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Objectives- To develop in each student an understanding of the history of implant dentistry.
- To introduce the student to the concept of osseointegration. To develop an understanding of the scientific basis of implant-host relations and interactions.
- To teach the student how to include implants in their overall diagnosis and treatment planning for their patients.
- To familiarize the student with an overview of the surgical techniques and healing time required for implants.
- To introduce to the student basic fixed and removable prosthodontic techniques for implants. Students will be introduced to restoring single tooth crowns, three-unit fixed partial dentures and implant overdentures on implants. This will include knowledge on temporization procedures for implant restorations. Students who successfully complete the treatment plan for implant patients for clinical treatment will be able to apply this knowledge.
- To encourage the student to seek further courses in implant dentistry for more expertise and for familiarity with other implant systems.
- To make the student aware of the limitations of implants by illustrating implant failure, soft tissue problems, prosthodontic (mechanical) complications, and the need for recall of implant patients.
- To impress on the student the need to follow the rapidly expanding research in dental implants, which directly affects current treatment modalities.
- To introduce the student, by means of a short preclinical laboratory, to implant components.
- To encourage each student to identify and treat an implant patient so that they may become familiar with implant treatment.
- To be able to identify the level of difficulty of implant treatment which might need care of a specialist.
- Note: A goal of this section is not that you will become an expert in implant dentistry. This is an introductory course.
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1. General Information
The Implant Dentistry Lecture Series takes place on
Tuesday mornings for fifty minutes from May 3 - August 2. Students are divided
into 10 small groups and rotate throughout this course. The course meets in the
Preclinical Laboratory.
1.1. Course Requirements
1.1.1. Attendance
Attendance at all lectures is necessary and
important for you. Examination questions are taken from lecture and slide
material, the syllabus, and the implant dentistry manual. Videotapes shown
during lectures and handouts given out in lectures will be test
material.
1.1.2. Grading
The grade for the Implant Dentistry course will be
divided as follows:
| 10% |
Complete Denture Practical Exam I and II |
| 20% |
Projects |
| 10% |
Quiz |
| 30% |
Examination I-Midterm |
| 30% |
Examination II-Final |
Examinations will have a maximum of 50
multiple-choice questions.
There will be one make-up examination each for each
examination. These may be essay/fill-ins or multiple-choice questions.
1.2. Implant Hands-On Laboratory
There will be one hands-on laboratory session that all
members of the class must attend. There are two three-hour sessions in the
Preclinical Laboratory. One-half of the class will be assigned to each
session for each session.
1.3. Seminar - Implant Overdentures
The group seminar (16-17 students/group) is included
into this Implant Dentistry Course starting on May 17 and will be ended on July
12 with the seminar "Implant Retained Overdentures".
Students MUST attend the scheduled Seminar (see
student schedule). "Implant Overdentures" given in the first ten
weeks on Tuesday mornings by Dr. Chaimattayompol. This is an additional
laboratory or "hands-on" portion of this course. It covers implant
overdentures (removable implant prostheses).
There will be examination questions from the seminar
in the Final Examination.
1.4. Reading/Viewing Assignments
Suggested textbook: "Boucher's
Prosthodontic Treatment for Edentulous Patients," Editors Zarb,
Bolender, Carlsson, Eleventh Edition, Mosby 1997, Chapters 26, 27, 28, 29,
30.
"Contemporary Implant
Dentistry", Editors Misch CE, 3rd edition, Mosby 2005, Chapter
12, 13*, 15.
In this syllabus, you will also see a list of more
suggested textbooks and a list of DVD/CD ROMs.
NOTE: HANDOUTS/CD ROM MUST BE
PICKED UP DURING CLASS TIME. EXTRAS MAY BE AVAILABLE AFTER CLASS, FROM YOUR
CLASS REPRESENTATIVE, WITHIN ONLY A FEW WEEKS OF THE START OF THE
COURSE.
1.5. Implant Clinical Experience
Each student must do one implant clinical experience
as a minimum procedural experience (see your MCP document). This
can include:
- Diagnosis and treatment planning (Implant Step Sheet)
- Implant Crown
- Implant Fixed Partial Denture
- Implant Overdenture
The Implant Dentistry Step Sheet must be used for all
of these procedures. It is turned in to the Department of Prosthodontics and
Operative Dentistry.
1.6. Office Hours
The Instructor's teaching schedule can be verified in
front of his/her office room.
Any of your suggestions during the course will be met
with enthusiasm and appreciation. Feel free to use e-mail. Thank you.
1.7. Lecture/Projects Schedule
| Class |
Class
Title |
Instructor |
| Class 1 |
Overview of the course
Didactic/TUSDM Clinical Protocols |
Dr. Chaimattayompol |
| Class 2 |
Introduction/History of Dental
Implants/Definitions/Success Rates/Complications |
Dr.
Arbree |
| Class 3 |
Patient Selection/Diagnosis and
Treatment |
Dr. Arbree |
| Class 4 |
The Principles of
Osseointegration |
Dr. Chapman |
| Class 5 |
Implant Surgery |
|
| Class 6 |
Implant Supported Single
Crown |
Dr. Chaimattayompol |
| Class 7 |
Examination I |
|
| Class 8 |
Implant Assisted Removable
Partial Overdentures |
Dr. Chaimattayompol |
| Class 9 |
Implant Supported Fixed Partial
Denture I |
Dr. Chaimattayompol |
| Class 10 |
Implant Supported Fixed Partial
Denture II |
Dr. Chaimattayompol |
| Class 11 |
Peri-Implant Soft Tissue
Management |
Dr. Chaimattayompol |
| Class 12 |
Maintenance/Recare/Complication |
Dr.
