Indirect restorations: The force is with you – BAC

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  Posted by: Dental Design      19th January 2020

Dental professionals from across the UK and abroad gathered at the sold-out BACD Annual Conference 2019 to join three days of unparalleled learning and networking opportunities. As with previous years, the Academy put together an exciting line-up of internationally-renowned speakers who were keen to discuss a wide range of interesting topics and trends related to cosmetic dentistry.

Dr Mario Semenza was among the speakers making a positive impression with delegates. Renowned for his extensive experience in the field of periodontology and prosthodontics, Dr Semenza presented an in-depth lecture on the “Management of complex and interdisciplinary cases with indirect restorations”.

He discussed why diagnosis, reconstructive pre-treatment, dental preparation, accurate impressions and laboratory procedures are all critical factors to obtaining an optimal result. Many clinical situations require the transfer of anatomical data outside of the oral cavity due to their complexity. Dr Semenza believes that in these situations, prosthetic treatments using adhesive or traditional cementation techniques can be carried out to achieve an excellent outcome.

Presenting a series of cases – combined with lively music and amusing videos – Dr Semenza engaged with delegates about aesthetics playing a key role in the success of treatment. He explained that preparing the teeth effectively is essential if clinicians are to create a good impression. He also discussed the literature on factors of failure in traditional aesthetic treatments, including dental caries and de-cementation.

In addition, Dr Semenza explored a new cavity preparation concept that is ideal for achieving good aesthetic and mechanical resistance with indirect restorations. He discussed when to use vertical finishing lines and implored delegates to consider the dental laboratory with regard to horizontal and vertical preparation techniques. He stressed that vertical preparations guarantee higher retention.

Using short clips of Star Wars characters, Yoda and Luke Skywalker, Dr Semenza emphasised the importance of clinical training and advised delegates to “pass on what you have learned”. He explained that good preparation, impressions and wax-up models ultimately lead to the fabrication of a good crown. This is where it can be particularly invaluable to have an excellent dental team supporting clinicians as they work.

“One restoration is simple, two is also simple, but more than this is difficult,” he said. “That is why having a good working position is essential.”

Both digital and analogue processes were also discussed in detail during Dr Semenza’s presentation. This included the transfer of information between dentists and dental technicians, which is vital to optimising the result of treatment. Dr Semenza explained that “you have to be like Indiana Jones to take a good impression”, meaning clinicians should use the most effective techniques – whether they are digital or analogue – to create highly accurate impressions. 

Dr Semenza ended his presentation on a high by encouraging delegates to “use the force” and be confident in their ability to achieve excellent clinical results. He then joined Dr Tony Rotondo on stage to answer some questions from the delegates, who debated the advantages and disadvantages of both direct and indirect restorations.

The wealth of expertise shared by the speakers at the BACD Annual Conference 2019 was exemplary. Regardless of their clinical experience, delegates were able to benefit from various tips and tricks that they could put into practice to improve the quality of their own dentistry.

“I continue to attend the Conference because it covers different subjects and expands into different techniques every time, but I also get to meet friends,” said Dr Arun Darbar. “The BACD stands for education and learning. Moreover, I think the Accreditation Programme is important.”

“I always look forward to the educational sessions, but also the networking opportunities at BACD events, which are just as important,” commented Dr Zaki Kanaan. “This is what sets the BACD Annual Conference apart.” 

Dr James Pegg said: “I have visited the BACD Annual Conference several times before – I always find something new and it always exceeds my expectations.”

If you missed out on this year’s BACD Annual Conference, you can still get involved by joining the Academy. Membership ensures access to educational events such as Recommended Meetings, which are a fantastic way for you to stay up-to-date on the latest trends and innovations within the world of cosmetic dentistry. These sessions also provide the chance for you to meet and network with likeminded clinicians in your local area and beyond.

If that isn’t enough, you can also join the BACD Annual Conference 2020, which will take place in the historical city of Edinburgh. Make sure to save the dates in your diary and visit the new BACD website to book your tickets. You won’t want to miss out!


The BACD Seventeenth Annual Conference 2020

‘Seeing is Believing’

12th – 14th November 2020

The EICC, The Exchange Edinburgh


For further enquiries about the British Academy of Cosmetic Dentistry, visit

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