Filmed at the BSRD Roadshow, in Birmingham May 2015. This series of lectures covers an important aspect of treatment planning for restorative dentistry, and an introduction to implant concepts. This series is valuable to young practitioners who find treatment planning a challenge. This series has a particular focus on managing gaps - including options for bridges and implants.

Part 1. Replace or restore - Dr. Ken Hemmings

In this lecture Dr. Ken Hemmings discusses the factors that can lead to a successful treatment and how you can make the decision on whether to restore or replace a tooth. Dr. Hemmings explains the various endodontic, restorative and periodontal factors to consider prior to extracting a tooth. A very useful lecture for those wanting to gain more knowledge on treatment planning.

Aims and objectives:

  • Understand the factors that ascertain extraction
  • The factors relating to dentist and patient that will affect treatment outcome
  • Understand how to measure the restoration outcome and what factors one should be looking at
  • How to understand ways of measuring restorative success
  • Understand how long various types of restorations will last
  • Understand the restorative spiral and how you can stop this
  • Understand the risk factors for implant dentistry
  • Periodontal assessment and what makes a periodontally hopeless tooth – as demonstrated with clinical examples, understanding that periodontally hopeless teeth can sometimes last a long time
  • Endodontic assessment, endodontic prognosis and factors leading to endodontic success
  • Understand the restorability of endodontically treated teeth and how this can be assessed
  • What restorative options can be used to endodontically treated teeth
  • Understand the need for replacement and the consequences of tooth loss

Part 2. Bridge design - Dr. Ken Hemmings

In this part Dr.Ken Hemmings talks about bridge design in treatment planning.

Aims and objectives:

  • Understand the principles of bridge design
  • Adhesive and conventional bridges
  • The factors involved in bridge design
  • Understand the long-term outcomes of various bridges, and factors leading to success
  • Advantages and disadvantages of each design
  • Clinical tips for each procedure
  • Maintenance for each type of design

Part 3. Cross arch bridges - Dr. Ken Hemmings

Dr. Ken Hemmings talks about cross arch bridges as an alternative to implant treatment. Cross arch long span bridges are shown to have a great long-term prognosis, he also discusses the keys to their success.

Aims and objectives:

  • Understand where cross arch bridges can be applied
  • Understand the long-term success of cross-arch bridges and factors leading to this success

Part 4. Tips on operative dentistry and bridge workflowDr. Ken Hemmings

In this video Dr. Ken Hemmings provides tips on operative dentistry. The overall aim is to understand and gain tips on how you can make your procedures much better.

Aims and objectives:

Gain tips on:

  • Operative dentistry, including magnification, topicals and articulating paper
  • The removal of crowns and bridges
  • Finishing burs
  • Impression techniques
  • Temporisation
  • Cementation

Part 5. Missing tooth assessment - Dr. Nick Lewis

In this video Dr. Nick Lewis talks about missing tooth assessment, and factors to consider for placement and suitability of dental implants

This is a great lecture for beginners to understand where implants fit in to restorative planning, what factors to take into account for placing implants and what options to consider. Dr Nick Lewis details the 6Ps of implant planning.

Aims and objectives:

  • Gain a general introduction to dental implants as part of restorative dentistry
  • Case assessment and planning, staging of treatment, implants and occlusion
  • Maintenance and complications in implant dentistry
  • Fixed implant prosthesis options
  • Removable implant prosthesis options

Part 6. Fixed solutions in implant dentistry - Dr. Nick Lewis

In this video Dr. Nick Lewis talks about fixed solutions for implant prosthesis.

Aims and objectives:

  • Understand the factors – dentist, patient and factors involved in fixed solutions
  • Planning for implants and the importance of consent
  • Space assessment for implant treatment
  • Restoration options for implants - screw retained vs cement-retained
  • Case examples of fixed solutions and what factors are considered for functional and aesthetic success
  • A discussion on bone grafting and the different options 

Part 7. Removable solutions in implant dentistry - Dr. Nick Lewis

As we go through a baby boomer generation, complete dentures are a norm in an ageing population. However, many of these will need removable solutions, with implant support, as many of these denture patients present with various anatomical and adaptation difficulties. He shows cases of what has been done to resolve these issues, their limitations and how to progress with implant retained, removable solutions, or implant retained, fixed solutions, in the edentulous mouth. He discusses the challenges, the factors to consider in such cases and what are the advantages and disadvantages of various solutions based upon these factors.

Aims and objectives:

  • Understand the challenge of an ageing population
  • The factors to consider when selecting various fixed and removable solutions
  • The benefits of removable solutions
  • The role of overdentures – what has changed and how will our practice change
  • Gain an overview of the types of implant support
  • Understand methods of retention - bars, studs
  • Facial anatomy and how implant retained removable solutions can improve facial form and aesthetic outcomes, via case examples
  • Understand complications and maintenance
  • Know the evidence base for implant survival, early loading protocols, quality of life literature
  • Understand the use of CAD-CAM for bar design
  • Factors and treatment options for the maxilla

Part 8. Grey areas in restorative dentistry and the management of toothwear - Dr. Ken Hemmings

Toothwear is becoming a growing problem in an ageing population. However the litigation of treatment in toothwear cases is increasing and therefore understanding the grey area is an important aspect. In this video, Dr. Hemmings addresses some areas of toothwear that must be addressed.

Aims and objectives:

Gain an understanding of:

  • The diagnosis
  • When to treat
  • What splint to use
  • How to create space
  • Using adhesive or conventional methods and what materials to use
  • Fixed or removable appliance

8 videos
302 mins CPD/CE