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Smilecloud 3DNA

Lectures on stage by Dentcof · with Florin Cofar, Eric van Dooren, Thiago Ottoboni, Wael Att, David Norre, Gustavo Giordani, Victor Clavijo, Venceslav Stankov

The closed launch of 3DNA, eight years in the making. Lectures from an international group of speakers, each mixing clinical work with their own story.

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Finale · 2024 · 1 parts

Finale

Florin's closing speech, with the whole team on stage.

  1. 01 Finale6 min

    Florin closes the event and calls everyone on stage: the speakers, the organisers, the Smilecloud team and the people behind the clinical work.

    3 chapters
    1. Speakers on stage
    2. The team behind the launch
    3. The clinical teams and thanks

Venceslav Stankov · 2024 · 3 parts

FP1: the papillae challenge

Preserving papillae in implant dentistry, and the virtual extraction model for full-arch planning.

  1. 01 FP1 - the papillae challenge17 min

    Venci tackles one of the hardest topics in implant dentistry: papillae in FP1. He starts by mapping what we know, what we think we know and what we don't, and the idea of prosthetically guided tissue.

    7 chapters
    1. The FP1 tissue concept
    2. What we know about papillae
    3. Papilla height and position
    4. Forms that fit the tissue
    5. Killing papillae with the design
    6. Losing them at the impression
    7. Long papillae between pontics

  2. 02 VeX - virtual extraction model24 min

    A patient Venci treated for 15 years now loses her teeth. How 3DNA and the virtual extraction model help plan forms, components and guides in full arch, so the papillae keep their support.

    11 chapters
    1. Losing support at extraction
    2. Copying the root form
    3. Using shrinkage in class II
    4. From the worst papilla
    5. The virtual extraction model
    6. Ovate pontic forms
    7. Components before implants
    8. Connectors and milling
    9. Avoiding flaps at the front
    10. Guide and components clear
    11. Space for components

  3. 03 The hidden details that change the game18 min

    Venci shows the four moments papillae get killed, in design, milling and the impression, and the negative model that captures them before they move.

    9 chapters
    1. Guiding space, not components
    2. Milling versus printing
    3. The negative model
    4. Result and guided shrinkage
    5. Space for the papilla
    6. A second case with ortho
    7. Components fix the position
    8. Copying papillae to the final
    9. Prosthetics guide healing

Victor Clavijo · 2024 · 5 parts

One plan, different techniques

Decision trees that mix analogue and digital, for restorations and implants.

  1. 01 Many options17 min

    Victor starts with his journey and the overwhelming decision tree of the modern dentist. How to choose when there are so many options, starting with sending the technician the right picture.

    5 chapters
    1. Ten years of working together
    2. Choose the final material first
    3. More than veneers
    4. Records and design for the lab
    5. The right picture

  2. 02 One plan. Different techniques28 min

    Victor and his brother plan from the papilla: long or short, triangular or square, how much to prep. A pragmatic look at each technique, down to how flowable composite wears after three years.

    12 chapters
    1. Papilla sets shape and prep
    2. Measure before preparing
    3. Dominance and black triangles
    4. Thickness and colour
    5. Validating the mock-up
    6. No-prep plan and build-ups
    7. Milled composite posteriors
    8. Lower anteriors by injection
    9. Injection technique details
    10. Palatal veneers and flowable
    11. Fracture, repair and veneers
    12. Wear after three years

  3. 03 Analogue touches to the digital world21 min

    Milled or layered, prep or no prep. On a no-prep full mouth case for a 35-year-old, Victor picks tools from both the analogue and the digital world, depending on what the case needs.

    9 chapters
    1. Milled or direct composite
    2. Design and a no-prep choice
    3. Bonding with thick cement
    4. One-piece composite crowns
    5. A functional, natural result
    6. Small changes, measured
    7. Preparing in three steps
    8. Line angles matter
    9. Space for the technician

  4. 04 Implant fundamentals20 min

    Victor moves to implants, starting from the future gingival margin: cut or push, how the provisional supports the papilla, and how to capture it in the right position.

