Treatment of Fully Edentulous or Terminal Dentition: Immediate Function

Biologic, Surgical & Prosthetic Considerations

 
Homa H. Zadeh, DDS, PhD
Lyndon Cooper, DDS, PhD

Tuition:

$1995 Live In-Person: Lecture + Workshop
$1495 Remote Learning: Lecture + Workshop
$995 Remote Learning: Lectures Only

  • 4 hours of on-demand online education
  • 16 hours of live lecture + hands-on workshop and live surgery demonstration
  • Live event: Saturday-Sunday, November 14-15, 2020

Treatment of edentulous patients of 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 saved. If not, various replacement options can be considered. If it 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 dentures have to be considered. This course explores the therapeutic options for full edentulous patients, focusing on those with compromised bone.

Educational Format:

This course offers flexible educational format to accommodate all clinicians.
All participants will have access to all online course resources, which can be accessed on-demand, including:

  • Lectures on background, scientific evidence and clinical case management
  • Clinical videos demonstrating surgical and prosthetic protocols
  • References: PDF files of publications and manuals
  • Material list

Live In-Person Education:

We have taken extraordinary measures to ensure the safety of all participants:

  • Attendance is strictly limited to allow physical distancing
  • Surgically Clean Air filtration system available
  • Masks will be required at all times
  • No food or beverage consumption will be allowed within the institute
  • All breaks will take place outside

Remote Live Synchronous Education: Lectures and Hands-On Workshop

Participants will have access to all online educational resources and will participate in all live sessions. Recordings of live lectures will be made available for later reference.

All instruments and workshop material will be shipped to participants to allow completion of all simulated exercises at participants’ homes or offices. The workshops can be completed synchronously during live sessions, where live feedback can be requested from the instructor. Alternatively, recordings can be watched on-demand for completion or repeat of workshop exercises.

Remote Live Synchronous Education: Lecture Only

Participants will have access to all didactic educational material, including live participation in lectures, live surgeries, and watching the hands-on exercises. Recordings of live lectures will be made available for later reference.

Remote Asynchronous Education: Lectures and Hands-On Workshop

Participants will have access to all online educational material and can access the material as on-demand basis.

All instruments and workshop material will be shipped to participants to allow completion of all simulated exercises at participants’ home or office.

Remote Live Asynchronous Education: Lecture Only

Participants will have access to all online educational material and can access the material (lectures, live surgeries and watching the hand-on exercises) as on-demand basis.

Educational Objectives:

  • Decision tree for the treatment of terminal dentition:
    • Saving teeth vs. extraction
  • Prosthetic aesthetics:
    • Smile design
    • Extraoral and intraoral 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
  • Prosthetic solutions:
    • Fixed vs. removable
  • Prosthetic design:
    • Cantilever length
    • Prosthetic space requirement
    • Abutment selection
    • Material selection
  • Building & maintaining a great full-arch prosthesis:
    • Smile line consideration
  • Surgical guide:
    • Digital vs. analogue
    • Surgical and prosthetic positions
  • Surgical protocol:
    • 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
      • Anti-inflammatory agents and supplements

Simulated Hands-on Workshop Simulated Exercises:

  • 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 prosthesis to fixed implant-supported prosthesis for immediate functional loading

Live Surgery Demonstration:

  • 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

Schedule for Live Synchronous Participation

Saturday November 14, 2020
7:00 to 8:00 AM ……………… Registration & Breakfast (Served Outside)
8:00 to 10:00 AM ……………. Lecture
10:00 to 10:30 AM ………….. Break
10:30 to 12:30 PM ………….. Lecture
12:30 to 1:30 PM ……………. Lunch
1:30 to 5:00 PM ……………… Hands-On Workshop

Sunday November 15, 2020
7:00 to 8:00 AM …………….. Breakfast
8:00 to 10:00 AM …………… Lecture
10:00 to 10:30 AM ………….. Break
10:30 to 12:30 PM …………. Lecture
12:30 to 1:30 PM …………… Lunch
1:30 to 5:00 PM …………….. Live Surgery Demo

Class Brochure