Academy of
Cosmetic Dentistry India

Bonded Restorations for the Entire Dentition: the ‘Table Top Concept’

Dr. Moez I. Khakiani

Dr.Mohan Bhuvaneswaran

Dr. Moez I. Khakiani completed his BDS degree from Pad. Dr. D.Y.Patil Dental College and Hospital, Navi Mumbai in 2005 and MDS in Prosthodontics and Oral Implantology from M.A. Rangoonwala Dental College and Research Centre, Pune in 2012.

He is a fellow of the International Congress of Oral Implantology and has a Post Graduate Diploma in Esthetic and Cosmetic Dentistry from State University of Buffalo, NY, USA. He is the proprietor of “Khakiani’s Dental Kare” clinic situated at Bandra West with special attention to Prosthetics, Smile designing and Full mouth rehabilitation.

He is author of the highly acclaimed and bestselling book titled “Clinical Fixed Prosthodontics” for which has been bestowed with “Dentistry Imprinted award” by BITEIN as well as “Superstar Author of the Year award” at Indian Health Professional Awards 2017. He is also the co-founder of MIK Dental that manufactures products designed by him for which he has been recognized as “Entrepreneur Dentist of the Year” at Famdent Awards 2017 and has also received “Dental Innovation of the Year 2017” award in New Delhi.

He is a Key Opinion Leader (KOL) for 3M India and for IPCA pharmaceutical laboratories. He is faculty for ENCODE (Enhanced Continuing Dental Education) and for ETC (Education Training Center) at the IDA Head office. He has been awarded “Best Prosthodontist 2015” by Prime Time Research Media Pvt. Ltd. at the “National Dental Excellence Awards; New Delhi”. He has also been bestowed with “Best Dentist Award” at 54th Maharashtra State Dental Conference 2015.

He also recently received Special Jury Award for the highly acclaimed category of “Outstanding Dentist of the Year 2016” at Famdent awards while he also bagged the Special Jury Award” for “Prosthodontist of the Year 2015” at Famdent awards in Mumbai. He has also received “Excellence in Dentistry Award” at Dentistry 2016 by Indian Dentist Research and Review. He has also been felicitated as “Prosthodontist of the year 2016” by MA&MR in New Delhi and as “Dental Speaker of the Year 2016” by Indian Health Professional Awards in Pune. He has to his credit several papers and publications at various conferences in India and Overseas and is a highly acclaimed speaker for his clinically relevant presentations.

He is the Director for “Prosthotrain” and actively conducts CDE courses and hands-on workshops for Crown and Bridges, Ceramic Laminates, Occlusion; Full mouth rehabilitations and TMJ Disorders with live patient demonstrations.

Abstract

Full mouth rehabilitation of a severely worn dentition is considered as one of the most challenging procedures in dentistry. Until recently, the only predictable way to occlusally restore a compromised dentition was through full coverage crowns and bridges. Although this protocol has served many patients for decades, the very thought of stripping the tooth of its enamel in order to get retention and resistance form(from an already worn out dentition) just neverseemed right to me. Fortunately, we clinicians live in the era of ‘predictable enamel bonding’ thateliminates the need for mass enamel murder and retentive preparations.

Adhesive bonded restorations for anterior teeth in the form of laminates and veneers have been an established treatment protocol in dentistry for long. Taking this very tissue-preserving protocol to posterior teeth, adhesive bonded restorations like inlays, onlays, vonlays/vtops, overlays, crownlays, endocrowns, etc. have been practiced with immense success across the globe.The main advantage of this approach is its minimally invasive nature that aims at retaining the enamel bio-rim which allows the tooth to maintain its core strength.

This novel biomimetic approach of restorative dentistry can be carried to the world of full mouth reconstruction through the use of glass ceramic materials and even compositesover occlusal surfaces of posterior teeth to restore lost tooth structure (VD), a protocol famously referred to as ‘Table Top Dentistry’.By combining the traditional principles of physiologic centric position with the modern bio-emulatingprinciples of minimally invasive dentistry, full mouth reconstruction patients can benefit massively from predictablelong term function and aesthetics without elaborate cutting of tooth material.

Yes, the protocols are meticulous and have a learning curve involved. However once mastered, this leak-proof bonded lifestyle is by far the best form of dentistry to offer our patients.So come join me, as I share my clinical experience with this innovative and exciting dimension of bonded restorationsfor treating the entire dentition: the ‘Table Top Concept’.

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