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Cosmetic Dentistry & Aesthetic Restorative Dentistry 1 YEAR CERTIFICATE COURSE 2017-18

1 Year Certicficate Course


(Including certification in DSD - Digital Smile Design)

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Aesthetic Restorative Dentistry

Course Information


Cosmetic dentistry has changed completely over the last ten years. And following these changes, our programme has evolved in that time to continue to make sure it is still the best programme in the UK.

This course is all about treating a whole mouth, building aesthetics and function into the treatment plan - regardless of whether it’s a veneer, crown, inlay-onlay, composite bonding or orthodontic case. By the end of the year, you will be able to make a comprehensive assessment of all the potential risks for your cases – be they dental, periodontal, occlusal, or aesthetic – and develop full treatment plans.

Using our tried and tested system, you will develop your clinical skills and confidence during the year. The first half of the programme will re-examine many of the techniques you will carry out on a day-to-day basis, to give a foundational skill set that is built upon in the second half of the year as we consider the comprehensive treatment of the whole mouth as a functional and aesthetic entity.

  • Aesthetic treatment planning – “smile design”
  • Digital Smile Design (DSD) protocol
  • Aesthetic risk assessment & management
  • Bleaching
  • Shade matching
  • Clinical photography
  • Patient assessment & diagnosis
  • Caries risk assessment & management
  • Periodontal risk assessment & management
  • Medico-legal aspects
  • Patient communication – consent & expectation management
  • Veneers
  • All-ceramic crowns
  • Inlays & onlays
  • Anterior composite
  • Class IV restorations
  • Diastema closures
  • Direct veneers
  • Posterior composite
  • Aesthetic posts
  • Dentine & enamel bonding
  • Occlusion: conformative & reorganised
  • Occlusal risk assessment & management
  • Occlusal appliances
  • TMD in general practice
  • Wear cases: Dental erosion & Bruxism - diagnosis and treatment
  • Orthodontics
  • Aesthetic bridges
  • Implants in the aesthetic zone
  • Aesthetic dentures
  • Crown lengthening
  • Pink composite & pink porcelain
  • Pontic site development
  • Failures and their management
  • Gummy smiles
  • Interdisciplinary treatment

Detailed Course Programme 2017-18

Overall learning objectives

After completion of the whole course, participants should have gained knowledge & understanding of following:

  • current concepts and techniques in dentistry;
  • current materials and techniques for contemporary restorations, with an emphasis on minimising invasiveness in the provision of these restorations;
  • a structured approach to the diagnosis, planning and execution of aesthetically-driven treatment plans;
  • the role of orthodontics, periodontics and other specialities in developing and delivering the treatment plan;
  • a structured approach to patient communication to maximise patient involvement and minimise risk in planning and delivering treatment;
  • the use of Digital Smile Design as a way of planning and communicating the treatment plan

This knowledge is built through the year, via the structured programme.

This is not a modular programme – there are many recurring themes throughout the year, so the material covered in the middle of the year builds on what was covered at the start. In the same way the material at the end of the year builds on what was covered before. This is why it is crucial that you block the course dates in your diary so that you do not miss a session.

Dental Treatment Planning

Aesthetic treatment planning

  • facial aesthetics
  • facial landmarks in aesthetic treatment planning
  • smile analysis & visualisation of the aesthetic outcome of treatment
  • “smile design”: aesthetic dental treatment planning
  • why smile design is not just about veneer cases
  • traditional and digital tools for smile design

Functional treatment planning

  • occlusal foundations for restorative dentistry and aesthetic orthodontics
  • assessment of the occlusal system
  • assessing the impact of the treatment plan on the patient’s occlusion
  • rules for occlusal management in everyday dentistry
  • occlusal case complexity assessment: conformative vs. reorganised approaches

Overview of different approaches to aesthetic & functional treatment planning: DSD, FGTP (EFSB), Dawson, Swiss 3-step

Evidence-based dentistry

  • separating scientific journals from clinical newspapers
  • Implementing research findings into daily practice


