The Ultimate Implant Program  

Fundamentals in Implant Dentistry: part 1

1 hour 25 minutes

This session lays the foundation for a holistic understanding of the subject of implantology. An understanding of the evolvement of the implant through its history and application - Intramucosal, subperiosteal, transosteal, basal and an appreciation of what is widely practiced, researched and continually improved today -the endosseous implants. Bone loss after extraction is evident and the pattern of bone loss needs to be studied for the correct implant orientation-final goal being, a long-term functional restoration.

Bonus Video 1- Parts of an implant

5 minutes

The video shows an actual implant assembly. It is easy to relate to the terms internal hex, external hex, implant collar, apical core, abutment-straight and angled, etc in relation to endosseous implants after watching this short tutorial.

Fundamentals in Implant Dentistry: part 2

1 hour 24 minutes

To understand how the bone responds to trauma, whether it is during normal function or to an injury like an extraction, is necessary to be known by an aspiring implantologist. This concept is further expanded to the understanding of how bone responds when an implant is placed and even further to when the implant is subjected to occlusal/biting forces. What are the differences in tissue biology around a natural tooth and an implant should be known because it gives a list of ‘to do’ and ‘to avoid’ while dealing with implants at various stages of its life? The session ends with a comprehensive understanding of BIOLOGICAL PRINCIPLES in implantology and a patient video for an implant placed in the maxillary lateral area using bone compaction method.

Implant stability and factors affecting it

1 hour 27 minutes

Importance and clinical understanding of implant stability, enlisting all factors affecting and putting them forth in a very simplified manner is the crux of this session. Primary stability depends on the quality and quantity of bone, implant surface characteristics and surgical manipulation techniques. While, secondary stability, is dependent on primary stability itself along with some patient-related factors. Tertiary stability further depends on occlusion, biomechanical factors and maintenance.

Anatomical considerations in implant therapy

1 hour 22 minutes

An understanding of basic anatomy, vital structures of the maxilla and the mandible and their expected variations prior to surgical intervention is of utmost importance to avoid unwanted complications during and after the procedure. Natural bone resorption patterns guide the direction of implant placement. These presurgical assessments help decide what kind of prosthesis can be offered to the patient.

This session identifies and discusses crucial bone patterns, nerve courses and blood supply in relation to implant positioning in the maxilla and the mandible.

Osteotomy preparation

1 hour 24 minutes

Preparing the implant site by sequential drilling using a series of drills of calibrated length and width is the process of osteotomy. And when the bone type is porous, Osseo densification or compaction of bone is done using a series of osteotomes. Each bur, its design and function along with basic principles of implant surgery has been described in detail.

This recorded lecture incorporates short patient videos to show precisely various surgical steps-namely incision, reflection of periodontal flap, sequential osteotomy, removal of implant from its sterile packing and placing it in the prepared osteotomy.

Biomaterials and grafts for deficient sites

1 hour 34 minutes

What is the mechanism of bone grafting? What is the biology of bone grafting? When will it work and when will it not work? What kind of bone graft will work and where? These are all the basics that a clinician must understand for predictable results with hard tissue grafts. The science of bone grafting will be covered in 2 sessions with multiple case videos, to aid the clinician take a logical decision and anticipate what graft work in a particular case for that particular site! 

Biomaterials & grafts for deficient sites : part 2

1 hour 42 minutes

Isolated defects, ridge preservation techniques, grafting in horizontal and vertical defects of healed sites, grafting in immediate extraction immediate implant sites, grafting in esthetically challenging and complex defects- cases for all these situations have been shown step by step. Temporization for such cases has also been covered.

The session sums up a detailed discussion on factors affecting the prognosis of grafting.

Pre-surgical planning: part 1

1 hour 8 minutes

Implantology being a prosthetically driven procedure, thorough presurgical planning for the final restorations is a must. Since various clinical factors come into the picture, the clinician needs to take the help of some diagnostic tools like mounted casts and radiographs to assess them accurately. These simple tools provide valuable insights into the clinical situation in hand and help design the appropriate prosthesis and in turn, help identify the ideal implant position.

Pre-surgical planning: part 2

1 hour 21 minutes

Reading a CBCT, ridge mapping and intraoral stents have been discussed in depth in this session. How do these tools help assess bone quality and quantity and how do they guide the initial drill direction has been elaborately covered. CBCT provides valuable information on various landmarks, allows tracing important nerve vessels, and gives the exact 3-dimensional assessment of the surgical site while ridge mapping is a practical, clinical method of visualizing the alveolar ridge topography in edentulous areas.

Presurgical medical evaluation

1 hour 23 minutes

The medical history helps assess systemic risks before implant surgery is planned for a patient. Though patients may appear healthy, they may present some underlying serious illness that could get detected by running some basic diagnostic tests. Some may be on certain medications that could predispose them to surgical complications or delayed healing. Surgical protocols for medically compromised patients could vary and they may require prophylactic medication.

Intraoral & Extraoral clinical evaluation : Part 1

1 hour 32 minutes

Clinical assessment of several intraoral factors for alveolar ridges and dental arches for space availability, bony contours, jaw relation, soft tissue availability and existing occlusion forms the basis of decision making while planning the prosthesis in implantology. Extraoral observations to envisage how the final prosthesis will alter the facial esthetics of the patient also needs to be considered. Part 1 details the intraoral factors.

