Chris Cosmetic Course

Certified Teeth Bleachers Course
by
Chris Cosmetic Course

Dr. Chris Chen lecture in India

Module – 1

  • Dental Photography

  • Composite Curing

  • Etch & Bond

  • Composite Science

  • Posterior Direct Restoration







About Dr. Chris Chen:

Graduated Bachelor of Dental Surgery (BDS) from Manipal College of Dental Sciences (MCODS) in 1984. Completed certificate course in Cosmetic Dentistry from New York University (NYU) and later completed Master of Science degree (MSc) in Restorative and Aesthetic Dentistry from Manchester University. He also has special interest in Endodontics TMDs and Implants.
30 years of clinical experience and 17 years of conducting continuing education programmes and workshops all over Asia. Active member of American Academy of Cosmetic Dentistry (AACD) and also an active learner for past 20 years in the Art and Science of Aesthetic Dentistry from various renowned masters like Newton Fahl, Vanini, Brian LeSage, Naseer Bargi and many other from all over the world. He is passionate about learning and sharing his experiences and skills in direct composite restorations. According to AACD – “Great Dentists are always learning”.

About the Course:

The course is really about learning and gaining confidence in one’s skill in the Art and Science of Direct Composite, and not about just achieving certificates. Hence it is for serious learners, whether inexperienced or experienced to sharpen their skills. This course is not about cramming lots of direct and indirect composite modalities but rather concentrating and strengthening the foundation of Aesthetic Dentistry.

I have designed the course from the experiences achieved from training and being trained for the past many years. This course has many unique features and techniques of training utilizing many unique equipment never seen or heard before. Hence it is only one-of-its-kinds in the world.

The Course Schedule:

Module 1: Two and half days
– Day 1: half day – from 1 pm to 6 pm – Basic Dental Photography and Light Curing the right way
– Day 2: 9 am to 6 pm – Isolations and All about Etching & Bonding in direct restorations
– Day 3: 8 am to 4 pm – Understanding and selecting composite shades and learning skills for posterior restorations.

Description of the program:

(A) Basic dental Photography

The stepping-stone into Aesthetic Dentistry is Photography.
With photography you achieve –
1) The best diagnostic tool for Aesthetic Dentistry. Operator and patient are very clear of the oral situation.
2) Convincing your patient the need for the treatment
3) Showing (off) to your patient their money worth result
4) Checking your own work for any deficiency
5) Keeping a permanent record, which can be used in case of litigations, “reviving” the memory of patient of pre-treatment situations and sharing with colleagues or using it for presentation of cases.

So what will you learn in this training?

1) Selection of camera and camera accessories for dental photography
2) Basics of camera and adjustments for dental photography
3) AACD (American Academy of Cosmetic Dentistry) recommended sets of photographs for records

(B) Light Curing the Right Way:

A light cure machine is a MUST have equipment in every dental operatory and it is the most commonly and regularly used piece of equipment. Yet it is the least understood equipment because every operator tends to think that “a light is a light” and the resin will be cured just good enough. This misconception is one of the major causes of unidentifiable failure in restorations. And of course, the operator is not to be blamed because never in the whole course of dental education has anybody been taught about the science behind light curing, especially the newer LED light curing machines.

Possible cause of restoration failures –
1) Post-operative sensitivity
2) Increased wear of restoration
3) Color changes in Resin
4) Secondary Caries
5) Chipping
6) Marginal leakage
7) Debonding of restorations

So, what will you learn in this training?

In this course a highly sophisticated patient simulator called MARC (Managing Accurate Resin Curing) is used.
Developed by Dr. Price & Felix at the university of Dalhousie, Canada, is one-of-a-kind training system in the world for perfecting light curing technique. You will learn to –
1) Understand your light cure machine
2) What is the energy output of your present light cure machine
3) Perfect your light curing technique
4) Learn to teach your staff the proper way to handle light cure machine
It is my guarantee that during this training you will be swept off your feet to know the quality of light curing you having been doing all these years of your practice

(C) Isolation

The most crucial step in successful composite restoration because one of the killing factors in restoration failure is “moisture”. Total isolation is inevitable. Failures could be –
1) Post-operative sensitivity
2) Marginal leakage
3) Debonding of restoration
4) Increased wear
5) Discoloration of restoration

So, what will you learn in this training?

1) Different types of isolation
2) Using rubber dam

(D) Etching and Bonding

Beautiful restorations are only good when they last. Aesthetic Dentistry is all about bonding materials to the tooth structure. Bonding Enamel is not a challenge but bonding to Dentin is. Most of us are not very clear about the science and procedures of Etching and Bonding correctly and are often mislead by the manufacturers on this. And even if we understood the science behind etching & bonding and believe that we do the procedure correctly there is no way to know whether the bond strength achieved is strong enough, unless we test it under an Instron testing machine. And this Instron machine is accessible only to research peoples in the lab. Hence all the time we are Etching & Bonding blindly believing that we are achieving good bond strength. This misconception is the major cause of failures like –
1) Post-operative sensitivity
2) Debonding of restorations
3) Marginal breakdown
4) Marginal discoloration
5) Chipping

So, what will you learn in this training?

A highly sensitive and state-of-the-art bond testing machine, “Mini-Instron” bond testing machine, which is a table top version of the real Instron machine, will be used to test your bonding work. You will work as it is done in research labs, but in this case, we will not only test the bond strength of the bonding materials you use but also improve your bonding technique by repeating again and again with my guidance until you achieve an acceptable bond strength in your work and perfecting each steps in bonding. This is the only one-of-its-kind, evidence-based training.
I will guarantee that most of you will be shocked to know the bond strength of the restoration you have done on patients all these years of clinical practice. But at the same time, I also guarantee that you will finish the training with complete confidence in your future work.

(E) Composites:

You must have known about different type of composite materials and different shades in composites. Yet –
1) You are still not sure which composite is best for you.
2) You do not understand why your restoration does not camouflage well with the tooth
3) You are perplexed with the different brands composite with different nomenclature for shades. Hence you are nervous to change one brand composite to another even though you wish to or when you change brands you have to go through a long trial and error learning curve until you can achieve a camouflage restoration.
4) You do not understand why your restorations change colour after some period of time
5) You do not understand why your restorations wear off easily
6) You do not understand why your restorations gets discolored
7) Worst is you do not understand how to select shades

So, what will you learn in this training?

1) Better understanding of the composite materials
2) Shade selection made easy for you, no more doubts
3) Understanding why your composite fails

(F) Posterior Restoration

Most of us do more posterior restorations than anterior. And often face with the following failures –
1) Post-operative sensitivity
2) White margin around the restoration
3) Proximal box restoration leakage
4) Overhanging of proximal restoration
5) Proximal contact point failures
6) Discoloration of restoration

So, what will you learn in this training?

1) Reasons and solutions to all above failures
2) What you need to look out for posterior restoration
3) The technique of posterior restoration
4) Essential Accessories needed