In planning implant-supported prosthetic rehabilitation, the atrophic edentulous maxilla is very challenging.
Zygomatic implants revolutionized the ability of clinicians to treat the severely atrophic maxilla providing rapid return to function (immediate loading) within a day, even in highly resorbed situations. This dramatically shortens the treatment period and minimizes the surgical procedure, increases the patient’s satisfaction and allows patients with severe maxillary atrophy to return immediately to a high quality of life.
The use of zygomatic implants, however, requires significant training. This 3-day comprehensive course is designed for clinicians who are proficient in rehabilitating the edentulous maxilla with dental implants and want to extend their expertise to Zygomatic implants.
This course is comprised of hands-on sessions on realistic high-quality models and on cadavers, surgerie videos, live surgery (limited to the courses to be held in Israel), and interactive lectures.
This course is composed of state of the art lectures focused on clinically relevant aspects with detailed audio-visual presentations.
You will learn patient selection criteria, diagnosis, treatment planning, surgical and prosthetic protocols, occlusion, complication management, long term patient follow up and many more subjects which will provide the participants with predictable, clinically proven and evidence-based treatment concepts for the advanced management of patients with extremely resorbed maxilla.
Included in this unique and comprehensive course is a step by step guide with practical tips and tricks, with detailed procedural protocol from implant placements to temporization, to impression and final prosthesis.
Innovation in zygomatic implant techniques will be highlighted by Dr. Yossi Kaplavi who, with his extensive experience, is managing very complex maxillary situations.
09:00 – 13:30, 14:30 – 19:00 Theory
- Minimization in Implant rehabilitation. Non-grafting alternatives for rehabilitation of the severely atrophic maxilla.
- When to consider zygomatic implants – How atrophic does it need to be?
- Literature review.
- Patient selection and treatment planning – Pre-operative assessment.
- Histology of the zygoma and review of anatomy relative to zygomatic implants.
- Pre-and postoperative radiographic examinations of the zygoma implant site.
- Indications and contraindications for the use of the zygoma Implants.
- The intermaxillary surgical protocol for zygomatic implants and its modification to extraaxillary.
- The ZAGA classification and the zygoma anatomy-guided approach (Z AGA) – minimally extra-maxillary “graft-less” concept.
- The ABC’s of establishing the implant trajectory.
- Virtual surgical planning, and the use of specific surgical guid es for simplifying the surgical procedure.
- Criteria for successful treatment planning and placements.
- Management of oral and intravenous conscious sedation for the surgical procedure.
- Surgical protocols.
- Various implant designs available from various manufacturers.
- Selection of the ideal multi-unit abutments for zygoma implants.
- The Zygoma Quad Approach: Rehabilitation of an extremely atrophied maxilla using 4 Zygoma Implants.
- Pterygoid implants in addition to zygoma implants-When and why.
- The surgical procedure.
- Different types of immediate provisionals, chair side or dental lab made.
- Delivery of the immediate provisional.
09:00 – 13:30 Zygomatic Live Surgery
14:30 – 19:00 Final prosthetic protocol
- The rational for fixed reconstruction in the maxilla.
- Permanent prosthetic solutions: removable vs fixed. When, how and where.
- Different types of the final prosthesis: hybrid fixed denture, full arch PFM, full arch zirconia bridge, toronto bridge, bar supported overdenture.
- Prosthodontic Implications of fixture head positioning.
- Prosthodontic aspects of zygoma rehabilitation.
- Step by step impression making and prosthetic procedures to restore the full arch on the zygomatic implants, and the laboratory work.
09:00 – 13:00 Hands on
- Quad Zygoma implant placement on realistic high-quality models.
14:00 – 19:00 Complication Management and Case presentations
- Recognize, diagnose, manage and prevent potential surgical and prosthetic complications.
- Post treatment follow up – patient recall (strategies and goals).
- Analysis of clinical cases and clinical patient presentations.
- How to market and to get higher patient acceptance.
- This course is intended for clinicians with experience in placing dental implants.
- Timetable may be subjected to slight changes.
After this 3-day course, the participant will…
- Have a thorough knowledge of the unique advantages of the Zygoma treatment concepts.
- Have a thorough knowledge of diagnosis, treatment planning, surgical and prosthetic phases.
- Be able to review anatomical and biological considerations of the maxilla and zygomatic bone.
- Be able to precisely plan the surgical execution of this treatment protocol.
- Be able to minimize and manage complications.
- Be familiar with prosthetic solutions for zygomatic implants.