  • Smile design exercises

Learning objectives

After the Day 1 programme, participants should have gained the following

  1. An appreciation of the changes in dental care in the US and the UK over the last 20 years, and the impact this will have on the future of care in this country;
  2. An overview of the process of comprehensive dental treatment planning;
  3. An understanding of the art and science of facial and dental aesthetics and to learn a structured, logical approach to aesthetic dental treatment planning (“smile design”).
  4. An understanding of how some of the rigid classical concepts of treatment planning have given way to modern, more flexible approaches;
  5. An understanding of the interplay between the different factors in smile design;
  6. An understanding of traditional and digital tools used in the smile design process;
  7. An understanding of the foundational functional concepts in the healthy occlusal system;
  8. A system of assessing case complexity based on the impact of the treatment plan on the patient’s occlusion;

Diagnostic Process

  • Internal vs external marketing to identify interested patients
  • Structured consultations for new & existing patients
  • Consultation technique: communication skills

Comprehensive patient assessment

  • what an NHS exam covers and what it does not
  • risk management via a comprehensive exam
  • aesthetic consultation structure: 1 visit vs 2 visit
  • essential vs. case-specific information
  • Discussing elective treatment with your patients – making a ‘problem list’
  • Co-diagnosis for enhanced communication in the consultation
  • Developing the treatment plan
  • Fee setting
  • Case presentation
  • Consent to treatment / other medico-legal aspects

Clinical photography

  • record-keeping and beyond
  • choosing the right camera for you
  • photographic technique for quality, reproducible images
  • standardised photographic views for records and treatment planning
  • which additional views to take for DSD, orthodontic cases or for shade matching
  • Hands-on

Photography practical

  • all participants to be photographer/assistant/patient
  • view and critically evaluate each others’ results at end of session

Learning objectives

After the Day 2 programme, participants should have gained the following

  1. A systematic way to record clinical information prior to aesthetic treatment planning;
  2. Information on using a structured approach to aesthetic consultations to ensure good communication between dentist and patient;
  3. An appreciation of the different kinds of interpersonal communication and how they affect the message we try to get across;
  4. An understanding of the source of common medico-legal complications of aesthetic and cosmetic treatment;
  5. Introduction to a reproducible scheme for clinical photography to aid record keeping and self-evaluation of treatment outcomes;
  6. An appreciation of how to ensure valid consent is given;
  7. An understanding of different strategies for fee setting for small and larger courses of treatment;
  8. Knowledge of how to discuss treatment plans with patients, present treatment and discuss fees.

Minimal Intervention Aesthetics

Adhesion to tooth tissue:

  • understanding the bonding “systems”
  • historical approaches vs. current practice
  • total etch, self-etch & selective etch
  • immediate dentine sealing
  • adhesion to other substrates

Resin infiltration for smooth-surface caries and white spot discolouration

Microabrasion & Mega-abrasion

Caries management:

  • current concepts of diagnosis & risk asessment
  • minimising intervention in caries treatment: prevention of extension

Cosmetic (re)contouring

Simple orthodontics as a means of minimising intervention

  • Orthodontic components of the patient assessment
  • Market overview:
    • removable appliances, clear aligners, fixed appliances, branded alignment products
    • what can (and cannot) be easily achieved with the different orthodontic “systems”
  • Choosing the treatment modality: restorative vs. orthodontics


  • home, in-surgery, “assisted”, non-vital methods
  • complex bleaching: single dark teeth, tetracycline staining, fluorosis
  • tray fabrication
  • over-the-counter products
  • legal update on bleaching
  • marketing whitening within the practice
  • “therapeutic aesthetics”: anti-caries use of bleaching products

Hands on:

  • Micro-abrasion
  • Resin infiltration

Learning objectives

After the Day 3 programme, participants should have gained the following:

  1. An understanding of current products available for adhesion (“bonding”) to tooth tissue and other substrates;
  2. Knowledge of appropriate product selection for different scenarios to optimise adhesion;
  3. An appreciation of the importance of substrate control;
  4. An understanding of non-invasive and minimally invasive techniques for management of anterior aesthetic problems;
  5. Knowledge of current concepts of resin infiltration and micro-abrasion;
  6. Knowledge of current approaches to caries diagnosis and management based on risk assessment;
  7. An understanding of when to use cosmetic contouring to achieve a more ideal embrasure form;
  8. An introduction to introducing adult orthodontic treatment into general dental practice;
  9. An understanding of orthodontic assessment in the adult patient;
  10. An appreciation for how simple orthodontics can reduce or eliminate the need for tooth preparations;
  11. An overview of different systems for tooth whitening and an appreciation of when to use which one;
  12. An introduction to the skills of patient expectation management using bleaching as the treatment.