Chaimattayompol |
| Class 13 |
Review All Lectures |
Dr. Chaimattayompol |
| Class 14 |
Exam II |
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2. Implant Dentistry Manual Acknowledgements and Table of
Contents
Editors:
Carole Alton, B.D.S., D.M.D.
Nancy S. Arbree, D.D.S., F.A.C.P., M.S.
Nopsaran Chaimattayompol, D.D.S., D.M.D., M.P.H.
Contributors:
Robert J. Chapman, D.M.D.
Copyright秽 2004 Fourth Edition
We are grateful to Nobel Biocare USA, Inc. for allowing
their images to be reproduced here.
Special thanks to the following authors who helped with
drawings and slides:
Dr. Carole Alton, Dr. Nancy Arbree, Dr. Nopsaran
Chaimattayompol, and Dr. Kyuho Lee
Special thanks to our word processors Bobbi Jo Meserve,
Delroy Mckenley and Sharon O'Neil
2.1. Table of Contents
Please note only content for Chapters 1, 3, and
8 is included in the Tufts OpenCourseWare Implant Dentistry
course.
| CHAPTER 1 |
1 |
| Introduction |
1 |
| History |
2 |
| Consensus Conferences |
7 |
| Conditions for application of criteria: |
8 |
| Other Implant Systems |
9 |
| Success Rates |
9 |
| Complications |
11 |
| Nutrition and Quality of Life |
12 |
| References |
13 |
| CHAPTER 2 |
16 |
| Osseointegration |
16 |
| Basic Research |
17 |
| Basic Tissue Response |
17 |
| Summary of the factors necessary for
maintaining osseointegration |
19 |
| Surface characteristics of dental
implants |
19 |
| Qualities of Ti |
19 |
| Titanium Plasma Spray Coated |
20 |
| Bone Maturation |
20 |
| Summary of Requirements to Achieve
Osseointegration: |
22 |
| CHAPTER 3 |
24 |
| Diagnosis and Treatment
Planning |
24 |
| Indications |
25 |
| Contraindications |
27 |
| Another Contraindication |
28 |
| Initial Evaluation |
28 |
| Oral Examination |
29 |
| Existing Prosthesis |
29 |
| Initial Surgical Consultation |
30 |
| Advanced Radiographic Techniques in Implant
Dentistry: CT Scans |
30 |
| Sequence of Treatment |
31 |
| Duties of Dentist and Assistant |
34 |
| Evaluation of Mounted Casts/Anatomic
Considerations |
37 |
| Diagnostic Wax-up/Wax Try-in |
39 |
| Edentulous Considerations for Diagnostic
Try-in |
39 |
| Partially Edentulous Considerations for
Diagnostic Try-In |
39 |
| Fabrication of Interim Prosthesis |
40 |
| Treatment Plan |
40 |
| Final Surgical Consultation |
40 |
| Stent |
40 |
| CHAPTER 4 |
44 |
| Surgical Templates |
44 |
| Introduction |
45 |
| Two Types of Surgical Templates |
46 |
| Preliminary Procedures |
46 |
| Acrylic Resin Template Procedures |
47 |
| Prescription |
54 |
| Example |
54 |
| Radiographic Templates |
55 |
| Summary |
55 |
| References |
56 |
| CHAPTER 5 |
57 |
| Implant Components |
57 |
| Implant Components |
58 |
| Basic terminology |
58 |
| Overview of procedures and instruments for each
visit and subsequent laboratory phase |
62 |
| Diagnosis, Treatment Planning and Stage I
Surgery (See Implant Dentistry Step Sheet) |
62 |
| References |
67 |
| CHAPTER 6 |
68 |
| Surgical
Considerations |
68 |
| Anatomical Considerations in Implant
Dentistry |
69 |
| Anatomical Considerations |
71 |
| Surgical Procedures |
73 |
| Basic Elements for Successful Surgery |
78 |
| Further Considerations for Implant
Surgery |
78 |
| Peri-Implant Tissues-Bone Implant
Interface |
78 |
| Bone Volume |
79 |
| References |
86 |
| Single Tooth Implants and Implant
Crowns |
91 |
| Hygiene - Summary Comparison: |
94 |
| Indications for Placing a Single Tooth
Implant: |
94 |
| Contraindications to Placing a Single Tooth
Implant: |
94 |
| Diagnostic Considerations for Single Tooth
Implant |
95 |
| Diagnosis, Treatment Planning: Preliminary
Impressions, Mounted Diagnostic Casts, Radiographs, Tooth Wax-up, Stent
Fabrication |
101 |
| Transitional or Interim Prostheses/Abutment
Selection |
104 |
| Selection of the definitive Cera One
abutment: |
105 |
| Torque Control of Cera One Abutment |
109 |
| Pouring the Impression |
112 |
| Follow-up and Recall |
119 |
| References |
120 |
| CHAPTER 8 |
128 |
| Implant Supported Fixed Partial
Dentures |
128 |
| Transitional or Interim Prostheses/Abutment
Selection |
137 |
| Preliminary Impressions |
142 |
| Technique |
142 |
| Custom Tray Fabrication |
142 |
| Final Impression Technique |
144 |
| Impression |
147 |
| Confirmation Jig |
149 |
| References |
159 |
| CHAPTER 9 |
161 |
| Implant-Assisted Complete Denture
Restorations |
161 |
| Relines/"Retrofits" |
161 |
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