Welcome Sri Lanka Academy of Aesthetic and Cosmetic Dentistry

Bond with the Best

Abstract

Bonding to Dentin has always remained an uphill task compared to Bonding with Enamel. Generations of Dentin Adhesives have evolved over a period of time with a quest to bond composite to dentin, however, with varying results. Current dentin adhesives demonstrate promising results but controversy still exists in the selection of the type and generation of Bonding Agent. This lecture highlights the distinguishing characteristics of Contemporary adhesives and their role in Sandwich Restorations involving Glass Ionomer and Composites.


MULTIPLE GINGIVAL RECESSION – CHANGING TRENDS & IMPLICATIONS

Abstract :-

A quote by Voltaire states -“The art of medicine consists of amusing the patient whilethe nature cures the disease”. In this section we will be talking about newer ways to amuse patients with gingival recession.Individuals of all ages are increasingly concerned about their smile and are particularly unhappy when they have esthetic issues and pain associated with exposed roots.You can have a healthy mouth and practice good oral hygiene, and yet experience a condition called gingival recession.

Recession seen in healthy patients is mainly due to oral care that is “too much of a good thing”where as recession seen in periodontally diseased patients is likely due to a chronic inflammatory process that may represent years of “doing too little of a good thing”.About 50% of the population has 1 or more sites with 1mm or more of such root exposure w ith prevalence rate of greater than 88% for individuals who are 65 years or older(Kassab M.M., Cohen R.E.).

Some of the causes of recession include :Calculus,Tooth Brushing (Excess), High Frenal Attachment, Position of the Tooth, Tooth Movement by Orthodontic Forces,Improperly Designed Partial Dentures, Smoking, Restorations (Subgingival), Chemicals. The presence of recession can result in Aesthetic problems,Gingival Bleeding and Plaque Retention, Hypersensitivity, Caries etc. Attempts to treat gingival recession have been tried for decades. The earliest treatments were carried out were mainly aimed at localised recessions. The treatments for root coverage procedures started with the Free gingival autografts – the classic and the variant techniques (Accordian & Strip Techniques), Free gingival autografts, pedicle autografts (Laterally positioned & Coronally advanced), subepithelial connective tissue grafts, Guided tissue regeneration, pouch and tunnel techniques & Acellular dermal matrix. With the disadvantages seen newer techniques like the VISTA technique, Margraft’s technique, Zuchill’ technique, Double papilla technique, PRF’s, Aminiotic membranes, GTR with emdogain etc. have been tried. In future these techniques will probably aid in the better management of cases with Multiple gingival recession


Immediate implants and esthetic abutments

Abstract :-

The discovery of biological properties of titanium and its use in implant dentistry has become an established clinical procedure. For nearly three decades in the past, 2-stage protocol for load-free and submerged healing to ensure predictable osseointegration was followed. However, the discomfort, inconvenience, and anxiety associated with waiting period remains a challenge to both patients and clinicians. Hence, immediate placement and immediate loading of implant was attempted and has gained popularity among clinicians. This lecture aims at presenting factors that may influence the success of immediate implant placement and immediate loading of single tooth Implants.


Tooth preservation or socket preservation - a dilemma

Abstract :-

The goal of dentistry is to preserve the natural teeth for the lifetime of an individual in the state of optimal health and function. In recent years, the advent of osseointegrated implants with their remarkable success rate and popularity has led to a dilemma in the minds of the practitioner, whether to preserve a periodontally and endodontically compromised natural tooth or to replace it with an implant. Dental implants are no doubt the best option for replacing missing natural tooth but they cannot restore some of the unique properties of a natural tooth like, functional adaptation and propioception. Hence it is important to preserve the natural tooth as long as it is possible and maintain it in a state of optimal health and function. However, heroic attempts of retaining pathologically compromised tooth may lead to unfavourable consequences. This presentation provides guidelines to a clinician in decision making to preserve or to extract a pathologically compromised natural tooth.


Applications of platelet rich fibrin

Abstract :-

The greatest challenge in clinical research is development of bioactive surgical additives, which help to regulate inflammation and increase the speed of healing process. Platelets isolated from the peripheral blood are an auotologous source of growth factors. The use of platelet concentrate isolated from the peripheral blood act as autologous source of growth factors. Plateletrich fibrin (PRF) which is a second generation platelet concentrate was first described by Choukron. PRF contains various growth factors embedded in a fibrin network and leads to more efficient cell migration and proliferation better healing. The growth factors are slowly released as the fibrin matrix is resorbed aiding the process of healing. The presence of leukocytes and cytokines in the fibrin network can play a significant role in the self regulation of inflammatory and infectious phenomemon. This unique structure may act as a vehicle for carrying cells that are essential for tissue regeneration and also could serve as a resorbable membrane for guided tissue regeneration. This presentation reflects the success of this biomaterial for coverage of recession defects and the ability to increase the thickness of the keratinised gingival tissue. The novel technique described enables the clinician to gainfully harvest the full regenerative capacity of this autologous biologic material.


