Victor Shcherbakov dentist restoration courses. Training events from the lecturer Viktor Vladimirovich Shcherbakov
Dates: March 25-26-27 - 2016 - Moscow
Number of seats: 24
Venue: To be confirmed
Registration starts: 9-30
Course starts: 10-00
Price: From 15,000 rub.
Cost of participation- from 15 to 40,000
Until February 14, 1 day - 15,000 - after 14 f. - 18 000 (new program - 3rd day)
Until February 14, 2 days - 25,000 - after 14 f. - 30,000 (main program)
Until February 14, 3 days - 35,000 - after 14 f. - 40,000 (full program)
From 2 people - 1000 rubles discount each
From 4 people - 2000 rubles discount each
Day 1 - Basic level.
Part 1.
General theory - Study of equipment. How to choose the right photo combination? - DSLR camera and lens. Operating principles, device, concept of focal length, correct choice of lens. - Review of offers on the market. How not to spend extra money. - Flashes. The meaning of light in photography. 5 lighting difficulty levels. - Study of additional accessories for dental photography: retractors, intraoral mirrors, contrasters, polarizing filters, radio synchronizers, tripods, backgrounds, etc.
Part 2.
Camera settings. - The concept of exposure (shutter speed, aperture, photosensitivity). - White balance. Correct setting. - Adjust settings depending on the situation and goals. We are setting up the participants’ cameras. Demonstrate the creative capabilities of the camera using various settings. Long exposure photography, painting with light.
Part 3.
Practice. Traditional dental photography. - Photo examination of the patient. A complete set of photographs for the work of a dentist. - Portrait photography. Angles, rules. Organization of a dental office for portrait photography. Minimum set. Using softboxes for portrait photographs. - Photo of a smile. Features of shooting, angles. - Intraoral photography. Techniques, angles, working with additional accessories. - Photo-logging of clinical cases. Features of shooting chewing and front teeth. - Assistant functions during photo-logging
During the practical part, a demonstration is given by the lecturer, then the participants carry out the entire photo protocol independently. At the end, errors are analyzed. The shooting conditions are as close as possible to clinical work behind the dental chair.
Day two. Advanced level.
Part 1.
Principles of artistic photography. Aesthetics in everyday life. Why do we need artistic photographs - Artistic lighting. Review of proposals - Rules for working with softboxes. Scope of application. How distance, angle, size and shape of softboxes affect shooting - Various options for using softboxes for dental photography.
Part 2.
Artistic intraoral photography - Various lighting configurations - Artistic photography of anterior and posterior teeth Demonstration + practice on models under the supervision of a lecturer
Part 3.
Shooting in backlighting - What is backlighting. Reception capabilities - How to convey relief, texture and volume using backlighting - Lighting configuration. Various options for softbox layouts Demonstration + practice of participants on models
Part 4.
Part 5.
Subject macro photography - How to take beautiful photographs of crowns, models, dental instruments, extracted teeth. - Shooting on a mirror with different backgrounds - Shooting extracted teeth against the light. The beauty of opalescence. Demonstration + practice
Part 6.
Non-standard photography techniques - High-speed photography. - Lighting teeth with fire! - Throw objects into the water! - Shooting drops
Day 3. Software photo tuning.
Why is software post-processing necessary?
- Features of modern photo editors
Introduction to editing programs
Photo cropping
Software exposure and white balance correction
Creating watermarks, photo signature
Batch photo processing in Adobe LightRoom
How to save bad shots
Sharpening photos
Intensive design.
- Working with layers.
- Artistic techniques.
Recommendations for participants:
1st day- DSLR camera with macro lens and flash for macro photography - Contrastors - Intraoral mirrors
2nd day- DSLR camera with macro lens and flash for macro photography - Contrastors - Intraoral mirrors - Extracted teeth, crowns, jaw phantoms and other objects for subject macro photography - Laptop computer with Adobe Photoshop of any version installed (required) and Adobe LightRoom (desirable)
The requirements are not exclusive, if the participant does not have equipment, they are free to participate and use the equipment available.
