Course Details:

AGD Code: 250
Subject: Restorative, Cosmetic Dentistry

For most of the 20th century, dental porcelain reigned as the gold standard for indirect esthetic restorations. Since 1989 there has been a steady stream of exciting new ceramic materials and new techniques for producing dental restorations.

Keeping up with the new materials and how to best utilize them clinically has become a real challenge for the dentist and the laboratory technician. Glass ceramics like lithium disilicate offer maximum esthetics with excellent functional performance while CAD produced high strength oxide ceramics like zirconia are capable of providing metal like strengths with the beauty of an all ceramic restoration.

But with all new materials and techniques, there are always questions and special considerations. Which material is best for each clinical application? Should I bond or can I cement?  What is the best cement to use? Are there any special handling or preparations that should be used with each material? This presentation will cover the important details and try to answer all your questions about the new ceramics. Here are some of questions that this presentation will go over:

  • Which is more esthetic– Lithium disilicate or translucent zirconia?
  • Which ceramic wears the best and which one is the least abrasive to opposing teeth and restorations?
  • What do you lose or gain by prescribing translucent zirconia vs. full strength?
  • What is 3Y-TZP and how is it different from 4Y-TZP and 5Y-TZP?
  • What in the world is zirconia reinforced lithium silicate (ZLS) and how does it compare with lithium disilicate and zirconia
  • What are the “hybrid” ceramics and how do they compare with traditional ceramics?
  • How do you properly clean your restorations after a clinical try-in and contamination by saliva or blood?
  • Why do my zirconia crowns keep falling off? Preparation guidelines that must be addressed.
  • Can you really bond zirconia? Yes you can.   This course will show you how to do it correctly.
  • Can zirconia really replace porcelain fused to metal? Yes it can. This course will prove it to you.
  • What is transformation toughening and why is it important to you?
  • When is it OK to cement eMax and other lithium disilicate restorations?
  • Where and when can you use all-ceramic bridges and are there special concerns for multiunit cases?
  • Is monolythic zirconia esthetic enough for anterior cases or should it be restricted to the posterior?
  • How can you achieve maximum esthetics with zirconia restorations?
  • Can you light cure through zirconia restorations?

CERP Standardization
Release Date: 04/2021
Expiration Date: 04/2024

Pricing Details

Get your Dental CE Credits with ease! Course is accessible for up to 90 days after purchase.


Dr. Maedot Semo

Garnet Valley, PA

"This course was informative, concise and relevant to every-day practice. Dr. Pitel was able to present the material in an easily understandable format. The course also covered data and studies on more recent developments in zirconia materials. Very thorough and excellent instruction."

Dr. David Baskas

New Rochelle, NY

"Excellent. A lot of specific useful information. Dr. Pitel explained everything very well. This is very convenient and as good as taking the lecture in person."

Dr. Arnulfo Herrera

McLean, VA

"Great materials to stay up to date with restorative techniques and materials."

About the Instructor

Mark L. Pitel

Dr. Mark Pitel is currently an Associate Clinical Professor of Operative Dentistry at the Columbia University College of Dental Medicine and Director of Predoctoral and CDE Esthetics. He also maintains a private practice in Poughkeepsie, New York. A 3rd generation dentist, he has over 33 years experience owning and operating private general practices with an “emphasis on Cosmetic, Restorative and Implant Dentistry” in New Jersey, Pennsylvania and California and New York.

A past president of the New Jersey Academy of General Dentistry, Dr. Pitel is an active member of numerous other dental organizations such as the International Association for Dental Research, the American Dental Association, the Academy of General Dentistry and the American Academy of Cosmetic Dentistry. He has received his fellowship from the American College of Dentists, the Academy of General Dentistry and the International Academy of Dentofacial Esthetics, holds Level II certification from the Academy of Laser Dentistry and has been recognized by Who's Who in Dentistry.

Dr. Pitel is an internationally recognized expert and lecturer on topics such as adhesive dentistry, anterior and posterior esthetic restorations and cosmetic and laser dentistry. He has authored numerous scientific papers and articles of interest to patients and is the author of a textbook on dental impression taking. A former editor of the NJ AGD Journal, he has received several awards for journalism in dentistry.

Course curriculum

3 Hour Pre-recorded Lecture

  • 1


    • Welcome to the Online Course with Dr. Mark L. Pitel, DMD, FAGD, FACD, FADFE

  • 2

    Video Presentation 1

    • Part 1

  • 3

    Video Presentation 2

    • Part 2

  • 4

    Video Presentation 3

    • Part 3

  • 5


    • Must Read Before Taking Quiz

    • Quiz (for CE Accreditation)

  • 6

    Course Evaluation

    • Course Evaluation for CE

  • 7


    • Congratulations!