Filmed at the BSRD Roadshow in Birmingham in 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 very 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.

Treatment planning Mind the gap series of lectures cover these aspects

Part 1 . Replace of Restore

In this lecture Dr Ken Hemmings discusses the factors that can lead to success of 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 . Very useful lecture for those who want knowledge on treatment planning

Aims and Objectives

  • Understand the factors that ascertain extraction
  • Understand factors related to dentist and patient that will affect treatment outcome
  • Understand how to measure the restoration outcome and what factors one should be looking at
  • Understand how to understand ways of measures restoration 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
  • Understand periodontal assessment and what makes a periodontally hopeless tooth – as demonstrated with clinical exams, as well as understanding that periodontally hopeless prognosis teeth can sometimes also last a long time
  • Understand endodontic assessment, endodontic prognosis and factors leading to endodontic success
  • Understand tooth restorability of endodontically treated teeth and how this can be assessed
  • Understanding what restorative options can be used to endodontically treated teeth
  • Understand the need for replacement and consequences of tooth loss

Part 2. Bridge Design

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

Aims and Objectives

  • Understand the principles of bridge design
  • Understand adhesive and conventional bridges
  • Understand the factors involved in bridge design
  • Understand 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 talks about Cross Arch Bridges as an alternative to implant treatment. Cross Arch long span bridges have shown to have great long-term prognosis and he discusses the keys to their success.

Aims and objectives

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

Part 4. Tips on operative dentistry and bridge workflow

In Part 4 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 that helps including magnification, topicals, articulating paper,
  • removal of crowns and bridges,
  • finishing burs,
  • impressions techniques,
  • temporisation,
  • and cementation

Part 5. Missing tooth assessment

In this part 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 restorative planning, what factors to take into account for placing implants and what options to consider. Dr Nik Lewis mentions the 6Ps of implant planning

Aims and objectives

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

Part 6. Fixed solutions in implant dentistry

In Part 6 Dr Nick Lewis talks about fixed solutions for implant prosthesis

Aims and objectives

  • Understanding of the factors – dentist, patient factors involved in fixed solutions
  • Planning for implants and 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 were considered for functional and aesthetic success
  • A discussion on bone grafting and the different options for bone grafting

Part 7. Removable solutions in implant dentistry

AS we go through a baby boomer generation, complete dentures are a norm in an ageing population. However many of these populations will need removable solutions with implant support as many of these denture patients present with various anatomical and adaptation difficulties. In this vein, he shows cases of what has been done to help resolve these in the past, its limitations and how it may be failing and how we 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

  • Understanding the challenge of ageing populations
  • Understanding the factors to consider when selecting various fixed and removable solutions
  • Understand benefits of removable solutions
  • Understand 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
  • Understand 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, maintenance and complications
  • Understand the use of CAD-CAM for bar design
  • Factors and treatment options for the maxilla

Part 8. Grey areas in restorative dentistry and management of toothwear

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

Aims and objectives

Gain an understanding of the following

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

8 videos
300 mins CPD/CE