Filmed at the SRRDG and RD-UK conference in 2014, this was a highly interactive session between consultants and the audience. Dr. Peter Briggs, conference chair, presents a case and the audience give their opinions on treatment planning before a panel of 10-12 consultants provide their views and opinions. This session is very useful, considering how one would approach treatment planning in a variety of cases. 

Interactive case discussions with a panel of restorative consultants. Part 1. Treatment for a wear case - SRRDG ACSRD Consultants

Involves a case of severe wear on lower anterior teeth. The discussion focuses on treatment planning options of crown lengthening, composite build ups for wear cases (and  proposed longevity) and whether implant treatment would be of any benefit. An exciting case with various options.

Aims and objectives:

Understand, through the interactive discussion, treatment planning options for wear on lower anterior teeth, taking into consideration:

  • Scope of competence
  • Aesthetics, photographs, radiographs
  • Dahl principle
  • Occlusal vertical dimension
  • Centric relation
  • Erosion, abrasion, attrition
  • Occlusal splint, soft, hard, bilaminar
  • Overdenture
  • Crown lengthening, tissue maturation, osseous recontouring, flap design
  • Retention resistance principles
  • Direct composites, survival analysis
  • Indirect restorations
  • Endodontics
  • Implants, biomechanics, bone quality, parafunction, longevity
  • Extraction, pathology

Interactive case discussions with a panel of restorative consultants. Part 2. Treatment of a case with severe resorption - SRRDG ACSRD Consultants 

Involves the management of severe internal and external resorption of a canine tooth. Would the clinicians extract or treat this tooth...

Aims and objectives:

Understand, through the interactive discussion, treatment planning for severe resorption of an upper canine, taking into consideration:

  • Photographs, radiographs, CBCT, assessment, anatomy
  • Diagnosis, Heithersay Classification (1999)
  • Prognosis
  • PES/WES
  • Endodontic management
  • Surgical management, sealing the defect, regeneration, evidence
  • Extraction, ridge preservation, resin retained bridge
  • Orthodontic extrusion, predictability
  • Implant placement, canine guidance

Interactive case discussions with a panel of restorative consultants. Part 3. Treatment of a periodontally involved mobile upper central incisor - SRRDG ACSRD Consultants

Discussion on the treatment options of a very mobile, periodontally involved central incisor (to save or to extract) and whether orthodontic extrusion would serve any benefit.

Aims and objectives:

Understand, through the interactive discussion, treatment of a periodontally involved, mobile, upper central incisor, taking into consideration:

  • Dental history, oral hygiene, photographs, radiographs, CBCT, assessment, anatomy
  • Compromised aesthetics, harmony, black triangle disease
  • Diagnosis
  • Partial denture
  • Resin bonded bridge
  • Periodontal management, surgical, non-surgical
  • Extraction, hard and soft tissue management, ridge preservation, vertical augmentation
  • Endodontic management
  • Orthodontic extrusion, deciduous teeth, ankylosis
  • Implant placement, crown implant ratio, peri-implantitis, soft tissue grafting
  • Prognosis

Interactive case discussions with a panel of restorative consultants. Part 4. Management of an oncology case - SRRDG ACSRD Consultants

Discussion and management of an oncology case.

Aims and objectives:

Understand, through the interactive discussion, management of an oncology case, taking into consideration:

  • Dental history, photographs, radiographs, CBCT, pathology, assessment
  • Trismus
  • Diagnosis, comorbidities
  • Chemo-radiotherapy
  • Prognosis
  • Multi-disciplinary team
  • Surgery, resection of the tumour, selective neck dissection
  • Surgical reconstruction, closure with a flap
  • Prosthetic reconstruction, open defect and obturator
  • Implant placement, pre-radiotherapy, post radiotherapy

Interactive case discussions with a panel of restorative consultants. Part 5. Treatment for a case of peri-implantitis - SRRDG ACSRD Consultants

Discussion of a case of peri-implantitis and the treatment options.

Aims and objectives:

Understand, through the interactive discussion, treatment of a case of peri-implantitis, taking into consideration:

  • Dental history, photographs, radiographs, CBCT, assessment, anatomy, aesthetics
  • Diagnosis
  • Surgical management, osseous recontouring, regeneration, explant, replacement
  • Implant surface treatment
  • Instrumentation for debridement 
5 videos
255 mins CPD/CE
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