The Big Picture
- Introduction to the course, aims and objectives.
- Treating the whole patient – the universal use of dental implants in holistic dental care and the importance of incorporating dental implant surgery and implant restorative dentistry into your practice.
- Establishing a clear, simple and reproducible workflow for the provision of dental implants in your practice with long-term predictability.
- Understanding the minimum armamentarium required for predictable implant dentistry provision in your practice.
- Understanding the biology and mechanics of implants.
- The mandatory and consistent use of magnification, illumination and photography and training nurses to photograph during surgical procedures.
The Objectives – developing basic surgical skills in implant dentistry
- Understanding the scope of modern implant dentistry in private practice
- Understanding case selection and differentiating straightforward, advanced and complex cases.
- Understanding the biology and mechanics of implant dentistry.
- Understanding and developing the surgical skills required for provision of dental implants in practice.
- Understanding the principles behind longevity and predictability of implant dentistry for the long-term benefit of the patient.
The Preparation – how do you prepare for introducing dental implants into your practice as a routine treatment modality ?
- Understanding the FGDP/ CGDent Training Standards in Implant Dentistry 2016 requirements
- Understanding the minimum armamentarium and equipment investment required
- Understanding implant design – implant materials, geometric shapes, surface treatments, screw and connection mechanics, bone and tissue interaction and variations of design across the industry.
- Understanding the implant workflow as part of restorative dentistry covered in Modules 4 and 5.
- Understanding three-dimensional restoratively-driven implant positional planning and the assessment of bone and soft tissue volume.
- Planning and achieving aesthetics, function, retrieve ability and access for hygiene in implant-based restorations in advance of implant placement.
- Understanding implant planning in existing edentulous areas.
- Understanding implant planning with a view to immediate replacement of teeth.
- Understanding optimisation of implant sites with proper advanced planning and techniques.
- Understanding the workflow and requirements of guided surgery and the substantial benefits that guided surgery brings.
- Understanding critical anatomy relevant to implant dentistry.
- Understanding the biology of bone and soft tissue healing related to implants.
- Understanding creation of a sterile surgical field and basic surgical principles.
- Understanding surgical techniques such as flap design, incision, elevation, mobilisation, retraction and suturing.
- Understanding your chosen implant design and surgical and restorative kits and how the componentry is utilised and maintained.
- Understanding the steps in implant site preparation and implant insertion.
- Understanding post-operative healing management.
- Understanding the use of local anaesthetics, antimicrobials, anti-inflammatories and antiseptics in implant dentistry.
- Understanding the rationale for use of autogenous bone, soft tissue and PRF for bone and tissue augmentation and undertaking skills development for intraoral harvesting and venipuncture.
- Understanding the scope of proprietary bone and soft tissue grafting materials.
- Undertaking skill development in the usage of biomaterials and bone and tissue grafting techniques.
- Recognising the nature of failure of a natural tooth and how this affects future implant provision and recognising when urgent intervention is required.
- Understanding special techniques for immediate placement where teeth are being lost to optimise the implant site including bone-conserving extraction techniques, ridge preservation, localised bone augmentation, when to decide on flapless versus open flap approach.
- Understanding the scope of more advanced techniques such as sinus augmentation, block bone augmentation, CADCAM bone augmentation, Khoury plates, use of titanium membranes and mesh and other bone and tissue manipulation techniques including use of tacks and screws.
- Understanding the use of sulcus forms and implant-based provisional restorations for development of soft tissue healing
Understanding implant prosthetic choices from single tooth to full mouth and how to decide on the ideal materials and configurations for future biological, mechanical, functional and aesthetic success.
- Understanding decisions between screw-retained, cement-retained and removable implant supported restorations.
- Understanding how to work with the laboratory in implant cases and developing a workflow protocol.
- Understanding how to take implant impressions either stand-alone or involved with other dental restorations.
- The importance of implant-based provisional restorations, verification jigs, occlusal registration jigs and their role in accuracy, mechanical passivity and longevity.
- Understanding the manufacturing techniques and materials behind implant restorations and their relative benefits and limitations.
- Recognising, understanding and addressing surgical and restorative complications and failures in the short, medium and long-term.
- Understanding when dental implants are appropriate and when maintenance of teeth is preferable.
- Understanding the principles behind delayed versus immediate loading of dental implants.
- Simplifying and reducing complexity whilst increasing predictability in implant dentistry long-term.
Revisiting the consent process and ensuring that there are clear parameters for responsibilities of the surgeon, prosthodontist, hygienist and patient for long-term care of dental implant work.
The Method – how do you prepare for introducing dental implants into your practice as a routine treatment modality?
- Making the decision as to whether you wish to undertake implant dentistry. If you do not provide this service then who will provide it for you and how you communicate with them?
- Understanding the first steps required to start providing implant dentistry in your practice?
- A practical guide to the equipment you will need and how best to procure it.
- Training your team to provide support (they are welcome to attend this course).
- Finding a mentor to guide you through your first cases.
- Practising all the surgical techniques required on fresh frozen cadavers over two days.
Course structure, timetable and content detail
First 4 days (Module 6a)
Day 1 – Training Standards in Implant Dentistry and armamentarium
08:30 Registration
9:00 Lecture 1: Dr Koray Feran: Introduction to dental implants and minimum training standards. Examples of what the course will cover. Introduction to simple, advanced and complex case evaluation.
