Course Date: Friday, 28th February, 2025 - Saturday, 1st March, 2025
Course time: 8:30am - 5:00pm (Sydney Time)
Location: Australasian College of Dental Practitioners Level 1, 60 Archer Street, Chatswood NSW 2067 (map)
Speakers:
A/Prof Christopher Ho
Dr Konstantinos Vazouras
Live Surgery and Hands-on Workshop
The completely edentulous patient suffers from significant psychosocial effects with tooth loss. It can be disabling, stir feelings of premature aging and be a physical handicap. This can lower self-confidence and self-image, with a need to keep tooth loss a secret. The ability to transform patients function and aesthetics can be a life changing transformation.
A/Prof Christopher Ho will outline the diagnosis and treatment planning involved in a comprehensive course on full arch implant rehabilitation. This will involve a comprehensive clinical evaluation assessing the restorative space, transition line, dento-facial aesthetics, phonetics, and occlusal vertical dimension. Learn the clinical techniques required for both removable and fixed options for treatment, with examples highlighting the steps required for each treatment sequence. There is a myriad of different treatment concepts from the single implant over denture to fixed implant supported bridgework utilizing the full arch treatment concept.
The application of digital technologies will be demonstrated with virtual smile design and immediate workflows possible with chairside intra-oral scanning and 3D printing of provisional immediate prostheses. Both conventional and digital approaches will be shown so that attendees will see the different workflows possible.
In an evidence-based manner, different concepts will be explained showing the number of implants require for both fixed and removable solutions and provide a guide for indications for each patient.
Live surgical demonstrations will be shown highlighting important steps for implant placement for a full arch implant workflow, along with the prosthetic steps involved with providing an immediate workflow with a provisional prosthesis.
Topics Covered:
1. Introduction
2. Diagnosis and treatment planning
Medical and dental contra-indications
Facially generated treatment planning and setting of teeth – 4 Key steps
OVD and safety of increasing OVD
MMR
CBCT analysis and Implant planning
3. Removable dental prosthesis
Edentulous anatomy for removable prosthodontics
Implant retained
One attachment vs two
Balls, locators, magnets
Procedures – Locator abutments – direct pickup vs indirect
Maintenance
Implant supported
Principles of bar construction
Bars – milled
Locators. Mk1 attachment
4. Implant supported fixed dental prostheses
Implant planning and the importance of A-P spread
Anatomical considerations in full arch implant surgery
Treatment planning numbers required – trefoil, full arch, >4
Tilting of implants
Conventional v.s. digital impression taking and verification
Provisionalisation – conventional vs 3D printing of guides
Types of prostheses
Restorative space
Transition line and use of alveolectomy
Phonetics
Prostheses design
5. Surgical protocols
Anaesthetic protocols and setup
Flap Design
Alveolectomy for hiding transition line or restorative space
Anatomical landmarks
Soft tissue considerations
Preparation protocols to enhance primary stability
Complication management
6. Prosthetic protocols
Immediate loading Provisionalisation
Prosthodontic options
Implant biomechanics, load forces and cantilever dynamics
Multi-unit abutments: use of straight v.s. angulated abutments
Occlusion on implants – full arch and over-denture
7. Maintenance and complications
Oral hygiene instructions
Hygiene and servicing protocols
8. Hands on surgical and prosthetic workshops
9. Live Surgery
Learning Objectives:
Understand the diagnosis and treatment planning for edentulous implant rehabilitation
Be aware of the clinical evaluation required assessing the restorative space, transition line, dento-facial aesthetics, phonetics, and occlusal vertical dimension.
Be able to perform the surgical protocols for full arch implant rehabilitation
Learn the prosthodontic techniques required for both removable and fixed options for treatment
Know maintenance and hygiene protocols for long term success.