PRACTICAL CLINICAL COURSES A Service of the Gordon J. Christensen Career Development Program

Transcription

1 PRACTICAL CLINICAL COURSES A Service of the Gordon J. Christensen Career Development Program V2326 Successful Fixed and Removable Restorations for Dental Implants Gordon J. Christensen, DDS, MSD, PhD Materials Included C.E. Instruction Sheet Products List Clinician Responsible Goals & Objectives Overview References AGD Post Test

2 Gordon J. Christensen PRACTICAL CLINICAL COURSES PROCEDURE FOR RECEIVING ACADEMY OF GENERAL DENTISTRY AND STATE CREDIT FOR DVDS 1. Complete the enclosed Post Test. If more than one person needs to take the test, please feel free to make additional copies. However, only 2 free tests are allotted to each video purchaser. If additional tests are needed, the following fees will apply: $25 per test per dentist; $10 per test per technician; and $5 per test per staff member. This fee can be paid either by check or credit card when tests are submitted to Practical Clinical Courses. 2. Complete the demographic information located at the end of the test. 3. Return the Post Test portion only of this packet to the following address: Practical Clinical Courses 3707 N Canyon Road Suite 3D Provo, UT Fax: (801) info@pccdental.com 4. Practical Clinical Courses will correct the Post Test. Passing scores are 70% or higher. a. If the AGD Box was marked, PCC will send notification to both the applicant and the Academy of General Dentistry. (The AGD will also notify applicant of credits earned by printout information.) b. If the State Box was marked, PCC will send a certificate of verification to the applicant. The applicant must then submit this certificate to his/her state board to obtain credit. c. If the Both Box was marked, PCC will complete a. & b. above.

3 Gordon J. Christensen PRACTICAL CLINICAL COURSES Sources of Products Discussed in V2326 Successful Fixed and Removable Restorations for Dental Implants Presented by: Gordon J. Christensen, DDS, MSD, PhD 1. AccuFilm II Parkell Inc. 300 Executive Drive Edgewood, NY (800) (631) Ankylos Dentsply International 221 West Philadelphia Street P.O. Box 872 York, PA (800) (717) ED Primer II Kuraray America Inc. 600 Lexington Avenue 26 th Floor New York, NY (800) (212) ERA Implant Systems Sterngold, LLC 23 Frank Mossberg Drive P.O. Box 2967 Attleboro, MA (800) (508) Implant Company: Astra Tech, Inc. 890 Winter Street Suite 310 Waltham, MA (800) (781) Implant Company: BASIC Dental Implant System 3321 Columbia NE Albuquerque, NM (888) (505) Implant Company: Bicon Dental Implants 501 Arborway Boston, MA (800) (617) Implant Company: BioHorizons Implants Systems 1 Perimeter Park South Suite 230 South Birmingham, AL (888) (205) Implant Company: BIOMET 3i, Inc Riverside Drive Palm Beach Gardens, FL (800) (561) Implant Company: Dentatus USA, Ltd. 192 Lexington Avenue Suite 901 New York, NY (800) (212) Implant Company: Dentsply Tulsa Dental Specialties 5100 East Skelly Drive Suite 300 Tulsa, OK (800) (918) Implant Company: Implant Direct LLC Malibu Hills Road Calabasas Hills, CA (818) Implant Company: IMTEC Corporation 2401 North Commerce Ardmore, OK (800) (580) Implant Company: Intra-Lock System 1200 North Federal Highway Suite 209 Boca Raton, FL (800) (561) Implant Company: Lifecore Biomedical, Inc Lyman Blvd. Chaska, MN (800) (952) Implant Company: Nobel Biocare USA, Inc Savi Ranch Parkway Yorba Linda, CA (800) (714) Implant Company: The Straumann Company 60 Minuteman Road Andover, MA (800) (978) Implant Company: Zimmer Dental Inc Ashton Avenue Carlsbad, CA (800) (760) Implant Support Company: Attachments International, Inc. 600 South Amphlett Blvd. San Mateo, CA (800) (650) Madame Butterfly Silk Almore International, Inc. P.O. Box Portland, OR (800) (503) Maxcem Kerr Corporation 1717 West Collins Avenue Orange, CA (800) (714)

