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

Category: Prosthodontics

Instructor(s): Mark Bishara

Course structure: Lessons: 9 lessons | Duration: 4 h 59 min

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.

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.

Who is this course for?

This online course is designed for dentists and dental professionals interested in prosthodontics, clinical decision-making and evidence-informed dental practice.