Veneers & Crowns

Case workflow:

  • integrating the aesthetically-driven workflow into routine anterior cases
  • step-by-step execution of the treatment plan
  • use of diagnostic wax-ups, matrices and preparation stents
  • minimizing intervention for veneer cases using the bonded mockup (APR/APT “Gurel”) technique
  • impressions, temporisation & lab communications
  • fitting & finishing
  • post treatment review & maintenance

Colour in dentistry:

  • the dimensions of colour
  • visual perception of colour
  • dental tissues and colour perception

Shade matching

  • the scientific basis of colour measurement
  • the problem of matching single restorations
  • better use of shade guides
  • impact of lighting conditions on shade matching
  • seeing & mapping internal colour effects
  • computer-assisted shade matching
  • laboratory communication of colour information


  • overview of available products; comparison of clinical & aesthetic properties
  • tooth preparations for veneer & all-ceramic/traditional crowns

Hands on

  • Colour mapping & shade taking exercises
  • Veneer preparation using APR-APT technique to minimise preparations
  • Chairside temporisation techniques

Learning objectives

After the Day 4 programme, participants should have gained the following:

  1. Knowledge of a visit-by-visit clinical workflow for indirect restorations, from initial appointment to final review;
  2. A working knowledge of the inter-relationship of hue, value, chroma and other factors in colour matching for restorative dentistry;
  3. An understanding of the importance of correct lighting for accurate shade selection and colour mapping;
  4. A system for evaluating, recording and communicating internal colour effects in the natural dentition;
  5. A reliable method for shade selection;
  6. An appreciation of the differences in physical, aesthetic and biomechanical properties of current all-ceramic restorations;
  7. An understanding of clinical ceramic material selection, preparation design and luting cement selection based on these properties.
  8. Knowledge of different preparation techniques for veneer cases and an understanding of how tooth preparations can be influenced by the desired outcome and the material chosen;
  9. Knowledge of chairside direct temporisation techniques;
  10. Understanding of cementation techniques.

posterior aesthetic restorations

Modern approaches to caries diagnosis, risk assessment & control

The range of posterior restorations: direct restorations, inlays, onlays, endo crowns, onlay crowns, full crowns

Posterior direct restorations:

  • repeat interventions – caries vs electively-driven
  • the amalgam debate: what to say to patients
  • layering vs. bulk fill techniques
  • creating internal colour effects: fissure stains & hypoplastic areas
  • finishing, polishing & texturing

Indirect restorations

  • ceramic vs. composite
  • partial coverage vs. full coverage
  • onlays as a conservative alternative to crowns
  • core buildups: why & when?
  • restoration of the endodontically treated posterior tooth

Hands on

  • Posterior direct composite – layering & bulk fill
  • Direct post placement & core buildup

Learning objectives

After the Day 5 programme, participants should have gained the following:

  1. An appreciation of the range of posterior restorations possible with modern restorative materials;
  2. An understanding of the differences between treating primary caries and replacement of old restorations with these materials;
  3. A better understanding of the potential problems that can arise in the placement of direct restorations in class I & II cavities and how to limit these problems;
  4. To learn when direct posterior restorations are inappropriate and to understand appropriate alternative treatments;
  5. An understanding of the different preparations and materials for indirect posterior restorations and the strengths and weaknesses thereof;
  6. A working knowledge of how adhesive dentistry can allow for more conservative approaches to treatment with both direct and indirect restorations;
  7. Understanding of when to use aesthetic posts and core build-ups on posterior teeth.

anterior composite resorations

Composite resins:

  • physical vs. optical properties
  • concepts of shading: Vita vs. non-Vita

Class III & V restorations

  • material selection for different cavity configurations
  • marginal bevels

Class IV restorations & direct resin veneers:

  • layering techniques for anterior direct restorations
  • marginal bevels
  • colour mapping for large composite restorations
  • minimal intervention with direct composite
  • use of wax-ups and layering matrices
  • creating internal effects: mamelons, incisal translucency & white spots
  • finishing, polishing & texturing
  • using indices for large composite resin buildups