3-day
Laptop computer with Adobe Photoshop and Adobe LightRoom installed
Treatment instructions must be strictly followed
program for downloading files from torrent sites http://www.utorrent.com/intl/ru/downloads/win
Sign up by phone. - 8-915-455-61-85!!! Alexander.
!!!
The price includes lunches, coffee breaks and a certificate, as well as a sea of adrenaline and positivity!!!
How to register: By phone 8-800-200-61-31 (free call from mobile and landline phones) or on the website www..ru (full name of the participant, mobile phone number of the participant, details of the organization, form of payment).
The course will demonstrate in detail the layer-by-layer restoration of chewing teeth broadcast on a large screen! Program Philosophy, meaning and content of bleach aesthetics. Prospects for the genre of bleach restoration in direct execution. What advantages does this type of aesthetic intervention offer for the doctor and the patient? What difficulties and dangers can you encounter? Psychology of bleach patients. Features of the doctor’s behavioral tactics. What are the mandatory conditions for the clinical execution of bleach restorations and direct composite veneers to ensure a favorable long-term prognosis? Recipes for shades and layers. 3 main types of white restorations. What composites are best suited for creating bleach veneers? Is there a wide range of white shades? Methods of controlling the thickness and optical density of the material to uniformly cover the previous shade of the teeth. How and with what to reproduce natural optical anatomy (translucent cutting edge and mamelons) when creating bleach restorations. Work using a key or in “free” modeling. The morphology of the anterior teeth as a factor that enlivens the appearance of the restoration. Morphology of the vestibular surface of the incisors. Features of microrelief and the role of texture in aesthetic perception Finishing of frontal restorations. The meaning of finishing. Why is this part of the work critical? Requirements for quality of execution. Finishing protocol. Analysis of the operating characteristics and impact of various rotating tools and polishing systems on the surface of the composite. Finding the most effective grinding and polishing tools. Clinical sequence of work. (in the format of demonstration work on special phantoms from ZenGears). The most convenient options for isolating the working field. Features of preparation and adhesive preparation of teeth. Application and adaptation of the material. Adding portions to the side surfaces. How to avoid darkness in the interdental spaces. Treatment of the cervical part. Formation of morphology, texture and finishing
The course will demonstrate in detail the layer-by-layer restoration of chewing teeth broadcast on a large screen! Program Morphology of chewing teeth. Principles of formation and main anatomical features of chewing teeth. Effective ways to train manual skills. Progressive approaches to learning. The main anatomical landmarks when constructing the chewing surface. Types of fissures, methods of reproduction. Functional aspects of the morphology of chewing teeth. Features of working with composites. Concept of layers and shades of distal restorations. Simple and effective solutions. The most convenient and effective instruments for restoration of chewing teeth. Use of brushes, micro-applicators and modeling resin. Methods for adding “liveness” to distal restorations. Pigmentation of fissures, use of white composites to enhance the depth of the relief. Methods for manual control of the composite shape. Clinical aspects. Methods of restoration of chewing teeth. Occlusal key technique using Teflon tape. Manual modeling technique when working with small and medium-sized defects. Using the "small portions" method. Special techniques for restoring large defects in the absence of obvious anatomical landmarks. Indirect composite inlays and onlays Finishing of posterior restorations. Analysis of grinding and polishing tools.