4 22. Multilink Automix Ivoclar Vivadent, Inc. 175 Pineview Drive Amherst, NY (800) (716) NobelDirect Nobel Biocare USA, Inc Savi Ranch Parkway Yorba Linda, CA (800) (714) NobelReplace Tapered Groovy Nobel Biocare USA, Inc Savi Ranch Parkway Yorba Linda, CA (800) (714) Omni-Bond Attachments International, Inc. 600 South Amphlett Blvd. San Mateo, CA (800) (650) OverdentSURE BIOMET 3i, Inc Riverside Drive Palm Beach Gardens, FL (800) (561) Panavia F 2.0 Kuraray America Inc. 600 Lexington Avenue 26 th Floor New York, NY (800) (212) Planmeca Planmeca Inc. 100 North Gary Avenue Suite A Roselle, IL (630) PreFormance Post BIOMET 3i, Inc Riverside Drive Palm Beach Gardens, FL (800) (561) Premier Implant Cement Premier Dental Products Co Romano Drive Plymouth Meeting, PA (888) (610) Quad Tray Clinician s Choice Dental Products, Inc. P.O. Box 1706 New Milford, CT (800) (519) RelyX Unicem 3M ESPE Dental Products 3M Center Bldg SE-03 St. Paul, MN (800) (651) Ridge Caliper Salvin Dental Specialties 3450 Latrobe Drive Charlotte, NC (800) (704) Sideless Triple Tray Premier Dental Products Co Romano Drive Plymouth Meeting, PA (888) (610) Sirona Dental Systems Sirona Dental Systems LLC 4835 Sirona Drive Charlotte, NC (800) (704) Spectra-System Implant Direct LLC Malibu Hills Road Calabasas Hills, CA (818) TempoCem Zenith Dental 242 South Dean Street Englewood, NJ (800) (201) Triad Trutray Dentsply International 221 West Philadelphia Street P.O. Box 872 York, PA (800) (717) Product names, the products themselves, and company names change rapidly. Please contact the companies shown to confirm current information. Gordon J. Christensen Practical Clinical Courses, 3707 North Canyon Road, Suite 3D, Provo, UT Toll Free (800) or Utah Residents (801) The techniques and procedures on this videotape are intended to be suggestions only. Any licensed practitioner viewing this presentation must make his or her own professional decisions about specific treatment for patients. PCC is not responsible for any damages or other liabilities (including attorney s fees) resulting, or claimed to result in whole or in part, from actual or alleged problems arising out of the use of this presentation.

5 PROGRAM CLINICIAN RESPONSIBLE Gordon J. Christensen, DDS, MSD, PhD Director, Practical Clinical Courses CEO, CR Foundation Practicing Prosthodontist, Provo, Utah Adjunct Professor, Brigham Young University Clinical Professor, University of Utah GOALS & OBJECTIVES At the completion of this video presentation, participants should be able to accomplish the following: 1. Discuss the importance of root-form dental implants in dental practice today. 2. Compare the usefulness of implant-supported dentistry vs. conventional dental therapy. 3. Discuss overall health considerations relative to implant placement. 4. Describe the types of radiographs necessary for diagnosis and treatment planning for placement of dental implants. 5. List and discuss the characteristics of the described four types of bone in maxillofacial area, and the clinical implications. 6. List the six characteristics required for informed consent. 7. Discuss the types of root-form implants relative to diameter. 8. Discuss the types of root-form implants relative to connection to the abutment. 9. List five popular brands of root-form implants. 10. Discuss immediate loading of implants vs. remote loading relative to long-term success. 11. Discuss making provisional restorations for immediate loading of single-tooth implant restorations and multiple-tooth implant restorations. 12. Compare manufacturer-made abutments vs. custom-made abutments. 13. Discuss cements and cementing for single and multiple-tooth implant restorations. 14. Describe impression techniques for single tooth, multiple tooth, removable partial dentures, and complete dentures when implants are involved. 15. Compare ceramic abutments with metal abutments for implant-supported restorations. 16. Describe the technique for single-tooth implant-supported restorations. 17. Describe the technique for multiple-tooth implant-supported restorations. 18. Describe the technique for implant-supported removable partial dentures. 19. Describe the technique for implant-supported complete dentures. 20. Discuss the differences in occlusion on implant-supported vs. tooth-supported restorations.