Hands on:

  • Colour mapping for composite restorations
  • Anterior direct composite – building the colour map,
  • Finishing, texturing, polishing
  • Diastema closure
  • Class IV restoration

Learning objectives

After the Day 6 programme, participants should have gained the following:

  1. An introduction to the materials science behind modern composite resins and how their physical and optical properties affect clinical usage;
  2. To learn current approaches to anterior composite layering techniques;
  3. To appreciate the importance of relative translucency and opacity in building restorations that mimic nature;
  4. To practice polishing and finishing techniques that will enhance the aesthetic appearance of a direct restoration;
  5. To recognise the limitations inherent to composite resin;
  6. To learn when direct anterior restorations are inappropriate and appropriate alternative treatments.

veneer cases

Treatment planning

  • aesthetic and functional planning for larger anterior veneer cases

Complex cosmetic cases

  • dark teeth, diastemas, disguising gingival recession
  • ultra minimally-invasive restorative treatment spacing and recession
  • advanced use of APR-APT technique


  • comparison of impression techniques for larger cases

Restoration of endodontically treated teeth

  • aesthetic posts
  • current concepts of structure & function for post-retained crowns
  • discoloured teeth: ditch preps & localised opaquing
  • decision-making on endodontic re-treatment before post placement


  • variations in material selection & preparation based on the clinical scenario
  • rationale for material selection for different situations

Hands on

  • preparation of a complex case for diastema closure & recession
  • fibre post placement & core buildup
  • Impression taking: comparison of different methods

Learning objectives

After the Day 7 programme, participants should have gained the following:

  1. Further understanding of how preparation design affects the final shape of the restorations, building on material covered in day 4;
  2. Knowledge of when to extend preparations interproximally, and how much preparation is appropriate;
  3. A more detailed understanding of techniques available to minimise tooth preparation;
  4. A more detailed understanding of ceramic material selection for challenging clinical situations
  5. An understanding of different impression materials and techniques and when each of them is appropriate.
  6. understanding of current thinking on the restoration of endodontically-treated teeth and the importance of the ferrule effect;
  7. understanding of how to use aesthetic posts and core build-ups on anterior teeth.

restorative dentistry

Specialist interfaces in restorative dentistry

DSD for communication within the aesthetic team

Interdisciplinary treatment:

  • the role of orthodontist, periodontist, maxillofacial surgeon, endodontist, implant surgeon and non-surgical facial aesthetics practitioner

Management of periodontal disease in general practice

  • screening examination (BPE)
  • detailed examination & treatment guided by the BPE examination
  • primary vs. secondary care: what to treat, what to refer
  • “prognostication” of periodontally questionable teeth

Aesthetic soft tissue management:

  • cosmetic aspects of periodontics
  • gingival biotypes & the dento-gingival complex
  • periodontal plastic surgery: gingivectomy, crown lengthening, root coverage
  • when to perform a gingivectomy vs. osseous crown lengthening
  • working with a periodontist for the procedures you do not wish to perform
  • how orthodontics can help with aesthetic soft tissue management
  • prosthetic approaches: pink composite, pink porcelain, gingival masks

The orthodontic-restorative interface

Gummy smiles:

  • diagnosis & interdisciplinary management

Digital Smile Design for team communication

  • Using Digital Smile Design tools on the computer
  • The DSD digital & clinical workflow
  • DSD try-ins and the emotional side of case acceptance

Lecture & practical:

  • Digital smile design: demonstration & practical

Learning objectives

After the Day 8 programme, participants should have gained the following:

  1. An understanding of gingival architecture and its normal variants;
  2. An update on current concepts of periodontal disease screening and management within general practice;
  3. An understanding of the concept of biologic width and its importance in soft tissue management;
  4. An understanding of the consequences of violating the normal gingival architecture with restorations;
  5. Knowledge of different techniques to enhance soft tissue aesthetics, both surgical and prosthodontic.
  6. An understanding of the options for diagnosis and interdisciplinary management of gummy smile cases;
  7. A working knowledge of the DSD digital and clinical tools and their role in the consent and communication process;
  8. To introduce Apple Keynote as a means of providing images generated by the DSD process;

tooth errosion

Aesthetics & function

Tooth wear, occlusal management of larger cases

Tooth wear:

  • effective diagnosis & aetiologically-driven treatment 
  • current guidelines for erosion screening & management
  • use of the “Dahl concept” to simplify treatment of wear cases
  • minimising intervention in wear cases
  • current concepts of bruxism management

Occlusion II:

  • philosophies of occlusion
  • articulators & facebows: why, which and when? 
  • the importance of anterior guidance
  • occlusal risk management for more complex cases
  • reorganisation for predictable dentistry – what, when, why and how to do it
  • CR Bite records
  • assessment of aesthetics, phonetics and function via long term provisionalisation

TMJ assessment:

  • TMD screening examination
  • Load testing

Opening vertical dimension:

  • when, why & how
  • to Dahl or not to Dahl?

Hands on:

  • facebow practical
  • bite record practical

Learning objectives

After the Day 9 programme, participants should have gained the following:

  1. Understanding of how to diagnose and plan treatment for tooth wear cases;
  2. Understanding of risk management for tooth wear cases.
  3. A deeper understanding of the interaction between the aesthetic and functional aspects of a treatment plan;
  4. An understanding of how to avoid unplanned alterations to the patient’s anterior guidance;
  5. Knowledge of the clinical stages in treating complex aesthetic cases;
  6. An understanding of the different articulators available, and which to use for most cases;
  7. Knowledge of facebow transfer systems and how the information is transferred to the articulator in the laboratory;
  8. An understanding of the difference between conformative and re-organised approaches to occlusion;
  9. Knowledge of when a re-organised approach is appropriate and the bite records that are needed;

tooth replacement

Aesthetic tooth replacement

The decision process for replacement of missing teeth

Evidence-based bridge design:

  • the pros and cons of fixed-fixed, fixed-moveable, cantilever, adhesive designs
  • common design flaws
  • strategies for bridges involving compromised teeth
  • aesthetic aspects: all-ceramic bridges vs. traditional PFM

Demystifying implants

  • overview of the treatment workflow, surgical and restorative
  • patient selection & assessment
  • communication with the implant surgeon to ensure optimal implant positioning
  • aesthetic considerations for anterior and posterior implants
  • soft tissue management around dental implants

Aesthetic soft tissue management for tooth replacement:

  • ovate pontic site creation
  • papillary management around replacement teeth
  • peri-implant soft tissue aesthetics

Aesthetic dentures

  • aesthetic improvements for denture bases
  • aesthetic denture teeth: customised setups for natural aesthetics
  • design enhancements to partial dentures to improve aesthetic and longevity
  • strategies for ‘claspless’ dentures: workflow to combine crowns with dentures
  • historical concepts (milled crowns, stable-base dentures), precision attachments, Konus/telescopic crowns, overdentures on teeth & implants

Learning objectives

After today’s programme, participants should have gained the following:

  1. A systematic approach to treatment planning for replacement of missing teeth;
  2. Understanding of the importance of short, medium and long-term planning when replacing missing teeth;
  3. A working knowledge of the balance between aesthetics and conservation when planning tooth replacement;
  4. An overview of current materials and techniques for bridges, dentures and implant-supported restorations;
  5. An understanding of the clinical workflow for the placement of bridges, dentures and implant-supported restorations;
  6. An understanding of how aesthetic considerations can affect these processes;
  7. Understanding of the various periodontal and prosthodontic approaches to soft tissue management in relation to the replacement of missing teeth;
  8. Knowledge of when to apply the various techniques for the optimum result.

comprehensive dentistry

Planning and delivering comprehensive dentistry

Managing the interdisciplinary team

The comprehensive approach to treatment: occlusal re-organisation as part of a larger treatment plan

Simplifying diagnosis and treatment planning for full mouth cases

TMD symptoms

  • differential diagnosis and management
  • the role of appliance therapy in restorative dentistry

Questionable teeth

  • discussing the options and involving the patient in decision-making

Workflow for full-mouth cases

  • long-term provisionalisation
  • optimising aesthetics, function and phonetics
  • clinical & laboratory sequence for transition to final restorations