Program First day Morphology of chewing teeth. Principles of formation and main anatomical features of chewing teeth. Effective ways to train manual skills. Progressive approaches to learning. The main anatomical landmarks when constructing the chewing surface. Types of fissures, methods of reproduction. Functional aspects of the morphology of chewing teeth. Features of working with composites. Concept of layers and shades of distal restorations. Simple and effective solutions. The most convenient and effective instruments for restoration of chewing teeth. Use of brushes, micro-applicators and modeling resin. Methods for adding “liveness” to distal restorations. Pigmentation of fissures, use of white composites to enhance the depth of the relief. Methods for manual control of the composite shape. Clinical aspects. Methods of restoration of chewing teeth. Occlusal key technique using Teflon tape. Manual modeling technique when working with small and medium-sized defects. Using the "small portions" method. Special techniques for restoring large defects in the absence of obvious anatomical landmarks. Indirect composite inlays and onlays Finishing of posterior restorations. Analysis of grinding and polishing tools. Second day Optics of dental tissues. The nuances of choosing the shade of a composite material. Analysis of errors that occur at this stage. Solutions Protocol for selecting the shade of a composite material. Analysis of the optical density of various shades of composite material. Optical and chromatic design of the restoration. Features of imitation of the dentin body, mamelons. Techniques for characterizing mamelons. Configuration of layers of composite material when reproducing teeth of varying degrees of transparency. Reproduction of the Halo effect. Composite material corrections. Correct attitude towards the need to make amendments and improvements. An effective protocol for adhesive preparation of composite material at different times: no more than 2 hours from the moment of polymerization; from 2 hours to up to several years. Morphology of the teeth of the frontal group. The path of self-improvement. Ideology. Basic principles of training Effective ways to train to reproduce the correct shapes of teeth Variants of shapes of the front teeth. Imitation of natural unevenness of the cutting edge Morphology of the vestibular surface. Atlas of shapes and surface characteristics. Texture. Finishing of restorations. Creation of imperceptible transitions when reproducing fragmentary restorations without total vestibular overlap. Adaptation of material. Techniques and tools. Analysis of grinding and polishing tools. Principles and protocols for the most efficient finishing possible. Special techniques and techniques The concept of biological width and its role in restoration. Processing overhanging edges. Clinical aspects of dental restoration Analysis of the most complex and interesting clinical cases of various categories. Closing diastemas. Analysis of the complexities of this category of clinical cases and frequently occurring errors. Principles of correct distribution of proportions. Principles for successful restoration of class III cavities. Formation of a contact point. Analysis of problems of class III restorations. Ways to solve. Distribution of layers of composite material when reproducing lateral defects of various depths. Configuration and shade ratio during restoration of class III teeth of different levels of transparency. Clinical tactics for the restoration of defects of various configurations. Techniques for reproducing a contact point. Treatment of overhanging edges in the peri-gingival area. Polishing the contact point
Program Chapter One: Theory. Brainstorming. Preparation of tooth tissues. Cariesology. The nuances of working with carious cavities of different depths. Modern clinical protocols for direct pulp capping. A new look at lining materials. Do I need to use spacers when opening the pulp horn or treating deep caries? Processing of enamel edges, true goals. How to avoid white stripes. Modified adhesive protocol. In-depth study of all stages of adhesive preparation. Causes of aging of the hybrid zone. Selection of adhesive system. The nuances of using sandblasting of tooth tissue. Principles of proper etching. Medicinal treatment of the cavity using alcohol and chlorhexidine: goals, mechanism of operation, correct protocol for use. Features of the molecular interaction of the adhesive system with dental tissues. Methods for improving the polymerization of a composite. Polymerization process: chemical mechanism, stages. What difficulties may arise during polymerization? The concept of conversion. Ways to increase conversion. Heating the composite. Controlled polymerization techniques. How to reduce polymerization stress to a minimum? Repair of composite restoration. Features of the structure of composites at different stages of the life of the restoration. Protocol for adhesive preparation of composite material at different times: no more than 2 hours from the moment of installation; from 2 hours to a week; from a week to several years. What to avoid when adjusting composite restorations. Chapter Two: Demonstration
14159 14160 15979 15329
Direct restorations are usually perceived as a method that does not have the greatest aesthetic potential, since in the vast majority of cases, composite work has disadvantages such as rapid loss of shine, the presence of visible optical boundaries and non-ideal surface tooth-restoration transitions.
