Implant Dentistry Track


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Implant Dentistry Track

  1. 1. Implant Dentistry Track The implant dentistry track will be two quarters in duration. The first quarter of the implant dentistry track will require weekly two hour segments. The second quarter will require 8-10 one hour sessions. 1st Quarter The first four sessions will be lectures, two hours in duration, as follows: Biologic Basis for Osseointegration – Dr. John Beumer Implant Surgical Procedures – Dr. Perry Klokkevold Implant Components – Dr. George Perri Implant Biomechanics and Treatment Planning – Dr. Kumar Shah Six lab sessions will follow and will be conducted in the 4th floor laboratory. Several laboratory exercises will be completed including: Occlusal analysis Diagnostic Wax Up Fabrication of Radiographic-Surgical Templates for the mandible and maxilla Impression Making Hands on Surgical Implant Placement Session Each laboratory session will be two hours in duration. The class will be divided in two groups for the hands on surgical session. Group 1 will participate on (date) while group II will participate on (date). 2nd Quarter During the 2nd quarter lectures will be presented every other week. During alternate weeks the class will be divided into four groups of 25 students each. During these sessions clinical cases will be presented and issues pertinent to planning and executing treatment for these patients discussed. Two to three clinic patients will be presented and discussed during each one hour session. Students will be called upon at random to discuss each of these patient presentations. Both prosthodontic and surgical issues will be discussed. Attendance at these sessions is mandatory except for the usual excused absences consistent with School of Dentistry policy and must be documented. Attendance will be taken at the beginning of each of these sessions. 1
  2. 2. Lectures scheduled for the second quarter Advanced surgical procedures – Socket augmentation, bone grafting and distraction osteogenesis – Dr. El Gareeb Soft tissue procedures to enhance treatment outcomes in the esthetic zone- Dr. Mustafa El Gareeb Patient selection and treatment planning – Edentulous patients – Dr. John Beumer Restoration of the edentulous mandible – Dr. John Beumer Prosthodontic procedures – posterior quadrants – Dr. George Perri Self Study Several topics are covered with electronic programs of instruction with voice over narratives that are not covered during conventional lecture sessions. These include: Restoration of the edentulous mandible – Advanced topics Restoration of the edentulous maxilla – Advanced topics Restoration of implants in the esthetic zone Restoration of single tooth implants Immediate loading of OI implants The final grade for Implant Dentistry will be dependent on the score of the final exam. There will be only one exam. It will be only one exam. It will be comprehensive and will be conducted during finals week of the 2nd quarter. Issuing the final grade will also be dependent upon successful completion of the laboratory projects and attendance of the patient presentations during the case presentation sessions. Students already assigned implant patients will not be allowed to proceed with treatment if they fail this course. Grades will be as follows: 0-69% - NP 70-74% - MP 75-89% - P 90-100% - EPR Questions for the final exam will be drawn from the questions bank on this DVD. If a student does not achieve a passing grade only one makeup exam will be permitted. A score of 75% will be required on the makeup exam to change the NP grade to MP. If the student fails the makeup exam he/she will be required to repeat the course the following year. 2
  3. 3. Implant Dentistry Track Faculty John Beumer II DDS., MS – Advanced Prosthodontics Kumar Shah DDS, MS – Advanced Prosthodontics George Perri DDS – Advanced Prosthodontics Perry Klokkevold DDS,MS- Periodontics Peter Moy DDS – Oral and Maxillofacial Surgery Meta Fanuscu DDS – Restorative Dentistry Ed Hewlett DDS – Restorative Dentistry Prerequisites Anatomy re implant sites and associated vital structures Mandible Maxilla Maxillary tuberosity and pterygoid region Histology Bone Epithelium Oral Histology and Embroylogy Bone anchorage – PDL vs Osteointegration Epithelial attachment – Teeth vs OS implants Attached keratinized tissues Proprioceptive mechanisms – PDL vs OI implants Physiology Pathology Wound healing – Bone and soft tissue Pharmacology Analgesics Local anesthetics Conscious sedation Antibiotics Drug side effects and interactions Genetics Mechanisms of gene expression Dental Materials (preclinical) Corrosion Biocompatible materials Titanium Complete Dentures (preclinical) Treatment options Fundamentals of complete denture fabrication 3
