Prosthetic 3
Full Arch Fixed and Removable Implant Prosthetics, including Immediate Load (All-on-4)
(20 CPD) Pre-requisite Prosthetic 2
Outline
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.
Topics
Objectives
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
Outline
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.
Topics
Objectives
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
Cantilevers
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
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