Implant Surgery Mini-Residency 2009
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Implant Surgery Mini-Residency 2009

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Implant Surgery Mini-Residency 2009 Implant Surgery Mini-Residency 2009 Document Transcript

  • Helping dentistry achieve clinical excellence Implant Surgery Mini-Residency 2009Dennis Perala, DMD, MS Periodontist, Implant Surgeon Course DirectorJohn A. Sorensen, DMD, PhD Prosthodontist2009 Implant Surgery Mini-Residency Course Schedule 8:00 am – 5:00 pm* Apr 10 May 8 June 12 Sept 25 Oct 23 Nov 20Course Goals: Learn to plan & place implants in your office with confidence!This implant surgery mini-residency is aimed at building participant confidence in patient & siteassessment, understanding surgical protocols and hand skill development for exodontia,socket preservation, implant placement, & minor grafting.Course Objectives Understand proposed implant site radiographic, anatomic & clinical assessment criteria Understand new concepts of exodontia & maintenance of bone by atruamatic extraction Be knowledgeable on head & neck anatomy relative to implant surgery Understand critical anatomic structures to avoid during surgery Understand drilling protocols Understand implant & abutment selection criteria Understand criteria for implant timing & sequencing protocols: o Osseous grafting then implant placement o Simultaneous implant placement – osseous grafting o Extraction – immediate implant placement o Extraction – immediate implant placement – non-functional single tooth provisional restoration o Extractions – placement of immediate implants – immediate loading of full arch fixed provisional restoration Understand postoperative patient management, medications, chemotherapeutics, follow-up, complications & trouble shooting Understand provisional restoration modalities, design & fabrication 1
  • Session 1. April 10, 2009 8:00am – 6:00pm 2009 Implant Surgery Mini-Residency Implant Treatment Planning For Single Tooth, Fixed Partially Edentulous, & Completely Edentulous PatientsInstructors: John A. Sorensen, DMD, PhD & Dennis G. Perala, DMD, MSA. Lecture- Prosthetically Driven Implant Placement – - Understand the osseous & soft-tissues healing process post extraction - Radiographic evaluation - Intraoral radiographs, calibrated digital measurements - Panoramic radiographs - Cone beam CT radiography – Interpretation, analysis & measurements - Simplant, Facilitate & Nobel Guide - Virtual surgery and surgical guide design & fabrication - Site assessment - Understand the indications, contraindications, risks and benefits of both soft- and hard- tissue grafting procedures - Dimensions and anatomic landmarks for fixture placement - Predictable Peri-Implant Esthetics -> Diagnostic aids for esthetic soft tissue results - Assess biologic, biomechanical, prosthodontic and esthetic risk factors - Contraindications to implant placement and high risk of failure situations - Clinical selection criteria for choice of implant design, shape, length, surface treatment and number of stages needed for a given clinical situation - Treatment planning & sequencing implant treatment - Diagnostic workup - Dentist – Surgeon communication - Getting the surgeon to place the implants where you need them - Surgical guide fabrication - Understand & implement selection of single stage vs two-stage vs immediate loading of fixturesB. Hands-On - Make radiographic stents and surgical stents to achieve predictable implant placement a. Study Cast Analysis - Model Mapping for Planning Implant Placement b. Surgical Guide Fabrication Workshop c. Digital Photography & Image Management (Bring your camera & computer) - Clinical Photography - Digital Image and File Management C. Group Treatment Planning Session on Participants’ Patients - Bring patients’ diagnostic casts, radiographs, charting & photographs 2