Victor Shcherbakov
dentist, aesthetic dentistry clinic Royal-Dent (Moscow)
The quality of the gloss of a composite restoration can be maintained at a high level by observing basic rules of personal hygiene and periodically visiting the dentist for additional polishing. Optical inhomogeneity of the restoration can be avoided by strictly adhering to the recommended rules for working with color, which are widely described in various educational publications. In addition, for a more accurate assessment of the optical structure of teeth, there are various modern technological devices: polarizing filters, spectrophotometers, etc. However, creating uniform topographic boundaries without noticeable surface transitions of the tooth into the restoration turns out to be a much more difficult problem than all the others.
The difficulties of creating invisible topographic transitions are especially pronounced in those clinical cases where fragmentary restoration of part of the tooth is required. At the same time, when making a restoration, you need to try to reproduce as accurately as possible the natural microrelief of the enamel surface, to prevent either an excess of material or its deficiency at the transition boundary. To avoid such difficulties, many doctors prefer to cover the entire vestibular surface with a layer of composite or switch to indirect restoration techniques, such as ceramic veneers.
The problem of the presence of noticeable topographic boundaries can only be resolved at the stage of finishing the restoration. This procedure is extremely important and requires great care from the doctor and the correct algorithm for performing manipulations with various grinding tools. Unfortunately, this aspect of direct composite restoration is not described in sufficient detail in the educational literature. This is partly due to the fact that there are many different polishing systems from different manufacturers on the market, and each of them has its own characteristics and nuances of application.
This article describes a clinical case of minimally invasive restoration of two central incisors with a detailed description of the modified finishing protocol.
Clinical case
Initial clinical situation: class 4 defects on two central incisors. From the anamnesis it became clear that these defects are of an abfractional nature and were formed due to the fact that the patient had a bad habit of chewing a pencil for a long time (Fig. 1).
The complexity of this clinical case is that the teeth have an almost perfectly smooth surface with minimal microrelief. Creating imperceptible transitions in such conditions is a much more complex task than reproducing the relief on teeth with a pronounced surface texture, where it can be masked by the pattern of perikymatia and other enamel formations (Fig. 2).
Restoration
The work was carried out using the silicone key technique. A direct mock-up was made, all occlusion and articulation tests were carried out and the index was removed from the silicone mass (Fig. 3).
View of teeth after isolation and preparation. The volume of hard tissue preparation was minimized and was limited to only 0.3 mm around the perimeter of the defect with a small rebate on the vestibular surface (Fig. 4).
The lower third of the two central incisors were sandblasted with 27 µm aluminum oxide powder. This technique allows you to increase the specific surface area of the tooth by 5-6 times, which has a very positive effect on the strength of the adhesive connection. (Fig. 5).
Reproduction of palatal walls from a transparent shade of composite (Fig. 6).
View of teeth after completion of application and adaptation of composite layers. It is necessary to try to reproduce the tooth tissue so that after modeling the tooth shape is as close as possible to the one required, without excess material. For final alignment of contours it is very convenient to use a flat artistic brush (Fig. 7).
Finishing
For a more clear visualization of the contours and edges of the tooth, it is convenient to use a pencil (Fig. 8).
According to the indicated pattern, the surface is carefully treated with a finishing diamond bur (with a red stripe). Avoid contact of bur with enamel (Fig. 9).
Treatment of the composite surface with Enhance silicone heads (available analogues: One Gloss, Shofu; Identoflex Composite Polishers, yellow forms, Kerr). The intensity of abrasion of these tools can be changed by dosing pressure on the tip during operation. Medium abrasive finishes have a very moderate impact: their grinding activity is enough to remove layers of the composite, but they are completely harmless to the enamel. It is with the help of these finishing tools that the level of the material in relation to the tooth tissue is achieved. Enhance heads must be operated without water cooling, otherwise visual inspection becomes impossible. Accordingly, care should be taken to operate at low speeds to prevent overheating of the tooth. After using the Enhance heads, the composite surface should have a slight shine and uniform cross-striations. (Fig. 10).
