• S1 Patient Evaluation and Treatment Planning
• S2 Root Form Surgery Division A Bone
• S3 Membrane Grafting Division B Bone
• S4 Immediate Load and Division C Mandibular Bone
• S5 Sinus Grafts

Call office 248-642-3199 for more information reguarding optional patient treatment weekends.

Upon completion of this curriculum, the participant should be able to:

S1 Patient Evaluation and Treatment Planning

Course Topics
• Rationale for Implants • Patient Evaluation and treatment   planning • 50 Dental Criteria which influence   implant supported prostheses • Implant Quality of Health Scale • Available Bone Volume • Bone Density • Stress Factors • Implant Number / Prosthesis • Implant Suturing	• Radiographic Interpretation • CT Scan related Surgical Techniques   and Templates • Treatment Planning on Mandibular   Overdentures and Single Tooth   Treatment Options • Pre-implant Prosthetics • Surgical Placement - Posterior Single   tooth • 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 the preparation; (dental, medical, psychological and financial) 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, healing such as but not limited to, incision design, flap preparation, osteotomy preparation, controlled pressure and heat generation-implant placement, 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. Describe and prepare surgical procedures with awareness of anatomic landmarks and possible short and long term complications for posterior implant surgery. Establish an organized approach to ridge atrophy management with the abilities to select the appropriate implant modality in relationship to the bony topography. Understand and properly preform suturing techniques.

S2 Root Form Surgery Division A Bone

Course Topics
• Oral Sedation • Radiographic Interpretation and   Treatment Plans for the Posterior   Mandible • Socket Grafting • Root Form Surgery • Methods to Treat Division A Bone • Anterior Mandible • Division A Root Form Design • Bone Density Related Surgery • Root Form Uncovery	• Posterior Mandibular "Safe Zone" for   implants  • Short and Long Term Root Form   Complications • Radiographic Interpretation and   Treatment Plans for Division B Bone • Treatment Planning for Screw Retained  Overdentures • Anterior Mandible with  Division A implants • Laboratories - workshops
Course Objectives
Describe and perform the step by step protocol of the Brånemark surgical approach for root form implant with "osseointegration" as the treatment goal. Understand the surgical treatment plan options for abundant bone (Division A). Appreciate and describe the components involved in implant body design, including the crest module, implant body and apical criteria. Understand and apply principles for soft tissue incision, reflection and suturing in conjunction with root form placement. Compare the surgical approach for ideal bone and the Brånemark approach to conditions of very hard or very soft bone. Appreciate and reduce the consequences of pressure and heat generation during implant osteotomy procedures. Increase surgical success rates in implant surgery in conditions of very hard or very soft bone. Understand the diagnosis and treatment options of altered nerve sensation related to the posterior mandibular implant surgery. Describe the surgical anatomy of the posterior mandible, with emphasis on the safe zone for endosteal implants. Perform a detailed surgical uncovery of root form implants which is dependent upon the soft and hard tissue conditions. Perform root form surgical procedures on single tooth and edentulous patient models. Understand the events of bone formation after the extraction of a natural tooth. Apply basic bone grafting procedures after the extraction of a natural tooth. Understand the principles of osteoinduction. Describe and treat the complications of root form surgery and the treatment of long term root form complications. List six treatment plan options for removable restorations in a completely edentulous patient. Understand and perform sedation for implant surgical procedures. Provide radiographic interpretation for partially and completely edentulous patient conditions with available bone height. Discuss and describe treatment plan options for partially and completely edentulous patients who desire fixed or removable restorations when adequate bone height is available. Observe many live surgical placements of endosteal root form implants in partially and/or completely edentulous mandibles. May perform or assist a root form surgical procedure on an edentulous patient.

S3 Membrane Grafting Division B Bone

Course Topics
• Narrow Diameter Root Forms • Bone Growth Factors (PRP) • Particulate Bone Harvesting  Techniques • Osteoplasty Prior to Root  Forms • Membrane Placement, Bone  Grafting • Anterior Single Tooth  Placement	• Esthetics and Anterior Implant Placement • Membrane Grafts • Radiographic Treatment Planning for Division C  Bone in the Mandible • Implant Placement after Extraction • Basic Keys for Bone Grafting • Narrow Diameter Root Forms • Pharmacology • Soft Tissue Management • Laboratories - workshops
Course Objectives
Understand the three surgical options for sufficient bone volumes (Division B). Describe the unique implant design requirements for narrow root form implant designs. Perform and understand the osteoplasty surgical approach prior to root form implant insertion. Appreciate and list the keys to Bone Grafting in order to obtain predictable results. Recognize and be able to obtain growth factors in conjunction with particulate bone grafting prior to implant placement. Describe and perform soft tissue procedures: such as incision line, reflection, soft tissue coverages and suturing techniques for bone grafting. Perform procedures to obtain autologous bone for particulate bone grafts. Appreciate osteoconductive materials and understand the rate of resorption dependent upon physical factors of the product. Perform the "layered approach" to particulate bone grafting for bone width enhancement (developed by Misch). Describe and compare bone membrane options and list the advantages for each category. Recognize and perform bone site development prior to graft and membrane placement involved in particulate bone grafting. Describe the ideal host site conditions for maxillary anterior root form implants. Evaluate and perform the soft tissue incision line options for maxillary anterior root form surgery. Describe the three angulations options for root form implant placement in the esthetic zone. Evaluate and select the ideal implant diameter for single tooth replacement in the esthetic zone. Determine and achieve the proper implant depth during surgical placement of implants. Perform different methods to enhance the soft tissue profile around implants in the esthetics zone. Perform surgical procedures related to membrane particulate bone grafts laboratory models. Appreciate the advantages and disadvantages of the implant surgical placement procedure in conjunction with the natural tooth extraction. Describe and understand the pharmacologic protocol for implant surgery. Discuss Radiographic treatment planning options for moderate bone volume. May perform or assist on a patient surgical procedures to insert a single tooth implant in the esthetic zone. May perform or assist on a patient surgical procedure to augment residual bone in width, with a membrane and particulate graft technique. Observe live surgical placements of root form implants in the maxillary anterior esthetic zone. Observe live surgical procedures related to membrane particulate bone grafting procedures.

