All-on-X: Comprehensive Guide for Surgeons and Prosthodontists in a Single Course
All-on-X: Comprehensive Guide for Surgeons and Prosthodontists in a Single Course
Course overview
Comprehensive training on treatment of edentulism with the All-on-X concept by a renowned implantology expert, Mark Bishara!
This course covers every stage of treatment of the All-on-X concept, providing a profound understanding and practical skills in both surgical and prosthetic aspects.
What you will learn
Implant positioning
Techniques of partial extraction therapy (PET)
Protocols for bone tissue reduction.
Additionally, the course covers the aspects of prosthetic rehabilitation:
Choosing the future prosthesis design: removable or fixed?
Digital prosthetic protocols
Complications in the treatment under the All-on-X concept.
The knowledge and skills, rooted in Mark Bishara's years of experience, will empower you to become more confident and successful when working with the All-on-X concept.
Course lessons
Lesson 1. Intro to Removable Overdentures. Introductory lesson
Conventional denture and locator overdenture
Fixed vs removable dentures: factors to consider
Advantages of overdentures
Examination protocol:
photography
intraoral examination.
Overdenture vs traditional denture: factors foк success
Communication with patients: helpful tools
Attachment systems and mechanics:
bar and clips
Dolder® Bar.
Locator types
Measuring restorative space
Choosing the optimal number of implants
Maxillary overdentures
Implant location: maxilla and mandible.
Lesson 2. Intro to Removable Overdentures
Conventional denture and locator overdenture
Fixed vs removable dentures: factors to consider
Advantages of overdentures
Examination protocol:
photography
intraoral examination.
Overdenture vs traditional denture: factors foк success
Communication with patients: helpful tools
Attachment systems and mechanics:
bar and clips
Dolder® Bar.
Locator types
Measuring restorative space
Choosing the optimal number of implants
Maxillary overdentures
Implant location: maxilla and mandible
Challenging overdenture cases.
Lesson 3. Treatment Planning for All-on-X
Full arch treatment options: misch categories:
Implant Fixed Prosthesis (FP)
Implant Removable Prosthesis (RP).
Initial patient interview: social and medical history. Red flags in the social history
Advantages, Indications and contraindications of All-on-X
The concept of tilted implants
Bite mechanics and cantilevers
Patient selection considerations
Bone and soft tissue quality and quantity
Choosing the length and diameter of the implant
Malo`s criteria for success treatment
Vertical dimension determination: video guide
Smile line: the transition zone
Bone reduction: alternatives
The principle of implant protected occlusion
Initial consultation: workflow.
Lesson 4. Surgical Steps for All-on-X
Choosing the optimal number of implants
Tilting the posterior implants
Bedrossian algorithm
Immediate load criteria
Torque vs ISQ. ISQ measuring
Multiunit abutments: application protocols
Pre-op surgical steps
Medication protocol
Surgical steps: video demonstration of bone reduction
Anatomical limitations at the surgical stage: vessels
PRF: advantages and disadvantages
Safety checks on mandible and on maxilla
Handpiece speed and drilling recommendations
Implant insertion depth: recommendations
Bone suture: technique
Flap management
Soft tissue management.
Lesson 5. Post Care and Conversion Steps for All-on-X
Post-op care instruction for patients
Post-op care instruction for doctors
Long-term follow-up
Conversion process
Impression phase
Occlusion: PMMA test drive.
Lesson 6. Prosthetic Phase for All-on-X
Acrylic Hybrid: pros and cons
Zirconia: advantages and disadvantages
Component hybrid
Steps for final prosthetics
Step-by-step instructions for each appointment at the prosthetic phase
Failures at the prosthetic phase
Scanning: the "stitching problem"
Scanning vs photogrammetry. Advantages of photogrammetry.
Lesson 7. Fully Guided Full Arch Solutions
Integrated treatment planning
Surgical and prosthetic indications for full arch same day treatment
Steps for a guided surgery solutions: communication, accuracy and surgical time
Smile line: the transition zone determination
CT Scan:
limitations
dual scan technique
dual scan with sure mark stickers.
Lesson 8. Full Arch Digital PETology
The concept of Partial Extraction Therapy (PET):
Socket Shield (SS)Technique
Root Submergence (RS) Technique
Pontic Shield (PS) Technique.
Socket Shield (SS)Technique:
healing mechanism
the long-term results
surgical phase
prosthetic phase.
Lesson 9. Case Examples and Complications
Maxillary implant placement on clinical case
Mandibular implant placement and mandibular bone grafting
Full arch implant rehabilitation and Root Submergence (RS) Technique: protocols
Chrome guided surgery: video demonstration of bone reduction protocol
Dental implants and scleroderma
Crown lengthening and bone reduction guide application on clinical case
Implant failures
Prosthetic failures:
Arch space deficiency
Cantilever issues
Hygiene issues
Poor implant healing
Periimplant disease.
