'AESTHETIC DENTISTRY - A MINIMALLY DESTRUCTIVE APPROACH'
Martin Kelleher, BDS MSc FDSRCPS

Martin is a Consultant in Restorative Dentistry at King’s College London Dental Institute. He is on the GDC specialist lists for Restorative Dentistry and Prosthodontics. He is also in private practice in Bromley. Martin was a president of the British Society for Restorative Dentistry, Southern Counties Branch of the BDA 2007/8 and was on the Board of Dental Protection for 10 years and chaired the Advisory Committee on Dental Claims until 2010. Martin also lectures internationally and has published a book on bleaching. 

'ENDODONTICS IN GENERAL PRACTICE - WHAT YOU NEED TO KNOW, WHAT YOU NEED TO DO'
Dr Julian Webber, BDS, MS, DGDP, FICD
Dr. Webber has held teaching positions both at Guys Hospital and Eastman Dental Schools whilst maintaining a practice limited to Endodontics in central London since 1978. In 2002 he opened the Harley Street Centre for Endodontics. Dr Webber teaches and writes extensively. He has been President of the British Endodontic Society and of the American Dental Society of London. He is an active member of the American Association of Endodontists serving on various committees. Dr Webber is Editor in Chief of Endodontic Practice Journal, and is also a clinical advisor to Private Dentistry journal.

The request for an improvement in a patient’s appearance does not mean that they wish to have most of their sound tooth tissue destroyed in the process of achieving this. Appearance matters, but not if it is at a huge biological cost. A minimally destructive approach improves the appearance of `aesthetically challenged` patients while still maintaining most of the structure of their teeth, protecting their pulps and leaving sensible fall back positions for their long term future. Aggressive destructive approaches undertaken for elective aesthetic purposes are fraught with all sorts of dangers including biological, legal and financial ones. Most of these problems can be avoided with a sensible, balanced, practical and evidence based approach involving patients` informed consent. This morning session will address some common and less frequently encountered aesthetic problems. It will provide useful clinical tips many of which have direct application in general dental practice.

This course will address a number of highly topical issues in aesthetics to ensure you have more to offer your patients.

      Bleaching and Bonding 

• Nightguard vital bleaching – the most sensible and effective way forward

• Dealing with dead, discoloured teeth - the inside/outside bleaching approach

      Enamel is not a renewable resource – composite is and it can be used to:

• Change vertical dimension in wear cases

• Alter appearance 

• Conceal irregular gaps

• Manage various aspects of malocclusion

Aesthetic planning   

• Assessing and managing patients` expectations

• Identifying common causes of failure before starting treatment

• Avoiding and correcting aesthetic  problems

• Longevity of the restoration v prognosis for the tooth

Doing the Right Thing

• The 'Daughter Test'

• Do patients suffer from 'Porcelain Deficiency Disease'

Following this course participants will be more aware of:

• How bleaching and bonding have evolved to be the aesthetic `best buys`. This approach enables predictable aesthetic and biological benefits to be made available to a wide range of patients for a variety of minor and major clinical problems.

• Why and how inside/outside bleaching has dramatically reduced the destruction of teeth caused by the placement of post crown.

• How and why many of the traditional difficulties of missing teeth or irregular teeth can now be solved in an innovative but predictable and biological sensible way.

1.00pm - 2.00pm COMPLIMENTARY LUNCH

'ENDODONTICS IN GENERAL PRACTICE - WHAT YOU NEED TO KNOW, WHAT YOU NEED TO DO' 2.00pm - 5.00pm

It is widely accepted that the standards of endodontic treatment in the UK health services are generally poor. Why is this and how can we all improve? Endodontics should be easy and it should be fun for all the dental team. Understanding basic principles is fundamental to success. Simplified methods to shape, clean and fill root canal systems are now available and treatment is now easier than at any time in the past. Litigation in endodontics is on the increase in the UK. This half day seminar will help you provide the best endodontics you can within the health services framework and avoid problems for you and your patients. Do not miss this opportunity to take your endodontics to the next level, improve treatment outcomes and understand the subject from an evidence based standpoint. 

Subjects to be covered include:

• Understanding success and failure in endodontics

• Implants versus endodontics - the great debate

• Essential armamentaria for today's endodontics

• The role of irrigation and its importance in microbial control and tissue elimination

• Fundamentals of access cavity preparation and canal shaping and cleaning

• Assessing the minefield of different canal preparation and filling products

• Endodontic emergencies and pain relief

• Endodontic litigation

• Appreciate that the understanding of endodontic basic principles is key to success

• To learn a simplified method to shape, clean and fill root canals 3. Know how to treat an endodontic emergency

• How to avoid the minefield of litigation

• How to enjoy endodontics rather than hate it!

5:00pm CLOSE OF PROCEEDINGS