Category: Surgery Instructor(s): Tomas Linkevicius Course structure: Lessons: 13 lessons | Duration: 14 h Course overview How to make immediate implants your first-choice treatment?Learn how to optimize immediate implant placement by understanding its biological rationale, key surgical techniques, and prosthetic considerations for predictable and successful outcomes. Curriculum Lesson 1. Rationale for immediate implant placement I. Why should we do immediate implants? There are obvious reasons, why immediate implants should be a common-day practise. Yet, this treatment modality is often demonised and avoided. This must be changed, but that only can happen, if clinicians changes his/hers point of view. Clear advantages of immediate implants include: 1. Maintaining of pre-extraction soft tissue architecture 2. Tooth-like soft tissue profile 3. Less functional problems in posterior implants 4. More aesthetic result in anterior region 5. Faster treatment for patients and dentist All this much more or sometimes even impossible to achieve with delayed implants. Lesson 2. Rationale for immediate implant placement I. Why immediate implants are still considered risky? There is a clear explanation why immediate implants are still considered risky. Why we need to find explanation for this fact? Because without clear explanation, the change of mind to start doing immediates is impossible. There are 4 reasons to consider: 1. Thinking, that immediate implants are "new" treatment 2. Infamous past reputation 3. Strong educational attitude against immediate 4. Immediate implants done not properly I overcome these obstacles with clear explanations! Lesson 3. Why are immediate implants successful? I. Osseointegration, contour and peri-implant tissues How many of us know the exact answers to following questions? I mean not just simple explanation, but real true step-by-step knowledge? 1. How do immediate implants integrate? 2. How is the profile tooth maintained? 3. How are peri-implant soft tissues developed after immediate implant placement? 4. How do get Zero bone loss status in immediate implants? 5. How is primary implant stability achieved? 3 hours in total of knowledge! Without it - no control of immediate implant treatment. Lesson 4. Why are immediate implants successful? II. Primary stability and crestal bone levels Does "the most important" factor exist in immediate implant placement? In contrary to implants, placed in completely healed ridges, think that there is a factor in immediate implant treatment, which overcomes all other discussed issues. What factor it is? Lesson 5. Immediate implant placement in molar region I. Implant depth, stability, bone grafting, healing abutments and soft tissue grafting Do you want to know, what is the most frequent question I get during the lectures? If you think, that "How deep should implant be placed during immediate implant placement?" you would be right! It is funny, when you think, that so simple question does not have a straight answer. Actually, did not have, because in this module I give the clear answer - HOW DEEP THE IMPLANT SHOULD BE PLACED! Lesson 6. Immediate implant placement in molar region II. Type A, B and C Immediate implants in molar regions can be divided into 3 types - A, B and C. This classification makes diagnosis much easier and allows to determine, how should implant be placed. Maybe we should use super-wide implants? They have been vilified for long, however do offer predictable treatment! Lesson 7. Immediate premolars Immediate premolars can be considered the most easy immediates, certainly, if you know how to place them :) 3 things to consider: 1. Apical stabilisation 2. Mesio-distal stabilisation 3. Both Lesson 8. Restorative secrets of immediate implants Secrets of immediate implant restorations? What are they? Do they exist at all? Some restorative things are important only if implant is placed immediately. This module discusses: 1. Protection channel of the implant 2. Special impression mode for immediates 3. The only material, which can be used for immediate implant restoration Much more of course... Lesson 9. Complications, which could be avoided There is 6 major complications in immediate implants: 1. No primary stability 2. Poor selection of the case 3. Not good 3D position 4. Poor implant design 5. Poor prosthetic treatment 6. Implant loss Lesson 10. Immediate implant placement in anterior zone (Live surgery) This is the video of anterior immediate implant placement, which consists of: atraumatic tooth extraction, implant placement, bone grafting, soft tissue grafting and fabrication of immediate provisional restoration. Lesson 11. Immediate molar placement Type A. Live surgery Classical example how to do hand-guided immediate implant placement in molar region. 12. Immediate molar placement Type B. Live surgery If your septum is not wide enough? Switch to Type B implant placement in molar region. 13. Full arch All-on-5 implant placement. Live surgery Fully guided immediate 5 implants placement with MUA and provisional restoration. Immediate loading
