How to “jump” in a full-mouth rehabilitation? Are we ready to leave the comfort zone of the “single tooth dentistry”? It is a different world… If we decide to do it. So many questions to be answered… How can we convince the patient to accept a more global rehabilitation? How can we plan the sequences of the appointments without remakes and waste of time? How can we guide the laboratory technician in developing a customised full-mouth project? Can we do first a reversible test drive of the project? The 3STEP has the answers to all these questions. The 3STEP is an non invasive functional and esthetic stabilization of the mouth. The 3STEP is based on a "protocol" that has been clinically validated for more then 15 years on a large number of patients and with a high success rate. The secret of its value is based on: the attention to the diagnosis of the problem; a strict clinical and laboratory operative sequence; an absolute "trust" in adhesion; the occlusal adjustments based on chewing. The 3STEP isn't just a technique, it is a method, a method that becomes a discipline. The 3STEP is the new way of doing Prosthodontics. Its ambition is to become the starting point of every multidisciplinary approach, involving orthodontics, aesthetics, implantology, etc., from simple to complex prosthetic rehabilitations
Authors:
Francesca Vailati,
MD, DMD, MSc Dental degree from the University of Pennsylvania (USA). Certificate in Prosthodontics along with a M.S.D. degree from the University of Connecticut (USA). In 2003 she joined the department of Fixed Prosthodontics headed by Prof. Urs Belser at the University of Geneva (Switzerland), where she holds the post of senior lecturer. Dr. Vailati maintains a part-time private practice in Geneva, dedicated to aesthetic restorative dentistry and prosthodontics.
Urs Belser,
DMD, Prof Dr med dent Graduated from the Dental Institute, Faculty of Medicine, University of Zurich, Switzerland, where he also did postgraduate specialty training in reconstructive dental medicine (board-certified specialist). Since November 2012 he has been a guest professor at the Department of Oral Surgery and Stomatology (Prof. Dr. D. Buser), and Department of Fixed Prosthodontics (Prof. Dr. U. Braegger), School of Dental Medicine, University of Bern. His research activities in the fields of implant dentistry focus on esthetics and the latest developments in the field of CAD/CAM technology and high-performance dental ceramics, as well as on adhesive reconstructive dental medicine.
TABLE OF CONTENTS:
Who I am V
Foreword by Mirela Feraru VI
Foreword by Ignazio Loi VII
Introduction X
If you wonder why… XIV
In this book... XV
CHAPTER 1
WHAT TO LOOK FOR The global diagnosis of tooth wear 1
DENTAL WEAR AND AGEING 3
DENTAL EROSION 17
ANTERIOR CLINICAL EROSIVE (ACE) CLASSIFICATION 35
ANTERIOR FUNCTIONAL CONFLICTS (AFC) 53
NOBRUX CLASSIFICATION 71
CHEWING PATTERNS AND Gtest 87
TOOTH WEAR THERAPY YES OR NO? 107
CHAPTER 2
HOW TO START The initial consultation – persuasive and efficient 119
OBSERVING 121
CAPTURING 143
CHAPTER 3
HOW TO DO Functional and esthetic stabilization of the patient 175
THE 3STEP TECHNIQUE 177 3STEP
CONTROL VISIT THE FOLLOW-UP 291
STEP 3 The Anterior Adhesive Additive Restorations (A3Rs) 307
LAB STEP 3 Fabrication of the A3Rs 328
CHAPTER 4
HOW TO PLAN A DIGITAL 3STEP 367
THE 3STEP CONTROL ON THE DIGITAL WORKFLOW 369
CHAPTER 5
WHAT NEXT The completion of the full-mouth rehabilitation 415
AFTER THE PROVISIONAL 3STEP 417
FOLLOW THE FINGER 448
EVOLUTION 456
THE CARDS
Clinical, Laboratory, Digital 459
