2025 Durable Composite Restorations
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- May 21, 2025
- Workshop
- Webinar
- Lecture
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This course will present the concept that the placement of high quality and durable posterior composite resin restorations relies heavily upon a well-executed sequence consisting of excellent isolation, cavity preparation, matrixing and finally the composite placement itself. Learn how to follow cutting edge biomimetic principles and consistently place robust and reliable posterior composites that will stand the test of time and outlast the industry standards.
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Aim
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Discuss the benefits of and reasons for using rubber dam isolation
Recognise the place for rubber dam isolation in every day practice
Highlight the importance of correct cavity preparation design
Discuss the principles of matrix choice and placement
Cover the biomimetic approach to direct adhesive restorations
Provide step-by-step protocols for posterior composite placement
Revise composite restoration sequences and workflow
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Learning Objectives
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Understand the importance of correct material and equipment choice when placing rubber dam
Appreciate how critical correct clamp choice is for correct isolation
Become proficient in placing rubber dam in every day posterior restorative scenarios
Safely and efficiently place rubber dam for quadrant isolation
Understand the rationale behind wide and open cavity preparation and design
Learn how to prepare the cavity in order to facilitate better matrix and composite placement
Understand which burs to use for cavity preparation and why
Recognise the difference between various matrixing systems and learn when they are best used
Learn how to effectively and accurately place sectional matrix systems
Understand how to immediate dentine seal and the many benefits of doing so
Learn the principles of deep margin elevation and how to undertake it
Appreciate the importance of marginal seal and the techniques involved in proximal wall creation
Understand that posterior composite placement should be a purely additive process that respects the natural morphology and anatomy of the tooth
Appreciate the importance of correct occlusal anatomy with regard to function and aesthetics
Learn how to create aesthetic and natural occlusal anatomy
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Speaker
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Céline Higton (GB)
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Course Itinerary:
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- Pre-Course webinar covering Isolation & Cavity Preparation
- Day 1 Course | Hands On
- Day 2 Course | Topics Overview
- Day 2 Hands-on overview
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Pre-Course webinar covering Isolation & Cavity Preparation
Webinar Overview:
- Why use rubber dam?
- Advantages of working with rubber dam
- Managing patient acceptance of rubber dam
- Basic and advanced equipment selection
- Rubber dam setup
- Protocols for posterior quadrant isolation
- Inversion of the rubber dam
- Use of accessory clamps and ligatures
- Difficult cases and solutions
- Principles of cavity preparation
- Direct posterior composite cavity design
- Bur choice for cavity preparation
- Caries removal and management of enamel
- Refinement and finishing of the cavity
- Adhesives, composites & light curing
- Immediate Dentine Sealing
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Day 1 Course | Hands On
Overview:
- Matrixing
- Proximal wall placement
- Dentine replacement
- Occlusion & morphology
- Final stages of composite placement
- Finishing and polishing
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Day 2 Course | Topics Overview
- Matrixing for Class II cavities
- Proximal wall placement
- Principles of placing low stress and low shrinkage composites
- Tooth morphology and principles of occlusion
- Composite placement techniques including FMT and Cusp by Cusp with paste & GUI
- Occlusal anatomy & adjustments
- Creating fissures and applying tints/sealing fissures
- Finishing and polishing protocols
- Troubleshooting
* Bonus material (time allowing): Matrixing back-to-back cavities, deep margins and last standing molars
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Day 2 Hands-on overview
- Matrixing a Class II cavity
- Marginal seal adaptation and adjustment using wedges and PTFE
- Proximal wall placement
- Stress reduction techniques for dentine replacement
- Tooth anatomy drawing exercise (upper 1st molar)
- Cusp-by-cusp, FMT and flowable composite techniques to create correct morphology
- Applying tints/sealing fissures
- Checking occlusion and making adjustments
- Finishing and polishing
Bonus material (time allowing): Matrixing back-to-back cavities, deep margins and last standing molars
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About Céline Higton
Céline studied dentistry at King’s College London, graduating with honours. After qualifying she became a familiar name on the UK and international lecturing circuit, having lectured for the Seattle Study Club, AACD, BACD, ACDI, ITI, UPenn and IDA to name a few. She has also delivered numerous sell out hands-on courses and virtual webinars both in the UK and around the globe. She is an adjunct assistant professor in the department of preventive and restorative sciences at UPenn and is also on the editorial review board for a number of peer reviewed journals in the UK and the USA.
Céline is a member of Bio-Emulation, a group that champions the use of minimally invasive and adhesive approaches to restorative dentistry and strives to best emulate what nature intended. She is a keen advocate for these approaches and is a leading educator in this field, strongly believing that rubber dam isolation should be considered as the foundation stone of all modern adhesive dentistry protocols and techniques. She is passionate about providing top quality dentistry and in turn strives to inspire others to do the same and be the best clinicians that they can possibly be.
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GENERAL INFORMATION
Course hours: 9:00 to 17:00
Language: English
Riziv accreditation requested.
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