Module 1 – Implant Introduction and Treatment Planning
Course Information

This interactive 3-day module will provide you with an excellent understanding of what dental implant therapy is about, who is a suitable patient for such treatment, what are the risk factors and how to treatment plan and work-up a case for dental implant therapy.

We will cover the biology of healing and osseointegration relating to the interface between the implant surface and soft and hard tissues. The participants will gain understanding of best practices in atraumatic extraction protocols and ridge preservation. You will also practice how to carry out ridge preservation on a model which you can implement in your daily work flow immediately.

The module will focus on pre-treatment diagnosis, identify key principals, objective clinical parameters relevant to patient selection and treatment planning within implant dentistry. This will provide you with an excellent understanding and give you a blue print for systematic assessment of your patient to determine whether this case is suitable for you. Medical assessment and management of medical emergencies is also covered. Beyond this, participants will gain understanding of basic dental photography to document and present cases.

The participants will learn how to start the digital transformation of their practice with the workshop on introduction to DTX implant treatment planning software. You will learn how to digitally treatment plan the ideal implant 3D position and fabrication of surgical guides. During the hands-on day, you will also practice how to effective communicate your implant treatment plan to your patients.

Learning Objectives

- Understand implant terminology and componentry identification.

- Understand patient selection, clinical evaluation and risk management for you and the patient.

- Understand the biology and healing processes of hard & soft tissues relating to extractions, surgical implant and grafting procedures with interest on factors which impede or challenge these processes.

- Understand how to carry out a comprehensive medical history assessment and managing medical emergencies.

- Recognise best practices in atraumatic extraction protocols and ridge preservation.

- Understand the settings for digital SLR cameras for intra and extra-oral photographs.

- Understand the various implant treatment surgical and loading protocols.

- Obtain a sound foundation for routine dental implant treatment planning, documentation, consent and communication strategy of this process.

HANDS-ON (Bring: laptop and dental loupes)

- Ridge preservation on a model.

- Effectively communicating of dental implant therapy to your patients.

- Introduction to DTX Implant treatment planning software. Please click here for laptop computer specifications. 

Module 2 – Implant Surgical Protocols
Course Information

This interactive 3-day module is designed with particular emphasis on surgical procedures relevant to dental implant therapy. The participants should already have a comprehensive understanding of dental implant fundamentals including healing, patient assessment and treatment planning. Some surgical experience will be an advantage.

This module will provide you with a detailed understanding of the principles of guided implant surgery and soft tissue management. You will be shown step-by-step on how to safely and predictably place the routine dental implant. All required surgical equipment, instruments and materials will be discussed in detail, including how to prepare you, your patient and your team for sterile implant surgery. Potential surgical complications will also be discussed along with post-surgery follow up protocol, and most importantly how to reduce surgical complications.

Anatomical consideration and basic surgical principles will be covered. An actual guided dental implant surgery will be reviewed in detail to emphasise the most important aspects of successful dental implant surgical treatment. Guided bone regeneration as well as sinus lift principles will be covered. Peri-implant soft tissue management and options will be explored in detail.

During the hands-on day, you will be carrying out suturing to ensure you have an excellent foundation for oral surgery. Then implant surgical placement using a surgical guide on a model. And finally free-hand implant surgery using a porcine jaw.

LEARNING OBJECTIVES

- Understand various implant placement timing protocols including immediate, early-delayed, delayed.

- Understand hard and soft tissue regeneration procedures.

- Understand what surgical equipment, instruments and materials are required for implant surgery.

- Understand the sterile surgical field setup protocol to carry out sterile implant surgery.

- Understand guided implant surgery protocol and best practice principles.

- Achieving an excellent understanding of a step-by-step guide to place implants safely and predictably. 

HANDS-ON (Bring: dental loupes)

- Practice guiding principles for surgery under sterile conditions, including surgical sterile setup and protocols for the entire dental team. Understand the theoretical aspect of surgical assistance and participate in a practical workshop with auxiliary staff.

- To become competent in common suturing techniques.

- To practice guided implant placement and suturing on a model

- To practice freehand dental implant placement and suturing on a porcine jaw.

Module 3 - Implant Restorative Protocols
Course Information

This interactive 3-day module is designed with particular emphasis on restorative procedures relevant to dental implant therapy and for clinicians looking to expand their dental implant treatment to a more advanced level including multi-unit cases and in the aesthetic zone. The participants should already have a comprehensive understanding of dental implant fundamentals including patient assessment and risk assessment.

This module will begin with how to objectively measure the dental implant has achieved adequate osseointegration to ensure it can receive the occlusal load anticipated. You will be shown a detailed prescription on fabrication of a chair side provisional crown to best develop the soft tissue profile in the aesthetic zone which is ever more important to meet patient’s expectation.

