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(20 CPD) Pre-requisite Prosthetic 2
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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, phlebotomy laboratory, live clinical prosthetic and live FASTP surgical demonstrations are an integral feature of Prosthetic 3.
Advanced photographic techniques and digital aesthetic planning
are included.
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
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, phlebotomy laboratory, live clinical prosthetic and live FASTP surgical demonstrations are an integral feature of Prosthetic 3.
Advanced photographic techniques and digital aesthetic planning are included.
© Brener Implant Institute (Bii)
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
© Brener Implant Institute (Bii)
One of the most common findings in the population is gingival recession.
Amongst 60 year olds, 90% have at least 1 tooth with 1mm recession and 40% presenting multiple sites with >3mm recession. There is an increasing need to treat gingival recession defects in the population or to improve the biotype of gingival tissue.
There are several treatment options available to correct muco-gingival recession. The use of a tunneling technique and autologous fibrin is a valuable adjunct to help patients with Millers Class 1 and Class 2 recession are presented and demonstrated.
Hands-on training workshops, phlebotomy laboratory, live clinical prosthetic and live FASTP surgical demonstrations are an integral feature of Prosthetic 3.
Advanced photographic techniques and digital aesthetic planning
are included.
Screw retained versus cement retained full arch prosthodontics
Verification of casts and accurate Maxillo-mandibular
relation records
Planning of aesthetics and phonetics with full arch implant
prosthodontics
Millers classification of gingival defects
Autologous blood draw and production of Advanced Platelet
Rich Fibrin membranes
The use of autologous stem cells, growth factor concentration
and slow release in soft tissue grafting for predictable
fibro-promotion
Surgical tunnelling technique
Biotensegrity - the theory that helps to guide force transmission
and orchestrate multi-molecular responses to stress
Physiological displacement of the flap
Passive flap closure without tension
Novel advanced suturing techniques to stabilise the grafts and
apically position recession defects
The use of AlloDerm – an acellular dermal matrix (freeze-dried
skin) for this technique
Instrumentation requirements
Understanding the FASTP treatment of Millers Class 1 and Class 2 recession defects
Correction of Millers Class 1 and Class 2 defects
The use of autologous blood draw to manufacture Advanced Platelet Rich Fibrin and Injectable Platelet Rich fibrin to improve the Biotype of soft tissue
Learn the necessary surgical tunnelling, tissue release, graft placement, graft stabilization and novel suturing techniques
Appreciate Patient medical history and the effect of LDL Cholesterol, blood vitamin C titre, diabetes and tobacco use on the long-term results of soft and hard tissue surgery
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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