  4. 4. Impression making, CR, VDO, occlusal schemes etc. Removable partial dentures (preclinical) Treatment options Occlusal analysis Fixed partial dentures (preclinical) Treatment options- Conventional fixed vs OI Occlusal analysis Occlusal morphology – conventional vs OI Pontic morphology – conventional vs OI Connectors – conventional vs OI Hygiene access – conventional vs OI Occlusal materials – conventional vs OI Occlusion (preclinical) Bilateral balance vs anterior guidance vs group function Endodontics Conventional vs OI Radiology (preclinical) Panorex CT Oral Medicine and therapeutics (preclinical) Cardiovascular disease Diabetes mellitus Tobacco use Cardiovascular effects and tissue hypoxia Pulmonary effects Wound healing effects Carcinogenic effect Bronchial asthma Hypertension Periodontics Anchorage – PDL vs Osseointegration Epithelial attachment – Teeth vs OI implants Attached keratinzed tissues Proprioceptive mechanisms – PDL vs OI implants Oral Surgery (Junior year 1st or 2nd quarter) Basic surgical principles Flap design Post operative management Intensity and Duration The Implant Dentistry track will be presented during two consecutive quarters and should immediately follow the basic removable partial denture course series (currently the RPD course series is given during the summer and fall quarters of the junior year). It will require twenty hours the first quarter and ten hours the second quarter. This course will enable the elimination of the fall quarter course in Oral and Maxillofacial Surgery 4
  5. 5. (DS463a) that is currently devoted to surgical in implant dentistry and will also permit the elimination of four lectures in the Section of Periodontics that currently are devoted to implant dentistry. The first quarter will consist of 8 hours of lecture and 12 hours of lab and some self study using electronic programs of instruction. All lectures and lab sessions will be supported by electronic programs of instruction with voice over narrative. The second quarter will be divided equally between lecture presentations and discussion of cases. The class will be divided into four groups of 25 students for case presentations. During each of the group discussions faculty members in Advanced Prosthodontics, Restorative Dentistry, Periodontics and Oral and Maxillofacial Surgery will participate. The students will be given access to each of the cases prior to the discussion in order to help them prepare their responses. Desired Overlap and Reinforcement Junior and Senior Courses Advanced Removable Partial Denture Series (Junior course) RPD’s vs implant supported fixed partial dentures Patient satisfaction Mastication efficiency Occlusal analysis Advanced Fixed Partial Denture Series (Junior courses) Treatment options – Conventional fixed vs OI Occlusion Occlusal morphology Pontic morphology Connectors Hygiene access Occlusal materials Advanced prosthodontics (Junior course) Attachments Preprosthetic Surgery Clinical outcomes studies – implants vs conventional Edentulous arch opposing dentate arch Dental Materials Science (Senior course) Implant biomechanics Corrosion and the tissue effects Biocompatibility Properties of titanium Oral Surgery Course Series Functional anatomy re: implant sites Flap design re: blood supply Sterile surgical techniques Periodonitcs (Junior courses) Flap design re: blood supply Sterile techniques Endodontic Course Series 5
  6. 6. Treatment options – Endo vs extraction and OI Maxillofacial Rehabilitation and Head and Neck Cancer (Senior course) Craniofacial implants Implants in irradiated tissues Use of implants in patients with acquired and congenital defects Implant biomechanics Clinic Procedures All implant consultations for predoctoral student patients are to be conducted in the Straumann Implant Center under the supervision of the Center’s multidisciplinary team. The team consists of Dr. Mustafa El Gareeb (Oral and Maxillofacial Surgery), Dr. Perry Klokkevold (Periodontics), Dr. Kumar Shah (Advanced Prosthodontics) and Dr. Ed Hewlett (Restorative Dentistry) or their representatives. The patients must be present and all students must be prepared to present pertinent patient data and to discuss the issues that arise associated with treatment planning and execution of treatment. For a sample of the format of case presentation issues that may arise please refer to the Case Presentation section of this DVD. At a minimum all cases presented must have study casts mounted with a face bow transfer record and a centric relation record. The casts and mountings must be cleaned and sanded. All patients must have a Panorex radiograph and where appropriate the mounted casts should be accompanied by a diagnostic wax up. The student should be prepared to discuss at a minimum the following issues: past medical history, past dental history, oral exam findings, possible conventional treatment options, issues pertinent to implant site selection, pros and cons of potential implant treatment options, issues associated with occlusion etc. Students can choose whether they wish to receive credit in either Removable Prosthodontics or Restorative Dentistry. Once this choice is made, the grade sheets will be stamped either “Restorative” or Removable” and all prosthodontic procedures are to be completed in the section designated with faculty coverage provided by the faculty of that particular section. 6