Implant Prosthesis in Deficient Ridges

Abstract :-

For most people, Dental implants are the best solution to replace missing teeth. But, clinicians over the years have had difficulty in placing implants in patients with deficient bone.To overcome the proximity of the anatomic structures in these patients, various extensive and unpredictable procedures like bone grafting have been practiced. A revolutionary concept, refined over the last decade, of placing tilted implants, has been developed to address these issues. This concept which is more predictable, less invasive, more cost effective and less time consuming, will be discussed in this lecture.


EMERGENCE PROFILE - An Aesthetic Endeavour

Abstract :-

The emergence profile of a tooth refers to the angle at which the tooth emerges from the gingiva. This must mimic the silhouette of the natural tooth, in the one third of the tooth closest to the gingiva, when viewed from both the facial and lateral views.

The integration of restorative and cosmetic dentistry principles into the discipline of implant dentistry has allowed for esthetic implant restorations to be achieved on a more predictable basis. Incorporation of these principles into the surgical phase of implant treatment, along with adoption of more minimally invasive surgical placement and bone grafting protocols, in addition to placing an immediate provisional restoration, can simplify the implant treatment process, and increase the probability for preservation of natural soft tissue emergence profiles around implants in the esthetic zone.

This paper presents a conservative treatment approach to the replacement of the natural tooth system in the esthetic zone, allowing for natural soft tissue emergence profiles to be maintained and/or sculpted from the initial surgical visit, throughout the healing phase, and into the post-treatment phase of the implant process.


"Let’s take the stress out of Restorative Dentistry"

Abstract :-

Bonded restorations are the standard in esthetic dentistry and in this day of heightened esthetic awareness, we are held to higher cosmetic standards than at any time in dental history. Often the choice in materials, shade matching, preparation techniques, bonding protocols, natural layering, light curing & finishing/polishing can lead to confusion, stress, and less than ideal results. How can we prevent breakage, de-bonding, and simplify placement? Focus will be on efficiency in each of these areas to make aesthetic bonded restorations both stress free and rewarding. This lecture intends in maximizing efficiency and taking the stress out of successful esthetic restorations.


Endodontics made easy: Tips & Tricks for Maximum efficiency

Abstract :-

Endodontics is difficult dentistry. Careful case selection and a superb recipe will help you identify and treat the easy/intermediate cases, avoid the pit falls, manage the problems and identify the root canal complexities. This lecture presentation intends to give tips/tricks with issues related to diagnosis, biomechanical preparation, use of temporary dressings between appointments when necessary, irrigation protocols, obturation of the root canal and coronal restorations for effective & efficient endodontics.


Esthetic Restoratives...Current concepts

Abstract :-

Buonocore’s unfilled Resin and ASPA cement of yesterday has grown beyond boundaries to transform into two unique entities – Resin & Ionomers. Composites and GIC’s have virtually dominated the discipline of Restorative Dentistry today. Nevertheless, both these kingdoms have diversified so much that a thorough knowledge of the various forms and applications of these materials become mandatory. This lecture encompasses the various types of Composites and GIC’s with a specific mention to their unique clinical applications.


Treatment planning in aesthetic zone, key to restorations

Abstract :-

Modern dentistry involves increasing demand in functional and aesthetic restorations. Transfer from pain relief and so called "needed dentistry" to the functional and aesthetically driven one - "wanted dentistry", place treatment planning, precision and minimally invasive approach in focus of our daily practice.

The lecture would discuss new trends in treatment planning for restoring aesthetic zone with restorations on teeth and implants. It would involve the issue of matching implant restorations with natural dentition and teeth supported restoration in the best manner.

Purpose of the lecture is to bring closer aesthetic and minimally invasive procedures to the practitioners, give an insight of the need for collecting necessary documentation for proper treatment planning, within the team and lab communication. It would deliver lot of clinical tips from choosing digital devices for diagnostic to treatment planning , right restorative and other materials to achieve procession, to the desired sequence of overlapping different clinical specialities with the two goals- professional satisfaction of restoring team andpersonal one of treated patient.

The lecture would rely on huge literature evidences, authors personal experience, supported with the extended clinical photo documentation of selected cases.


