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Faculty
John A. Sorensen, DMD, PhD
Dennis Perala, DMD
Kyle Kuhns, MDC
Kenji Mizuno, CDT
Mike Wilson, BS |
Prosthodontist
Periodontist & Implant Surgeon
Master Dental Ceramist
Certified Dental Technician
Technical Consultant, Photography & Digital Imaging |
| Small class size makes for extensive one on-one-training! |
2009 CIC Course Schedule
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| March 13 April 17 May 29 Oct 9 Nov 13 Dec 11 |
Course Goals: Learn to treat implant patients in your office with confidence!
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This continuum is aimed at making the participant comfortable and confident in most aspects of implant prosthodontics.
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Course Objectives
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- Establish a protocol & treatment planning sequence to consistently achieve predictable implant placement, prosthodontic restoration & life-like esthetic results.
- Be comfortable with the full gamut of implant dentistry from single tooth to partially edentulous situations to completely edentulous patients.
- Successfully communicate with the implant surgeon to achieve optimal implant placement
- Have research documented, evidence-based systematic practical approach to all phases of implant dentistry.
- Be comfortable with appropriate component selection, abutment & prosthesis design, materials selection & laboratory communication
- Techniques & technology for case photo documentation, before & after photos, patient presentation of treatment plans and internal marketing
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*Participants can have their referring surgeon place the implants or have the PDI surgeon perform implant surgery
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| Session 1 March 13, 2009 8:00am – 6:00pm |
| Implant Treatment Planning For Single Tooth & Fixed Partially Edentulous Treatment |
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Instructor:
John A. Sorensen, DMD, PhD |
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A. Lecture - Prosthetically Driven Implant Placement
- Understand the osseous & soft-tissues healing process post extraction
- Radiographic evaluation, including CT
- Site assessment
- Understand the indications, contraindications, risks and benefits of both soft- and hard-tissue grafting procedures
- Dimensions and anatomic landmarks for fixture placement
- Predictable Peri-Implant Esthetics
- Diagnostic aids for esthetic soft tissue results
- Assess biologic, biomechanical, prosthodontic and esthetic risk factors
- Contraindications to implant placement and high risk of failure situations
- Clinical selection criteria for choice of implant design, shape, length, surface treatment and number of stages needed for a given clinical situation
- Treatment planning & sequencing implant treatment
- Diagnostic workup
- Dentist – Surgeon communication
- Getting the surgeon to place the implants where you need them
- Surgical guide fabrication
- Understand & implement selection of single stage vs two-stage vs immediate loading of fixtures
B. Hands-On - Make radiographic stents and surgical stents to achieve predictable
implant placement
- Model Mapping for Planning Implant Placement
- Surgical Guide Fabrication Workshop
- Digital Photography & Image Management (Bring your camera & computer)
- Clinical Photography
- Digital Image and File Management
- Powerpoint Presentations
C. Group Treatment Planning Session on Participants' Patients
- Bring patients' diagnostic casts, radiographs, charting & photographs
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Includes: Course manual, continental breakfast, lunch
Course Tuition -$495
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| Session 2 April 17, 2009 8:00am – 6:00pm |
| Implant Provisional Restorations: Lecture & Hands-on Course and Implant Surgery Session |
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Instructors:
John A. Sorensen, DMD, PhD
Dennis G. Perala, DMD, MS Periodontist- Implant Surgeon |
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A. Lecture - Dr. Sorensen - Implant Provisional Restorations
- Biologic dimensions for optimized osseous & soft-tissue levels
- Ovate pontic concepts
- Provisional restoration design concepts
- From top of implant
- Socket form
- Emergence profile
- Soft-tissue site development with provisional restorations
- Materials selection criteria
- Screw-retained vs. cemented
- Systematic methodologies for direct & indirect provisional fabrication
- Using the provisional restoration as a prototype for the definitive restoration
- Cast of provisionals provides 3D model for communicating final restoration design to technician
- Immediate provisionalization concepts and techniques
- Non-functional single tooth provisional
- Functional full arch fixed provisional prosthesis
- Technique for fabrication of custom impression coping from provisional restoration to record soft-tissue contours
Lecture- Dr. Perala - Implant Treatment Planning & Grafting From a Surgeon's Perspective
B. Dr. Perala Surgery - Implant placement & grafting on participants' patients
C. Hands-On Implant Provisional Workshop
D. Group Treatment Planning Session on Participants' Patients |
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Includes: Course manual, components, materials, instruments, continental breakfast, lunch - Brasseler Temporary Adjustment & Polishing Kit included.