S4 Immediate Load and Division C Mandibular Bone

Course Topics
• Surgical Options C-h Bone • Prosthetic Options C-h Bone • D1 Bone / C-h Bone • Immediate Load - Rationale • Immediate Load - Complete  Edentulous Surgery • N-Fit and Single Tooth  Immediate Loading • Risks of Immediate Load • Intramucosal Inserts	• Pathways of Infection • HA Grafts to Premaxilla • Marketing • Posterior Mandibular Subperiosteal Implants   - Indications   - Surgery  - Subperiosteal Implant Design • Small Dimension Implants • Laboratories - workshops
Course Objectives
Understand the prosthetic options for moderate bone volume based upon desire, biomechanics and needs of the patient. Prepare a root form osteotomy in the most dense bone type and appreciate the increased surgical risk of failure. Understand the scientific rationale for immediate loading compared to staged healing approach. Describe the treatment sequence for immediate loading in a completely edentulous patient for a fixed prosthesis. Describe the treatment sequence for immediate loading in a completely edentulous patient for an implant overdenture. Describe a treatment sequence for immediate loading in a partially edentulous patient with multiple adjacent missing teeth for a fixed restoration. Describe a treatment sequence for immediate loading in a partially edentulous patient with a single missing tooth. Appreciate why the risks of immediate loading are different for each patient conditions. Understand the consequences and treatment of complications related to immediate loading. Learn the anatomical "pathways of infection" in the head and neck region. Describe and apply the dense hydroxylapatite graft procedure in the maxillary anterior region for denture support or ovate pontics. Describe the surgical options for moderate bone volume (Division C), including augmentation, root form implants and/or subperiosteal implants. Describe the surgical steps of a subperiosteal implant in the edentulous posterior mandible. List the ideal patient conditions for treatment with a subperiosteal implant in the posterior mandible. Describe the subperiosteal implant design based upon biomechanical principles. Understand the type and treatment of complications related to posterior subperiosteal implants in the mandible. Perform radiographic interpretation for partial and completely edentulous patients with moderate bone volume. Appreciate the advantages and methods for practice management in an implant practice. Observe the surgical procedure of a subperiosteal implant in the posterior mandible of a patient. Perform the surgical procedure for a subperiosteal implant for a demonstration model. May perform or assist on a subperiosteal implant surgery for a patient Observe the surgical procedures for a dense HA bone graft in the anterior maxilla.

S5 Sinus Grafts

Course Topics
• Maxillary Sinus Anatomy • Pathology and Histology • Surgical Approach and Treatment Plans • Keys to Sinus Bone Grafting • Sinus Grafts - Rationale • Sinus Grafts - Pharmacology • Sinus Grafts - Materials	• Sinus Surgery Complications • Sinus Lift • Treatment Planning for the Edentulous  Maxilla  • Implant Surgery for D4 Bone Density • Implant Surface Conditions • Laboratories - workshops
Course Objectives
List the treatment options to provide fixed prosthetic support for prosthesis in maxillary posterior edentulous sites. Describe the maxillary sinus anatomy of partially and completely edentulous patients. Diagnose the types of pathology most often observed in the maxillary sinus. Recognize four different gingival approaches to the treatment of bone grafting in the posterior maxillary edentulous region. Compare the surgical approach of bone condensation or compression with bone extraction techniques in conjunction with implant placement. Treatment plan the completely edentulous maxilla for fixed or removable implant prostheses. Describe implant body surface conditions and list the advantages and disadvantages of each condition. Understand the pharmacology protocol for sinus grafts Perform the sinus graft procedure on a demonstration model Describe and perform the sinus graft procedure in the edentulous posterior maxilla. Understand the "keys to bone grafting" as applied to sinus graft. Understand the different categories of bone grafting materials and their role in the sinus graft protocol Recognize the differences between sinus lift and sinus graft procedures. Learn the steps to perform a sinus lift surgery with predictable results. May perform or assist on the sinus graft procedure on a patient. Observe sinus bone graft surgical procedures on patients. Observe the sinus lift implant insertion procedure on patients. Provide radiographic interpretation and treatment plans for completely edentulous maxillae.