Guidelines for successful implant restoration outcome - prosthodontic view

Abstract :-

Putting significant stress on the surgical part of implantology led practicing dentist to the plethora of misunderstanding and lack of knowledge of the restorative part of dental implantology. Successful treatment often require meticulous planing of every clinical step in order to achieve long lasting both functionally and from esthetic point of view, valuable restoration. The lecture would enter into restorative part of implant treatmets, starting from planing, to abutment selection. Individual or prefabricated abutments? Several aspects of modern approach and extreme importance of temporary abutment as well as need for fabrication of individual ones would be discussed. Is it better to screw or to cement crow/bridge restoration? The importance of proper impression talking, 3D information transfer to the lab and cementation techniques and necessary clinical consideration in order to avoid periimplant inflammation process, would be discussed with participants In order to provide valuable results in esthetic implant restoration necessary conditioning of peri-implant tissues is required. Introduction of ,,esthetically driven soft tissue conturing is the concept introduced with the only one aim- providing better pink esthetics and avoidance of periimplant complications. The lecture would rely on huge literature evidences, authors personal experience, supported with the extended clinical photo documentation of selected cases.


ANTERIOR AESTHETICS

Abstract :-

Discoloured, fractured, mutilated, malposed, malformed teeth can be changed and restored to a highly desirable from thanks to life with appearance –related dentistry. The desired form, shape, shade, texture and function can now be achieved with predictable long term future results, proving that cosmetic dentistry is now and forever.

An injury to an anterior tooth is a very common occurrence, especially in young adults. These injuries more often than not, lead to the angle of an incisor to fracture. Of course, on rare occasions anterior teeth do get carious at the angle leading to a CL IV lesion. Restoring a CL IV lesion on an anterior tooth not only requires all the requisite techniques but also requires a lot of artistic finesse to achieve a life like appearance. The presentation will focus on the techniques used to recreate the lost tooth structure and will go into full detail on the creation of bevels to enable the composite material to completely blend in with the existing tooth structure. The objective is to achieve a completely life like and natural restoration which is harmonious with the existing tooth structure.


Implant Aesthetics

Abstract :-

Implants are conventionally associated with a surgical procedure by default. Once the implant fixture is placed in the bone and osseo-integration is completed success is taken for granted. Nothing could be further from the truth.The objective of placing the implant is to deliver a tooth to the patient. The Prosthesis is very critical and is what the patient can see and feel and use. When the implant is in the anterior zone, this become all the more important. Creating aesthetic prosthetics on implants depends on the implant position, the implant abutment and the material and technique used to fabricate the prosthesis. Even though titanium alloy abutments are still the bulk of abutments used worldwide, non metal abutments are becoming more and more popular. especially in cases where aesthetics is paramount. The impetus gained by pure CAD CAM milled Zirconia copings and full Zirconia prosthetics will be explained and highlighted in this presentation. Modulating the gingival collar to achieve a perfect emergence profile will be covered in detail.


Dr. Prof. Luca Dalloca C.D.T., D.M.D., F.I.A.D.F.E., F.E.S.C.D.

Art and visual perception applied to aesthetic dentistry ,additional veneers, veneers and porcelain crowns, how to make them look natural and real when inserted into our patient’s faces

Abstract :-

Aesthetics is the harmonious fusion of beauty and art. Aesthetics, in dentistry, is a game of balance between teeth, soft tissue, lips, face person and personality. In order to produce aesthetic results that are closer to nature and really attractive, not fake and all alike (e.g. Stereotyped Smile), we need to develop artistic capacities, which everyone can improve by the comprehension of perception’s psychology. Many of us, Dentist and Dental Technician, are very good with their biological and aesthetic results when our work is analyzed just in the oral region. Often when we evaluate how it looks into the patient face the result is far away to be natural and attractive

Objectives

The auditorium should achieve the knowledge to develop artistic capacities. The goal is to make everyone able to see in the whole, not just to look into details. Everyone should be able; to understand the psychology of perception, and to transfer these information’s to daily practice, achieving the ability to evaluate the balance of the composition of the front teeth into the patient face. The attendees should gain the capacity of seeing what is right or wrong with a smile, what is harmonious and what is in tension, in order to better understand patient’s needs and to correct only what is necessary.


