Evidence-Based Implant Treatment for the Partially and Completely Edentulous Patients

Evidence-Based Implant Treatment for the Partially and Completely Edentulous Patients is organized by Northern California Dental Society (NCDS) and will be held on Jan 24, 2025 at Gaia Hotel & Spa Redding, Ascend Hotel Collection, Anderson, California, United States of America.

Description:
Evidence-based Implant Treatment Planning for the Partially  Edentulous Patient:
A survey of dental practitioners revealed that the number one concern in implant dentistry is appropriate treatment planning. Outcome measurements have changed from implant survival to patient satisfaction and therefore have placed a premium on evidence-based differential treatment planning. A growing body of longitudinal studies has illuminated the comparative prognoses of various implant and conventional restorative options for our patients. With these options, the dental practitioner faces many questions. Should we restore an edentulous space with an implant or a conventional fixed partial prosthesis. Do implant prostheses have more aftercare burden than conventional restorations? When three teeth are missing, should we place one implant per tooth, or could we place two implants to support a fixed partial prosthesis or even a cantilever prosthesis? Are short implants a viable option, even when the crown to implant ratio is up to 2 to 1? Should adjacent implants be splinted to preserve marginal bone? Can tilted implants be used to circumvent sinus augmentation? Do narrow implants have a place in the posterior arch as well as in the anterior sextant? When considering screw-retained or cement-retained implant restorations, what are the guidelines for optimal design? What cements are best? When considering salvaging periodontally compromised teeth in compliant patients, is it best to extract and place implants or maintain the teeth? This presentation will help guide practitioners in answering these questions for the partially edentulous patient.

Learning Objectives:

• To understand evidence-based criteria for differential treatment planning implant restorations for partially edentulous patients
• To become familiarized with systemic, local and patient-related factors
• Clinical protocols for implant restorative treatment
• Avoidance of complications to improve the quality of implant treatment

Evidence-based Treatment Planning for the Completely Edentulous Patient
For the edentulous patient, fundamental principles of complete denture prosthodontics serve as the basis for differential treatment planning both fixed and removable implant prostheses. Understanding the relevant extraoral and intraoral landmarks to assess where the teeth once were is essential for esthetic, phonetic and occlusal harmony. How to create an authentic and esthetic arrangement of the anterior teeth will be amplified. Both clinician- and patient-mediated considerations dictate the optimal design of an implant prosthesis. The overdenture, fixed complete denture and crown and bridge prosthetic designs have different indications and requirements considering the bony architecture, implant number and array. Various prosthetic materials will be discussed. A digital workflow using a 3D printed polymer will be demonstrated for the interim complete arch fixed implant prosthesis. This course will address evidence-based prognoses of implant survival, prosthetic stability and maintenance.

Learning Objectives:

• Understand complete denture principles as the foundation of implant prosthetic planning
• Become familiar with clinician- and patient-related factors that determine design of implant prostheses
• Learn the benefit of various material choices for implant prostheses
• Understand a digital workflow for complete arch fixed implant prostheses
• Review the prosthetic maintenance of various implant designs