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ACCT Anterior Course

Front teeth bring together all aspects of dentistry.
Shape, color, symmetry, harmony, soft tissue and many other points play an important role in creating a beautiful smile. In this four-day hands-on course, top professional Bart Beekmans prepares you for anterior challenges in your own practice.
After many successful editions from 2017, we will start with two new groups in January 2024. Choose the start date that suits you best and start working in a group of a maximum of 15 students one Friday or Saturday a month.


This course will be given in Dutch

Karma. members receive 10% discount

Course date

Autumn 2024

Day 1 Dental photography & basic smile design September 27, 2024
Day 2 Composite layering technique October 12, 2024
Day 3 Porcelain veneers November 1, 2024
Day 4 Wear November 30, 2024

What is this course about?

Day 1

Dental photography & basic smile design 

Please note: this course day has been developed based on: working with a Macbook (iMac) and the Keynote program.

Photography has become an indispensable part of the modern dental practice. Photos first and foremost serve as a ‘diagnostic tool’; once the patient has disappeared from the chair, you can still view all situations on the computer from different angles. Complete status light photos are vital for a good diagnosis. Photography can also be used in communication with patients, colleagues and the laboratory. For marketing purposes, beautiful pictures of your own work are useful for flyers, websites or if you want to write an article. Most importantly, photography can increase your level of treatment (Ed McLaren, 2011). If you look at your own work on the computer every day, it can be confrontational, but you can also learn a lot from it.


The Digital Smile Design Concept (DSD) seeks to present to the world a new face of Dentistry, more human, emotional and artistic, but also more efficient and precise through digital technology, further enhancing our noble profession in society, because after all there are not many things in this life that are more important than a healthy, natural, confident and beautiful SMILE’. (Christian Coachman, 2010)

Digital Smile Design is creating a treatment plan (on the computer) without the patient having to be present. It is the search for the ideal arrangement and harmony in the new smile. Using all modern media such as photos and videos, you can build that new smile in a very natural way. Starting with a correct incisal edge position to the ideal outcome for your patient.

On this course day you will learn to take a complete photo status with a SLR camera (preferably your own), and we will teach you the basics of a digital smile design.

Learning goals

  • Understand why photography is important in daily practice.
  • Be able to create a complete photo status and understand and apply the settings at the different positions.
  • Understand and be able to apply the basics of digital smile design.


  • Importance of photography
  • Treatment plan
  • Ideal arrangement & harmony
  • Incisal edge position
  • Format complete photo status
  • Settings at different positions
  • Use diverse media
  • Digital Smile Design

Day 2

Composite layering technique

This course day focuses on the aesthetic construction of a front tooth with two layers of composite; the dentin and enamel layers. You will learn how to achieve a suitable tooth morphology through advanced layering techniques that imitate nature as much as possible. You will gain insight into the ins and outs of this layering technique. The focus is on minimally invasive work to achieve a predictable and aesthetic end result step by step. It is important to us that the student can apply it in his/her own practice the next day.

Learning goals

  • Manufacturing a composite veneer for a central incisor
  • Manufacturing a silicone index to achieve the desired incisal line
  • Creating a ‘living’ tooth using halos, mamelons and opalescence.
  • Finishing and polishing the tooth to a high gloss for the most natural result possible.


  • 6 step plan
  • Aesthetic guidelines
  • Materials
  • Determine color
  • Layering recipe
  • Silicone index
  • Palatal shield
  • Composite layering
  • Anatomical shape
  • Surface structure
  • High gloss finish
  • Tips & tricks

Day 3

Porcelain veneers

In practice, this means that we do everything we can to preserve as much dental tissue as possible to create the healthiest possible basis for our restoration. Minimally invasive work is therefore important. Veneers can be one choice from the extensive treatment options we have today. But is a veneer the ‘shield’ that the patient always talks about? Or is there more technology behind this ‘bonded restoration’? From the ‘normal’ facing, the ‘state of the art’ adhesive technique (immediate dentin sealing, I.D.S) to the mock-up driven facing: what is the best and what is the most beautiful? Which material should you use for this facing? Why is the veneer one of the most difficult treatments in practice? How do you ensure a result that is as predictable as possible? Where can it all go wrong and how do you solve it?


  • Minimally invasive work
  • Bonded restoration
  • Adhesive technique (immediate dentin sealing, I.D.S)
  • Mock-up driven facing
  • Material selection (porcelain or composite)
  • Various preparation techniques
  • Immediate dentin sealing
  • Temporary restorations of veneers
  • Create harmony

Day 4


Every dentist encounters patients with loss of dental tissue due to tooth wear. How do you solve this? When, and at what stage? With what material? In what way? What actually is the diagnosis? What is the real cause? Thanks to the literature, we are learning more and more about the different treatment options for tooth wear. During this course day we will show both direct and indirect treatment options. Anterior and posterior.

Learning goals

  • Drawing up a treatment plan for a patient with wear and tear. Be able to name and use concepts such as etiology, bite elevation, occlusion, canine guidance, nightguard.
  • Registering the bite in patients with loss of dental tissue
  • Applying mold techniques to repair tooth wear with direct composite.
  • Applying direct and indirect (composite) techniques for functional and aesthetic restoration of tooth wear


  • Treatment planning
  • Etiology
  • Indications
  • Diagnosis
  • Choice of material
  • Occlusion & articulation
  • Aftercare
  • Bite registration
  • Mold techniques
  • Direct procedures
  • Indirect procedures
  • Anatomical recovery
  • Tips & tricks

Course price € 3200,-



Location will follow

Cancellation Policy

Cancellation should only be made in writing, by e-mail. For cancellations up to two months before the start of the course, € 75,-, administration costs will be charged. After two months before the start of the course, cancellation is no longer possible. Replacement of the participant is of course always possible.

The Multilayering Marathon is part of Create, the collaboration between the Amsterdam Center for Cosmetic Dentistry(ACCT), Karma and 3M.