  • Session 2. May 8, 2009 8:00am – 5:00pm 2009 Implant Surgery Mini-Residency Exodontia, Socket Preservation, Bone Grafting, Essential Elements of Surgery Lecture, Hands-on & Clinical Surgery SessionInstructors: Dennis G. Perala, DMD, MS & John A. Sorensen, DMD, PhDA. Lecture- Dr. Perala – - Medical Hx - Indications/Contraindications for Implant placement - Review of relavant head and neck anatomy - Vital anatomic structures encountered during soft and hard tissue surgery - Exodontia - Periotome usage and atraumatic exodontia - Preservation of osseous structure during extractions - Bone biology, bone healing & physiologic considerations - Bone quality classifications I – IV - Flap design to allow for primary closure - Instrumentation - Bone grafting material rationale and selection - DFDBA - CaS (Calcigen) - PRP, Gem 21, or Emdogain - Ridge augmentation - flap design changes - membranes - tacks - think and plan in the third dimensision for optimal results - Connective tissue grafting - double blade vs: trap door - ideal harvest areas - stent for healingB. Clinical Session – Exodontia, grafting, socket preservation on participants’ patients - Ridge augmentation and connective tissue graftingC. Group Treatment Planning of Next Session Surgery on Participants’ Patients 3
  • Session 3. June 12, 2009 8:00am – 5:00pm 2009 Implant Surgery Mini-Residency Implant Placement in Completely Edentulous Patients. Lecture, Hands-On Implant Typodont Surgery & Implant Surgery SessionInstructors: Dennis G. Perala, DMD, MS & John A. Sorensen, DMD, PhDA. Lecture- Dr. Perala – Implant Treatment Planning, Principles & Treatment of Completely Edentulous & Partially Edentulous Removable Patients - RADIOGRAPHIC evaluation - Cone Beam vs Pano/PA - Flap Design changes - Flapless approach ? - harder or easier ? – why, why not - Hazards : angled roots, mental foramen, sinus - How are we gonna restore this ? - Fixed, removable, access screws, attachments - Maxilla angled abutments - UCLA options vs cemented - OSSEOSET setup and preparation - IMPLANT SYSTEM STEP BY STEP - Branemark Groovy - Replace tapered Groovy - NobelActive Healing abutment selection - Wide vs normal - Height concerns - Tightness of healing abutment - What happens if it falls off? - Sonicare brushesB. Hands-on Typodont Implant Surgery -> - Flap design - Incisions & flap elevation - Osteotomy & drill sequencing - Implant placement & seating to correct position - Grafting - Flap closure - SuturingC. Clinical Session - Surgical Implant Placement on Participants’ Edentulous PatientsD. Group Treatment Planning of Next Session Surgery on Participants’ Patients 4
  • Session 4. September 25, 2009 8:00am – 5:00pm 2009 Implant Surgery Mini-Residency Extractions & Single Immediate Implant Placement Lecture & Clinical Surgery SessionInstructors: Dennis G. Perala, DMD, MS & John A. Sorensen, DMD, PhDA. Lecture - Ideal patients for immediate implant placement - Indications/contraindications for immediate placement - Infection present/cystic tissue/defect we have to deal with - Site selection - Periotome usage and atraumatic exodontia - Tricks of extraction to preserve buccal bone - Full flap or keep the papilla intact? - Starter drill location and techniques - How much surface area in NEW bone? - Will this hold? - Did you achieve sufficient torque and stability for an immediate temporary? - DRILL SEQUENCE - What steps do we skip from normal? - Fixture selection and tapered vs straight - Immediate abutment and how to alter if needed - Defect filling with graft - Emdogain - Soft tissue concerns - Modifications of immediate abutment sheath - Abutment & temporary prosthesis materials selection - Principles of immediate implant & immediate temporary crown placement - Techniques for rapid & efficient temporary crown fabricationB. Clinical Session - Extractions, Implant Placement, Grafting, Immediate Provisionalization on Participants’ Patients - Primarily anterior & premolar immediate procedures - Variety of surgical treatments base on patients’ needsC. Group Treatment Planning of Next Session Surgery on Participants’ Patients 5
  • Session 5. October 23, 2009 8:00am – 5:00pm 2009 Implant Surgery Mini-Residency Implant Placement In The Maxillary Sinus Areas Lecture & Implant Surgery SessionInstructors: Dennis G. Perala, DMD, MS & John A. Sorensen, DMD, PhDA. Lecture – Dr. Perala - Anatomy of the sinus - Membrane, spikes, septa, pathology - Bone quality and quantity - Sinus Lift - Healing and delayed placement - BioOSS - Gem21 - Mectron piezotome - Osteotome - Single site and small amount of push up - Greater the distance of elevation, the greater risk of perforation - Sinus Bump – OFFSET osteotome - How much bone is needed? - How far can we push up? - Anitbiotic selection for sinus - Biaxin or Augmentin - ComplicationsB. Clinical Session - Sinus bump & Implant Placement, Grafting on Participants’ Patients - Primarily anterior & premolar immediate procedures - Variety of surgical treatments base on patients’ needsC. Group Treatment Planning of Next Session Surgery on Participants’ Patient 6