Intraoral & Extraoral clinical evaluation : Part 2

1 hour 16 minutes

Part 2 focuses on the intra arch relationship and introduces the concept of determining the amount of lost vertical dimension through a patient case video. Soft tissue assessment, using the gingival biotype as a predictor for post-treatment esthetic outcome, planning procedures for soft tissue enhancement before implant surgery are some of the topics covered in the session. 

Biomechanical risk assessment

1 hour 30 minutes

Implant failures are most commonly caused by poor treatment planning. Analyzing the biomechanical risk factors through an ‘easy to calculate’ method has been put forth and explained through various clinical situations. This method is used for pre-surgical assessment of multiple aspects that need to be kept in mind during the surgical and prosthetic phase. A detailed discussion on the correct 3-Dimensional positioning of the implant is included in this session.

Local Anesthesia for Dental Implants

1 hour 19 minutes

For patient comfort during the surgical phase, the osteotomy procedure needs to be done under good local anesthesia. Correlating the mode of action, use of individual components and percentages of an anesthetic solution to the surgery duration and patient’s medical history is important for the selection of the correct anesthetic.

The lecture encompasses specific points of theory and practical insights into the administration of local anesthesia. It lists the complications that may arise and pointers to how to tackle them.

Getting ready for the surgery

1 hour 34 minutes

Training the entire surgical team for the implant surgery is of utmost importance for the procedure to be carried out in absolute asepsis and within a reasonable time span.

There are various pre-surgical and post-surgical tasks that the team has to perform apart from assisting during the actual surgery. 

Sterilization of instruments, use of bone miller and physio dispenser, setting up of surgical tables, preparation of the patient and post-surgical cleaning of implant systems has been detailed through pre-recorded videos for explanation purpose.

Getting ready for the surgery: part 2

1 hour 43 minutes

Understanding working each component of the implant system and the role it plays helps corelate the science of tissues to the application of design and engineering for clinical success. The session revolves around different implant systems and their multiple components and functions. A video of how sequential drilling is performed, has been demonstrated on a dummy mandible.

Use of osteotomes, incision and flap design

1 hour 45 minutes

A comparison between 2 implant systems has been done to aid in explaining the philosophy of bone densification. How drill size and osteotome size are correlated and how bone manipulation can be done have been demonstrated on a model. This clarifies the concepts of densifying the bone by use of drills and osteotomes. 

Further, the session highlights types of incisions and details flap designs during the first and second stages of surgery. Factors that need to be considered for the best esthetics possible for specific clinical situations and for papilla preservation are put forth. A case of flapless implant placement has also been shared.

Implant systems-comparison, Suturing after surgery

1 hour 31 minutes

A comparison of multiple implant systems and the clinical advantages of one design over the other has been put forth. This can help the participant to make an informed decision while introducing a particular implant system into his/her practice.

The later part of the session focuses on everything about suturing materials, their differences, usage and techniques in different clinical situations-Delayed healing, immediate extraction when using a bone graft while dealing with different tissue types, etc. Multiple case videos have been shared.

Handling complications during surgery

1 hour 18 minutes

Being aware of potential complications that may arise during surgery, an insight to avoid them and the ability to manage them in case they arise has been the objective in this session. A better understanding of factors related to complications certainly provides an upper edge to better planning and cautious execution.

Implant prosthodontics (part 1)

1 hour 22 minutes

Second stage of implants for delayed loading begins after the implant osseointregrates in the bone. Knowledge of various components of the prosthetic kit and their usage is described in detail. Demonstration of closed tray and open tray techniques for pick up impressions on model and patient helps understand nuances of these techniques.

Attention to detail at each step of the second stage determines the health of the peri-implant tissue.

Implant prosthodontics (part 2)

1 hour 37 minutes

Clinicians face multiple clinical situations and no two cases are the same when it comes to providing functional prostheses on osseointegrated implants. Hence, a plethora of abutments are available. Now, it is important to be knowledgeable of all available options and be able to select the appropriate abutment that has the perfect implant connection and is also suitable for good, long-term preimplant tissue health. Temporary abutments, Standard abutments, esthetic abutments, multiunit abutments- the session covers these and much more.

Handling biological and prosthetic complications

1 hour 19 minutes

Factors that contribute to biological and biomechanical or prosthetic complications arising in the post-operative functional phase are discussed in detail. Regular recall helps identify early signs and symptoms of these complications. Maintenance by patients and finetuning of occlusion and assessing peri-implant health during recall is of utmost importance. The session lays much emphasis on the occlusal adjustments that need to be made during implant occlusion.

Long-term success and survival + implant practice

1 hour 34 minutes

How should our implant patient recall protocol be? How do we identify problems at an early stage? How do we intercept and address any issues at a very initial stage? How do we make implants serve our patients for a long period of time? What is the difference between a successful implant and an implant that is merely surviving in the mouth? 

Answers to all these and more have been put forth through clinical case examples.

The session also takes you through some tips on how to communicate with the patient, logistics of an implant practice and skillsets that need to be developed/imbibed for a thriving implant practice.

Abutment selection (GH and angle)

13 minutes

How does one select the gingival height and angulation of an abutment in a single implant situation? The video shows, on a cast, the selection of an abutment. It also shows the steps to be followed for abutment placement, tightening of screw and cementation of a final implant crown in the patient’s mouth.

Implant placement in relation to the bone crest

What does supra crestal, sub crestal and placement of an implant at the bone (crestal) level look like? This video is a collation of pictures to help visualize the different positions of implant placement. Note- an implant can be placed supracrestally only if it has a polished smooth surface collar.