This course is dedicated to the management of edentulous patients.
Significant progress has been achieved in the prevention of caries and periodontitis in the last decades; therefore, elderly patients often retain their own teeth until late in life. However, edentulism is still a harsh reality for many. Losing all teeth is the «terminal outcome of a multifactorial process involving biological factors and patient-related factors» (Felton 2009). Edentulism constitutes a major oral disability in regard to function, aesthetics and psycho-social aspects.
Complete denture prosthetics has come a long way since Gysi, Ackermann or Gerber. Nowadays, there are rational procedures that will allow also the less expe-rienced practitioner to provide patients with functional and aesthetic complete dentures in a reduced number of clinical appointments, like the Biofunctional Prosthetic System (BPS). The knowledge of complete denture prosthodontics constitutes the basis for any implant-supported complete prosthesis.
Still, the use of osseointegrated implants for the stabilization of complete dentures is one of the great achievements of modern dentistry. Today, the proposed standard of care for edentulous patients is a conventional mucosa-born denture in the maxilla, and an implant-supported overdenture anchored on two implants in the mandible to ensure patient satisfaction and oral function.
However, many of our patients demand fixed prostheses for optimal comfort and function, but we need to discuss what is feasible in the specific anatomical condition.
The main topic of the course will focus on rational screw-retained fixed implant prostheses on ultra-short 4 mm implants applying the BPS Workflow, virtual planning and guided surgery. The course will also discuss the management of edentulous patients who are often old and may become frail. Finally, the course is complemented with an overview on removable implant prosthetics and Narrow Diameter Implants and Mini Dental Implants.
The course will include two live surgeries, one live prosthetic demonstration, hands-on courses with virtual planning and an insertion of extra-short implants in a jaw model.
• Specific aspects of edentulism: epidemiology and patient profile
• Medical aspects in elderly patients
• Anatomy of edentulous patients
• Treatment concepts and loading protocols for edentulous patients
• Virtual planning for full arch reconstructions in the edentulous patient
• Guided surgery for full arch reconstructions in the edentulous patient
• Clinical and laboratory workflows for implant-supported fixed prostheses in edentulous jaws with a reasonable cost/benefit ratio: the modified BPS workflow for Pro Arch TL reconstructions
• Impact of implant reconstructions on oral function and quality of life
• An update on rapid prototyping
• Dentures 2018: All digital? An insight in the present and in the future of complete denture prosthodontics.
• Live prosthetics: The modified BPS Workflow
• How to optimize conventional dentures
• Esthetic outcomes with Pro Arch TL Reconstructions
• Overview on attachment systems for implant-overdentures:
the Bern concept
• Alternative options with one-piece Narrow Diameter Implants
• Maintenance aspects, complications and clinical outcomes
Theoretical and practical course with live surgeries (total of 25 CE credit hours)