  • Session 6. November 23, 2009 8:00am – 5:00pm 2009 Implant Surgery Mini-Residency Principles of Full Arch Implant Placement & Immediate Fixed Provisionalization Lecture & Implant Surgery SessionInstructors: Dennis G. Perala, DMD, MS & John A. Sorensen, DMD, PhDA. Lecture- Drs. Sorensen & Perala – - Prosthodontic Implant Treatment Planning, Principles & Treatment of Completely Edentulous & Partially Edentulous Removable Patients - Complete denture concepts – You can’t place the implants if you don’t know where the teeth are supposed to be - Occlusion for edentulous & dentate patients - Cone beam CT assisted treatment planning - how do we transfer this data to the patient’s mouth? - Treatment options for the completely edentulous patient - Ostectomy- The often overlooked key to success with full arch implant supported prostheses - Sequencing treatment- From extractions to temporary denture to definitive prosthesis - Process & design principles for conversion of complete denture to provisional fixed prosthesis - Special considerations and torque requirements - Bone grafting and managing defects all over the place. - Tissue closure - Abutment selection due to immediate cross-arch stabilization needs - Who do we sleep and why ?B. Video of Patient Treatment- Drs. Perala & Sorensen > Surgery - Extractions and Immediate Implant Placement > Prosthodontics – Conversion & delivery of Immediate Provisional Full-arch Fixed ProsthesisC. Clinical Session – All surgical procedures on participants’ patients6:00 Cocktail party7:30 Graduation dinner - Compliments of PDI - Location TBA 7
  • REGISTRATION FORM 2009 Implant Surgery Mini-Residency Helping dentistry achieve clinical excellenceFor information & to confirm availability 503-639-5136 or ce@pacdent.comTo ensure maximum learning experience, course attendance limited to maximum of 15 attendees for most of sessions . 2009 Implant Surgery Mini-Residency Fee Structure Session Category Fee 1. 6 - Session Course Tuition $2,800 2. Participant surgical extraction & socket preservation $400 3. Participant surgical osseous grafting procedure per site $400 4. Participant Surgical Implant Placement- 1st Implant $1,500 Participant Surgical Implant Placement- Each additional Implant $800 5. 6. Participant fabrication of immediate provisional prosthesis $250 For all of the above procedures everything is provided by PDI including all hand instruments, surgical instruments, digital intraoral & panoramic radiographs, implant surgical kit, implant motors, grafting materials, implant fixtures, healing abutments, sutures, consumables, immediate temporary abutments & materials. Tuition must be received for valid registration.For payment make checks payable to Pacific Dental Institute or credit card charge on-line.Name: last __________________________________________, first ______________________Address: ___________________________________________________________________________ city state zip codeTel _____________________, Fax ___________________, email _____________________________Visa & Mastercard accepted:Credit Card # ___________________________ Expiration Date ______________ 3-Digit Security Code ______Billing Address ________________________________________________ Amount to be charged __________Name on card _________________________ Signature of card holder ______________________Cancellation Policy: Confirmed registrants unable to attend may obtain a refund (less a 10% processing fee) by notifying PDI 21 days prior to course date. Cancellations from 1 – 3 weeks prior will be refunded 50% of the full registration fee. Cancellations of less than 1 week and no-shows will not be refunded. PDI reserves the right to cancel a course with a full fee refund. PDI will not be responsible for expenses incurred by the registrant. Pacific Dental Institute ∙ 12750 S.W. 68th Avenue ∙ Portland, OR 97223 8