Interdisciplinary aspects of comprehensive care

  • building your interdisciplinary team
  • interdisciplinary team diagnosis & treatment planning
  • managing communication within the team
  • transitioning patients within the team during treatment


  • Treatment planning, sequencing & fee setting

Learning objectives

After the Day 11 programme, participants should have gained the following:

  1. When a full-mouth approach to treatment is appropriate
  2. Knowledge of when and how to reorganise the occlusion;
  3. Understanding when appliance therapy is appropriate within the treatment plan;
  4. Understanding of the components of the occlusion that should be incorporated into treatment planning for large cases;
  5. An understanding of the stages of treatment and time involved for each stage, so that patient expectations can be managed and appropriate fees set.
  6. An understanding of the roles of different specialties in the treatment process;
  7. An understanding of how complex interdisciplinary cases should be sequenced and delivered;

dental maintenance

Failures: diagnosis, management and prevention

Aftercare & Maintenance

  • Repairing restorations to extend their clinical longevity
  • Failures: diagnosis, prevention & management
  • Troubleshooting / repairs
  • Learning from failures
  • The psychologically challenging patient: identification and management


  • Quickfire treatment planning & fee calculation
  • Presentation of your cases

Learning objectives

After the Day 12 programme, participants should have gained the following:

  1. Knowledge of maintenance procedures and the role of the hygienist in the aesthetic practice.
  2. Understanding of the causes of failure in aesthetic treatments;
  3. Knowledge of the reported success and survival rates for different treatments from the literature;
  4. Knowledge of useful solutions to common problems;
  5. An understanding of the techniques available to repair existing restorations;
  6. Knowledge of different personality traits and how these can affect dentist-patient interactions;
  7. Understanding of an effective strategy to manage psychologically challenging patients;
  8. An understanding of how to manage difficult situations and resolving them to everyone’s satisfaction.

The course sessions are held at our custom-built postgraduate education facility, close to London Bridge station.

Advanced Dental Seminars
11a Bell Yard Mews
Bermondsey Street
London SE1 3TN

Each day, the morning lecture starts at 9.15am and we will finish at around 5.30pm.

If you are travelling from outside London we strongly recommend that you travel up the night before the course day and stay the night before so that you are fresh for the session.

Tea and coffee are provided at appropriate intervals throughout the day.

A buffet lunch is provided. If you prefer to go out, there are numerous establishments offering a full range of culinary options just a few minutes’ walk away from our venue.

Please note that currently we are not able to cater for specific dietary requirements. Special care is given to provide a wide selection of options.

Q: What happens if I miss a day?

A: You will receive the reading material and handouts so that you can see what was covered. You will still be expected to pay for that session even if you do not attend. However, if the session is repeated in the next run of the course, you may attend this session at no charge. We allow up to two sessions to be carried over to the next run of the course in this manner, provided that the sessions are repeated in the same format.

Q: Is there an examination at the end of the course? Do I have to present any cases?

A: No, there is no formal examination at the end of the course. On the last day there is an optional case presentation by the participants as it is a nice way of rounding off the year, but it is not compulsory to present a case.

Q: Do I have to bring patients for treatment?

A: No, there is no live patient treatment in this programme.

Q: What if I decide to withdraw from the course after booking my place?

A: Our cancellation policy depends on how far in advance the cancellation notice is received prior to the commencement of the course year according to ADS teaching calendar, which starts on 1st September every year.

All cancellations must be made in writing.

Until 3rd July 2017: deposit is returned less an administrative charge of £25.00

Between 4th July 2017 to 1st August 2017: deposit is returned less an administrative charge of £200.00 (If it is already posted, we do require the Day 1 Welcome Pack to be returned before we refund the £250.00)

From 2nd August 2017: no refund of deposit

On or after 1st September 2017: No cancellations or withdrawals are accepted. You will be expected to attend – and pay for – the entire course.

Further information & bookings

Please contact Dr Zeynep Ayhan on 020 7940 0885 if you require further information on the course and its content. Preferably you can contact us by email on

Confirmation of bookings

Only after the deposit payment is cleared, a booking will be confirmed by email.

Course places are allocated on a very strict ‘first come, first served’ basis.

Places will be allocated subject to availability.

Advanced Dental Seminars reserves the right to refuse or cancel a booking.