Treatment of Fully Edentulous of Terminal Dentition: Immediate Function

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Course Faculty: Homa H. Zadeh, DDS, PhD and Lyndon F. Cooper, DDS, PhD

Course Description

Treatment of edentulous or dentate patients with terminal dentition to be transitioned to edentulism poses many challenges, including anatomic proximity to critical oral structures (Maxillary sinus, nasal floor, mandibular canal), limited bone volume, inappropriate bone topography and soft tissue deficiency. A variety of surgical and prosthetic solutions need to be considered. The first question is whether remaining teeth have a reasonable prognosis and can be save. If not, various replacement options can be considered. It is necessary to determine whether utilization of existing bone along with osseous resection to harmonize the bone crest is possible. This option is often utilized for immediate functional loading. In other cases, regenerative solutions such as sinus augmentation and alveolar ridge augmentation will be necessary. Prosthetic solutions, fixed and removable, have to be considered. This course explores the therapeutic options for fully edentulous patients, focusing on those with compromised bone.

 

Educational Format

This course offers flexible educational format to accommodate all clinicians’ needs and interests. Participation may take place either:

  • Lecture only or lecture plus hands-on workshops (All materials will be shipped to participants)

 

Educational Objectives

Decision Tree for the Treatment of Terminal Dentition:

  • Saving teeth vs extraction

Prosthetic Esthetics:

  • Smile design
  • Extra-oral and intra-oral landmarks
  • Fundamentals of full arch implant prosthetics.

Treatment Planning for Full Arch Implant Prosthesis:

  • Considerations for maxilla vs mandible
  • Opposing arch considerations
  • Patient preferences and expectations

Loading Considerations:

  • Primary stability, biologic basis
  • Immediate vs delayed restoration

Implant Planning:

  • Implant selection, position, numbers and orientation

Digital Workflow:

  • Prosthetic and surgical planning
  • Guided surgery
  • Prosthetic design
  • Immediate load prosthesis
  • Definitive prosthesis

Digital Workflow:

  • Fixed vs removable

Digital Workflow:

  • Cantilever length
  • Prosthetic space requirement
  • Abutment selection
  • Material selection
  • Building & maintaining a great full arch prosthesis
  • Smile line consideration

Surgical Protocol:

  • Surgical guide
    • Digital vs analogue
    • Surgical and prosthetic positions
  • Flap design and management
  • Suturing technique under fixed or removable prosthesis
  • Osseous resection guidelines:
    • Bone crest correction
    • Prosthetic space creation
    • Smile line consideration
    • Consideration for prosthesis contour
  • Soft tissue management
    • Mucosal phenotype (biotype) conversion therapy
    • Vestibular depth extension
    • Contour augmentation
  • Anatomic considerations
    • Surgical anatomy
    • Maxilla vs mandible
  • Steps for fabricating a conversion prosthesis.

Complications:

  • Prevention and management

Pre- and Post-Operative Care:

  • Antibiotics and antiseptics
  • Analgesics
  • Anti-inflammatory agents
  • Nutritional and herbal supplements

 

Hands-On Workshop Simulated Exercise

  • Implant site planning in virtual planning software
  • Surgical guide fabrication
  • Osseous resection
  • Implant surgical placement:
    • Tilted and axial positioning
  • Flap management for full-arch reconstruction
  • Conversion of removable to fixed prosthesis for immediate functional loading

 

Live Surgery Demo

  • Implant site planning in virtual planning software
  • Guided surgery to place 4 to 6 implants
  • Osseous resection
  • Implant surgical placement: tilted and axial positioning
  • Flap management for full-arch reconstruction
  • Conversion of removable to fixed prosthesis for immediate functional loading

 

Tuition

$1495 Remote Learning: Lecture + Workshop
$995 Remote Learning: Lectures Only

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

 

CE Units

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

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