Principles of Implant Dentistry and Treatment Planning
Learning Outcome 1
Discuss the origins of implant dentistry and its importance as a current recommended treatment option
Learning Outcome 2
Explain the consequences of tooth loss so that these can be applied to patient discussions
Learning Outcome 3
Discuss and explain endosseous Implant features to allow learners to make informed decisions regarding the type of implant use in clinical practice.
Learning Outcome 4
To be able to recognise an implant as the ideal treatment option and apply this to clinical practice.
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To develop an understanding of the origins and current principles of implant dentistry and how it relates to clinical practice today.
To carry out the investigations needed to be able to diagnose and plan a suitable case and then provide a fully consented treatment plan. Be able to recognise a suitable patient that can be used as an implant case for this course.
To have sound understanding of the treatment planning principles of implant dentistry.
CBCT Masterclass Levels I & II
Led by Jimmy Makdissi, Consultant Dental and Maxillofacial Radiologist
Dr Makdissi joined the Institute of Dentistry, Barts and The London School of Medicine and Dentistry, in 2004 as a Clinical Senior Lecturer and Honorary Consultant in Dental and Maxillofacial Radiology. He directs the Dental and Maxillofacial Radiology programme of the undergraduate BDS curriculum. He completed his specialist training at Guy’s Hospital and obtained the Diploma of Dental Radiology from the Royal College of Radiologists. He has served on the Education Committee of the International Association of Oral and Maxillofacial Radiology. He has also served as the Dental Tutor for the London Deanery at Barts Health, the Faculty Tutor at the Royal College of Surgeons and as the President of the Metropolitan Branch of the British Dental Association. In addition, he is the founder of the Cone Beam Computed Tomography (CBCT) Interpretation Masterclass providing UK-based CBCT hands-on training along with a collection of e-learning modules. Jimmy has recently completed his PhD on the use of MRI in Dentistry.
Aims and Objectives
This course addresses the theoretical elements of CBCT and includes an extensive hands-on reporting aspect, covering the following topics:
- Radiation Physics in relation to CBCT Equipment
- Radiation Protection in relation to CBCT examinations
- Apparatus and Equipment
- CBCT image acquisition and processing
- Principles of CBCT imaging
- Principles and practice of interpretation of dento-alveolar 3D CBCT images
- An update on radiological anatomy of teeth and jaws relevant to CBCT
- An update on dental and maxillofacial pathology
- Radiological interpretation of dental and maxillofacial diseases
Surgical Principles and Clinical Day
Learning Outcome 1
Understand the basic principles of implant surgery, demonstrate the skills taught when treating patients safely and appropriately.
Learning Outcome 2
Understand the specific instruments and tools of implant surgery so that the candidate can set up clinical practice in the correct way.
Learning Outcome 3
To expose the candidate to implant clinical practice so that they can treat their own patients in their own clinical settings.
Learning Outcome 4
To be able to recognise and deal with surgical complications ensuring the competent delivery of treatment.
Learning Outcome 5
Understand and acquire Guided Bone Regeneration skills.
For learners to acquire and demonstrate a comprehensive understanding of the fundamental principles of implant surgery and its application in the clinical setting. For learners to plan and undertake surgical techniques whilst ensuring the correct and safe surgical approach to cases. This is to include flap design, suturing techniques, atraumatic extractions and implant placement surgery. Demonstrate so learners acquire the skills associated with Guided Bone regeneration techniques.
Lecture, demonstration and practical exercises on models and pigs heads. To deliver the knowledge needed so that learners acquire the skills associated with surgical implant placement including drilling protocols and the principles of primary stability.
To ensure learners understand the importance and delivery of aseptic surgery. Demonstrate the surgical surgery set up so that learners can equip their practice to be able to deliver implant treatment in a safe manner. In addition to demonstrating appropriate clinical skills, learners will be able to evaluate their own practice so that treatment planning and outcomes are evolving and improving for the benefit of the patient.
A Week of Mentoring at the Centre for Implant Dentistry
Lectures and group discussions will be delivered to explain the processes demonstrated in practice visits and explain treatment rationales experienced during treatment of their individual cases. The learner will have access to an implant practice and all of its resources including the implant team and an implant mentor. The mentor and candidate will discuss, plan and treat a patient (learners case).
Learning Outcome 1
To acquire an understanding of implant treatment, the stages involved and able to apply these to patient care
Learning Outcome 2
To be able to identify when an implant is indicated, provide a sound treatment plan and provide the implant therapy (on the learner’s own patient under mentoring)
Learning Outcome 3
To expose the candidate to implant clinical practice so that they can treat their own patients in their own clinical settings.
To acquire and demonstrate an understanding of the implant treatment stages. To be able to carry out implant procedures on the candidate’s own patient (case) under mentoring. To show sound treatment planning principles and be able to apply these safely to treat a patient (candidates own patient case). Have an understanding of the business aspects of a dental implant practice and be able to incorporate some of these principles in to their own dental setting. Learner will visit a dental implant practice and shadow an implant team whilst they go about their day to day clinical practice Learner will carry out treatment on their own patient and will be assessed on their clinical knowledge, planning, and delivery of care to their patient. The learner will produce a written case report. Each stage of treatment will be assessed. This will form the main assessment for this course. Learners will have one to one mentoring sessions, during the course, with their mentor to discuss the learners case.
Restorative aspects of Implant Dentistry
Learning Outcome 1
To be able to prescribe the correct type of restoration and apply this safely and appropriately to the patients treatment
Learning Outcome 2
To understand the different types and classification of implant restoration and how they relate to treatment planning
Learning Outcome 3
To understand the equipment and materials used in restoring implants and be able to use these safely
Learning Outcome 4
To be competent in implant restoration techniques so candidates can restore in a competent manner
Learning Outcome 5
Be able to assess the occlusion of a patient and determine how this impacts on treatment
Learning Outcome 6
To communicate effectively with the dental Lab to ensure a successful patient restorative outcome
To demonstrate an understanding of the restorative aspects of implant dentistry and to transfer the acquired skills to patient management. Types of implant restorations and their indications will be explained so that learners can prescribe appropriately.
Explain and teach the various techniques used to restore implants – impression techniques and fitting restorations so learners can apply these practical skills in clinical practice.
Occlusion and the impact on restorative delivery will be covered. The importance of the Dentist – Lab interface will be explored to allow effective communication and good working relationships with dental laboratory.
Lectures, group discussion and demonstration/practice on models. Candidates will see restoration on live cases during the Mentoring unit and will be able to use these acquired skills on their own case carried out during the course.
Implant Maintenance and Management of Problems
Learning Outcome 1
Understand the periodontal considerations when treating an implant case and relate these to clinical practice
Learning Outcome 2
To recognise Peri mucositis and Peri implantitis and be able to manage these complication
Learning Outcome 3
To recognise the various complications that can arise and to manage them appropriately
To be able to develop maintenance protocols for individual patients needs. To understand the importance of hygiene therapy in successful long term implant patient management. To understand the importance of the periodontal condition for successful implant patient management. To be able to recognise potential complications and prevent potential future problems. Be able to recognise and treat various implant complications that can occur during and after treatment.