Decision Making in Implant Therapy — 3 Module Series

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Course Faculty:
Homa H. Zadeh, DDS, PhD
Fereidoun Daftary, DDS, MSD
Shahram Ghanaati, MD, DMD, PhD (Remote Faculty)
Fernando Rojas-Vizcaya, DDS, MS (Remote Faculty)
Kia Karimi, DMD, DDS
 

Course Description

Osseointegrated dental implants have over half century history. Over this period, a great deal has been learned about dental implants through scientific studies, as well as clinical experience. Survival and success of dental implants have varied anywhere from 60% to 100%. What has differentiated treatment outcomes have been differences in decision-making for material and protocol selection, as well as technical execution. Moreover, multiple studies have demonstrated that the level of experience of the clinician is correlated with negative outcomes. Perhaps the most important determinant of success is “decision making”. When appropriate decisions are made, grounded in best available evidence, higher degree of predictability is expected. It is most effective that a systematic approach is adopted utilizing decision tree model, beginning with diagnosis, risk assessment and thoughtful planning of steps and sequence of therapy. Other important aspects of decision making include material and protocol selection. Awareness of the biologic basis of the processes is also helpful in making better decisions. In view of the fact that, despite best efforts, complications occur in a proportion of cases, it is important to be prepared to manage those complications.

The course faculty includes experts with scientific and clinical expertise in biology, surgery and prosthetics. This education program examines each aspect of implant therapy, i.e. biological, biomechanical, diagnostic, surgical, prosthetic and technical. Each of the steps are reviewed in an effort to describe best available evidence and/or clinically documented options. The information is intended to steepen the learning curve for the less experienced clinicians and improve the predictability of therapy for more experienced clinicians.

Educational Format

Each module is designed as a free-standing educational event. Participants may choose individual modules or take all three.

This course offers flexible educational format to accommodate all clinicians’ needs and interests.

This course appropriate for:

  • Both experienced and novice clinicians, as the course offers important updates of the most significant decisions that are to be made in implant therapy.
  • Clinicians who exclusively perform surgery, exclusively perform prosthetics or perform both surgery and prosthetics, can benefit from the content of this course.
  • Dental clinical assistants who will participate in the delivery of implant care along with the dentist.

The most effective manner to increase the predictability of outcomes is to make decisions that are based on solid scientific and clinical evidence.

 

Educational Format

 

Module 1

Diagnosis:

  • 3D imaging: CBCT
  • Scan templates
  • Prosthetic assessment: occlusion, arch form, tooth form
  • Quantitative & qualitative assessment of bone
  • Classification of bone quantity and density
  • Quantitative & qualitative evaluation of soft tissues

Risk Assessment:

  • Systemic and local risk factors and indicators
  • Modifiable and non-modifiable risks

Implant Site Planning:

  • Classification of bone quantity and density
  • Surgical and prosthetic planning
  • Analogue protocol: diagnostic wax-up
  • Virtual implant planning software utilization
  • Analogue and digital surgical guide

Evidence Based Therapy:

  • Expected outcomes in various situations

Biology:

  • Biology of osseointegration
  • Biology of wound healing

Prosthetic protocols:

  • Cement-retained, screw-retained, screw accessible
  • Abutment selection: Stock, Ti-base, castable, CAD/CAM
  • Fixed vs removable prosthetic
  • Prosthetic material selection
  • Digital vs analogue protocol
  • Provisionalization options
  • Restorative Space
  • Lip support

Implant Selection:

  • Implant material:
    • Commercially pure titanium (CPT)
    • Titanium alloy
    • Ceramic implants: Zirconia
  • Implant macro, micro & nano design
  • Implant diameter: standard, short, ultra-short
  • Implant length: wide, regular, narrow, mini

Surgery:

  • Flap design in various oral regions
    • Single, multiple, full arch implants
  • Suturing material and techniques
  • Osteotomy protocol
    • Free hand
    • Guided surgery
    • Intra-operative navigation

Complications:

  • Biologic, inflammatory, infectious, technical, surgical & prosthetic complications
  • Prevention and management
    • Diagnosis of peri-implant diseases
    • Treatment of peri-implant diseases

Pre- and Post-Operative Care:

  • Antibiotics and antiseptics
  • Anti-inflammatory agents & Supplements
  • Peri-implant maintenance therapy

 

Module 2

Diagnosis:

  • Esthetic assessment

Implant Site Planning:

  • Virtual implant planning software utilization
  • Analogue and digital surgical guide

Evidence Based Therapy:

  • Expected outcomes in various situations

Biology:

  • Biology of wound healing

Transitioning of hopeless teeth to implants:

  • Biology of extraction socket healing
  • Minimally invasive tooth extraction
  • Immediate implant placement
  • Piezosurgery
  • Ridge preservation socket grafting for delayed implant placement
  • Biology of Ridge preservation socket grafting

Prosthetic protocols:

  • Restorative Space
  • Lip support

Implant Selection:

  • Implant material:
    • Ceramic implants: Zirconia
  • Implant diameter: standard, short, ultra-short
  • Implant length: wide, regular, narrow, mini

Loading protocols:

  • Immediate, early, delayed loading

Material Selection:

  • Bone grafts
  • Autogenous bone: sources & harvesting technique
  • Bone substitutes: allogenic, xenogenic, alloplastic
  • Barrier membranes
  • Platelet Rich Fibrin (PRF)
    • PRF isolation protocol
    • PRF biology
    • PRF role as biologic response modifier

Peri-implant soft tissue:

  • Significance of peri-implant mucosa
  • Mucosa phenotype modification therapy
  • Soft tissue graft options:
    • Autogenous soft tissue graft
    • Acellular Dermal Matrix (ADM)
    • Xenogenic Collagen Matrix (CM)

Surgery:

  • Flap design in various oral regions
    • Single, multiple, full arch implants
  • Suturing material and techniques
  • Osteotomy protocol
    • Free hand
    • Guided surgery
    • Intra-operative navigation
  • Piezosurgery:
    • Bone crest harmonization
    • Sinus augmentation
    • Implant site preparation

Complications:

  • Biologic, inflammatory, infectious, technical, surgical & prosthetic complications
  • Prevention and management
    • Diagnosis of peri-implant diseases
    • Treatment of peri-implant diseases

 

Module 3

Diagnosis:

  • Esthetic assessment

Implant Site Planning:

  • Analogue and digital surgical guide

Evidence Based Therapy:

  • Expected outcomes in various situations

Biology:

  • Biology of wound healing

Prosthetic protocols:

  • Restorative Space
  • Lip support

Implant Selection:

  • Implant diameter: standard, short, ultra-short
  • Implant length: wide, regular, narrow, mini

Loading protocols:

  • Immediate, early, delayed loading

Implants in atrophic sites:

  • Horizontal and vertical alveolar ridge augmentation
  • Implant therapy in posterior maxilla: short implant, crestal and lateral sinus augmentation
  • Implant therapy in posterior mandible: short implant, horizontal & vertical augmentation
  • Implant therapy in anterior maxilla: narrow diameter, horizontal & vertical augmentation

Material Selection:

  • Bone grafts
  • Autogenous bone: sources & harvesting technique
  • Bone substitutes: allogenic, xenogenic, alloplastic
  • Barrier membranes
  • Platelet Rich Fibrin (PRF)
    • PRF isolation protocol
    • PRF biology
    • PRF role as biologic response modifier

Peri-implant soft tissue:

  • Significance of peri-implant mucosa
  • Mucosa phenotype modification therapy
  • Soft tissue graft options:
    • Autogenous soft tissue graft
    • Acellular Dermal Matrix (ADM)
    • Xenogenic Collagen Matrix (CM)

Surgery:

  • Flap design in various oral regions
    • Single, multiple, full arch implants
    • Alveolar ridge augmentation
  • Suturing material and techniques
  • Osteotomy protocol
    • Free hand
    • Guided surgery
    • Intra-operative navigation
  • Piezosurgery:
    • Bone crest harmonization
    • Sinus augmentation
    • Implant site preparation

Complications:

  • Biologic, inflammatory, infectious, technical, surgical & prosthetic complications
  • Neurosensory deficits
  • Human factors: avoidable errors
  • Prevention and management
    • Diagnosis of peri-implant diseases
    • Treatment of peri-implant diseases

 

Hands-On Workshop Simulated

Module 1

  • Virtual implant planning
  • Flap design in different anatomic regions
  • Implant osteotomy & placement in healed sites
  • Suture techniques

Module 2

  • Flap design in different anatomic regions
  • Immediate implant osteotomy & placement in extraction sockets
  • Suture techniques
  • Ridge preservation socket grafting of intact sockets and those with defective alveolar walls
  • Peri-implant soft tissue augmentation

Module 3

  • Flap design in different anatomic regions
  • Suture techniques
  • Alveolar ridge augmentation
  • Peri-implant soft tissue augmentation

 

Live Surgery Demo

Module 1

  • Implant therapy in different anatomic regions

Module 2

  • Implant therapy in different anatomic regions
  • Management of extraction socket
  • Peri-implant soft tissue augmentation

Module 3

  • Alveolar ridge augmentation
  • Peri-implant soft tissue augmentation

 

Tuition

Tuition for each module: $1495 Remote Learning: Lecture + Workshop

Tuition for each module: $995 Remote Learning: Lectures Only

Tuition for all 3 modules: $2995 Remote Learning: Lecture + Workshop

Tuition for all 3 modules: $1995 Remote Learning: Lectures Only

It is recommended that all members of the treatment team, including clinical assistants, participate in the educational program. Inquire about staff tuition.

Tuition for remote workshops includes two-way shipment of all supplies to allow participants to complete the workshops in their own facility.

 

CE Units

Each module: 16 hours of on-demand online education (including: lecture, hands-on workshop, and live surgery demonstration)

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