Comprehensive Overview of Dental Implantology

Oct 20, 2024

Lecture Notes on Dental Implantology

Introduction

  • Goal of the Lecture:
    • Cover extractions, grafting, proper implant placement.
    • Discuss pre-operative planning, implant choice, platform choice, and provisionalization.
  • Speaker's Background:
    • Graduated in 2002 from Case.
    • Studied at Midwest Implant Institute, assisted Dr. Duke Keller.
    • Completed externship and maxi course.
    • Passed board exams for American Board of Oral Implantology and American Academy of Implant Dentistry.
    • Founded Cleveland Implant Institute.

Implant Courses and Strategies

  • Course Offerings:
    • Comprehensive implant courses.
    • Topics include full arch courses, photogrammetry, All-on-X cases, and complications.
    • Coding courses for insurance reimbursement.
  • Practice Tips:
    • Implant practices can be PPO-proof if codes are understood and used correctly.

Importance of Planning and Patient Management

  • Case Examples:
    • Importance of planning in implant placement.
    • Financial and treatment planning should be clear to avoid patient dissatisfaction.
  • Surgical and Restorative Focus:
    • Emphasize good surgical and restorative skills for successful implant practices.

Implant Placement and Complications

  • Case Study Highlights:
    • Issues with improper implant placement and planning.
    • Importance of planning for prosthetic considerations.
  • Surgical Techniques and Teaching:
    • Developing papilla and maintaining bone during placement.
    • Using provisionals and photogrammetry for full arch restorations.

Extractions and Grafting

  • Extraction Techniques:
    • Importance of atraumatic extractions to preserve bone.
    • Use of periotomes and surgical burrs for effective extractions.
  • Socket Grafting:
    • Categorizing defects (five-wall, four-wall, etc.) and using appropriate grafting techniques.
    • Use of prf to aid in healing and prevent dry socket.
  • Bone Grafts and Materials:
    • Types of bone grafts (autograft, allograft, xenograft, alloplast).
    • Properties of grafts: osteogenic, osteoinductive, osteoconductive.
  • Membranes:
    • Use of collagen and PTFE membranes for grafting.
    • Importance of proper membrane placement and maintenance.

Implant Design and Types

  • Implant Features:
    • Thread designs for primary stability.
    • Importance of platform switching to reduce marginal bone loss.
  • Placement Techniques:
    • Correct positioning for incisal and occlusal alignment.
    • Importance of maintaining space between implant and adjacent structures.

Restorative Considerations

  • Custom Healing Abutments:
    • Importance of developing proper emergence profiles.
    • Techniques for using peak abutments and flowable composite.
  • Provisionalization and Healing:
    • Use of provisional restorations for aesthetic and functional healing.

Suturing Techniques

  • Suturing Importance:
    • Proper suturing techniques to maintain tissue integrity and promote healing.
  • Knot Tying:
    • Difference between square and granny knots.
    • Importance of tying proper knots to prevent suture failure.
  • Suture Types and Materials:
    • Options include chromic gut, PTFE, and vicryl.
    • Use of continuous locking sutures for stability in large extractions.

Conclusion

  • Takeaways:
    • Emphasize planning and precision in all phases of implantology.
    • Continuous learning and adaptation to new techniques and materials.