LCIAD Academy Private Practice Course Module 4: Disease control and case stabilisation

• Are you familiar with the FGDP (now CGDent) guidelines on primary dental care?
• Is there any kind of dentistry that you shy away from doing?
• Do you tend to do piecemeal tooth by tooth dentistry rather than looking at the whole mouth?
• Do you routinely use magnification and illumination for diagnosis and operative dentistry?
• Do you routinely photograph all steps in all your cases?
• Are you confident in the management of patients with temporomandibular joint disorders?
• Do you use rubber dam routinely?
• Are you confident with your bonding and cementation protocols?
• Do you feel there are cases that you cannot tackle in practice?
• If, which ones?
• Do you apply “The Daughter Test to all of your treatments?
• Do you lack confidence in the longevity of your restorations in the environment in which they are placed?

The objective of this course is to prepare colleagues for successful private practice.

Whether coming into private practice for the first time as an associate, transitioning from the NHS, setting up a partnership or becoming a principal in your own practice for the first time, planning and organising your first practice and the rest of your career can seem a daunting task. Or maybe it seems simple until you start and the reality is very different from what you envisaged.

This course aims to prepare and educate our colleagues on the scope of modern private practice ownership and cover multiple salient topics that are often overlooked or poorly understood with open discussion, advice, and contributions from well-known guest speakers with extensive experience in assisting colleagues achieve their ideal practice environment.

The objective of this course is to ensure that delegates have a confidence and skill set to deal with even the most complex dental cases that come through their practices in a systematic way.

Following proper information collection covered in Module 2 and treatment planning covered in Module 3, this intensive and highly visual course incorporating step-by-step clinical case photographs accumulated over two decades and 2 days of hands-on operative dentistry on models covers all aspects of stabilising dental patients’ health and maintaining and restoring their dentition to the highest possible level.

The Big Picture

• Introduction to the course, aims and objectives.
• Treating the whole patient – principles of holistic dental care and what this means.
• How to develop the tools to successfully treat every case that comes into your practice regardless of the complexity.
• Modern standards of dental disease control.
• Modern principles of restorative dentistry.
• The mandatory and consistent use of magnification, illumination and photography.

The Objectives – Saving teeth and optimising health

• Disease control – reduction and elimination of common dental disease.
• Restorative principles – the foundations of long-term success and stability.
• Indirect restorations – when to use laboratory made restorations.

The Preparation – how do you go about making patients dentally fit and healthy and restoring what has been lost restoratively

• Periodontal disease and the importance of a stringent and regular hygiene program throughout and after treatment completion.
• Dental caries.
• Cracked teeth.
• Endodontic disease.
• Temporomandibular joint dysfunction and occlusal disease.
• Orthodontic and orthognathic considerations.
• Mucosal disease.
• Isolation and the use of rubber dam.
• Protection of adjacent teeth during restorative work.
• Principles of bonding.
• Conservative/minimally invasive dentistry.
• Systematic approach to the restoration of teeth.
• Minimal caries and prevention versus intervention.
• Caries excavation.
• Choice and use of matrices, wedges and indexes.
• The grossly broken-down tooth and decisions for restoration.
• Crown lengthening techniques to assist restoration – electrosurgery versus flap surgery and when to apply which
  Vitality testing and endodontic treatment.
• The use of posts and cores and cementation principles.
• The importance of excellent core restorations and ferrule maintenance.
• Provisionalisation.
• Monitoring of dubious prognosis teeth prior to definitive decision- making.
• Veneers.
• Onlays/overlays.
• Full coverage crowns.
• Restoration design, choice of materials and bonding based on core substructure.
• Intelligent tooth preparation principles
  Cementation and/or bonding of indirect restorations.

The Method – how do you go about making patients dentally fit and healthy and restoring what has been lost restoratively

• The New Patient Hygienist visit – periodontal charting, grading, and tailoring hygiene program.
• Treatment elimination of periodontal disease – nonsurgical periodontal therapy as a first step.
• The benefits and application of rubber dam and becoming proficient at using this routinely, even in difficult cases.
• The armamentarium of modern restorative dentistry – what do we really need in our surgery drawers?
• Diagnosis and treatment of dental caries – from conservative management of early demineralisation, and enamel caries, minimally invasive dentistry, indications for resin infiltration, fissure sealants and preventive resin restorations, composite resin restorations and composite core restorations, management of complex root level and subgingival caries lesions.
• Posterior composite resin restorations.
• Anterior composite resin restorations.
  The choice and use of matrices, wedges and indexes.
• Diagnosis and management of reversible pulpitis and pulp testing and criteria for decision-making on questionable prognosis teeth during treatment.
• Diagnosis of the necrotic pulp and irreversible pulpitis. Modern endodontic treatment and adult teeth and assessment of restorability.
• Preparation of heavily broken-down teeth prior to endodontic treatment and assessment of restorability and prognosis.
  Diagnosis stabilisation and treatment of cracked teeth.
• The rationale for endodontic treatment of teeth prior to root resection or for bone maintenance prior to dental implant treatment.
• When to consider crown lengthening to assist restorative work and when to avoid and opt for dental implant restoration instead for best tissue maintenance.
• Restoration of the grossly broken-down tooth -the interplay of isolation, assessment of structural integrity, the application of endodontic treatment and post and core reconstruction, ferrule maintenance and provisionalisation.
• Choice of restorative materials based on clinical indicators, function and aesthetics – glass ionomer restorations, composite resin restorations, adhesive ceramics, cemented ceramics and the case for ceramometal and gold indirect restorations including tooth surface preparation, conditioning, etching, priming, bonding and sealing.
• Conservative preparations for direct and indirect restorations – maximising tooth structure maintenance balanced with long-term predictable performance of restorative material.
• Flowchart of intelligent tooth preparation principles.
  Provisionalisation and cementation versus bonding of provisional restorations.
• Principles of cementation and bonding of indirect restorations.

