curriculum 1

CREATING AN IMPLANT PRACTICE

• Implant dentistry Fundamentals
• Implant Design and components , Indications and contraindications

Course Topics:

• Developing an “implant” practice and Interdisciplinary team building
• Team Training and setting up a successful implant practice
• Classification of implant surgical/prosthetic procedures, developed by the Swiss Society of Implant Dentistry (i.e. Straightforward, Advanced and Complex) – basic vs complex cases
• Historical development of implants, biologic basis , biomaterials and osseointegration
• Manufacturer specific implants, armamentarium, components , surgical protocols, design characteristics
• Manufacturer specific components associated with implant restorations
• Lab co-ordination and success of restorations

PATIENT SELECTION, PATIENT EDUCATION, DOCUMENTATION, AND RISK MANAGEMENT

Course Objectives:

• Criteria for selecting patients for implant treatment
• Criteria for determining the types of patients and “basic” cases that are appropriate for clinicians with little or no surgical implant experience
• Requirements and goals for patient education, informed consent, informed refusal and documentation
• Risk management protocols, including staff training and malpractice insurance needs

Course Topics:

• Clinical assessment of implant placement and limitations
• The main implant options available and their indications and contraindications
• The risk/difficulty factors for implants in the various zones in the mouth and referral criteria and case selection for difficult implant cases
• The duty to refer: ethical, standard of care and legal rationale
• An overview of the informed consent process, informed refusal and documentation
• A review of the standard of care as it relates to health history data and forms, including situations that would require medical clearance for surgery
• Guidelines for use of, and keeping current with relevant forms (i.e. consent forms, health history, etc)
• Documentation with risk management • The legal and ethical considerations

DIAGNOSIS, TREATMENT PLANNING, RADIOGRAPHIC TECHNIQUES AND PRE-SURGICAL WORK-UP

Course Objectives:

• Understanding of surgical anatomy and radiological examinations Knowledge of options for diagnostic and planning tools and pre-surgical work up, including the use, fabrication and limitations of surgical stents/guides
• Criteria for surgical and prosthetic treatment planning options for various indications

Course Topics:

• The surgical anatomy of the maxilla and mandible, as well as the pathological and non-pathological processes that may occur in the maxilla and mandible
• Radiology systems and image analysis radiography of the mandible and maxilla, and how to interpret the findings from radiological examinations
• Recognizing that the standard of care is dynamic, a review of current diagnostic and planning tools including 3D cone beam imaging, and alternative implant systems
• Surgical and prosthetic treatment planning options for various indications
• A discussion on the importance of pre-surgical work-up, including stents (use, fabrication and limitations), computer guided surgery and/or other tools that can be utilized to insure success and minimize outcome and patient risk

FUNDAMENTAL SURGICAL PROCEDURES, ANESTHESIA AND STERILE PROTOCOLS

Course Objectives:

• Impact of bone morphology and anatomy on implant placement
• Considerations with anesthesia
• Techniques for surgical extractions for bone preservation
• Techniques for flap design, primary closure, suturing, drilling systems
• Techniques for surgical implant placement (basic cases)
• Surgical sterile protocols and implant success

SURGICAL PROCEDURES FOR BASIC CASES (SURGICAL MODEL WORK)

Suggest:

• Hands-on Model Work, Cadavers, Observation of Live Surgery, and Where Possible Placement in Patients

Recommend:

• Additional Observations of Live Surgery with a Surgical Specialist (mentor) Following the Course
• Single posterior implant case
• Two posterior implants (basic case)
• Two mandibular implants for overdenture
• Following the surgeries, presentation of completed cases and discussion of planned restorative treatment (with modifications if needed)

COMPLICATIONS, LONG-TERM MANAGEMENT AND ANALYSIS:

Recommend:

• Complications prevention, early recognition and evaluation , documentation, imaging, radiography testing and legalities.
• Prevention and treatment of complications morphological and medical history related
• Management and treatment of implant failures and defects
• Criteria for timely referral of complications to a surgical specialist
• Regular evaluation of the healing and/or periodontal status, implant integration, neurological or sinus status, imaging evaluation, and patient overall status
• The long-term management of surgical implant patients, including soft tissue analysis, status of the bone and function

OVERVIEW OF ADVANCED AND COMPLEX SURGICAL PROCEDURES AND PROSTHETIC TREATMENT OPTIONS SUGGESTED

Course Objectives:

• Indications for bone grafting and sinus lift procedures
• Special considerations for anterior implant placement
• Complex prosthetic procedures

Course Topics:

• Indications for bone grafting, soft tissue grafting and site preparation; types of grafting materials and techniques
• Overview of sinus lift procedures
• Overview of special considerations for anterior implant placement, including side by side implants vs. cantilevers, and soft tissue manipulations and procedures to enhance final esthetic results
• Overview of advanced and complex prosthetic procedures, such as extraction and immediate implant placement

50-100 implants simple cases Complex Implant procedures: Sinus lifts, ridge splits, complex grafting

Pre-requisite: Basic implant knowledge of simple to complex fixed and restorative options.

• An understanding of advanced restorative procedures
• Recognition of technical and cosmetic limitations of implant dentistry in certain situations. Lastly, we should remember that this training is designed to allow the patient to safely receive a dental implant that can be expected to last for an exceptional period of time, and be informed completely of why failure can occur plus exceptionally accurate presentation of their individual risks. If this cannot be done then the case by definition is not a “basic” surgical case and should be referred to a specialist.