Treatment of the composite surface with PoGo polishers (available analogues: Identoflex Composite Polishers, gray forms, Kerr). These polishing heads give the material texture an ideal shape and a primary dry shine. Given the extremely low degree of abrasion of these instruments, the density of contact between their surface and tooth tissue is significantly higher than that of finishers, therefore PoGo heads should be used without pressure, intermittent movements and with water cooling (Fig. 11).
Following PoGo, this finishing protocol suggests the use of a dental felt floss brush for a straight handpiece. These brushes act as an intermediate step before final polishing with pastes. (Fig. 12).
Polishing the composite using Prisma Glossextrafine paste (analogue: SHINYC, Enamelplus). Pastes give the composite surface a sparkling dry shine (Fig. 13).
View a few days after finishing. After correctly and carefully following the finishing protocol, any boundaries (both optical and topographical) were no longer noticeable (Fig. 14-19).
This clinical case demonstrates that the correct finishing protocol is of great importance for the esthetic success of restorative treatment. A very important condition for the correct use of finishes and polishers is clear visual control of the surface of the composite. It is necessary to periodically look at the tooth from lateral angles and watch how the light plays on the emerging relief of the composite material. It is necessary to achieve such an effect that the glare from the dental lamp, falling on the boundary of the connection between the tooth and the composite, is not distorted, but goes smoothly, repeating the same outlines as on the enamel. It is necessary to change the direction of the light and the position of the patient's head in order to be able to monitor the play of light on different areas of the tooth. Also a very desirable addition during finishing is the use of magnification (binocular loupes or an operating microscope).
Finishing Techniques for Composite Restorations updated: January 6, 2017 by: Alexey Vasilevsky
specialist in artistic dental restoration, opinion leader of the Dentsply company, laureate of the All-Russian dental restoration championship “Prisma Championship” in 2013 and 2014, member of the Italian community of restorers Style Italiano, lecturer for the GoProject community, lecturer for the Stom-Prom company, photographer, judge international dental photography competition Dental Photography Contest
At any dentist's appointment, there are patients with the need for large-scale reconstruction of the front teeth and smile, but the implementation of such clinical cases is an extremely difficult task. This is due to many factors: competent planning, complex aesthetic development, multi-stage, high level of clinical performance, etc.
Many doctors encounter a large number of errors along the way of carrying out such work, and the end result is often far from perfect. That is why the purpose of this article is a detailed analysis of a clinical case of complex aesthetic reconstruction of a smile with detailed comments and practical advice that, in the author’s opinion, could be useful in practice.
In Figure 1, the initial situation: the presence of a diastema and a large number of teeth in the area of the frontal teeth of the upper and lower jaw; incomplete teething and, as a result, a gummy type of smile; spiky tooth shape 2.2.
Orthodontic treatment was undertaken to reduce the distance between the teeth, place the canines in the correct position and facilitate subsequent restoration (Fig. 2).
The condition of the teeth 2 years after orthodontic treatment is shown in Figures 3-6. The three jaws of the lower jaw were completely leveled, but the displacement of the upper teeth turned out to be insignificant. Although the canine relationship was generally correct, the patient did not have sufficient separation during laterotrusion to the left side due to the presence of a small sagittal gap on the left.
Considering the significant visualization of the gums when smiling, it was decided to increase the height of the clinical crown of the anterior teeth by correcting the zenith of the gums (Fig. 7, 8).
Normally, the biological width parameter is 3 mm (Fig. 9, 10). Accordingly, the maximum immersion depth of the restoration edge should not exceed 1-1.5 mm. If it is necessary to correct the gum contour to a greater height, it is necessary to perform perioplastic intervention with reduction of the bone edge of the alveolus.
According to the results of the periodontal examination, the total probing depth was 3 mm in the area of the anterior teeth (Fig. 11). If we add 1 mm of connective tissue attachment to this value, we will find that due to incomplete eruption, the value of the biological width in this case turned out to be 4 mm (1 mm more than normal). Accordingly, work on safe correction of the gum level can be carried out within 2 mm without perioplasty and bone tissue reduction.
