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Prosthetic 3

Full Arch Fixed and Removable Implant Prosthetics, including Immediate Load (All-on-4)

(20 CPD)   Pre-requisite Prosthetic 2


Fixed and Removable Implant Prosthetics

This prosthetic implant course covers full arch removable and fixed implant prosthodontics. The use and indications of fixed cement vs. screw in prostheses - their step by step manufacture and relative benefits are presented.


Implant overdenture bar design and attachment selection for the maxilla and mandible and the step-by-step removable prosthesis fabrication are presented. An Intraoral photography section is included to assist with medico-legal documentation. Methods of determination of vertical dimension and maxillo-mandibular relationships are presented.


Occlusal considerations, overdenture design according to implant and/or soft tissue support are presented to simplify denture manufacture and enhance prosthesis and implant longevity.


Hands-on training workshops and live prosthetic demonstrations are an integral feature of Prosthetic 3.


Advanced photographic techniques and digital aesthetic planning

are included.



Fixed and Removable Implant Prosthetics

Fixed and Removable Implant Prosthetics

Biological and physiological rationale to immediate

  loading of implant restorations

Risks of immediate load

Indications and complications of cement vs. screw in prostheses

Removable prosthetic options

Terminology of implant components and overdentures

Maxillary implant overdentures

Maxillary denture occlusal modifications against lower implant

  retained implant prostheses

Mandibular implant overdentures

Factors of stress

Dental photography intraoral, perioral & extraoral photography


Demonstrate and conduct complete dental history and clinical evaluation for the full arch immediate load patient


Fixed treatment planning options for implant retained prostheses in

the completely edentulous jaw


CT / CBCT diagnosis and planning implant overdentures or fixed prostheses using radiographic imaging, with diagnostic casts and

dual scanning techniques


Plan prostheses per the available bone, crown height, aesthetic and vertical dimension requirements


Understand the advantages and disadvantages of full arch fixed screw retained vs. cement retained prostheses


Appreciate the implant protective occlusal schemes for use in full arch fixed restorations


Appreciate the indications, advantages and disadvantages of implant retained overdentures compared to implant retained fixed prostheses


Understand the attachments and different components for implant overdentures


Understand the biomechanics of the maxilla in relation to planning maxillary implant overdentures


Plan the necessary clinical and laboratory sequencing to provide immediately loaded mandibular overdentures in a completely

edentulous patients


Understand the effect of bone morphology on the prosthetic design

for implant overdentures in completely edentulous patients


Appreciate the selection of implant overdenture attachments and bar designs used in implant dentistry


Understand the importance of attachment selection and positioning

on prosthesis movement in implant overdentures


Understand the principles of mucostatic and mucocompressive

principals for construction of maxillary dentures


Appreciate the differences between maxillary denture occlusion fabrication opposing a denture vs. an implant prosthesis


Learn and perform photographic techniques required for medicolegal implant prosthetics



Immediate Load Prosthetics (All-on-4)

This part of the course covers the methods of diagnosis, practical treatment planning, pre-surgical prosthodontics, imaging, armamentarium, and clinical techniques needed for this exciting treatment modality. Crucial to this treatment modality is the understanding of the biomechanical aspects and functional loading of the immediate full arch prostheses. The aesthetic and phonetic requirements, space requirements, laboratory communication, insertion techniques post-operative follow-up and hygiene requirements are key to this treatment.


Hands-on training workshops and live prosthetic demonstrations are an integral feature of Prosthetic 3.



Immediate Load Prosthetics (All-on-4)

Immediate Load Prosthetics (All-on-4)

Patient evaluation and treatment planning

Rationale for immediate load of full arches

Presurgical prosthodontics

Aesthetic and phonetic requirements

Space requirements

Minimally invasive surgery

Bone density and loading protocols

Alternatives to bone grafting

Healthcare ethics

Anatomical grounding

Tilted implants - biomechanical aspects and survival rates


Treatment planning - pre- and postoperative radiographic

  examinations and 3D imaging

Prosthetic restoration - impressions, registration and

  jaw relationships

Laboratory communication and collaboration

Follow-up protocols

Dental hygiene requirements

Post insertion complications

Zygomatic anchorage and the Zygomatic implant


Establish a systematic and organised approach to the prosthetic techniques for this modality of treatment


Recognise and explain the impact of fully edentulous arches as a national health problem in dentistry


Develop an organised treatment planning approach following biomechanical aspects of stress


Co-ordinate the surgical and laboratory phases of treatment


Understand the requirements and design of diagnostic and surgical templates


Complete sequential treatment planning from patient examination to post insertion follow up and protocols


Explain the anatomical maxillary and mandibular considerations and limitations in relation to immediate load of full arches


Recognise diagnostic imaging procedures for the assessment of the edentulous arch

A Brener Implant Institute (Bii) Implant Program

Bii programs are fully CPD compliant with current Dental Board of Australia Guidelines on Continuing Professional Development


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