Master's Degree of Permanent Training in Advanced Implantology, Tissue Regeneration and Implant-supported Rehabilitation

The use of dental implants in the field of oral rehabilitation is considered a reliable and necessary tool in modern Dentistry.

In the last decade, important advances have taken place in the field of tissue engineering and reconstructive surgery of atrophic jaws through the use of minimally invasive techniques. In turn, the development of digital workflows and implantation and immediate loading protocols has contributed to obtaining optimal and predictable results from the aesthetic and functional point of view, reducing surgical time and the morbidity inherent to conventional treatments.

On the other hand, the knowledge and meticulous management of the soft tissues is an essential requirement for the success of the treatment and its long-term maintenance.

The theoretical-practical focus of the course (oral surgery, implantology, periodontics, implant prosthetics, and aesthetics) will allow students to obtain the knowledge and clinical skills necessary for the clinical management of situations that require a multidisciplinary approach.

The course has been carefully designed to offer students innovative and scientifically rigorous training and will count on the collaboration of highly prestigious national and international speakers.

Goals

It is intended to train the student in the management of advanced techniques in oral implantology, jaw reconstruction with severe bone and soft tissue atrophy. The latest technological advances and developments in implant microsurgery, digital flow, and CAD-CAM based on scientific evidence will be fundamental elements of the course.

Students will acquire a surgical-prosthetic rehabilitation profile that will allow them to deal with cases of a high degree of complexity and that require multidisciplinary treatment.

The student will learn to work with very high-quality standards from the point of view of diagnosis, planning, surgical-prosthetic skill, management of complications, and predictability of treatments.

Module A: Advanced Implantology and tissue regeneration

• Introduction to dental surgery and implantology.
• Applied Anatomy, physiology, and bone metabolism
• Healing of hard and soft tissues in implantology.
• Biological principles of tissue regeneration (hard/soft tissues).
• Osseointegration. Primary stability vs secondary stability.
• Criteria for the selection of the implant patient.
• Medical evaluation.

Absolute/relative indications and contraindications to treatment.

• Success criteria in implantology and tissue regeneration
• Applied Pharmacology.
• Diagnostic imaging.
• Treatment planning.
• Macro/micro geometry in the design of implants, and materials. Treatment of surfaces (subtraction/addition)

Incisions, flap design, and sutures

• Osteotomy principles: drilling protocols, osseodensification.
• Second surgical phase, provisional.

Module B: Implant-supported prosthesis (I)

Implant-supported rehabilitation (I)

Biomechanics in implantology

• Surgical-prosthetic considerations in the partial/total edentulous.
• Optimum development of the emergence profile

Effective communication with the dental laboratory

• Conventional vs digital impression taking
• Management of complications.
• Maintenance of the implant patient

Module C: Research Methodology in Health Sciences (I)

Module D: Treatment planning/clinical sessions/clinical practice

Module E: Complex implantation techniques, biological principles and techniques of

regeneration (II)

1. Bone expansion

• Biological principles. Indications
• Conventional technique
• Split crest
• Advanced ridge expansion techniques

2. Immediate implants

• Immediate implementation
• Indication. Surgical technique
• Provisionalization
• Immediate loading in single, multiple or complete arches
• “All on 4” concept

3. Guided bone regeneration

• ‐ Biological principles
• ‐ Biomaterials
• ‐ Alveolar preservation
• ‐ Evaluation of the defect. Decision making.
• ‐ Advanced vertical/horizontal regeneration techniques

4. Maxillary sinus lift

• Anatomical review
• Physiology, pathology
• Indications/contraindications
• Surgical techniques.
• Management of complications
• Treatment alternatives

Intraoral block grafts

• Biological principles
• Evaluation of donor areas
• Surgical principles
• Inlay, onlay, 3D formwork
• fixing
• Provisionalization

6. Management of soft tissues

• Review of soft tissue management techniques around natural teeth and implants.
• Surgical techniques, ITC, IGL, coronary lengthening.
• Peri‐implant aesthetics.

7. Implants in the anterior sector

• Management of hard/soft tissues
• Surgical‐prosthetic considerations.
• Provisionalization
• Review of charging protocols

8. Advanced surgical techniques

• Plasma rich in growth factors
• Regeneration of severe defects.
• Advanced soft tissue management techniques
• Inferior dental nerve replacement
• Bone distraction
• Extraoral graft techniques
• Multidisciplinary approach: ENT, orthopedic surgery,...
• Zygomatic/Pterygoid Implants

9. Short implants

• Indications/contraindications
• Surgical technique
• Prosthetic considerations

10. Computer guided surgery

• Indications/contraindications
• Surgical technique
• Accuracy and frequent errors
• Surgical/prosthetic considerations

11. Advanced implant prosthesis

• Digital workflow
• Digitalsmile design (DSD)

12. Management of complications/Maintenance

• Complications in the healing phase
• Surgical complications
• Prosthetic complications
• Maintenance plan for the implant patient.

Module F: Implantsupported prosthesis (I)

• Digital workflow
• Digitalsmile design (DSD)
• Occlusal adjustment
• DV handling
• Multidisciplinary treatment: orthodontics, restorative, surgery and prosthetics.

Module G: Research methodology in Health Sciences (II)

Module H: Treatment planning/clinical sessions/clinical practice (II)