In photographs in the lateral projection, the thick biotype of the alveolar mucosa is clearly visible, which is a favorable factor from the point of view of possible complications after correction of gum zeniths (Fig. 12).
Before the start of the treatment procedures, an aesthetic development was carried out, reproducing the intended shape digitally and on wax models (photos of which, unfortunately, were lost) (Fig. 13).
The ceramic work of master technician Sergei Yudakov with teeth whose shape turned out to be closest to the patient was chosen as an aesthetic reference and starting point for creating the vestibular morphology (Fig. 14).
One of the important conditions for the successful reproduction of anatomical details in restoration is subject orientation to a reliable sample. You should not create a form from memory. Our knowledge is often fragmented and imperfect. When we have a natural tooth (or a copy close to the original) in front of our eyes, we can imitate the natural morphology much more accurately and more believably (Fig. 15).
Trying on the preliminary shape in the mouth using a mockup (Fig. 16). This stage is mandatory in the overall complex of aesthetic development activities. Using a mockup, you can conduct preliminary articulatory and phonetic tests, determine how correctly the position of the incisal edge and the overall height of the teeth were set. In this case, excess height and vestibular volume were identified. Appropriate adjustments were made to the wax models.
Correction of the height of the gingival margin was carried out using a diode laser (Fig. 17). Immediately after working with the soft tissues, cervical composite ridges were modeled (under single isolation of each tooth using a rubber dam) in order to prevent the reverse growth of soft tissues in the postoperative period and to form the correct gingival contour. It is important to carefully trim the perigingival areas of the composite to avoid the formation of overhanging edges.
The appearance of teeth 7 days after laser gum correction is shown in Figure 18. Some areas of the mucous membrane did not have time to recover completely.
The shade selection stage is shown in Figure 19. The lower incisors, which have more uniform optical characteristics and without intense white spots, were chosen as a reference point. The closest shade on the TruMatch color scale turned out to be B 1. In order to make the analysis of the optical and chromatic characteristics of the tooth more objective, it is recommended to take photographs using special polarizing filters.
To make sure that the chosen shade is correct, it is recommended to take a small portion of the composite of those colors that are part of the “formulation” of the TruMatch scale sample, apply it portionwise to the tooth surface and polymerize (Fig. 20).
Based on the wax-up models made, a palatal silicone index was obtained for precise positioning of the composite mass (Fig. 21).
The appearance of the teeth after isolation is shown in Figure 22. The previously made composite rollers made it possible to reliably fix the edge of the latex scarf using cervical ligatures with hygienic floss. No preparation was performed using a rotating instrument.
The entire scope of mechanical effects on the surface of the teeth was limited to air-abrasive treatment using a RondoFlex apparatus with aluminum oxide sand with a particle size of 27 microns (Fig. 23). This makes it possible to reduce the acid-resistant surface aprismatic layer of enamel, and also increases the total specific surface area, increasing the strength of the adhesive bond.
Acid dynamic etching of the enamel surface (Fig. 24). It is recommended to shake the phosphoric acid gel throughout use to enhance the etching effect and reduce the content of insoluble calcium monohydrate salts.
Application of hydrophobic resin of the 4th generation OptiBond FL adhesive system (Fig. 25).
Reproduction of the palatal enamel wall using the opal shade of the Ceram -X DUO E 2 composite (Fig. 26). In order to improve plastic properties and increase monomer conversion, the composite material was heated to a temperature of 40 degrees.
Formation of the mamelon structure from the dentin shade Ceram -X DUO D 2 (Fig. 27). To model the internal dentin structures, it is convenient to use a soft silicone trowel in the shape of a cone.
The algorithm for layer-by-layer application of layers of composite mass of various shades is presented in Figures 28-33.
