Portland, ME


Nuance Dental Specialists

Dr. Miles R. Cone is a graduate of Tufts University School of Dental Medicine, and completed a three-year Prosthodontic residency program while serving in the United States Army before being honorably discharged as a field grade officer in the rank of Major. In addition to achieving board certification and diplomate status within his specialty, Dr. Cone has also successfully challenged all the requirements necessary to earn his designation as a Certified Dental Technician. Currently, Dr. Cone’s career in civilian life revolves around his dual role as the owner of Nuance Dental Specialists, a private practice dental clinic limited to prosthetic dentistry in the heart of Portland, ME, and his role as Editor in Chief of the American College of Prosthodontists quarterly publication, The Messenger. He is also a member of Catapult Educations speakers bureau and evaluates new products for numerous dental manufacturers. When Dr. Cone is not at the chair, in the classroom teaching, or at the lab bench, he can be found lecturing on the international circuit and publishing extensively in peer-reviewed journals.

Get To Know Miles Cone, DMD, CDT, FACP

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Courses Offered

Miles Cone, DMD, CDT, FACP is an accomplished speaker available to speak at your event for half-day, full-day and multi-day lectures, custom courses, and hands-on workshops.

Brave New World: A Quick-Start Guide to Implementing Teledentistry Today
The global pandemic created by the outbreak of the Coronavirus has drastically altered the way doctors approach health care – particularly in the field of dental medicine. For many dentists, the landscape that awaits after the dust has settled will look radically different than the way they remembered it. Improvisation and adaptation to virtual health technologies will become the new normal for the dental practitioner in a post-Corona world. This presentation will outline a quick-start guide to the increasingly trending topic of Teledentistry, and will bring the participants rapidly up to speed with what they need to know about this treatment modality, when to implement it, and how to apply the ADA CDT codes for each procedure.

Learning Objectives:

  • Review the history of teledentistry and the current applications that can be utilized in the contemporary dental practice.
  • Determine the best practices related to HIPAA that will ensure the highest level of data security and patient privacy in the transmission of electronic patient health information.
  • List the most appropriate CDT codes that should be applied to each unique patient encounter utilizing telecommunication protocols.
  • Identify applications for teledentistry that apply to various specialties, including Prosthodontist, Orthodontics, and Periodontics/Oral Surgery.
Exposed: The Art and Science of Emotive Clinical and Laboratory Dental Photography

This course is aimed at the clinician/technician/assistant who would like to elevate their skills with a digital single reflex lens (DSLR), mirrorless, or smartphone camera. No experience is necessary. Theory and hands-on course work will allow even the novice photographer to produce professional level photographs within a few hours of instruction, enabling the user an easy method for marketing their dental practice to potential patients, or dental laboratory to potential clients. Basics of lighting, camera gear, lenses, and composition are covered, and cost-effective ways to acquire all the necessary tools and equipment are explained in detail.

Learning Objectives:

  • List the tactics and techniques that can be used with dental photography to communicate with dentists, patients, and potential clients.
  • Analyze the final results of various photographs made with both professional and consumer level equipment.
  • Improve current skills through demonstrated dental photography exercises.
  • Create a portfolio of case studies to share with colleagues that will showcase your ability to document with dental photography.
Let There Be Light: Smart Phone Dental Photography

While DSLR cameras remain the gold standard for clinical case documentation, there is an emerging trend towards the utilization of the ubiquitous smartphone in the dental operatory. While easy to use, the downfall of smartphones has always been the lack of a focused external artificial light source (EALS). Recognizing this dilemma, several companies have begun to develop low-cost, yet effective, attachments that enable the production of high-end dental photography. This new technology has found a place in shade analysis, dental product photography, patient communication, and teledentistry. We are only just beginning to see what is possible with smartphone dental photography, and the increased resolution of mobile cameras ensures that this evolving technology will soon become a standardized tool in the armamentarium of most dental clinics and laboratories.

 Learning Objectives:

  • Review historical aspects of dental photography and identify the limitations of intraoral image capture.
  • Summarize the immediate applications of smartphone photography/videography within the operatory and dental laboratory.
  • Apply new concepts and techniques to improve the efficiency of current smartphone practices for intraoral/extraoral dental photography.
  • Establish novel applications for smartphone photography/videography based on existing clinical operations, laboratory protocols, and patient needs.
Man Made Machines: Blending Teeth with Tech

This presentation will illustrate the ways in which CAD/CAM dental technology is augmenting the collaborative endeavors between the dental clinician and laboratory technician in both scope of accuracy and precision.  Treatment options ranging from the highly aesthetic single central restoration to the complex full-mouth rehabilitation are becoming more predictable due to the advances in contemporary dental instrumentation and techniques which are being utilized to seamlessly move between the realms of analog and digital dentistry.

