Treatment of Fully Edentulous or Terminal Dentition: Immediate Function

Treatment of Fully Edentulous or Terminal Dentition: Immediate Function

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

Course Description

Treatment of edentulous patients, or 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. 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 course explores the therapeutic options for fully edentulous patients, focusing on those with compromised bone.

Educational Format

This course offers a flexible educational format to accommodate all clinicians’ needs and interests.

Participation may take place either:

• In-person or remotely (held over Zoom)
• Live or on-demand
• Lecture only or lecture plus hands-on workshops

Regardless of mode of participation, online resources are available to supplement live lecture material. This information is accessible on an 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 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

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
    • Contour augmentation
    • Consideration for prosthesis contour

Steps for fabricating a conversion prosthesis. Complications:

• Prevention and management

Pre- and post-operative Care:

• Antibiotics and antiseptics
• Analgesics
• Anti-inflammatory agents
• Nutritional and herbal supplements

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 to fixed prosthesis for immediate functional loading

Live Surgery Demo

• Implant site planning in virtual planning software
• Guided surgery to place four to six 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 Session

Tuition

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

• 16 hours of live lecture + hands-on workshop and live surgery demonstration
• 4 hours of on-demand online education

Course Brochure
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