    9 chapters
    1. What lies under old work
    2. The future gingival margin
    3. Support the papilla, do not press
    4. Press rather than cut
    5. Masking a metal post
    6. Relining to support papillae
    7. Prep angle on dark substrates
    8. Deeper preps, scanned provisionals
    9. Materials and where to bond

  5. 05 Complexity13 min

    A patient back in 2018 with failing implants placed elsewhere. Victor finds the future gingival margin first, then decides: the 12 implant stays, the 22 is removed for a pontic.

    6 chapters
    1. Failing implants from elsewhere
    2. Margin first, then decide
    3. Keeping the lateral implant
    4. Removing 22 for a pontic
    5. Outcome and colour
    6. Validate, then choose

Gustavo Giordani · 2024 · 4 parts

The band of brothers

A decision tree for anterior implant sites, soft tissue reconstruction, and how it all comes together.

  1. 01 The band of brothers27 min

    Gustavo starts his story: how he met Eric and Florin, and 10 years of coming from Brazil to Timisoara with his brother. Then the case begins, with mini plates for skeletal anchorage.

    10 chapters
    1. Gustavo's path
    2. Ten years in Timisoara
    3. A central and lateral to replace
    4. Is it an immediate implant case
    5. Start from the patient
    6. Redesigning the smile
    7. The design calls for ortho
    8. Keeping the teeth to move tissue
    9. Placing mini plates
    10. The design as STL

  2. 02 Framework19 min

    Johnny Barbur joins Gustavo for the orthodontic side: intrusion with mini plates instead of orthognathic surgery, brackets placed on a setup driven by the design, implants as anchorage. Then the plan to extract the anteriors one at a time.

    10 chapters
    1. Ortho instead of orthognathic surgery
    2. A setup driven by the design
    3. Intrusion with mini plates
    4. Implants as anchorage
    5. Healing abutments and gingivectomy
    6. One anterior at a time
    7. Redesign and preps first
    8. Placing the lateral implant
    9. Copying the root
    10. Filling the gap

  3. 03 Soft tissue reconstruction17 min

    Soft tissue reconstruction in detail: harvest sites, the linear technique, the tuberosity, de-epithelialised grafts, and which graft fits which indication. Then back to the case, starting with the lateral incisor.

    6 chapters
    1. Why more tissue
    2. Palatal anatomy
    3. The linear technique
    4. Tuberosity for reconstruction
    5. De-epithelialised grafts
    6. Grafting the lateral site

  4. 04 How it all comes together14 min

    The same protocol for the central, copying the first millimetre of the root into the provisional, which stays in PMMA to shape the tissue until the final zirconia crown. Ortho, implants and prosthetics follow one design.

    6 chapters
    1. Planning the central
    2. Copying the root
    3. Graft and biomaterial
    4. Ceramics and provisional
    5. Final crown and reshaping
    6. How it came together

David Norre · 2024 · 4 parts

STAR Concept: the Belgian blend

From the early days of guided surgery to managing failure, with a case told step by step.

Trailer

  1. 01 STAR Concept: The Belgian Blend20 min

    David starts with his early days as a self-declared papilla killer and a simple question: what is a beautiful smile? Then the unexpected, a guided case that went wrong and how he finished it freehand.

    7 chapters
    1. From papilla killer to creator
    2. Start from the face
    3. Why bone reduction
    4. Building the digital patient
    5. Why not every case is guided
    6. Early guided surgery in Leuven
    7. A guided case that went wrong

  2. 02 The Original Gangster23 min

    David breaks down the STAR concept: negative grafting, the four types of full arch patients, and how in 80% of his 354 cases the remaining teeth are enough to hold the guide.

    11 chapters
    1. What went wrong
    2. Challenges and negative grafting
    3. Four types of full-arch patients
    4. Collecting and assessing the case
    5. Four rules for FP1
    6. Designing in 3DNA
    7. The functional mock-up
    8. Segmentation and top-down planning
    9. Spacing by the abutments
    10. Open guide, pins drilled last
    11. Sleeves and drilling protocol

  3. 03 Fundamentals - a clinical narrative24 min

    David's case presentation, step by step: the open guide, implants placed one by one starting next to a tooth, pins drilled only at the end, the pickup of the temporary bridge, and the try-in.

