldspathic, zirconia-based restorations, e.max, and CAD/CAM restorations. We'll also emphasize the importance of effective communication with the dental lab to ensure optimal restorative contours, discussing established theories of contour for furcated posterior teeth. Finally, we'll review cement selection choices and a comprehensive post-operative management protocol to ensure long-term success.

• Learn exactly which restorative materials to select for every clinical condition including the risky parafunctional wear cases.
• Understand a predictable protocol for delivering every case so there is ZERO anxiety about this critical final phase of treatment.
• Learn how to communicate restorative contours to your lab to ensure long term success.
• Gain a complete understanding of today’s luting and cementation protocols.
• Master the precise occlusal adjustments required to minimize heartbreaking porcelain fractures.
• Night guard or no? Full coverage or NTI? Hard occlusal surface or soft?