We will cover 3 various impression taking techniques including: open tray, closed tray, splinted impressions and how to take an impression with a customised impression coping. We will discuss all implant prosthesis design options including screw retained (straight, angulated and cross-pin), cement retained, and when each option is required. The participants will gain understanding of fundamental selection criteria for implant componentry and importance of genuine components.

How to best communicate with the dental laboratory to improve clinical outcome will be covered. You will be updated on the various dental ceramics available and how to choose the right ceramic or implant abutment for the right case. The participants will learn the key principle of implant occlusion and how to control such to reduce risk of mechanical overloading. And finally, how each type of implant prosthesis is assessed extra-orally then delivered intra-orally is covered in detail.

This module includes a comprehensive hands-on component including; taking splinted multi-unit implant impression, taking closed tray impressions for the difficult single implant posterior cases, constructing chair-side provisional crown in the aesthetic zone and constructing customised impression coping in the aesthetic zone.

LEARNING OBJECTIVES

- Understand how to confirm adequate implant osseointegration.

- Develop soft tissue profile in the aesthetic zone using a provisional crown.

- Understand how to take an implant impression predictably using an open and closed tray techniques.

- Understand why splinting the impression copings rigidly is so important for multi-unit cases.

- Understand the various abutments and how to select them.

- Understand the various implant prosthesis designs for single and multi-unit cases.

- Understand the importance of effective communication with the laboratory to achieve a consistent outcome.

- Understand the various dental ceramics and how to choose the right ceramic for the right case.

- Understand how to verify the prosthesis on the master cast and how to deliver screw-retain prosthesis.

- Understand long-term maintenance protocols and complications associated with dental implants.

HANDS-ON (Bring: dental loupes)

- Predictably take a routine implant impression for single unit cases.

- Predictably take a splinted implant impression for multi-unit cases.

- Take closed tray impressions for the posterior single implants with difficult access.

- Construct a chair-side provisional implant crown in the aesthetic zone to develop soft tissue profile.

- Construct a customised impression coping to capture the developed soft tissue profile.

Module 4 – Advanced Implant Surgical and Restorative Protocols
Course Information

This interactive 3-day module is designed with particular emphasis on long-span, full arch or full mouth dental implant rehabilitation involving advanced surgical and restorative procedures. The participants should already have extensive implant surgical and restorative experiences. There are many useful fundamental concepts covered in this module which can help the participants to understand full mouth dental treatment planning in general as well as what complex dental implant therapy would involve.

Participants will gain a good understanding of how to prepare a treatment plan for a full arch or full mouth case using fixed and removable full arch prosthesis, including the All-on-4 concept. Occlusal scheme design, controlling of the occlusal vertical dimension and how many implants are required for each treatment modality will be discussed in detail. A step-by-step guide on how to treatment plan and carry out full mouth rehabilitation using removable and fixed full-arch prosthesis will be covered.

Due to the complex and expensive nature of such treatments, this module covers identifying pertinent risk factors and learning how to reduce or control them. Treatment planning using a full mouth approach and utilising inter-disciplinary approach will be covered. Hard and soft tissue grafting as well as advanced surgical options for the atrophic jaw will be explained. Immediate implant placement is covered in this module.

As integral to the long-term success, long-term maintenance protocol and management of complications will also be discussed, in particular management of peri-implantitis. Additionally, the use of guided surgery and grafting to improve treatment outcomes and long-term stability will also be covered, including guided bone regeneration and sinus life via lateral window.

The hands-on workshop includes: immediate implant placement, guided bone regeneration, sinus lift via lateral window, soft tissue exercise and converting a removable full denture into a fixed provisional full arch bridge prosthesis.

LEARNING OBJECTIVES

- Learn about patient selection and identify difficult cases from a full arch/mouth perspective.

- Understand full arch/full mouth treatment planning process.

- Understand occlusal vertical dimension and how to increase it safely.

- Understand the biomechanics of full arch implant prosthesis including implant numbers, distribution and angulation arrangement.

- Gain an insight into the various fixed and removable options available, including the All-on-4® treatment concept.

- Acquire knowledge on how guided surgery can facilitate implant placement and restorative predictability.

- Understand the pros and cons of immediate placement and immediate loading.

- Learn about tissue regeneration, bone reduction, grafting, sinus lift and alternative procedures for the management of a full arch case.

- Understand long-term maintenance protocols.

HANDS-ON (Bring: dental loupes)

- Immediate implant placement with jump gap management on a model.

- Guided bone regeneration on a soft tissue model.

- Sinus lift via lateral window on a soft tissue model and an egg.

- Palatal rolled flap exercise on a soft tissue model.

- Converting a removable full denture into a fixed provisional full arch bridge prosthesis.