Learning Objectives:

  • Review current methods and materials available to dentists and laboratory technicians for treatment planning success amongst a variety of analog and digital restorative options.
  • Recognize the advantages and limitations of contemporary analog and digital protocols.
  • Determine the most appropriate chairside and benchtop methods to facilitate efficacy and long-term predictability for each treatment modality.  
  • Apply new concepts and techniques within the dental clinic and laboratory to improve successful patient outcomes.
Plan B: An Economical Method for Managing the Difficult Shade Match

Conventional shade matching protocols involve intraoral photographs taken with porcelain tabs held in the patient’s mouth adjacent to natural dentition or restorations. Frequently, however, the limits of shade tabs are exposed when the teeth that need to be emulated possess color variations and intrinsic properties not covered by the range of the currently available shade guides. This presentation will demonstrate predictable and economical methods to easily communicate with the dental laboratory utilizing light-cured, stain and glaze applications as well as custom shade tabs for fixed and removable restorations. These techniques and protocols will serve the clinician in decreasing costly remakes and improving the overall patient experience.

Learning Objectives:

  • Review many of the current shortcomings that exist with shade communication between clinician and technician.
  • Establish the parameters of staining and glazing custom shade tabs, provisional crowns, complete dentures, and other various dental prosthetics that are coincident with the treatment planning and delivery of fixed and removable restorations.
  • Develop a case-specific armamentarium based on treatment needs.
  • Apply course concepts and techniques to current patient base.
A Fly on the Wall: What Every Laboratory Technician Wants to Tell Their Dentists, but Won’t

Many dentists are blissfully unaware that the clinical work they produce chairside is not up to the laboratory standard to produce a successful definitive restoration. If these dentists could spend time as a fly on the wall of the laboratories that they send their work to, they would be horrified, embarrassed, and even possibly educated by what the technicians really think about the clinical work they turn out a daily basis. The presentation takes a deep dive behind the scenes to find out what candid information laboratory technicians would tell the dentists they work with if the repercussion of losing a client didn’t loom over their head. Meant to inform, not humiliate, clinicians will find that the quickest way to self-improvement, is self-reflection.

Learning Objectives:

  • Review the most frequently cited roadblocks to communication between dental
    • laboratory technicians and the referring dentist.
  • Compare and analyze the components of successful cases with those that have failed.
  • Develop a clear and concise protocol to facilitate mutual compliance and
    • cooperation between the chair and the bench.
  • Apply concepts within the dental laboratory/office to achieve optimum patient care.
The Art of Presentation

At some point in the career of every dentist, they will be asked to give a presentation to their colleagues. As these dentists begin to move into advanced education and become key opinion leaders, the need to lecture becomes increasingly significant. For many of these clinicians, public speaking represents a fate worse than death and causes panic. This lecture outlines many scientific principles as well as tried and true methods for creating compelling content, managing technology, and reducing personal anxiety while speaking to colleagues in a meaningful way.

Learning Objectives:

  • List the primary benefits of delivering a well-developed presentation.
  • Outline the seven aptitudes necessary for every speaker to deliver an effective presentation.
  • Discuss in detail the strategies and rationale for each of the seven aptitudes.
  • Develop an engaging lecture and appropriate system for audience feedback.
Out of Sight, Out of Mind: Exploring Combined Endodontic/Prosthodontic Treatment

The restoration of endodontically treated teeth has long been a hot topic of debate amongst clinicians. Controversy currently exists regarding the use of posts (prefabricated, cast vs. fiber), appropriate cementation protocol for these posts, when to place a full-coverage restoration, requirements for remaining ferrule, application of veneers, and even when to forgo elective endodontic therapy and extract the tooth. This presentation will cover all aspects of treatment planning and the various definitive restorations for to pulpless teeth based on clinical-based evidence.

Learning Objectives:

  • Identify the most common causes for loss of tooth structure with endodontically treated teeth.
  • Assess intrinsic/extrinsic staining agents which contribute to the restoration of aesthetically challenging endodontically treated teeth.
  • Review the biomechanical principles which contribute to successful restoration of pulpless teeth.
  • Apply scientifically sound concepts to existing patient base and develop a protocol for the predictable restoration of endodontically treated teeth.
Million Dollar Practice: Minimal Budget

Newly graduating dentists generally have little to no education regarding the business of running a business. Many individuals just starting out also have it in their head that they must acquire a large existing practice/patient base, hire an army of staff, spend a half-million dollars or more on equipment and a build-out,  and then try to figure out how to pay the bills. This course will outline just how economical it can be to start from scratch (a true start up), effective ways to market a new dental office (including a $200 website), and many of the potential pitfalls to avoid – and why staying small is the new big.