Course Tuition -$565
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| Session 3 May 29, 2009 8:00am – 5:00pm |
| Implant Treatment Planning, Principles & Treatment of Completely Edentulous Patients. Lecture & Implant Surgery Session |
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Instructors:
John A. Sorensen, DMD, PhD
Dennis G. Perala, DMD |
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Placement of only two implants can significantly improve the denture wearing patient's quality of life. A large variety of treatment options are available with 2 to 6 implants. This session will consider treatment planning and treatment options for the implant supported completely edentulous patient. Although current CAD/CAM generated surgical guides allow predictable implant placement & delivery of immediate full arch fixed prosthesis in a few hours, current systems require healed ridges in edentulous patients. In the instructors' practice they frequently extract multiple teeth, place multiple immediate implants and deliver an immediate fixed provisional prosthesis.
A. Lecture - Dr. Sorensen – Implant Treatment Planning, Principles & Treatment of Completely Edentulous & Partially Edentulous Removable Patients
- Complete denture concepts – You can't place the implants if you don't know where the teeth are supposed to be
- Principles of determining vertical dimension of occlusion, jaw position, interocclusal records, tooth position
- Occlusion for edentulous & dentate patients
- Cone beam CT assisted treatment planning
- Treatment options for the edentulous patient
- Ostectomy- The often overlooked key to success with full arch implant supported prostheses
- Treatment planning with implant surgeon
- Sequencing treatment- From extractions to temporary denture to definitive prosthesis
- Process & design principles for conversion of complete denture to provisional fixed prosthesis
B. Video of Patient Treatment
- Surgery - Extractions and Immediate Implant Placement
- Prosthodontics – Conversion & delivery of Immediate Provisional Full-arch Fixed Prosthesis
C. Dr. Perala Surgery- Implant placement & grafting on participants' patients
D. Group Treatment Planning Session on Participants' Patients
- Bring patients' diagnostic casts, radiographs, charting & photographs
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Includes: Extensive course manual, continental breakfast, lunch
Course Tuition -$495
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| Session 4 October 9, 2009 8:30am – 5:00pm |
| Laboratory – Dentist Synergy Day |
Instructors:
John A. Sorensen, DMD, PhD
Kyle Kuhns, MDC
Kenji Mizuno, CDT |
Technicians bring your doctor!
Doctors bring your technician! |
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Dentist – Technician Dialogue
A. Lecture
- Cemented vs. screw-retained implant prostheses
- Stock vs. custom abutments -Titanium, cast gold, PFM, zirconia
- Abutment & prosthesis design
- Single crown, fixed partial denture, hybrid FPD, tissue bar overdenture
- Abutment & prosthesis materials selection
- CAD/CAM abutments & frameworks
- Ceramic crown material selection criteria
- Shade selection & communication
- Anterior vs. posterior
- Opacity-translucency
- Metal-ceramic vs. all-ceramic
- Veneering porcelain: Powdered porcelain buildup, Press-on ceramics
- Multi-prosthodontic media cases
- Often have full crown &/or veneer on teeth adjacent to implant
- Design, materials & systems selection
- Design of occlusal surfaces, width of occlusal table
- Delivery, adjustment & cementation procedures
- Cement selection criteriaHow to make money doing sophisticated implant prosthodontics
Dentist – technician communication
- Fixture level impressions allowing maximum flexibility & simplification of design
- Rapid & efficient implant model work
- The Prosthodontic Design Process
Abutment selection, abutment design, cemented or screw-retained prosthesis?
- Tissue emergence design considerations – esthetics, tissue support & biologically compatible & sustainable
B. Dental Implant Dialogue Session
C. Patient Procedure Videos
D. Group Treatment Planning Session on Participants' Patients
This will be an open meeting at George Fox University, Tigard Campus. Located across street from Pacific Dental Institute. Session will have commercial exhibits from implant manufacturers, digital imaging companies, & dental laboratories. |
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Includes: Extensive detailed clinical & laboratory technique manual text book: Sorensen JA. Contemporary Implant Prosthodontics Clinical & Laboratory Manual. Continental breakfast, lunch.