    11 chapters
    1. Driver and open guide
    2. Implants one by one
    3. Picking up the temporary
    4. The prosthesis is the boss
    5. Heat map and a fractured crest
    6. One scan and segmented try-in
    7. Segmented and monolithic
    8. Flat designs for papillae
    9. Limits of the approach
    10. Bone reduction with three guides
    11. Healing, impression and try-in

  4. 04 Tips and tricks17 min

    David redesigns a temporary in 3DNA in four minutes, then goes through pontic design for FP1 and FP3, the roll flap, segmenting lower bridges for mandibular flexure, and his 4-3-2 recall.

    9 chapters
    1. Redesigning a temporary in 3DNA
    2. Pontics in FP1 and FP3
    3. The roll flap
    4. Materials and fees in FP3
    5. Pressing the tissue at insertion
    6. Creating buccal tissue
    7. Pontic shapes to avoid
    8. Mandibular flexure and segmentation
    9. Maintenance recall

Wael Att · 2024 · 4 parts

STAR Concept: the Boston narrative

The full-arch landscape, immediacy in evidence, and the STAR Concept step by step.

  1. 01 STAR Concept: The Boston Narrative21 min

    Wael starts with context: how full arch treatment changed since the first Smilecloud meeting in 2019, the trends and challenges, and the FP1, FP2, FP3 classification, with FP1 the hardest to get right.

    10 chapters
    1. Introducing Wael Att
    2. From Freiburg to Boston
    3. Acquire, process, execute
    4. An older full-arch case
    5. Setting the prognosis
    6. Treatment options for the full arch
    7. Guided implants, freehand temporary
    8. Prototype before the final
    9. Zirconia with facial veneering
    10. FP1, FP2 and FP3

  2. 02 Immediacy: the current status22 min

    Wael compares the old protocols that left the patient edentulous first with stackable guides. Bone reduction is indicated only for a knife-edge ridge or to hide an FP2 transition.

    11 chapters
    1. Immediacy ten years ago
    2. Stackable guides
    3. Instagram education
    4. Cutting the bone en bloc
    5. Do not reduce the bone
    6. The STAR concept
    7. Data and a motivational try-in
    8. Set three acceptable retentions
    9. Singular design and components
    10. Surgery with a tooth-supported guide
    11. Teeth kept as stoppers

  3. 03 STAR Concept26 min

    The STAR concept step by step, on a live surgery case from Boston. Wael plans for the three-dimensional shrinkage after extraction, deconstructs the case in the design and puts it back together in one surgical visit.

    13 chapters
    1. Functional design in 3DNA
    2. Automated 2D smile design
    3. Motivational try-in
    4. Planning for 3D shrinkage
    5. Skipping the motivational design
    6. Stacking the data
    7. Simulating the functional design
    8. From blueprint to guides
    9. Heat map for preps and bone
    10. The surgical sequence
    11. Live surgery in Boston
    12. Multi-units and the pickup
    13. Outcome and benefits

  4. 04 Clinical stories18 min

    Temporary and final in full arch. Wael covers reverse scan bodies, verification jigs and jaw motion tracking, and segments the final zirconia instead of making it one piece.

    9 chapters
    1. Scanning for the final work
    2. Verification jig
    3. Recording function
    4. Segmented zirconia
    5. Chipping and zirconia variants
    6. Zirconia claims and evidence
    7. Why segment the final work
    8. Recommendations for zirconia
    9. Summary and thanks

Thiago Ottoboni · 2024 · 2 parts

Composites in the digital era

Predictable composite restorations, from a different reality on a different continent.

  1. 01 Composites: design first27 min

    Thiago starts from the reality of composites in Brazil, where ten veneers in 30 minutes without planning is common. Why composites need a design first, and how he builds it in Smilecloud before touching the patient.

    12 chapters
    1. Introducing Thiago Ottoboni
    2. Composites without planning
    3. Design first in the face
    4. Classic or guided layering
    5. The first visit
    6. Options for one patient
    7. Layer thickness in the blueprint
    8. Guides and printed models
    9. Enamel no thicker than 0.5 mm
    10. Colour and light refraction
    11. Classic layering on the case
    12. Tints and the buccal layer

  2. 02 Composites: guided layering28 min

    Ten composite veneers with guided layering of dentin and enamel, finished in about two and a half hours instead of five by hand. It ends on a personal video and a thank you from Thiago and his brother.

