Fall 2013 CDE Catalog - Rutgers School of Dental Medicine

Hands-on Workshop
IMPLANT / RESTORATIVE DENTISTRY
Converting the Failed Dentition to a Fixed Prosthesis
A Hands-on Workshop for the All-On-Four Protocol
For General Practitioners, Prosthodontists, Implant Surgeons and Lab Technicians
overview:
A landmark demographic study showed that while
edentulism is decreasing as a percentage of total population,
the population of edentulous patients is actually increasing
because of aging baby boomers. Today, patients are holding
onto failed teeth longer in hopes of avoiding the use of
dentures they saw their parents struggle with. This course
will offer you the opportunity to provide the treatment
these patients desire – anything but the denture.
Immediate load of dental implants provides a new solution
for these patients to be treated without use of a denture.
In one day, a patient with a compromised dentition can
be edentulated, receive implants and a fixed bridge –
eliminating the need for a denture.
In this hands-on course, we will convert a denture to a fixed
bridge on a dental cast – creating a patient education model
you will be able to use in your office. We will review all
clinical and laboratory steps required to convert the denture.
In addition, we will simplify the challenging steps associated
with creating the immediate denture necessary for this
treatment protocol. Identifying the appropriate incisal edge
position, finding centric relation and determination of the
proper occlusal plane are all challenges when our patient has
a compromised dentition. This course will provide solutions
for these issues.
Converting the denture isn’t the only necessary step in this
protocol. Once the implants have osseointegrated a definitive
prosthesis will need to be fabricated. That prosthesis can
be fabricated in as few as four appointments – or as many
as eight. You will learn how to determine whether the
streamlined or extended protocol should be selected.
The two most critical steps in fabrication of a successful
definitive prosthesis will be demonstrated.
This course is entirely based upon techniques and materials
that can and should be implemented into everyday clinical
practice. You will leave with increased confidence and a
clear understanding of clinical treatment ideals, including:
• Identifying the ideal patient for a conversion prosthesis.
• Understanding the immediate denture records
appointment.
• Material preparation for the conversion appointment.
• Hands-on completion of a conversion of a complete
denture to a fixed bridge.
• Evaluation of the provisional for the streamlined vs.
comprehensive protocol.
• Hands-on fabrication of an implant verification jig.
• Review of techniques and a hands-on impression of a
full arch implant cast.
• Introducing the All-On-Four concept of fixed bridges.
• Fabricate an All-On-Four patient education model that
you can take back to your office.
Using this conversion prosthesis, you will learn to treat
patients in your practice that need to be edentulated but
want to avoid ever wearing a denture.
The Rutgers School of Dental Medicine
gratefully acknowledges support
for this activity from:
Nobel Biocare
Register Online: cde.sdm.rutgers.edu
Page 5