Course Faculty
Homa H. Zadeh, DDS, PhD and Lyndon F. Cooper, DDS, PhD
Course Description
Treatment of edentulous 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, fixed and removable, have to be considered. This course explores 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:
- Lecture only or lecture plus hands-on workshops (all materials will be shipped to participants)
Educational Objectives.
Decision Tree for the Treatment of Terminal Dentition:
- Saving teeth vs extraction
Prosthetic Esthetics:
- Smile design
- Extra-oral and intra-oral 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
Digital Workflow:
- Fixed vs removable
Digital Workflow:
- Cantilever length
- Prosthetic space requirement
- Abutment selection
- Material selection
- Building and maintaining a great full arch prosthesis
- Smile line consideration
Surgical Protocol:
- Surgical guide
- Digital vs analogue
- Surgical and prosthetic positions
- 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
- Analgesics
- Anti-inflammatory agents
- Nutritional and herbal supplements
Hands-On Workshop Simulated Exercise
- 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 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
Tuition
$1495 Remote Learning: Lecture + Workshop
$995 Remote Learning: Lectures Only
Tuition for remote workshops includes two-way shipment of all supplies to allow participants to complete the workshops in their own facility.
CE Units
16 hours of online on-demand online education (including: lecture, hands-on workshop, and live surgery demonstration)