From Single Implant to FP-1 Rehabilitation: The ultimate Perio-Prostho Workshop by Ramón Gómez Meda

From single implant to FP-1 rehabilitation! This is the topic of a powerful workshop on perio-prostho approach for implantologists, periodontists and prosthodontists under the guidance of Ramón Gómez Meda and Jonathan Esquivel!

Theory, demonstrations, and practical skills training await you! Analogue and digital working methods will be presented in the course.

During the training you will learn:

– Important considerations for selecting patients in whom additional osseous and mucogingival approaches can be made to enhance the prosthetic environment
– To digitally plan guided surgery for immediate implant placement and loading with a highly aesthetic milled PMMA temporary restoration
– The advantages of the digital versus analog protocol when creating the interim restoration and the final prosthesis
– The limitations and complications of this technique
– How to apply mucogingival procedures simultaneously with guided surgery and immediate loading
– The proper management of emergency profiles and their transfer to the definitive prosthesis
– The importance of periodontal and prosthodontic maintenance for the long-term success of rehabilitation.

IMPORTANT: there are only 8 free seats left!

Location: MEDA Center, A Coruña (Spain).

PROGRAM

Day 1

16:00 - 17:30 

Esthetic & Prosthetic considerations

– Reverse Engineered Treatment planning:

- Patient Selection: Understanding important considerations of patient selection based on their initial clinical condition and cause of tooth loss.
- Anatomic, Esthetic and Functional principles for Prosthetic Design.

17:30 - 17:45

Coffee break.

17:45 - 19:00

Analog & Digital Workflows

– Analog and Digital workflows. Advantages and disadvantages
– ABCDE Protocol for planning and executing predictable implant cases with Jonathan Esquivel
– Radiological diagnosis. Radiographic splints. Double scannig of models
– Intraoral and extraoral scanner. Advantages and disadvantages
– Types of files. Importing files and superimposition
– Facial integration and its relationship with VD and bone disponibility
– Guided surgery: Types of surgical guides and materials
– Protshodontically-driven and virtually planned 3D implants
– Planning minimally invasive surgeries
– Immediate interim restoration: materials, design, shaping and polishing. Double scanning. Printed or milled interim restoration?
– Digital workflow for an individual tooth, a ridge and a full arch.

19:00

Questions & Social event.

Day 2

09:00 - 11:15

Socket Preservation and Reconstruction, Immediate Implant & Loading(I)

– Why to place immediate implants
– Socket healing biology and classification
– Socket defects and biological approach
– Diagnosis and patient selection
– Minimally invasive extraction and devices
– Prosthodontically-driven 3D implant position
– Surgical guides for immediate implants: implant bed preparation and location
– Primary stability and how to make it predictable
– Gap approach
– Soft tissue grafting
– Socket preservation and Socket reconstruction: when and why?
– Treating complications.

11:30 - 13:30

Socket Preservation and Reconstruction, Immediate Implant & Loading(II).

16:00 - 17:30

Provisional Timing, Emergence profile management(I)

– Dental Gingival and Osseous Analysis:

- Morphology based prosthetic design for the single unit
- Multidisciplinary approach to esthetic results in implant dentistry
- Soft tissue conditioning of the anterior implant restorations (What is the emergence profile? EBC concept: the three areas).

– Wax-up diagnostic
– Surgical and prosthodontic guides
– Types of provisionals, materials, burs, different protocols
– Ti-base and devices for the personalisation
– Direct and indirect devices
– Cemented and screwed provisionals.

17:30 - 17:45

Coffee break

17:45 - 19:00

Provisional Timing, Emergence profile management(II):

– One abutment/one time
– Marylands
– Removable provisionals
– Shaping, polishing and shining
– Modification of the emergence profile
– Hinds technique and digital workflow to replicate the emergence profile.

Day 3

09:00 - 11:15

The Failing dentition from FP1 to the hybrid denture

– Esthetic analysis of the clinical case and risk evaluation
– Phenotype evaluation. Boosting the phenotype with CTGs and Xenografts around immediate implants.
– Selecting the harvesting the area: different procedures, avoiding complications
– Microsurgical approach
– Recipient area: partial and full-thickness approach
– How to suture
– Post-surgical recommendations
– Short term and long term healing and maturation of the soft tissues
– Preventing and treating complications.

11:15 - 11:30

Coffee break

11:30 - 13:30

Pontic Site Development & Surgical FP1 protocol.

16:00 - 17:30

Socket preservation with socket shield.

17:30 - 17:45

Coffee break

17:45 - 19:00

Hands-On: Immediate Implant & Emergence profile and Pontic Management.
CTG harvesting from the palate and tuberosity / tunneling in pig jaw.

Day 4

09:00 - 10:30

Hands-on: Master case 1 from diagnosis to treatment

– Diagnosis and planning using softwares
– Manufacturing the surgical guide. Choosing the right printer
– Designing a FRI
– Guided surgeries on models and adaptation of the interim restoration.

10:30 - 10:45

Coffee break

10:45 - 12:00

Master case Presentation & questions.

12:00 - 13:30

Prosthetic Selection and delivery

– Material selection for implant therapy
– Abutment design in esthetic implant dentistry
– Functional considerations in implant therapy
– Prosthetic design and strategies for screw retained and cement retained restoration
– Passive fit of frameworks: Analog, mixed (FRI) and digital workflow
– Delivery strategy for the Implant patient.

16:00 - 17:30

Abutment & Material Selection.

17:30 - 17:45

Coffee break

17:45 - 19:00

Maintenance & complications management.
Questions, debate & closing remarks.

20:00

Social Event.