6 OVERVIEW This presentation is designed to be a useful overview of the broad area of implant prosthodontics, ranging from single-tooth replacements to multiple-tooth replacements with fixed and removable prostheses to implantsupported overdentures for edentulous patients. The following and other topics are included: The importance of implants in dentistry Implants vs. conventional prosthodontic therapy Diagnosis and treatment planning including overall health considerations, radiography, bone types, oral hygiene history, and informed consent Types of root-form implants Brands of root-form implants A discussion of selection of the type of dentist to place implants including oral surgeon, periodontist, prosthodontist, endodontist, or general dentist Immediate loading of implants vs. remote loading Provisional restorations The technique for single-tooth implant replacement One-piece implants Root-form implant abutment connections Manufacturer-made vs. custom abutments Impressions for direct implant-supported abutments Seating and cementing crowns and fixed prostheses over implants Impressions at the implant level Metal vs. ceramic abutments The overall technique for multiple-tooth implant restorations The overall technique for using implants with removable partial dentures The overall technique for using implants with complete overdentures Occlusion on implant-supported restorations Practice management tips Practical, readily implemented techniques, devices, materials, and concepts are emphasized.

7 REFERENCES 1. Christensen GJ. Complex fixed and implant prosthodontics: making nearly foolproof impressions. JADA 1992; 123: Christensen GJ. The most needed application for dental implants. JADA 1994; 125: Christensen GJ. Implants and general practitioners. JADA 2000; 131: Christensen GJ. Treatment of the edentulous mandible. JADA 2001; 132: Jalbout Z, Tabourian G. Glossary of implant dentistry. New York: ICOI; Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent Jun;97(6): Review. 7. Mijiritsky E. Implants in conjunction with removable partial dentures: a literature review. Implant Dent Jun;16(2): Review. 8. Cooper LF, De Kok IJ, Rojas-Vizcaya F, Pungpapong P, Chang SH. The immediate loading of dental implants. Compend Contin Educ Dent Apr;28(4):216-25; quiz 226. Review. 9. Leblebicioglu B, Rawal S, Mariotti A. A review of the functional and esthetic requirements for dental implants. J Am Dent Assoc Mar;138(3): Review. 10. Inversini M. Prosthetic implant treatment of the edentulous maxilla with overdenture. Minerva Stomatol Oct;55(10): Review. English, Italian. 11. Hwang D, Wang HL. Medical contraindications to implant therapy: part I: absolute contraindications. Implant Dent Dec;15(4): Review.

8 POST TEST 1. Implant-supported fixed and removable prostheses are better than conventional dental therapy. a. always b. usually c. sometimes d. never 2. Dense compact bone is classified as: a. D1. b. D2. c. D3. d. D4. 3. Radiographs that show bone width from facial to lingual are known as: a. bite wings. b. periapical. c. panoramic. d. tomographic. 4. Informed consent is intended to educate the patient about of the treatment alternatives. a. the most logical b. the best c. all d. the least expensive 5. Single-tooth replacement implants may have: a. internal anti-rotational features. b. external anti-rotational features. c. a one-piece implant and abutment. d. all of the above. 6. When an all-ceramic crown or fixed prosthesis is planned, implant abutments should be used if possible. a. metal b. ceramic c. one-piece d. none of the above

9 POST TEST (cont.) 7. So called mini or small-diameter implants are less than mm in diameter. a. one b. two c. three d. four 8. When making an impression of an implant at the implant level: a. stability of the impression coping in the impression is the most important challenge. b. proper seating of the impression coping on the implant is the most important challenge. c. accuracy and stability of the impression material is the most important challenge. d. all of the above are important challenges. 9. Small-diameter implants, minis are: a. usually loaded immediately after placement. b. usually loaded at least 4 months after placement. c. more difficult to place than conventional-diameter implants. d. not yet approved by the FDA. 10. Natural teeth are: a. just as rigid in place in the bone as implants. b. never to be connected to implants. c. to be extracted before placing implants, if they have significant mobility. d. more caries prone when located next to implants. PLEASE PRINT Name Name of video purchaser (if different from above) Address City/State/Zip Phone No. Indicate which type of credit you wish to obtain AGD State Both AGD No. State License No.