FP-1: Battle of Concepts and New Trends 2024

Category: Prosthodontics

Instructor(s): Gianluca Paniz, Alberto Pispero, Sergio Piano, Leonello Biscaro, Denis Cecchinato, Mario Beretta, Luca Cordaro, Andrea Nicali, Federico Rivara, Christian Barbieri, Francesco Zingari

Course structure: Lessons: 11 lessons | Duration: 9 h 03 min

Course overview

"FP-1: Battle of Concepts and New Trends" is the how-to-do-it video course on state-of-the-art techniques for full-arch rehabilitation with immediate loading and both analog and digital approaches.

Each video lesson is completed with an exemplary clinical case to help you put into practice the procedures and techniques shown.

The speakers will also engage in several battles of concepts to discuss the best prosthetic solutions and working protocols to adopt in different clinical scenarios.

IAO’s top-class experts explain how to integrate analog and digital methods to develop effective and predictable protocols for planning and executing even challenging full-arch rehabilitations with immediate loading.

Thanks to this practice-oriented learning experience, you'll learn more about the latest materials and trends for FP-1 full-arch rehabilitation and gain precious insights into providing patients with fast, minimally invasive treatments to restore both aesthetics and function from a biological perspective.

Topics covered in the course:
-Battle of concepts: conometric vs screw-retained prosthesis
-Battle of concepts: analog vs digital workflow
-Key concepts in diagnosis and planning
-New trends in guided surgery and prosthetic treatment
-New materials and technologies to create a virtual patient
-Rationale behind implant selection for prosthetic support
-Treatment of highly-compromised patients: soft and hard tissue deficiencies
This video course is particularly recommended to all professionals involved in implant-prosthetics who want to undertake a complete and timely update to manage full-arch rehabilitations, even challenging ones, with immediate loading using both analog and digital workflows.

Curriculum

1. Immediate Loading Rehabilitation of Patients with Terminal Dentition: Analog and Hybrid Approach

• This learning experience offered by IAO begins with a video lecture focused on the protocols for full-arch rehabilitations in edentulous patients and in patients with terminal dentition.
• Dr. Biscaro presents two clinical cases of full-arch rehabilitation with immediate loading.
• For the first clinical case, Dr. Biscaro demonstrates the management of immediate loading with a fully analog procedure, with each phase of the treatment explained step by step, from planning, prosthesis construction, wax-up, and tooth extraction up to implant placement, prosthesis delivery, and maintenance.
• In the second clinical case, a simplified digital procedure is used, following a hybrid protocol. The case planning is done digitally, while the wax-up remains conventional.

2. Rehabilitation of Fully Edentulous Patients with Immediate Loading: Fully Digital Workflow

• Following the exploration of analog and simplified digital workflows, Dr. Pispero discusses the steps involved in the fully digital workflow for the full-arch rehabilitation of edentulous patients.
• Dr. Pispero demonstrates how this approach follows a top-down planning method, where the digital prosthesis is created first, followed by the planning of implant placement.
• Participants will gain an in-depth understanding of each aspect of the digital workflow, from planning to surgery and prosthetic placement. Thanks to various clinical clips, you’ll also learn how to test the mock-up and position and how to stabilize the surgical guide with pins, ensuring optimal surgical access for both implant placement and drilling protocols.

3. From the Provisional to the Definitive: Analog and Digital Workflow

• In this lesson, Dr. Paniz explains how to manage the transition from provisional to definitive restorations using both analog and digital methods.
• In particular, the speaker focuses on the goals of prosthetic finalization: to reduce prosthetic complications and minimize the duration and number of sessions with the patient. Additionally, an in-depth comparison between screw-retained and cemented prostheses is presented, as well as the best materials to use for final restorations.
• Participants will learn how to manage delicate phases typical of this transition, such as addressing minor aesthetic or occlusal issues, changes in masticatory dynamics, and tissue resorption problems.

4. Tilted and Short Implants Protocols in FP-1 Rehabilitation

• In this lesson, Dr. Denis Cecchinato explains how to manage a full-arch rehabilitation, covering the process from surgery to prosthetics.
• The speaker thoroughly discusses his gold standard for the modern treatment of fully edentulous patients, which is based on using only four implants to support the complete prosthesis.
• Participants will appreciate the potential, predictability, and effectiveness of using tilted and short implants, which offer comparable qualities to standard implants.