Course structure, timetable and content detail

Day 1 – Periodontal and restorative foundations

08:30 Registration

9:00 Lecture 1: Dr Koray Feran: Disease control and case stabilisation I – hygiene, gingival and periodontal stabilisation and maintenance throughout treatment, decision making for possible future GBR or more complex periodontal procedures.

10:15 Coffee break

10:45 Lecture 2: Dr Koray Feran / Dr Shiraz Khan: Disease control and case stabilisation II – rubber dam, caries control and small posterior direct composite restorations.

12:30 Lunch

13:30 Lecture 3: Dr Koray Feran: Disease control and case stabilisation III – larger and more complex posterior indirect restorations

14:45 Coffee break

15:15 Lecture 4: Dr Koray Feran: Disease control and case stabilisation III – larger and more complex posterior indirect restorations including subgingival, root surface, furcation and difficult to access areas.

17:00: Questions

17:30 End

Day 2 – Restorative foundations and anterior restorations

08:30 Registration

9:00 Lecture 5: Dr Shiraz Khan: Aesthetic anterior direct restorations I – laboratory planning, wax ups, indexes and protocols for preference of direct composite restorations over indirect porcelain restorations and protocols and techniques of preoperative tooth whitening.

10:15 Coffee break

10:45 Lecture 6: Dr Shiraz Khan: Aesthetic anterior direct restorations II – composite material and shade selection and planning of aesthetic layering techniques.

12:30 Lunch

13:30 Lecture 7: Dr Shiraz Khan: Aesthetic anterior direct restorations III – anterior composite resin restorations for aesthetic improvement and functional restoration – resin infiltration techniques combined with aesthetic composite layering.

14:45 Coffee Break

15:15 Lecture 8: Dr Shiraz Khan: Dr Shiraz Khan: Aesthetic anterior direct restorations IV – finishing, polishing and long-term protection and maintenance of anterior composite resin restorations – indications and limitations.

17:00 Questions

17:30 End

Day 3 – Management of endodontically compromised teeth

08:30 Registration

9:00 Lecture 9: Dr Koray Feran – Cracked teeth, reversible pulpitis and protection of the pulp during recovery. Short to medium term treatment strategies and assessment of pulpal condition prior to final restoration.

10:15 Coffee break

10:45 Lecture 10: Dr Koray Feran – Assessing and treatment planning the previously heavily restored broken-down tooth – investigations and decisions to restore or replace. Stabilisation of the tooth destined for endodontic treatment.

12:30 Lunch

13:30 Lecture 11: Dr Michael Sultan – Modern endodontic treatment I. Basic principles for general dental practitioners. Endodontic assessment, armamentarium, approach, materials and techniques for routine and straightforward cases.

14:45 Coffee break

15:15 Lecture 12: Dr Michael Sultan – Modern endodontic treatment II. Endodontic treatment of more complex cases – curved roots, complex anatomy, re-treatments. When to refer.

17:00 Questions:

17:30 End

Day 4 – Restoration endodontically treated teeth and indirect restoration preparations

08:30 Registration

9:00 Lecture 13: Dr Koray Feran – the restoration of endodontically treated teeth – when to rely on remaining tooth structure and when to reconstruct with posts. Choice of post material and cementation / bonding. The importance of occlusal protection.

10:15 Coffee break

10:45 Lecture 14: Dr Koray Feran – The rationale and techniques for indirect restorations I – Choices for materials and principles of tooth preparation in Likely restored, heavily restored and cracked teeth

12:30 Lunch

13:30 Lecture 14: Dr Koray Feran – The rationale and techniques for indirect restorations II. Partial and full coverage posterior restorations and – preliminary preparation and provisionalisation

14:45 Coffee break

15:15 Lecture 14: Dr Koray Feran – The rationale and techniques for indirect restorations III. Partial and full coverage posterior restorations – preliminary preparation and provisionalisation

16:30 Questions

17:30 End

Day 5 and 6
Full day hands-on execution of techniques covered in days 1-4 of Module 4

Six days of mixed structured didactic teaching and hands-on practical training.

Password-protected PDF presentations will be shared with all delegates the day before the course.

Course Days:

Day 1-4 – NSK UK Headquarters, Hertford House, Rutherford Cl, Stevenage SG1 2EF

Please bring your operating loupes and lights and clinical cameras.

In the interests of reducing large amounts of printing for environmental reasons and to keep the costs of the course as low as possible, your presentations will be sent to you as a restricted sharing and password-protected PDF document the evening before the course for you to be able to make digital notes as we go.

We strongly advised that you also have a personal subscription to Adobe Acrobat Pro for maximum flexibility with how you interact with your PDF course notes, though in the first instance Adobe Reader which is free of charge will allow access with more limited functionality.

Type of CPD (A,B,C or D) based on GDP Enhanced CPD development outcome requirements

28 hours of CPD

Development outcomes in bold

A
Effective communication with patients, the dental team and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk.

B
Effective management of self and effective management of others or effective work with others in the dental team, in the interests of patients, providing constructive leadership where appropriate.

C
Maintenance and development of knowledge and skill within your field(s) of practice.

D
Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first.

Brand new course module from 2027.

Course fees are charged at £795 a day over six days (£4,770) for dental surgeons.

The course is restricted to 20 delegates (dental surgeons)

Lunch and teas / coffees will be served each day and your dietary requirements can be indicated on the accompanying booking form.