CONTINUING DENTAL EDUCATION COURSE
September 14, 2009 to May 28, 2010
University of Toronto Faculty of Dentistry
Course Directors: Dr. J. Lai, Dr. D. Deporter, Dr. Y. Lenga
NOTE: OBSERVER STATUS ONLY APPLICANTS ARE BEING ACCEPTED FOR 2009/2010
This 9 month, full-time (September to May inclusive) observation and participatory (for those
who can obtain a temporary institutional license from the Royal College of Dental Surgeons of
Ontario*) course is intended to provide formal basic education and training for foreign graduate
dentists in the field of Implant Dentistry. It will consist of lectures, seminars, laboratory sessions
and clinical practice* in both the prosthetic and surgical phases of implant treatment. The
didactic core portion comprises seminars and lectures in biomaterials, tissue biology and tissue
engineering; clinical treatment, patient records and preparation; prosthodontic restoration and
follow-up; surgical techniques for implant site development and implant placement; evidence
from clinical trials and special considerations for identifying complex implant-related treatments
not appropriate for treatment by novice implant providers. The clinical portion includes
observation and assisting*; screening and treatment* of straightforward implant patients. The
aim of the clinical training is to familiarize participants with a limited range of basic implant
procedures including: treatment planning, preparation of surgical placement guides, ridge
retention procedures at the time of tooth extraction at sites intended for later implant placement,
and both the surgical and prosthetic procedures associated with the placement of implants in
single tooth, short-span partially edentulous, indirect sinus elevation and implant-retained
mandibular overdenture situations. Two categories of clinical participation are offered, those
being observation only or full clinical participation. Participants in the full clinical will be the
only participants allowed to treat patients and who must obtain temporary licenses. Further, since
the department does not actively seek patients for implant treatment, it cannot guarantee that all
full clinical participants will be assigned patients with every type of implant treatment discussed
in the didactic portion of the program. Certainly, more complicated treatment methods such as
autogenous block grafting and open sinus augmentations will not be assigned to full clinical
participants as these are beyond the scope of this basic training program. Full clinical
participants can however assist periodontic residents in performing these more advanced patient
All course participants will partake in weekly literature review presentations to the teaching staff
and Graduate Residents in Periodontology. In addition, at the end of the program, all
participants may be asked to prepare (written and/or oral presentation using PowerPoint) a final
presentation relating to issues covered in the course. Participants will also prepare a digital
dossier of patient treatments as a series of case reports including photographic records of
* Please note that any participation in actual patient treatment (either as a surgical
assistant or surgeon) is subject to temporary licensing of course participants by the Royal
College of Dental Surgeons of Ontario (RCDSO). The granting of this license is not under
any jurisdiction of the University of Toronto, either directly or indirectly. A major
component in determining whether a license is granted is based on English competency, to
be assessed on TOEFL test results. Participants must apply directly to the RCDSO with all
necessary documentation including TOEFL test results to obtain temporary licenses. The
minimum qualifying TOEFL score is 537. Participants should apply for their
temporary licenses as soon as they are accepted into the program as the committee
reviewing the applications meets on an infrequent basis and it may take several months for
a decision to be reached by the committee. Upon acceptance into the program participants
will be provided with license application information. Until a temporary license is obtained
participation in the clinical aspect of the course will be limited to observer status. The
University of Toronto Faculty of Dentistry does not guarantee that participants will receive
a temporary license and failure to receive this license is not justification for a tuition refund
Didactic Core Course Outline
Module I: Biomaterials, Tissue Biology and Tissue Engineering
Mechanical properties and interpretation of stress/strain considerations in implant treatment
Bone and its cells. Optimizing bone healing around dental Implants. Session I.
Bone and its cells. Optimizing bone healing around dental implants. Session II.
Biomaterials used in dental implant fabrication. The past, present and future.
Early healing events around dental implants. How surface geometry affects outcomes.
Bone quality and implant design considerations.
Growth factors and optimizing dental implant treatment.
Coronal bone remodeling and implant design.
Barrier and graft materials used to promote optimal bone healing around dental
implants: A Periodontist’s perspective.
