MISCH International Implant Institute
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P1 Diagnosis and Treatment Planning
Course Topics
• Rationale for Implants
• Prosthetic Options
• Bone Volume - Available Bone
• Posterior Single Tooth Implant
• Stress Factors
• Treatment Plan Modifiers
• Implant Success and Failure
• Radiographic Diagnostic Interpretation
• Stress and Treatment Planning
• Pre-implant Prosthodontics
• Bone Density and Treatment Planning
• Templates and Study Casts
• Biomaterials and Biomechanics
• Treatment Planning Session
• Implant Number / Prosthesis
• Implant Economics
• Laboratories - workshops
• Computerized Tomography Workshop
Course Objectives
  • Recognize and explain the impact of complete and partial edentulism as a national health problem in dentistry.
  • Understand the history of dental implants, recognize the pioneering efforts, and understand the current and future status of implant dentistry.
  • Classify and define the different types and modalities of dental implants.
  • Classify and define different prosthetic options for implant dentistry.
  • Explain the anatomical maxillary and mandibular considerations and limitations in relation to implant placement.
  • Recognize diagnostic imaging procedures for the assessment of available bone quantity and quality.
  • Understand the biological basis (materials, mechanics and implant-tissue interface) and interactions between dental implants and host tissues.
  • Demonstrate and conduct complete dental history and clinical evaluation of implant patients. Assess implant quality of health and matters to obtain and maintain health of soft and hard tissues.
  • Recognize and identify local conditions which may influence the surgical and/or the prosthetic implant treatment.
  • Recognize and properly perform referral procedures to medical and dental specialists, when indicated.
  • Complete sequential treatment surgical planning for implant treatment, including alternative treatments. Describe a protocol for preparation; dentally, medically, psychologically and financially, prior to placement of implants.
  • Properly perform implant surgical placement procedures for posterior single tooth implants, manage related complications and recognize situations which mandate referral for posterior single tooth surgery.
  • Understand and apply principles for proper hard and soft tissue surgery. Such as, but not limited to, incision design, flap preparation, osteomy preparation, controlled pressure and heat generation, implant placement and suturing for posterior single tooth surgery.
  • Establish an organized approach to implant placement techniques with the abilities to select the appropriate surgical technique and materials in relationship to the bony topography.
  • Establish an organized approach to ridge atrophy management with the abilities to select the appropriate implant modality in relationship to the bony anatomy.
  • Select and fabricate surgical templates with different designs for each specific surgical indication.
  • Develop treatment planning skills specific to implant restorations

P2 Fixed Prosthetic Options
Course Topics
• Fixed Prosthetic Options
• Anterior Single Tooth Implants
• Cemented Prostheses Principles
• Abutment Selection for Cemented
  Prosthesis
• Prosthesis Fabrication, Direct and
  Indirect Technique
• Implant Protective Occlusion
• Joining Implants To Teeth 
• Occlusal Materials
• Progressive Bone Loading
• Treatment Planning the Maxilla
• Occlusal Evaluation
• Immediate Loading
• Attachments for Fixed Prostheses
• Abutment Screw Loosening
• Common Complications in Implants
  Prosthetics
• Implant Design Rationale
• Treatment Planning Options for FPD
• Premaxillary Implant Prosthetics
• Treatment Planning Session
• Crown Height Space Considerations
• Color Scheme Selection
• Laboratories - workshops
• Patient Demonstration (live)
Course Objectives
  • Compare the three prosthetic options for fixed prostheses in implant dentistry.
  • Understand and perform maxillary anterior single tooth crowns on implants.
  • Appreciate the ideal implant size requirements for implant restorations.
  • Apply ideal soft tissue drape conditions to implant dentistry.
  • Learn and apply principles of cemented prostheses to implant dentistry.
  • Understand the advantages and disadvantages of three different methods to provide fixed implant prostheses to patients.
  • Understand and apply occlusal concepts to implant fixed restorations.
  • Learn the biomechanical approach to treatment planning.
  • Understand the most common causes of complications in implant dentistry.
  • Determine when, how and why an implant may be joined to a natural tooth in an implant restoration.
  • Understand the differences and indications between direct and indirect restorative techniques
  • Learn the step by step approach to fabricate an implant prosthesis using the direct or indirect techniques
  • Determine methods to select the occlusal material for an implant prosthesis.
  • Understand and apply the basic principles to proper shade selection
  • Understand bone density and how it affects treatments plans and complications.
  • Learn and apply methods to increase bone density by progressive bone loading.
  • Recognize three different healing methods used in implant dentistry.
  • Appreciate the advantages of one stage healing in implant surgery.
  • Understand the scientific rationale to immediate loading of implant restorations.
  • Perform step by step procedures for implant restorations on laboratory models.
  • Treatment plan partial and complete edentulous patients for implant restorations.
  • Perform radiographic interpretation techniques for partial edentulous patients.
  • Treatment Planning

P3 Removable Prosthetic Options
Course Topics
• Removable Prosthetic Options
• Generic Terminology of Implant Components
  and overdentures
• Cement vs. Screw In Prostheses: Indications
  and Complications
• Implant Overdentures for the Maxilla
• Implant Overdentures for the
  Mandible
• Step-by-Step Removable
  Prosthesis Fabrication
• Bar Design and Attachment
  Selection
Course Objectives
  • Compare two prosthetic options for implant overdentures in completely edentulous patients.
  • Learn and use a generic terminology of implant prosthetic components for implant overdentures.
  • Appreciate the advantages and disadvantages of cement retained restorations and compare with the advantages and disadvantages of screw retained restorations.
  • Diagnose and perform five different overdenture options for completely edentulous mandibles.
  • Perform step by step procedures for an implant overdenture in the mandible.
  • Understand the advantages and disadvantages of implant overdentures compared to fixed prostheses.
  • Understand and select implant overdenture attachments and bar designs used in implant dentistry.
  • Appreciate the difference between attachment movement and prosthesis movement for implant overdentures.
  • Review the classic principles for maxillary denture support, retention and stability.
  • Understand the differences between maxillary denture fabrication apposing a denture vs. an implant prosthesis.
  • Treatment plan maxillary implant overdentures.
  • Perform step by step procedures required for maxillary implant overdentures.
  • Recognize six advantages for segmented prostheses with attachments for fixed implant restorations and four disadvantages.
  • Compare five different treatment options for fixed prosthetics in the edentulous mandible, based upon flexure and torsion and biomechanics.
  • Observe and perform photographic techniques required for implant prosthetics.
  • Diagnose and treatment plan patients for implant overdentures or fixed prostheses using radiographic imaging, CT scans and diagnostic casts.
  • Treatment Planning