CPD Activities

Progressive Smile Design, the Align Bleach bond Technique:An important concept in modern dentistry


Progressive Smile Design, the Align Bleach bond Technique:An important concept in modern dentistry


Starting on :09:00 AM 18 October, 2019 Venue:Lake Naivasha Resort
Ending on :06:00 PM 18 October, 2019 Max Credits:10.00
Moderator:Dr. ALUMERA HUDSON Activity Cost: Free Order

Presenters

1. Dr. Andrew Wallace
BDS (QUB) MClinDent Prosthodontics (KCL) MFGDP (RCS Eng).
IAS Academy

Description

ABB (Align, Bleach and Bond) technique is the most important concept to come along in dentistry in the last decade.  it is applicable to both cosmetic and functional dental treatments. It is also suitable for every dentist to provide and can be used for a variety of indications. This, combined with its minimally invasive foundation, makes the concept a very useful tool in the modern general dental practitioner's (GDP) armamentarium.  Execution of every step of the ABB technique is critical to attaining a result that can be favourably compared to more invasive cosmetic techniques. When performed correctly, it can prevent progression of tooth wear to a level where more challenging and/or expensive dentistry is needed.   The United Kingdom is leading the way but the concept is spreading rapidly. The ABB technique therefore offers a more attractive solution to patients, in turn resulting in high treatment acceptance and enhanced outcomes. In addition, it enables clinicians to practise the ethical and conservative dentistry they desire, while still taking into account long-term function as well as aesthetics. The ABB technique is a step away from traditional smile design protocols which are  based on strict proportions and rules, ABB allows patients to make their own smile as beautiful as possible and makes ceramic makeovers less invasive if the patient chooses to proceed down that route.  Many of the studies that conventional smile design principles were created from actually show a wide variation on what dental professionals and members of the public view as aesthetic or unaesthetic. The ABB technique allows the patient to see how beautiful their own smile could look after treatment, in a manner that is progressive and conservative. This can help to manage their expectations as it can clearly demonstrate any limitations of treatment, and therefore increases the likelihood of patient satisfaction with the outcome. The patient can also choose their own treatment endpoint, which may be far short of the textbook ideal but still delivers on what they want to achieve.  The progression of treatment involves simple anterior alignment using aligners or fixed appliances. The teeth are then whitened at or near the end of alignment to improve the colour using chairside or take-home tehcniques . The next step is a simple chairside mock-up of the composite edge bonding that could be performed to complete treatment. This last stage enables the patient to visualise how this will look and to choose how many teeth, if any, they would like edge bonding added to. In some cases, patients prefer to progress to ceramic restorations for their ideal aesthetic outcome.  The digital and 3D printed previews involved in the ABB process, and the progressive nature of the treatment execution, mean that the patient is in complete control of the final result. This encourages an exceptional level of patient understanding.  The ABB concept also opens up elective treatment for dentists and patients who are not comfortable with ceramic smile makeovers. It is common for both the cost and the inherent invasiveness of traditional alternative treatment options to prove inhibitory. There are still some challenges to be overcome in this area, especially with regards to anterior alignment. Many GDPs appear to feel uncomfortable with alignment techniques since so little is taught at undergraduate level. In fact, the majority of new dentists are qualifying after only having attended a few hours of orthodontic lectures throughout the whole five-year programme. It is therefore no wonder that some dentists lack the confidence to offer orthodontic treatment to their patients without undergoing further training.   Many clinicians also lack confidence in using composite effectively, which is often the ideal material to restore the damage caused by previous tooth wear. Following alignment to improve the occlusion and address the original cause of wear, composite facilitates the building up of the natural dentition previously worn in a completely non-invasive way.  The presentation will cover the main points of the progressive smile design and ABB concepts.

Objectives

ABB (Align, Bleach and Bond) technique is the most important concept to come along in dentistry in the last decade.  it is applicable to both cosmetic and functional dental treatments. It is also suitable for every dentist to provide and can be used for a variety of indications. This, combined with its minimally invasive foundation, makes the concept a very useful tool in the modern general dental practitioner's (GDP) armamentarium.  Execution of every step of the ABB technique is critical to attaining a result that can be favourably compared to more invasive cosmetic techniques. When performed correctly, it can prevent progression of tooth wear to a level where more challenging and/or expensive dentistry is needed.   The United Kingdom is leading the way but the concept is spreading rapidly. The ABB technique therefore offers a more attractive solution to patients, in turn resulting in high treatment acceptance and enhanced outcomes. In addition, it enables clinicians to practise the ethical and conservative dentistry they desire, while still taking into account long-term function as well as aesthetics. The ABB technique is a step away from traditional smile design protocols which are  based on strict proportions and rules, ABB allows patients to make their own smile as beautiful as possible and makes ceramic makeovers less invasive if the patient chooses to proceed down that route.  Many of the studies that conventional smile design principles were created from actually show a wide variation on what dental professionals and members of the public view as aesthetic or unaesthetic. The ABB technique allows the patient to see how beautiful their own smile could look after treatment, in a manner that is progressive and conservative. This can help to manage their expectations as it can clearly demonstrate any limitations of treatment, and therefore increases the likelihood of patient satisfaction with the outcome. The patient can also choose their own treatment endpoint, which may be far short of the textbook ideal but still delivers on what they want to achieve.  The progression of treatment involves simple anterior alignment using aligners or fixed appliances. The teeth are then whitened at or near the end of alignment to improve the colour using chairside or take-home tehcniques . The next step is a simple chairside mock-up of the composite edge bonding that could be performed to complete treatment. This last stage enables the patient to visualise how this will look and to choose how many teeth, if any, they would like edge bonding added to. In some cases, patients prefer to progress to ceramic restorations for their ideal aesthetic outcome.  The digital and 3D printed previews involved in the ABB process, and the progressive nature of the treatment execution, mean that the patient is in complete control of the final result. This encourages an exceptional level of patient understanding.  The ABB concept also opens up elective treatment for dentists and patients who are not comfortable with ceramic smile makeovers. It is common for both the cost and the inherent invasiveness of traditional alternative treatment options to prove inhibitory. There are still some challenges to be overcome in this area, especially with regards to anterior alignment. Many GDPs appear to feel uncomfortable with alignment techniques since so little is taught at undergraduate level. In fact, the majority of new dentists are qualifying after only having attended a few hours of orthodontic lectures throughout the whole five-year programme. It is therefore no wonder that some dentists lack the confidence to offer orthodontic treatment to their patients without undergoing further training.   Many clinicians also lack confidence in using composite effectively, which is often the ideal material to restore the damage caused by previous tooth wear. Following alignment to improve the occlusion and address the original cause of wear, composite facilitates the building up of the natural dentition previously worn in a completely non-invasive way.  The presentation will cover the main points of the progressive smile design and ABB concepts.