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天然歯模倣への架け橋: ダイレクトコンポジット修復における審美・機能の統合アプローチ - 第6回 国際歯科シンポジウム

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Session

Dr.

103日(土)

15:15 - 16:45

4F〜6FホールC

Session1

Mastering Direct Composite
― From Aesthetics to Function ―

天然歯模倣への架け橋:
ダイレクトコンポジット修復における審美・機能の統合アプローチ

 

 

Moderator & Lecturer 

Bio-Emulation Smiles: Sculpting Anterior Teeth Through Form, Harmony, and Direct Composite

Bio-Emulation Smiles: Sculpting Anterior Teeth Through Form, Harmony, and Direct Composite

  • Aesthetic philosophy applied to anterior tooth form, proportion, and harmony
  • Bio-Emulated composite layering strategies for natural depth and light behavior
  • Clinical execution principles for precise layering, sculpting and finishing
Rooted in classical aesthetic thought, this lecture approaches anterior tooth sculpting as a balance between form, proportion, and purpose. Through the lens of Bio-Emulation, natural tooth morphology is not merely copied, but understood―its structure, optical behavior, and functional intent guiding every restorative decision.
The session explores how harmony, symmetry, and controlled imperfection define beauty in the anterior segment, and how these principles are translated into direct composite restorations. Morphology-driven layering strategies are presented to emulate dentin and enamel architecture, while disciplined clinical execution ensures clarity, depth, and continuity with the natural dentition,
By uniting aesthetic philosophy with practical technique, this lecture offers a thoughtful framework for sculpting anterior smiles that feel natural, balanced, and timeless.
 

Lecturer 

Molar Anatomy for Function
― An Anatomical Approach to Transform Direct Posterior Restorations ―

Molar Anatomy for Function
~ 臼歯部直接修復を変える解剖学的アプローチ ~

  • Anatomical analysis of molar morphology
  • Functional morphology based on occlusal anatomy
  • Key considerations for long-term success in direct restorations
  • Direct restorations inspired by natural tooth anatomy
臼歯部修復において解剖学的形態の再現は、審美性のみならず咀嚼機能、咬合の安定、長期予後に直結する重要な要素である。本講演では、天然歯に基づく臼歯の解剖学的形態を改めて整理し、機能咬頭・非機能咬頭、隆線、窩溝形態の意味を明確にする。さらに、ダイレクトボンディングを中心とした臼歯部修復において、解剖学的形態をいかにシンプルかつ再現性高く付与するかについて、症例を通じて解説する。
 

Lecturer 

Aesthetic and functional management of tooth wear using direct composite and the stamp technique.

Aesthetic and functional management of tooth wear using direct composite and the stamp technique.

  • Identify pathological tooth wear and determine when minimally invasive, adhesive rehabilitation is indicated.
  • Perform structured treatment planning for worn dentitions using diagnostic wax-ups, mock-ups, and clinical documentation.
  • Differentiate between freehand composite modelling, the IMT technique, and the Stamp technique, including their indications and limitations.
  • Apply step-by-step clinical protocol to accurately translate a diagnostic wax-up into functional and aesthetic direct composite restorations using the stamp technique.
  • Knowledge of the longevity of direct composite restorations placed for treatment of tooth wear with a conventional small particle hybrid composite.
The number of patients with pathological tooth wear has increased significantly in recent years, making restorative treatment increasingly relevant. In younger patients, a dynamic, minimally invasive, adhesive treatment concept is preferred, consisting of localized or generalized build-up of worn teeth using direct composite restorations.
Successful treatment requires structured planning with study models, photographs, and a diagnostic wax_up with mock_up to guide the final result. Experienced clinicians may use freehand composite modelling for mild to moderate wear, relying on strong knowledge of tooth morphology. For most practitioners, guided techniques provide greater predictability. The Injection Moulding Technique technique uses a highly filled flowable composite, while the Stamp technique employs a small particle hybrid composite. Both rely on a transparent silicone index for precise reproduction of the wax_up. This webinar focuses on the stamp technique, discussing indications, materials, clinical steps, advantages, limitations, and expected longevity.
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