Full-Arch Immediate Implant Reconstruction
Theoretical, surgical and prosthetic protocol
- 14 hours of on-demand online education
- 14 hours of live lecture + hands-on workshop
- Live event: Saturday-Sunday, November 23-24, 2019
Treatment of edentulous patients, or dentate patients, to be transitioned to edentulism, poses many challenges, including anatomic proximity to critical oral structures, limited bone volume, inappropriate bone topography and soft tissue deficiency. A variety of surgical and prosthetic solutions need to 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, such as fixed and removable have to be considered. This presentation explores the therapeutic options for fully edentulous patients, focusing on those with compromised bone.
- Decision tree for the treatment of terminal dentition: saving teeth vs extraction
- Loading considerations: primary stability, biologic basis, immediate vs delayed restoration
- Denture esthetics; fundamentals of full arch implant prosthetics.
- Treatment planning for full arch implant prosthesis: considerations for maxilla vs mandible
- Steps for fabricating a conversion prosthesis.
- Building and maintaining a great full arch prosthesis.
- Implant planning: implant selection, position, numbers and orientation
- Surgical execution: surgical guide, implant position
- Osseous resection guidelines: bone crest correction, prosthetic space
- Flap management and soft tissue consideration
- Prosthetic solutions: fixed vs removable
- Prosthetic design: cantilever length, prosthetic space requirement
Simulated exercises and live surgery demonstration:
- 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