Learning Objectives:

  • Review the most common myths surrounding the role of private practice dental ownership.
  • Analyze the pros vs. cons of the decision to “Build or Buy” a dental practice.
  • Assess the role of a solo owner vs. associate/partner.
  • Analyze key performance indicators to measure the level of achievement for set goals.
Carte Blanche: Aesthetic and Functional Foundations for the Complete Denture

Restorative and prosthetic dentistry is in a state of crisis. Social media, corporate advertising, and even the most reputable dental symposiums all place a heavy emphasis on fixed anterior treatments (i.e., cosmetic dentistry). There is a new wave of clinicians and technicians that are well aware of the necessity for education and training of complete denture and are pushing the boundaries of contemporary aesthetics with hyper-real removable prosthetics in a bold effort to rekindle the love affair with the original full arch/mouth rehabilitation.

Learning Objectives:

  • Establish the parameters of complete dentures that are coincident with contemporary fixed prosthetics and how they apply to treatment planning.
  • Review many of the current shortcomings that exist with all phases of removable complete dentures prosthetics.
  • Develop a case-specific armamentarium based on aesthetic and functional demands for each patient.
  • Apply new concepts and techniques to current patient base.
Squid vs Whale: Surviving the Epic Struggle Between Clinician and Technician

The mandate on today’s dental professionals to deliver predictable high-strength and highly aesthetic restorations is continually increasing. Lines of communication between the clinician and the dental technician, however, are often marked by antagonism and derision and carry potential untoward negative ramifications to the patients being treated. This presentation aims to elucidate straightforward step-by-step protocols for achieving uncommon results while  illustrating the inner workings of an efficacious and amicable collaboration between colleagues endeavoring to promote and maintain the oral health of others.

Learning Objectives:

  • Review the roadblocks and hurdles that currently exist between the clinician and technician that may hinder the successful treatment of each patient.
  • Determine the chairside/benchtop communication protocols and current materials available to the ceramist and dental professional that can be utilized in the restoration of fixed, implant, and removable restorative treatment plans that will ensure the highest quality final product at delivery.
  • Develop systems of communication to facilitate aspects of shade analysis, occlusion, tooth position, and overall facial aesthetics.
  • Apply new concepts and techniques with the dental clinic and laboratory.
On Your Mark, Get Set, PRO! Tips and Tricks to Guide for Each Stage of Full-Coverage Indirect All-Ceramic Restorations

Lithium disilicate, feldspathic, and zirconia-based restorations begin with a sound treatment plan and continue through the various phases of care, including tooth preparation, final impression, provisionalization and finally, cementation. This presentation will include ways to improve communication between the dentist and lab technician and outline various techniques and materials currently available to achieve easy and predictable long-term results in your current practice and dental laboratory for delivering high-end results.

Learning Objectives:

  • Recognize appropriate case selection criteria to ensure long-term success for all-ceramic and zirconia-based veneers, crowns, and bridges.
  • Improve all phases of treatment from pre-operative care to lab communication to delivery of definitive restorations.
  • Develop a case-specific armamentarium based on treatment needs and goals of the case.
  • Apply course concepts and techniques to current patient base.
So Easy, a Prosthodontist Can Do It: The Tips, Tricks, and Techniques from the Daily Life of a Dual-Certified Prosthodontist/Dental Technician

The ongoing advancement of new procedures and technology within the dental profession continues to grow at an accelerated rate. The comprehensive volume of information that must be maintained to remain competent in the respective fields of study as a dentist or a dental technician, therefore, becomes increasingly difficult to sustain. Although an exhaustive knowledge base for either specialty is simply not possible, numerous overlapping philosophies and techniques have been recognized that are able to improve the daily workflow of the restorative clinician.

Learning Objectives:

  • Review dogmatic principles found in the field of contemporary prosthetic dentistry and the alternative options that exist for each.
  • Analyze many of the current materials available to the ceramist and dental professional that can be utilized in the restoration of implants, fixed crown and bridge, and removable prosthetic treatment plans.
  • Determine the chairside/benchtop protocols that will ensure the highest efficacy as well as quality final product at delivery.
  • Apply new concepts and techniques with the dental clinic and dental laboratory.

Course Comments

Dental Photography Webinar - May 11, 2020
Thank you so much for today's webinar. Super inspired by your presentation!! Appreciate your energy in what it took to do what you did. Loved it. My photos will improve drastically because I had the pleasure of listening and watching you.
- Bob Clark, CDT

Grande Miles…just saw your presentation! Super…you are top photographer and top speaker! Congrats!
- Gianluca Paniz, DDS

Your passion, energy and execution for today's photography webinar was top notch. Being off work since March 15, my minds been racing to what the new norm is going to be in the dental industry, leaving me bummed out with negative thoughts, yet in the short period of time listening to you pumped me right back up to where I was pre-Covid. Always nice to see individuals raise the bar and spread their wealth of knowledge to the ones who are willing to listen.
- Giuliano Urso, CDT

The Evolving Dental Aesthetic Webinar - May 6, 2020
I just finished your Aesthetic webinar over viva's learning platform and oh my god how beautiful and satisfying that was for me! I just graduated months ago and been working hard to know as much as possible about aesthetic dentistry in-order to master it in the near future.
- Mahmound Hisham, DDS


On-Demand Courses by Dr. Cone