Full-Arch Implant Reconstruction: Immediate Functional Loading

Homa H. Zadeh, DDS, PhD
Fernando Rojas Vizcaya, DDS, MS
July 29-30, 2022
· 23/07/2022

Description

Treatment of edentulous patients 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, both fixed and removable, have to be considered. This course explores the therapeutic options for fully edentulous patients, focusing on those with compromised bone.

Hands-On Workshop Simulated Exercises

  • Implant site planning in virtual planning software
  • Surgical guide fabrication
  • Osseous resection
  • Implant surgical replacement
  • Tilted and axial positioning
  • Flap management for full-arch reconstruction
  • Conversion of removable to fixed prosthesis for immediate functional loading

Live Surgery Demonstration

  • Implant site planning in virtual planning software
  • Guided surgery to place four to six 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

Educational Format

This course offers flexible educational format to accommodate all clinicians’ needs and interests. Participation may take place either:

  • In-person or remotely (held over Zoom)
  • Live or on-demand
  • Lecture only or lecture plus hands-on workshops

Regardless of mode of participation, online resources are available to supplement live lecture material. This information is accessible on an on-demand basis.

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 Prosthesis
  • Considerations for maxilla vs mandible
  • Opposing arch considerations
  • Patient preferences and expectations
Loading Considerations
  • Primary stability
  • Biologic response to load
  • Immediate vs delayed restoration
Implant Planning
  • Implant selection, position, number and orientation
Digital Workflow
  • Virtual Implant Patient (VIP)
  • Prosthetic and surgical planning
  • Guided surgery
  • Prosthetic design
  • Immediate load prosthesis
  • Definitive prosthesis
Prosthetic Solutions
  • Fixed vs removable
Prosthetic Design
  • Cantilever length
  • Prosthetic space requirement
  • Abutment selection
  • Material selection
Surgical Guide
  • Digital vs analogue
  • Surgical and prosthetic positions
Surgical Protocol
  • Flap design and management
  • Suturing technique around prosthesis
  • Osseous Resection Guidelines:
    • Bone crest correction
    • Prosthetic space creation
    • Smile line consideration
    • Considerations 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 Fabrication a Conversion Prosthesis
  • Conversion of existing prosthesis
  • Fabrication of new prosthesis
Complications
  • Prevention and management
Pre- and Post-Operative Care
  • Antibiotics and antiseptics
  • Analgesics
  • Anti-inflammatory agents
  • Nutritional and herbal supplements

Payment conditions

Live in-Person: Lecture + Workshop = $1995

Remote Learning: Lecture + Workshop = $1495

Remote Learning: Lectures Only = $995

BeiDE members get a 10% discount by applying the following code:

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Program

Friday July 29

7:30 to 8:00 AM Registration & Breakfast
8:00 to 10:00 AM Lecture
10:00 to 10:30 AM Break
10:30 to 12:30 PM Lecture
12:30 to 1:30 PM Lunch
1:30 to 5:00 PM Hands-On Workshop

Saturday July 30

7:30 to 8:00 AM Breakfast
8:00 to 10:00 AM Lecture
10:00 to 10:30 AM Break
10:30 to 12:30 PM Lecture
12:30 to 1:30 PM Lunch
1:30 to 5:00 PM Live Surgery Demo
Not Enrolled
This course is currently closed

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