Course Tuition $285
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| Session 5 November 13, 2009 8:00am – 5:30pm |
Implant Uncovering Surgery, Soft Tissue Management, Temporization, Impressions. Lecture, Live-Patient & Participant Treatment Course
Dental Assistants Training Afternoon |
Instructors:
John A. Sorensen, DMD, PhD
Dennis G. Perala, DMD, MS
Kyle Kuhns, MDC
Kenji Mizuno, CDT
Mike Wilson, BS |
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A. Lecture
- Uncovering surgery principles & techniques
- Simple biopsy punch technique
- Second chance to build up soft tissue
- Small flap design
- Large flap design
- Decision tree for "abutment & crown" or "screw-retained crown?"
- Selection criteria for prefabricated abutment or custom abutment
- Abutment design
- Fabrication of temporary restorations
- Materials & system selection criteria
- Design criteria
- Direct fabrication techniques
- Indirect fabrication techniques
- Fixture level impression techniques
- Jaw relations and occlusion
- Shade selection & communication
- Principles of occlusion for dentate patients
- Principles of stable occlusion
- What reference position to use? – Repeatability & Accuracy
- Character of the intercuspal position & design
- Anterior guidance
- Jaw relations & interocclusal records
- Occlusion for implant restorations
- Design of occlusal surfaces, width of occlusal table
B. Live Patient Treatment Live video from operatory to Teaching Theater
- Uncovering Surgery, Abutment Placement, Fabrication of Provisional Restorations, fixture level impressions
C. Clinical SessionParticipants Treating Their Own Patients
- Abutment placement
- Fixture level impressions
- Fabrication of temporary abutments or temporary crowns
- Soft tissue site development
D. Group Treatment Planning Session on Participants' Patients
- Bring patients' diagnostic casts, radiographs, charting & photographs
E. Team Training Afternoon 2:00 – 4:30
- Doctors; Dental Assistant training on implants
- Implant components
- Terminology
- Talking to patients about dental implants
- Dental assisting for implants
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Includes: Course manual, components, materials, instruments, continental breakfast, lunch
Course Tuition $425 Observing doctors/technicians
TBD Treating doctors
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| Session 6 December 11, 2009 8:00am – 5:30pm |
Impressions & Delivery of Definitive Prostheses
Lecture, Live-Patient & Participant Treatment Course |
Instructors:
John A. Sorensen, DMD, PhD
Kyle Kuhns, MDC
Kenji Mizuno, CDT
Mike Wilson, BS |
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A. Lecture - Steps in the delivery of fixed implant prostheses
- Adjustment of proximal contacts
- Shim stock marking material
- Securing prosthesis with abutment screw
- The "feel" of the abutment screw as tightening
- Soft tissue- prosthesis adaptation
- How much pressure on soft tissues?
- Esthetic contours
- Adjustment & refining of occlusion
- Which articulating paper?
- Relative degree of contact on implant prosthesis vs. adjacent natural teeth
- Spheroiding of occlusal contact marks to refine occlusion
- Lateral eccentric contacts
- Steps in polishing
- Confirming seating with radiographs
- Torquing of abutment screws
- Filling of screw access holes with gutta percha
- Placement of composite occlusal filling
- Shade/opacity selection of composite filling material
- Cementation of crowns & bridges
- Understanding seating complications from the cementation phenomena
- Cement selection
- Techniques to minimize leaving subgingival cement
- Post-cementation radiographs
- Maintenance
- Trouble shooting & Solutions
- Repair & modification
- Failures
- Surgical revisions
- Marketing with doctor's own patient treatment
B. Live Patient Treatment- Live video from operatory to Teaching Theater
- Delivery of definitive prosthesis
C. Clinical Session- Participants Treating Their Own Patients
- Delivery of definitive prosthesis
D. Group Post-Treatment Review Session of Participants''Patients
- Post-operative photographs & radiographs
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Includes: Course manual, components, materials, instruments, continental breakfast, lunch.
Course Tuition -$425 Observing doctors/technicians
TBD Treating doctors
6:00 Cocktail party
7:30 Graduation dinner
For participants of all CIC sessions
Compliments of PDI
Location TBA
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