Stephane Browet

Stephane Browet was born in 1972 in Asse, Belgium. He finished dental school at the Free University of Brussels in 1995. He there then followed a Post Graduate program Aesthetic Dentistry. From 1999 on he teaches rubberdam techniques and adhesive dentistry. From 2002 till 2005 he was active in the Scientific Board Conservative Dentistry at the Institute for Continued Education of the Society of Flemisch dentists. He also is a past board member of the Belgian Academy of Esthetic Dentistry. Past board member and member of the Academy of Microscope Dentistry. Member of the European Society of Microscope Dentistry. Active member of the Bio-Emulation Group.
Nationally and internationally teaching rubberdam isolation, microscope dentistry, posterior & anterior composites, indirect restorations. He combines this with a private practice focused on microscope aided restorative dentistry

Cracks, the new threat or just old sores?

Subtitle : Bio-mechanical considerations of crack prevention and restoration of posterior teeth.

Abstract :
The “molar lifecycle” or the “Circle of Death” whereby a small filling can eventually lead to loss of vitality or even extraction of a tooth is well known. Nevertheless, a clear strategy and guidelines on how to prevent this dramatic scenario to develop has not been proposed. Thorough understanding of the bio-mechanical behavior of teeth, both sound and restored, on a macro- and micro-level will allow us to come forward with effective measures to save teeth and be less aggressive in our treatment proposals. A pro-active approach will be proposed, both for vital and non-vital teeth. The importance of early diagnosis, healthy strategy , effective isolation and skillful execution will be evident in this presentation. Both the direct and indirect approach to cuspal coverage will be dealt with. Numerous  issues will be adressed :  Immediate dentin sealing, deep marginal elevation, cavity design, luting. How to cummunicate with patients when dealing with cracks is the juicy cherry on the cake.

 

Learning
– understand biomechanics concepts
– understand crack initiation and act with preventive measures to prevent crack progression
– early diagnosis of different types of cracks
– material choice guidelines
– general cavity design guidelines
– cuspal coverage or not ? Clear protocol and guidelines
– communicate openly with the patiënt

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