Immediate Implantation in the Anterior and Posterior Zone

Immediate Implantation in the Anterior and Posterior Zone

Category: Prosthodontics

Instructor(s): Mark Bishara

Course structure: Lessons: 8 lessons | Duration: 2 h 03 min

Course overview

Immediate implant placement is one of the most demanding procedures in modern dentistry, requiring precision, planning, and risk management.

Learn directly from Dr. Mark Bishara, a world-renowned implant expert, and discover how to select ideal cases for immediate implantation, minimize risk, and manage complications—all in one comprehensive course.

Course lessons

Lesson 1: Immediate Anterior Implants: Planning and Risk Assessment

• Immediate anteriors: when, how, why?
• Single tooth replacement and risk assessment
• Surgical and prosthetic considerations in immediate implantation
• Protocols for restorative space evaluation
• Evaluation of treatment expectations
• Evaluation of the gingival biotype
• Edentulous space characteristics
• Future restoration characteristics
• Aesthetic zone characteristics.

Lesson 2: Aesthetic Zone Implants: Challenges and Solutions

• Nuances and their management in implant placement in the aesthetic zone
• Angulated screw channel (ASC)
• Maxillary anterior implant considerations
• Atraumatic extraction protocols
• Evaluation of implant design for anterior immediate implantation
• Challenges with immediate implants and achieving primary stability
• Biology of bone and osseointegration
• Loading criteria for immediate implantation.

Lesson 3: Treatment Planning and Emergence Profile Fundamentals

• Surgical steps of implantation in the aesthetic zone: full-thickness flap and vertical release
• 3D implant position
• Mesiodistal and orofacial spacing, and performing enameloplasty
• Coronoapical considerations
• Submerged healing
• One-stage or two-stage surgery
• Cover screw or healing cap application
• Timing of soft tissue management
• Techniques at uncovering: punch technique, crestal incision, roll technique
• The importance of the emergence profile and soft tissue contouring
• S-shaped emergence profile
• Temporary crown design
• Application of a custom healing cap.

Lesson 4: Mastering the Peri-Implant Seal: Emergence Profile and Soft Tissue Control

• The peri-implant seal
• The emergence and cervical profile
• Vertical and lateral dimensions of the peri-implant seal
• Peri-implantitis complications
• Application of custom healing attachments
• Digital and analog workflows for managing the emergence profile
• Application of the Cervico Guide system: chairside solution for creating custom healing abutments
• Step-by-step protocols for creating healing abutments
• Analysis of clinical cases: creating a custom healing abutment for an upper canine.

Lesson 5: Immediate Implant Placement in the Mandible

• Indications and case selection
• Anatomical considerations of the mandible.
• Lower incisors:
• Socket morphology and bone availability
• Implant positioning and angulation
• Risk factors and esthetic considerations.
• Lower canines:
• Biomechanical importance and load distribution
• Surgical approach and primary stability
• Soft tissue considerations.
• Lower premolars:
• Bone density and anatomical landmarks
• Implant size selection and positioning
• Prosthetic planning considerations.
• Lower molars:
• Multi-root socket management
• Septal bone utilization and implant placement strategies
• Achieving primary stability in wide sockets.
• Surgical protocols and techniques:
• Atraumatic extraction
• 3D implant positioning
• Managing gaps and grafting when needed.
• Clinical case analysis:
• Step-by-step review of lower jaw cases
• Decision-making and complication management.

Lesson 6: Immediate Implant Placement in the Maxillary Anterior Region

• Maxillary central incisors:
• Socket anatomy and bone availability
• Implant positioning and angulation
• Aesthetic risk factors and midline considerations.
• Maxillary lateral incisors:
• Anatomical variations and challenges
• Implant size selection and positioning
• Soft tissue and papilla preservation.
• Atraumatic extraction
• 3D implant positioning
• Managing the buccal plate and gap grafting
• Clinical case analysis.

Lesson 7: Immediate Implant Placement in the Maxillary Canines, Premolars, and Molars

• Step-by-step review of maxillary canine, premolar, and molar cases
• Atraumatic extraction
• 3D implant positioning
• Multi-rooted socket management
• Septal bone utilization and implant placement strategies
• Achieving primary stability in posterior maxilla.

Lesson 8: Immediate Molar Implants: From Planning to Clinical Success

• Immediate molars: when, how, and why
• Challenges with immediate molars
• Success rate of immediate molars
• Indications for placement of wide immediate implants
• Socket classification
• Evaluation of the extraction socket
• CBCT application in the planning stage
• Implant depth
• Protocols for septum expansion
• Drill-through-the-root technique
• Analysis of immediate implant cases in the molar region.
• Course includes next lessons:
• 17min
• Lesson 1
• Clinical Video
• Immediate Anterior Implants: Planning and Risk Assessment
• Mark Bishara
• Show lesson program
• 22min
• Lesson 2
• Exclusive Library
• Aesthetic Zone Implants: Challenges and Solutions
• Mark Bishara
• Show lesson program
• 10min
• Lesson 3
• Exclusive Library
• Treatment Planning and Emergence Profile Fundamentals
• Mark Bishara
• Show lesson program
• 14min
• Lesson 4
• Exclusive Library
• Mastering the Peri-Implant Seal: Emergence Profile and Soft Tissue Control
• Mark Bishara
• Show lesson program
• Show more (4)
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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.