View after application and polymerization of all layers of the composite material. The side walls and contact points were formed separately using individually contoured Mylar matrices using the Radlinsky method (Fig. 34).
Pencil marking of macro- and microanatomy (Fig. 35, 36). The use of pencil marks helps to effectively work on the nuances of vestibular morphology and relief, as well as control the position of the lateral edges.
Anatomical contouring stage (Fig. 37, 38). It is carried out using diamond spade burs with a red stripe on the raising tip. Using a torque-controlled tip helps you better feel the pressure and regulate the cutting activity of the tool. It is important to carry out work at low rotation speeds (up to 10,000 rpm).
Grinding stage (Fig. 39, 40). Performed using Enhance silicone cup and cone heads. These tools should be used without using water to see how the surface texture of the composite changes and, accordingly, to better control the quality of the finish. Enhance heads produce a natural cross-striation pattern.
Grinding of proximal transition surfaces and embrasures using a Sof-Lex disc of low abrasiveness (Fig. 41). You need to work with this tool very carefully, without intense pressure, so as not to weaken the contact density. The rotation speed should not exceed 4000 rpm.
Pre-polishing stage using PoGo polishers (Fig. 42). This tool gives the surface a preliminary shine and removes microdeformations from the surface. In this case, the structure of the microrelief is not disturbed. Among other forms, according to the author, PoGo disks have the best efficiency. They need to be operated at low speeds (up to 8000 rpm) with intermittent movements.
Pre-polishing using dental brushes made of goat bristles (Fig. 43, 44). They must be operated strictly without water cooling (the surface of the teeth must be thoroughly dried before use) at low speeds (up to 8000 rpm). This polishing instrument improves the gloss of the composite and, with a volumetric effect on the restoration, polishes even hard-to-reach interproximal and cervical areas.
Final polishing of the surface using Prisma Gloss Extra Fine paste on a special sponge (Fig. 45). First, the paste is treated without water, then with a slight addition of liquid. After applying this paste, the surface takes on a sparkling shine.
Photos 8 days after completion of the restoration (Fig. 46-58). The soft tissues have almost completely recovered, only in the area of the gingival papillae between teeth 2.1, 2.2 and 2.3 the mucous membrane is slightly hyperemic and slightly swollen, however, given the scale of the interventions, a longer period is required for complete healing. After repositioning the cutting edges, the function of canine guidance was restored. The patient notes minimal discomfort in terms of diction. Thanks to laser gum correction, it was possible to get rid of the gummy type of smile, which significantly affected the appearance.
The founder of the Royal Dent center, Candidate of Medical Sciences, is a consultant physician for Dentsply and a teacher at the Bio Sun center. In addition, he conducts courses and master classes on aesthetic dentistry directly at the Royal Dent center. Articles by Yuri Rafailievich are regularly published in specialized publications. Twice or more times a year he participates in international symposia and seminars, constantly improves his professional status at master classes with internationally recognized leaders in dentistry and courses at universities that are world research leaders in dentistry (Boston Institute of Dentistry, University of Bologna, etc. )
Having devoted many years to restorative dental restoration, he is the undisputed leader in this field, the creator and developer of the method of restorative teeth whitening, as well as the author of the method of restorative restoration on implants.
Today, he was one of the first in the country to use the method of dental restoration using neuromuscular diagnostics with bite correction.
Baranenkova Anait
A generalist doctor, the main focus is restorative restoration of teeth. He devotes a lot of time to improving his professional skills and tries not to miss a single significant event in the life of the dental community (seminars, exhibitions). This year I attended the Ivoclar seminar in Ellwagen (Germany).
In addition, thanks to good contact with children, Anait Grigorovna achieved great success in the difficult task of pediatric dentistry. One of her little patients called her the “tooth fairy.” In order to study this industry in depth, Anait Grigorovna attended a series of lectures on pediatric dentistry and psychology in Wroclaw, Poland.
