A day with Dr Linda Greenwall: Contemporary restorative and aesthetic techniques

What to expect

There is an increase in patients suffering from and seeking treatment for tooth surface loss. There are many new contemporary options to treat these patients with a '3 Step' step-by-step and additive approach. This one-day event will discuss and review these new contemporary and restorative approaches and treatment strategies to help patients from a minimal invasive treatment option to more comprehensive treatments.

Treatment planning is thus essential when planning and preparing these cases next to the natural dentition. This event will highlight the use of the digital work flow from scanning to wax ups to mock up for the patients and how to plan the increase in the vertical dimension.

When planning these cases, a full team approach is vital and the need to look at the possibility of orthodontics for alignment and periodontist to look at the gum heights and margins, will need to be considered.

Whitening to improve the base shade before the restorations, and a sensitivity protocol will be required as may patients may have sensitivity. Whilst the shade selection of restorations, can depend on many factors, such as lighting in the surgery, background lighting and daylight. There are many variations in what the dentist may see when trying to choose the correct shade. A combination approach of using digital photos, shade taking devices and direct vision will be discussed and how to select the perfect shade every time.

Bonding techniques for use of onlays and inlays will be discussed. Use of zirconia for crowns, onlays and onlays and cementation and bonding techniques for Zirconia

The importance of maintenance is vital and the need for a bite plate to protect the restorations.

Learning objectives 

• Understand the importance of the natural dentition in treating patients with tooth wear, evaluation, assessment and monitoring with diet modification
• Discuss how to implement different specialists in the treatment planning and treatment options with whitening, orthodontics and periodontics
• Understand the step-by-step technique for treating erosive class 5 lesions, NCCLs in a simple way with resin modified glass ionomers
• Discuss digital scanning, digital wax ups and stents and the importance of good communication with your technician
• Discuss when to carry out whitening treatment for patients with tooth wear – before, during or after treatment for tooth wear with sensitivity management
• Discuss inlay/onlay design and digital manufacture using emax vs Lisi vs Zirconia and bonding and cementation techniques
• Understand the importance of bite plate and maintenance after treatment.

Development outcomes

A, B, C and D

Meet the speaker

Dr Greenwall is an international lecturer and an authority on tooth whitening, aesthetic dentistry and practice management. She runs a multidisciplinary private practice in Hampstead, London, where she works with a specialist team in the practice (endodontist, periodontist, implant surgeon, oral surgeon and orthodontist).

She is also a past Chair for the Alpha Omega Society (2012-13), Editor-in-Chief of the journal Aesthetic dentistry today, and is past President of the Metropolitan London Branch of the British Dental Association (2015-2016). In March 2016 she was awarded the FMC Award for Outstanding Contribution to Dentistry.

Her first book, Bleaching techniques in restorative dentistry, won the award for best new dental book in 2001. The new edition of this book, Tooth whitening techniques, was published in May 2017. Her book "Success Strategies for the Aesthetic Dental Practice" was published by Quintessence in 2011.

In June 2017, Dr Greenwall was recognised in the Queen’s Birthday Honours list and received the British Empire Medal for her services to dentistry in the UK and abroad.