Barrier and graft (autograft, allograft, xenograft and alloplastic) materials used to promote
optimal bone healing around dental implants: An oral surgeon’s perspective.
Bone growth inducers and implant dentistry: What does the literature tell us?
Ridge preservation, Novel approaches using “old” principles.
Implant designs and surface geometry in promoting efficient and optimal implant integration as
well as long-term stability of the bone-implant interface.
Esthetic Concepts and developments in dental implant design.
Module II: Clinical Treatment: Records and Preparation
Patient history and record collection in preparation for implant treatment.
Prosthodontic planning for successful implant dentistry.
Pharmacologic considerations in implant treatment.
Preparation for digital format case presentations. A suggested template.
Management of periodontal and other dental diseases prior to implant treatment.
Radiography for Implants.
Module III: Prosthodontic Restoration and Follow-up of the Implant Patient
Prosthodontic management of the mandibular implant-retained overdenture.
Prosthodontic management of the maxillary implant-retained overdenture.
Fixed restorations of implants: implant placement guides, types and management of temporary
partial prostheses, impression-taking, and laboratory procedures.
Castings, indexing/soldering, porcelains and prosthesis design including mechanics of
implant components and splinting vs. no splinting.
Prosthodontic, esthetic, laboratory and occlusal issues relating to the single tooth implant.
Implant patient maintenance.
Recognizing and managing peri-implant complications with porous-surfaced dental implants.
Prosthodontic, esthetic, laboratory and occlusal issues relating to the multiple implant fixed
implant supported restoration.
Minimizing and dealing with prosthodontic complications.
Prosthodontic maintenance for implant patients.
Introduction on different types of implant retained/supported overdentures and a detailed
clinical and laboratory procedures of milled-bar overdenture.
Common clinical situations a general dentist may encounter with implant treatment and their
prevention and solution.
Module IV: Clinical Treatment: Surgical Techniques for Implant Site
Development and Implant Placement
Surgical technique with threaded implant designs followed by a live or video demo.
Techniques for augmentation of the edentulous ridge with block grafts of autogenous bone.
Surgical technique with porous-surfaced dental implants.
Osteotome techniques for dealing with the maxillary sinus and dental implant placement.)
Sinus grafting in preparation for dental implants.
The maxillary sinus. A medical perspective on risks, complications and their management.
One–stage vs two-stage implant placement with porous-surfaced implants. Optimizing
One-stage vs two-stage implant placement with threaded implants. Optimizing treatment
Immediate implant placement with threaded implants. Optimizing outcomes.
Clinical advantages with porous-surfaced dental implants.
Optimizing soft tissue esthetics around dental implants.
Immediate implant placement with porous-surfaced implants. Optimizing outcomes.
Immediate implant function. Rationale and scientific background considerations.
Immediate implant function. Clinical outcomes reported to date.
Immediate loading of threaded implants in the esthetic zone.
Tooth-in-an-Hour™ (Nobel Biocare Procera Software Program and Nobel Guide Surgical
Module V: Evidence from Clinical Trials
Clinical trial outcomes with threaded implant designs.
Clinical Trial outcomes with bullet-shaped implant designs.
Clinical trial outcomes with sintered porous-surfaced implant designs.
Risk factors and causes of dental implant failure.
Module VI: Special Considerations for the Complex Implant Treatment
Transitional implants and treatment delivery.
Dental implants in facilitating orthodontic treatment.
Issues relating to the ethical, safe and effective practice of implant dentistry in a private
Tuition Fees: Observer Status - $25,000 CDN.
Clinical Participant * - $30,000 CDN.
Please note: Payment of $25,000 must accompany the completed registration form.
Cancellation Policy for the course of 2009/2010:
Cancellation received after June 30, 2009 – no refund
Cancellation received between June 1 and June 30, 2009 – 50% refund
Cancellation received on or before June 1, 2009– 100%
Successful completion of this course will result in the participant receiving a Certificate of Completion
of the Biomaterials and Implant/Reconstructive Dentistry Continuing Dental Education Course from
the University of Toronto, Faculty of Dentistry. This Certificate does not confer specialty or advanced
* Limited openings available for this program.