ESTHETICS IN PEDIATRIC DENTISTRY VIS-À-VIS PSYCHOLOGY

Abstract :-

Malocclusion affects not only about oral function and appearance, but it has also economic, social and psychological effects. Esthetics is not about only having a perfect smile. It is about management of any dental or dento-facial abnormalities like early childhood caries, crowding, anterior cross-bite, malocclusion (can also be due to any oral habit), fractured teeth, dental fluorosis. Esthetics has a major bearing on the child’s psychology. A child with a bad dentition will have a psycho-behaviourial impact, which in turn will affect the child’s moral and capability. This in turn will also affect the child’s studies and other activities. These kind of children have feeling of distress, worry and hindered smiling. In adolescent, they may also be subjected to unkind teasing. These children have “impaired self-image” or “loss of self esteem”. Improvement of oral health and enhancement of psychosocial well-being are perceived benefits of esthetic treatment.


Aesthetics and Dentistry- The third vision

Abstract :-

Aesthetic dentistry is often perceived within the narrow confines of the tooth and gums. Several cosmetic issues can be addressed through orthodontics and cosmetic manipulations on the dental structures. However there are some conditions which will require surgical interventions. Oral surgery is a surgical branch of dentistry and can be employed effectively in correcting skeletal deformities of the jaw which may in fact be the cause of dental imperfections and unattractive smiles. Oral surgery also plays a role in the corrections of congenital abnormalities like cleft and acquired deformities from trauma. The lecture will dwell on the range of possible surgeries from simple periodontal procedures like implants to advanced orthognathic surgery and trauma reconstruction.'


- To Be Announced-

Abstract :-


Aesthetic Direct Onlays – The Future Direction

Abstract :-

A direct composite onlay as a treatment modality is being increasingly practiced and accepted as a means to restore structurally compromised vital/non-vital teeth. Do direct composite onlays really stand a chance against the established methods like full coverage crowns or indirect onlays? The lecture will throw light on the why, when and how’s of direct composite onlays which may be slated to be one of the prominent methods to manage structurally compromised vital/non-vital teeth in future.


Decision making in Aesthetics – Direct Vs Indirect

Abstract :-

When it comes to the matters of aesthetic and cosmetic dentistry one may invariably face the dilemma of restoring the teeth either with Indirect laminates or re-contouring with direct composites. How does one choose between the two? Is treatment cost the pivotal factor all the time or matters like conservation, ease, time also play an important role in arriving at the decision? The presentation will try to assess different factors that may lead the doctor to the right choice best suited to the clinical scenario at hand.


Dr. Prof. Luca Dalloca C.D.T., D.M.D., F.I.A.D.F.E., F.E.S.C.D.

- To Be Announced-

Abstract :-

     
Welcome to the new SLAACD Website ...
SLAACD News
 

The public awareness of the art and science of Dental Health Care has indeed increased. Thus, the need to be updated with modern dentistry and to be in pace with excellence in Dental Aesthetics has become a necessity for the Dental Surgeon today to cope with the increasing demand for advanced treatment options.

The SLAACD, by launching its new website, hopes to further extend its motive to promote and foster highly skilled and ethical practice of dentistry among the Dental Professionals of Sri Lanka.

Recent researches indicate that it is indeed the Happiness that leads to success, not the other way round. Let's make our patients Smile for Success ...

13th Annual Scientific Sessions
05th and 06th November , 2016
Hotel Taj Samudra,
Colombo, Sri Lanka
   
13th Annual Scientific Sessions - Registration Details  
Hon. President's Message
     
Dr. Ravi Ranawake
President
SLAACD
 
It is a great pleasure in welcoming all visitors to our web site. We, as part of the dental healthcare workforce, and as members of the national academy, always strive to enhance our knowledge and skills so we could give the best care to our patients. It is very important that members of the general public, who are the receivers of the treatment, are also aware of our effort in reaching higher levels of ability so that they could step into our offices with confidence.

Therefore I request you to visit all our permitted portals to learn what you could get as services.

I welcome all my colleagues visiting our website and invite you to make use of the facilities offered. I am a firm believer of the notion that teaching and learning for professionals is always a two-way process. So please do share your thoughts with us.

Let us all have brighter smiles on happy faces.

     
Hon. Secretary General's Message
     
Dr. Imran Muhuseen
Hony. General Secretary
SLAACD
 
As the SLAACD celebrates her 13th year of its success, I take pleasure in welcoming you to the new SLAACD website.This is yet another attempt by the Academy to broaden its frontiers to bring together those who practice Aesthetic and Cosmetic dentistry and to encourage sharing of knowledge through education and friendship.

It is my wish that this venture on the World Wide Web will give an access to more resources to the members of the SLAACD as well as an international voice for the Academy.

In closing, I am delighted to welcome you again to the official site of SLAACD and look forward to your contribution to the improvement of the profession and welfare to the community.

 

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