Immediate Implant Placement with Provisionalization:
October 12, 2016 (6-9pm)
Immediate implant placement and immediate provisionalization has gained popularity because it may reduce treatment time and the number of surgical interventions. A recent systematic review if the scientific evidence supports immediate implant placement as a safe procedure when certain guidelines are followed. This course will focus on all aspects of immediate implant placement and immediate provisionalization, including atraumatic extraction instrumentation and techniques, immediate implants in molar sites, management of extraction sites with labial wall defects, fabrication of an immediate chairside provisional and much more. Discussion will focus on some of the most commonly asked questions, such as which is the best graft material to use to graft the gap? What type of interim provisional restorations to use in order to minimize tissue loss? What decisions should be made regarding immediate implant placement versus delayed implant placement. This course is designed for the novice and advanced clinician and is the first in our series on implant site development and bone grafting.
- Know principles of proper implant positioning
- Perform minimally invasive tooth removal techniques and instrumentation
- Know the pros/cons of immediate versus delayed implant placement
- Identify risk factors for complications with immediate implants
- Know the management of extraction sites with facial bony defects
- Know how to manage the post-extraction site in order to minimize hard and soft tissue loss
Sinus Bumps vs Lateral Window Augmentation:
December 7, 2016 (6-9pm)
Dental implants are a predictable treatment option when there is sufficient quantity and quality of bone. However, when patients present with deficient alveolar ridges, it can hamper the placement of dental implants. This problem is especially magnified in the posterior maxilla where ridge resorption and sinus pneumatization, compounded with poor bone quality, are often encountered.
The procedure of choice to restore this anatomic deficiency is maxillary sinus floor elevation (sinus lift). This course will focus on the most up-to-date techniques in sinus augmentation to improve long-term clinical success with dental implants. The lecture will also include what decisions should be made when determining whether to use an indirect technique (vertical) versus a direct technique (lateral).
- Discuss rational for sinus augmentation
- Understand maxillary sinus anatomy (Schneiderian membrane, sinus septums)
- Understand and manage maxillary sinus pathology (mucous retention cysts, sinusitis, iatrogenic complications)
- Know pre-operative evaluation
- Know the advantages and limitations of various augmentation approaches
- Understand the rationale for choosing various graft materials
- Recognize and treat graft complications (perforations, bleeding, fistula, infection)
Ridge Aumentation and Bone Manipulation:
February 15, 2017
The success of dental implants depends on their placement in bone of adequate density and volume in order to achieve primary stability. However, usually there is at least some degree of atrophy in most implant sites due to postextraction remodeling or because of pathologic conditions. There has been a gradual shift in paradigm from merely achieving successful osseointegration to achieving final restorative outcomes that mimic natural dentition and the surrounding oral tissues. This course will also include what criteria are used to determine when ridge augmentation procedures or bone manipulation techniques should be used.
- Selection and sequencing of implant site development techniques
- Horizontal ridge augmentation
- Ridge splitting and expansion
- Block grafting
- Guided bone regeneration
Avoiding and Correcting Prosthetic Complications:
April 12, 2017
The introduction of dental implants has revolutionized dentistry, offering patients treatment that has not been possible before. Every treatment modality may encounter complications and implant dentistry is not different in this regard. It is therefore essential to be prepared for these complications and be able to manage them successfully once they occur. While there is no substitute for clinical experience, exposure to a variety of complication scenarios along with their appropriate remedies and preventative measures will render the clinician prepared when these inevitably occur. This lecture will review a variety of complications, offer a thorough analysis and demonstrate their successful management. In addition, participants will also learn how to prevent these complications from occuring.
- Treat loose implant restorations
- Diagnose and treat damaged and fratured screws, abutments and implants
- Identification of implants
- Management of existing implants of unknown origin
- Esthetic, phonetic and functional complications
- Complications during impressions and laboratory procedures
- Implant and orthodontic complications
- Protocols to resolve implant complications
- Financial considerations of complications