    12 chapters
    1. Finished in one visit
    2. Ten veneers, guided
    3. Why guide enamel and dentin
    4. The guided layering workflow
    5. Designing in 3DNA
    6. Perio, dentin and enamel guides
    7. Crown lengthening and guide try-in
    8. Sandblasting and etching enamel
    9. Layering dentin through guides
    10. Palatal shell and enamel guides
    11. Finishing and bone surgery
    12. Take-home message

Eric van Dooren · 2024 · 4 parts

East and West, 30 years apart

Two careers that converge: a 30-year perio-prosthetic retrospective, and how 3DNA changes planning and execution.

  1. 01 A story of East and West, 30 years apart25 min

    Eric van Dooren graduated in 1982, the year Florin was born. Two careers, 30 years and a world apart, that meet in a story about dentistry, mentorship and embracing change.

    10 chapters
    1. Introducing Eric van Dooren
    2. Dentistry in 1982
    3. Learning without the internet
    4. The team years
    5. Standardised documentation
    6. Motivational versus final mock-up
    7. A case from 16 years ago
    8. Mock-up on top of tissue
    9. Crown lengthening by the zenith
    10. Biologic width as a bell curve

  2. 02 The fundamentals15 min

    Eric looks back at three decades of his own perio-prosthetic cases with today's eyes: mock-ups, crown lengthening, 2 to 3 mm of attached tissue, and what he would do differently.

    8 chapters
    1. Motivational or functional mock-up
    2. Reshaping and a second design
    3. Why the technician says but
    4. Provisional veneers
    5. Re-prepping to move tissue
    6. Checking forms at try-in
    7. Nine years later
    8. Grafting and the long-term result

  3. 03 How 3DNA is changing the way we work19 min

    A patient Eric first treated in 2001, back after 17 years. Florin and Eric show how 3DNA changes the sequence: smile design becomes a blueprint in one click, and an apical guide as the only component the case needs.

    9 chapters
    1. A patient back after 17 years
    2. Rethinking the sequence
    3. Nothing is eternal
    4. From smile design to blueprint
    5. Positioning teeth on the bone
    6. Planning gingival changes virtually
    7. Prosthetically guided healing
    8. Motivational design comes second
    9. Apical guide and simultaneous execution

  4. 04 Simultaneous execution and prosthetic guided healing24 min

    Simultaneous execution in practice: flapless crown lengthening and chamfer placement with the apical guide, then prepping with an intermediate scan. Fewer appointments, less trauma, and the healing moved to the end, where it belongs.

    11 chapters
    1. The apical guide
    2. Chamfer from the guide
    3. Prepping with intermediate scans
    4. Bonding and minimal CAD changes
    5. Resective first, then additive
    6. Root preparation and the flap
    7. Harvesting the connective graft
    8. Suturing and thinning the tissue
    9. Healing against porcelain
    10. Realistic graft limits
    11. Fewer appointments, better healing

Florin Cofar · 2024 · 2 parts

Memory lane and the next generation

Florin opens the launch with smile design since 2012, then unveils 3DNA.

Trailer

  1. 01 Memory lane22 min

    Starting in 2012, when smile design meant transferring two lines from Keynote to a model. Florin goes through the moments that shaped digital dentistry, good and bad, and how biometrics bring scale and uniqueness to design.

    9 chapters
    1. Opening the 3DNA launch
    2. 2012: smile design in slides
    3. Steps and the technician
    4. Paulo Kano and biometrics
    5. 2016: affordable 3D printing
    6. Biometrics are timeless
    7. 2019: Smilecloud launched
    8. What is new in smile design
    9. Planning CAD and the blueprint

  2. 02 The next generation24 min

    The unveiling of 3DNA. Smile design, CAD and collaboration in one model that scales with the data you have and exports everything as STL.

    10 chapters
    1. One project, one model
    2. Scaling with the input
    3. An open STL layer
    4. Linear planning falls apart
    5. One plan, as in architecture
    6. The butterfly effect
    7. Visual language and presentation
    8. Working in the same project
    9. Sharing without a subscription
    10. Interdisciplinary smile design

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Smilecloud 3DNA: lectures on stage by Dentcof · Dentcof Masterclass