Deep adhesive restorations: when to restore versus extract
Webinar on deep adhesive restorations and immediate implants airs 16 June 2026. Register by 19:40 that day for live access.
The Dutch dental association NTVT is hosting a webinar on deep adhesive restorations, exploring when teeth with deep cavities can still be restored adhesively and when extraction with immediate implant placement becomes the better choice. The session, featuring dr. Rijkje Bresser and dr. Kees Heijdenrijk, addresses the clinical and biological complexities of deep restorations.
Adhesive restoration of deep cavities
As cavities deepen, maintaining isolation for adhesive restorations becomes increasingly difficult. Dr. Bresser covers practical strategies for deep direct and indirect restorations, including how to manage subgingival cavities where rubber dam inversion is no longer possible, techniques for keeping the field dry during indirect work, and the use of Teflon and additional dam clamps in complex cases. She also discusses biological width, tooth and composite pretreatment, bonding principles, and matrix systems. Deep Margin Elevation (DME) can extend the range of adhesive treatment, but the seminar examines when this technique reaches its limits and the biological consequences of working at or beyond those limits.
Immediate implants when extraction is indicated
Dr. Heijdenrijk presents cases where DME is no longer possible and extraction becomes necessary. For patients wanting a complete dental arch, immediate implant placement for a crown offers a viable alternative. He demonstrates immediate implant placement in the molar region, outlines the advantages of the technique, and clarifies the clinical criteria for when immediate implantation is and is not suitable.
The webinar takes place on 16 June 2026 at 20:00 CET. Registration closes at 19:40 on the day of the event. Three subscription options are available: Premium (live plus 4-week on-demand access), Plus (live only), and On Demand (access from 5 weeks after broadcast, with a test for continuing education credits).
Frequently asked questions
What is Deep Margin Elevation and when is it used in dentistry?
Deep Margin Elevation (DME) is a technique that extends the feasibility of adhesive restorations in deep cavities by managing the margins. However, it has limits, and when DME is no longer possible, extraction with immediate implant placement may be more appropriate.
How do dentists isolate and keep the field dry for deep subgingival cavities?
When rubber dam inversion is no longer possible because the cavity extends subgingivally, dentists use alternative techniques such as Teflon strips and additional dam clamps to maintain isolation and a dry working field during both direct and indirect restorations.
When is immediate implant placement a better option than deep restoration?
Immediate implant placement is indicated when DME is no longer feasible and extraction becomes necessary. It is a suitable option for patients who want a complete dental arch, particularly in the molar region, though specific clinical criteria determine candidacy.
What biological complications can arise from deep adhesive restorations?
Deep restorations risk compromising the biological width and proximity to the pulp. The webinar addresses biological consequences of working at or beyond the limits of adhesive technique, including how pretreatment, bonding principles, and matrix systems help mitigate these risks.
What are the registration deadlines and options for the NTVT webinar on 16 June 2026?
Registration closes at 19:40 on 16 June 2026. Three options are available: Premium (live plus 4-week replay), Plus (live only), and On Demand (access from 5 weeks later with a test for continuing education credits).