5. Appropriate Type of Prosthesis: Inclusion Criteria

• In this lesson, Dr. Sergio Piano shifts the focus to the planning of full-arch rehabilitations and the inclusion criteria that are key factors in determining the appropriate type of prosthesis for each patient.
• The speaker also discusses the challenges posed by the standardization of full-arch rehabilitations and emphasizes the need for customized and personalized treatment plans.
• Participants will learn how to effectively manage the facial profile analysis stages to assess the vertical positioning of the bony bases, horizontal resorption of the mandible and maxilla, and the placement of dental elements.

6. Patients with Soft and Hard Tissue Deficiencies: Digital Approach

• This video lecture focuses on managing full-arch rehabilitations using a digital approach in patients with severe soft tissue defects and bone volume deficiencies.
• Through various clinical cases, Dr. Beretta demonstrates how a digital approach can be applied even when a reductive osteoplasty is necessary to create space for the prosthesis or to level the alveolar ridge.
• The speaker then comments a surgical video of guided reductive osteoplasty with an open flap and anatomical structure isolation.

7. Battle of Concepts: Treating Edentulous Jaws – Analog vs Digital Approach

• In this video lecture, participants will witness a fascinating debate between Drs. Cordaro and Piano on the choice between analog or digital approaches for treating edentulous jaws.
• The speakers discuss the advantages and limitations of each approach, emphasizing that rather than a strict division, the focus should be on the potential interactions between these workflows.
• The speakers show how the digital workflow makes clinical execution of rehabilitations faster, simpler, less stressful, and minimally invasive, though it comes with higher costs and requires an initial learning curve.
• On the other hand, Dr. Cordaro explains how the analog approach remains a gold standard for planning simpler cases, mixed prostheses on teeth and implants, and overdentures.

8. Battle of Concepts: Complex Full-Arch Rehabilitation: Conometric vs Screw-Retained Prosthesis (pt.1)

• This and the following video lessons are part of a Battle of Concepts between Drs. Nicali and Rivara, who compare their gold standards regarding the type of prosthesis to use in complex full-arch rehabilitations.
• In this first presentation, Dr. Nicali discusses conometric solutions for full-arch immediate loading rehabilitations using a digital approach.
• The speaker focuses on the "One-Prosthesis One-Time" protocol, which involves guided surgery, at least four implants for prosthetic support, customized conometric abutments, and a mock-up for previewing the future tooth position.

9. Battle of Concepts: Complex Full-Arch Rehabilitation: Conometric vs Screw-Retained Prosthesis (pt.2)

• Following the discussion of the characteristics, protocols, and advantages of conometric prostheses, this lecture features Dr. Rivara presenting an overview of screw-retained solutions.
• Participants will observe a complex clinical case involving a patient with terminal dentition, experiencing masticatory and aesthetic deficits, who will be treated with an All-on-4 immediate load on both the upper and lower arches.
• Dr. Rivara explains the distinctions between FP-1, FP-2, and FP-3 prostheses, illustrating the rationale to follow in order to predictably choose the appropriate type for each case.

10. Battle of Concepts: Planning FP-1 Prosthesis: Analog vs Digital Approach (pt.1)

• In this lesson, Dr. Barbieri focuses on managing the pre-therapeutic phase for totally edentulous patients: from selection and inclusion to diagnosis and the development of a prototype for designing the prosthesis.
• In particlar, this lecture covers the following topics:
• Factors that the prosthodontist must consider during the pre-therapeutic phase
• Selection, inclusion, diagnosis, and prototype development
• How to assess the patient’s cognitive abilities and level of independence
• How to identify the morphology and body of the prosthesis by evaluating cranio-mandibular relationships, vertical dimension, and occlusion

11. Battle of Concepts: Planning FP-1 Prosthesis: Analog vs Digital Approach (pt.2)

• Dr. Zingari focuses on the interaction between STL files derived from facial and intraoral scans and their matching with the diagnostic wax-up.
• The speaker illustrates how to visualize the patient’s available bone and correctly position the implants using modular guides.
• In particlar, this lecture covers the following topics:
• How to maintain the vertical dimension in immediate loading full-arch rehabilitations
• The advantages of digital scanning compared to static frontal photography
• Flapless and flap surgery techniques
• The use of the facebow and the registration of patient trajectories
• The characteristics and function of axiography