Romanenko Artyom
Restorative restoration of teeth has always been a priority for Artem Anatolyevich, so for more than 10 years he has been developing in this direction. His arsenal currently includes several different restoration techniques, such as biomimetic restoration, Mock-up, sculptural technique, restoration on orthopedic structures, restorative teeth whitening, the use of composite paints, etc. A prerequisite for mastering various restoration techniques is constant participation in courses provided by manufacturers (Dentsply, Ivoclar Vivadent, Kerr, 3M) and the world's leading restoration leaders (Bernard Touati, Sergey Radlinsky, etc.).
Novruzova Inessa
Our permanent hygienist. She began her professional career in the Chicago branch of North-Western Group clinics, where she worked for more than 5 years before her return to Russia. Inessa Vladimirovna is an important link in guarding the health of your teeth, since most often the initial process can be identified during professional oral hygiene. A principled approach, patience and keen eyes armed with optics are indispensable here. Inessa Vladimirovna also pays special attention to the individual selection of hygiene products, since not only the medical expediency of use, but also your preferences, aspirations and habits are of great importance in this matter.
Trofimova Maria
Full member of the Endodontic Association of Dentists of Russia, Dentsply opinion leader in endodontics, a doctor who devoted himself to the art of endodontic treatment using an operating microscope. Due to the very dynamic development of this branch of dentistry - root canal treatment - he regularly undergoes training in leading clinics in Germany, Italy and Israel.
Devyataikina Oksana
Endodontist and periodontist. In recent years, Oksana Ivanovna has added extensive experience in the treatment of root canals and carious lesions using a microscope with such a branch of dentistry as conservative periodontology - a branch that requires painstaking and jewelry craftsmanship to achieve the result - healthy gums and stabilization of the general condition of the patient with periodontitis. Like all doctors at the Royal Dent center, he attends educational courses on endodontic and periodontal programs at educational centers and clinics in Germany and France at least 2 times a year.
Chuprova Olga
Orthodontist, Candidate of Medical Sciences. In any, even the most difficult, situation (including cases of correction of previously incorrect orthodontic treatment), Olga Andreevna will select the optimal strategy and select the most suitable design for straightening your smile. Mastering the invisible Invisalign and DAMON techniques will relieve you of the embarrassment of having orthodontic appliances on your teeth, and the time required for treatment will fly by. Olga Andreevna constantly improves her art at innovative courses in the field of orthodontics in Germany, Italy and the USA. In addition, Olga Andreevna shares her experience with colleagues in her articles published in specialized literature.
Cherenkov Viktor
A generalist doctor who has chosen restoration and complex dental prosthetics as his priority areas in dentistry. It is precisely such cases when it is necessary to combine both direct (restoration) and indirect (ceramic) restoration that are most interesting to Viktor Grigorievich. His open character and professionalism, complemented by additional knowledge gained from numerous, including international, seminars and symposiums, allow him to confidently take on any clinical case, doing all the work himself from start to finish.
Eristov Zaur
The implant surgeon, candidate of medical sciences, is one of the ten best implantologists in the country. He is a consultant physician and teacher at Friadent. Over the past 10 years, implantology has been developing so rapidly that, in order to “stay in the saddle”, to remain a leader and authority in this field, Zaur Anatolyevich took part in more than several dozen scientific congresses and seminars in Western Europe and the USA, in a number of which speaking as a speaker.
Shcherbakov Viktor
Specialist in highly artistic dental restoration, medical consultant for Dentsply, laureate of the All-Russian championship for dental restoration “Prisma Championship 2013”, member of the Italian community of restorers “Style Italiano”. At a clinical appointment, Viktor Vladimirovich uses the widest arsenal of therapeutic and artistic means, implements the most advanced techniques and achieves excellent results. A large number of additional training courses, constant communication with leading dentists in Russia and abroad, as well as continuous self-education allow us to maintain knowledge at a high level, understand the deep essence of many dental problems and master effective methods for solving them. In addition, Victor lectures and is the author of articles on artistic restoration.
