Achieving Patient Satisfaction:
Optimal Outcomes for Immediate Load Full Arch Implant Restorations

Learning Objectives

• Understand the importance of proper diagnosis and treatment planning full arch cases prior to surgical intervention
• Determine when and where extraction and immediate implant placement is appropriate, the risk factors involved, and when a more conservative, staged approach is indicated
• Classify case types to assist in creating predictable esthetic and functional outcomes including timing of extraction, grafting, implant placement and provisional restorations
• Understand the importance of provisional hybrid restorations in the shaping of healed tissue contours and communication of prosthesis design to the laboratory technician
• Evaluate choices for different materials used in the fabrication of final restorations
• Understand the importance of balanced and favorable occlusal loading and the use of computerized occlusal evaluation and adjustment to achieve this goal

Description

This course will focus on the clinical steps necessary to achieve and maintain predictable immediate load implant restorations for completely edentulous patients, in a private practice setting. While esthetic and functional results play a key role when determining the overall success of a full arch implant case, these outcomes can only be considered optimal if they are maintained over time. These techniques represent refinements and alterations to the classic concepts of implant therapy upon which many dentists and specialists were trained in years past.

Full arch immediate load treatments are more predictable through advances in surface technology, implant and abutment design, and CAD/CAM technology. Research over the last 10 years validates many of these key concepts, yet the techniques can be challenging at times. The risk of failure, especially with improper patient selection and poor treatment planning, remains a critical concern for any clinician involved in delivering these treatment protocols. Surgical considerations and prosthetic options must be united with a common goal of providing a total "biointegration" of an immediately loaded, implant-supported, full arch prosthesis.

Participants will become familiar with Dr. Keith's algorithm of pre-surgical planning involving the use of radiographic templates with CBCT scans to optimize proper implant placement and minimize restorative complications. Scientific, technical, and practical issues are addressed from a clinical viewpoint and will provide an immediate benefit to the restorative and surgical doctor in everyday practice.