PROGRAMME

08.30 Registration

09.30 Introduction Trevor Burke

09.40 Aesthetic Treatment Planning – Christopher Orr Planning the Perfect Smile

11.00 Coffee

11.30 Aesthetic dentistry – Martin Kelleher
is a minimally destructive approach possible?

12.30 Body Dysmorphic Disorder Tim Watson

13.00 Lunch

14.00 Veneers: Pearl or Peril? Trevor Burke
A look at the research evidence

14.30 Balancing Aesthetics Conservation and Christopher Orr
Predictability in Treatment Delivery

15.15 Coffee

15.30 Beauty and the Beast Kevin Lewis
Dento-Legal issues in Cosmetic Dentistry
and Dental/Facial Aesthetics

17.00 Collection of CPD Certificate
Finish

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Trevor Burke
Professor of Dental Primary Care, University of Birminingham School of Dentistry

Introduction
The burgeoning interest in cosmetic dentistry created by so-called makeover programmes has led to an increased patient interest in this area. However,can the clinician always balance the patient’s demands
with maintaining oral health? Indeed, are we healthcare professionals or beauticians? This programme brings together an array of experts in this field to discuss this increasingly topical subject from the aspect of the clinician and patient, with a view to determining how each will be satisfied so that adverse medicolegal circumstrances may be avoided.

Veneers: peril or pearl?
Porcelain laminate veneers have been thought to be a minimally invasive treatment modality, so it might follow that their survival rates should be high. This presentation will discuss success rates of porcelain
veneers published in the dental literature and will examine recently published data on veneer survival in England and Wales.

Christopher Orr
Cosmetic and Restorative Dentistry

Planning the perfect smile

This presentation will discuss the concept of ‘smile design’ as it has evolved in the literature and discuss some research-based guidelines for aesthetic treatment planning.

Learning objectives
After attending this presentation, delegates will:
1. understand the concept of smile design;
2. be aware of how this concept has evolved in the literature over the last forty years;
3. be familiar with a series of steps that can be used for outcome-based treatment planning regardless of the clinical treatment modality.

Clinician or beautician?
Balancing aesthetics, conservation and predictability in treatment delivery

This presentation will discuss the different restorative and orthodontic modalities available today, along with the pros and cons of each from the standpoints of aesthetics, conservation and predictability.

Learning objectives
After attending this presentation, delegates will:
1. be aware of the range of treatment modalities available to create an improved smile;
2. be aware of the degree of invasiveness and treatment times associated associated with each of the options and when each may be appropriate;
3. be aware of the likely longevity of the different options discussed and steps that can be taken to improve long-term predictability.

Martin Kelleher
Consultant in Restorative Dentistry at Kings College

Clinician or Beautician
Aesthetic dentistry - is a minimally destructive approach possible ?

1. Appearance matters but not if it is at huge biological cost and not if the fall back position is stupid or indefensible
2. Enamel is not a renewable resource while a material such as composite can be bonded to enamel and is a renewable resource.
3. Nightguard vital bleaching has been proven in multiple randomised double blind controlled trials to be safe, effective and cost efficient.
4. The inside/outside bleaching technique applied to dead teeth produces a dramatic improvement in the colour of teeth without any significant destruction of the teeth.
5. There are inherent biologic, structural and financial costs in `dental aesthetic makeovers`.
6. Many all-ceramic systems require a very cavalier approach to the reduction of sound tooth tissue in order to create the necessary space for very brittle porcelain.
7. Many of the destructive procedures done to teeth would imply that some dentists think that teeth suffer from an excess of enamel (hyper enamelosis).
8. Patients do not suffer from `porcelain deficiency disease`.

Kevin Lewis
Dental Director – Dental Protection

Beauty and the Beast
Dento-legal issues in cosmetic dentistry and dento-facial aesthetics

Overview
In recent years, we have seen a rapid explosion in the clinical ambition of the dental profession, coinciding with a change in the need – demand - supply equation. Nowhere is this more evident than in the field of cosmetic dentistry and facial aesthetics. The frequency and size of negligence claims resulting from many of these procedures – especially when carried out electively – has accelerated rapidly and has a lot to do with the difficulties of managing the expectations of the patients who seek these procedures, and the need for world-class communication skills, consent and record keeping.

Learning Objectives
• To raise awareness of the nature and scale of the dento-legal pitfalls in this field
• To highlight the key areas in relation to consent and record keeping
• To stress the need for outstanding communication skills throughout the dental team
• To offer practical tips for avoiding the many dento-legal problems in this area of clinical practice

Tim Newton
Professor of Psychology at King’s College

Body Dysmorphic Disorder

Body Dysmorphic Disorder (BDD) refers to a specific psychiatric diagnosis characterised by over-concern with a specific body part, such that the individual expresses great distress and worry about a specific body part which is out of all proportion to any apparent physical anomaly. Body Dysmorphic Disorder has been described concerning many body parts, but the features of the face are a common focus. This talk will describe the diagnostic features of BDD, and explore the psychological processes underlying the condition. Management strategies will be outlined.