10:15 Coffee break
10:45 Lecture 2: Dr Koray Feran: Overview of implant design. Biological and biomechanical principles and tissue interactions of dental implants.
12:30 Lunch
13:30 Lecture 3: Dr Koray Feran: Surgical and prosthetic kits and implant armamentarium – what you need in your practice?
14:45 Coffee break
15:15 Lecture 4: Dr Koray Feran: Preparing for implant surgery. Training your dental team. Sterile surgical setup and clear up, instrument processing, clinical surgical photography, understanding the role of the runner nurse.
17:00: Questions
17:30 End
Day 2 – Anatomy, three-dimensional planning and imaging
08:30 Registration
9:00 Lecture 5: Dr Koray Feran: Anatomy for implant surgery and surgical flap design choices. An update and avoiding potential anatomical complications.
10:15 Coffee break
10:45 Lecture 6: Dr Koray Feran: Three-dimensional implant planning. The use of articulated study models, digital or analogue waxup, the use of stents and radiographic markers, CBCT scanning, CBCT reporting and three-dimensional implant planning.
12:30 Lunch
13:30 Lecture 7: Dr Koray Feran: The principles of guided surgery and state-of-the-art implant positional planning and manufacture of surgical guides and provisional restorations.
14:45 Coffee break
15:15 Lecture 8: Dr Koray Feran: A guide to step-by-step implant placement with and without guided surgery.
17:00: Questions
17:30 End
Day 3 – Implant placement and basic bone and tissue augmentation
08:30 Registration
9:00 Lecture 9: Dr Koray Feran: Guided single tooth implant placement surgery in healed sites and principles for localised bone and tissue augmentation and after-care.
10:15 Coffee break
10:45 Lecture 10: Dr Koray Feran: Guided multiple tooth implant placement surgery in healed sites and principles for localised bone and tissue augmentation and after-care
12:30 Lunch
13:30 Lecture 11: Dr Koray Feran: Bone protecting extraction techniques and guided implant surgery for immediate single tooth sites and principles for localised bone and tissue augmentation and after-care
14:45 Coffee Break
15:15 Lecture 12: Dr Koray Feran: Guided implant surgery for or significantly disrupted anatomical sites with multiple extractions or intrabony pathology and principles for more extensive localised bone grafting.
17:00 Questions
17:30 End
Day 4 – Implant prosthodontics
08:30 Registration
9:00 Lecture 13: Dr Koray Feran: ISQ measurement and provisionalisation of dental implants
10:15 Coffee Break
10:45 Lecture 14: Dr Koray Feran: Introduction to modern dental implant prosthetics and current restorative techniques from single tooth to full arch.
12:30 Lunch
13:30 Lecture 15: Dr Koray Feran: Implant impressions, verification jigs, occlusal platforms and the importance of accuracy and laboratory communication. Choice of materials for various scenarios
14:45 Coffee Break
15:15 Lecture 16: Dr Koray Feran: Manufacture and fitting of implant prosthodontics
17:00 Questions
17:30 End
Second 4 days (Module 6b)
Day 5 – Principles of advanced bone augmentation for implant dentistry
08:30 Registration
9:00 Lecture 17: Dr Nicholas Vourakis/ Dr Koray Feran – Principles of bone augmentation for implant dentistry – medical and systemic considerations
10:15 Coffee break
10:45 Lecture 14: Dr Nikolas Vourakis / Dr Koray Feran – Site-specific choices of bone and tissue grafting materials and techniques I
12:30 Lunch
13:30 Lecture 14: Dr Nikolas Vourakis / Dr Koray Feran – Site-specific choices of bone and tissue grafting materials and techniques II
15:00 Coffee break
15:30 Lecture 14: Dr Nikolas Vourakis / Dr Koray Feran – advanced bone and tissue grafting methods – Khoury plate, CADCAM allografts, titanium mesh, bone rings, autogenous block grafting, keratinised tissue grafting and sulcus deepening.
18:00 Questions
18:30 End
Day 6 – Sinus augmentation surgery
08:30 Registration
9:00 Lecture 13a: Dr Koray Feran / Mr Abad Toma: Principles and modern state-of-the-art sinus augmentation procedures. Anatomy in relation to para-nasal sinuses, sinus pathology and ENT perspective
10:15 Coffee break
10:45 Lecture 13b: Miss Sarah Little – Odontogenic sinusitis and management of advanced sinus pathology
12:00 Lecture 14 – Dr Koray Feran – Principles of modern sinus augmentation techniques I
13:00 Lunch
13:30 Lecture 15: Dr Koray Feran – Principles of modern sinus augmentation techniques II
14:45 Coffee break
15:15 Lecture 16: Principles of modern sinus augmentation techniques III including management of complications
18:00 Questions
18:30 End
Days 7 and 8
Two full days with one whole fresh frozen human cadaver head per delegate practical for practising of flap elevation, implant placement, sinus augmentation, bone block grafting, soft tissue management, use of biomaterials, pins tax and screws and mesh,
This is currently the most comprehensive cadaver surgical course held in the UK
