Principles of Implant Dentistry
This course, which is based on an internationally recognized curriculum, will be presented in a modular format both online and in a pre-clinical setting. Implant education for both the surgical and restorative phases of treatment will be carried out in a generic manner, that is, to discuss issues central to implant dentistry rather than over-emphasising system-specific issues.
Our presenters have been chosen with a wide range of implant experiences and system uses. The importance of the restorative dentist and a restoratively driven treatment plan in dental implant therapy is emphasised. Each of the modules will provide core information, however, during later stages of the course issues inherent to four major implant systems will be discussed at length.
This course has been organised to provide information relevant to more experienced practitioners and, also is to encompass issues related to maintenance and dealing with implant dentistry complications. Central to this course will be the emphasis on appropriate treatment planning to ensure clinical success in this ever-expanding field.
At the conclusion of the course, successful completion of an on-line assessment will fulfill the requirements for award of the ITI Certificate in Implant Dentistry.
The online content for this program, must be completed in full before attending the face-to-face preclinical sessions at the Melbourne Dental School on 29, 30, 31 August 2023.
Please note: Upon enrolment into this program, access to the Canvas Community for the online learning will be granted at the end of January 2023.
CPD Credit: 55 Scientific CPD hours
- Theoretical: Foundation level knowledge in implant dentistry.
- Clinical: To be able to maintain peri-implant tissue health and implant prostheses; and manage simple complications. To be able to restore Straightforward single tooth cases
There are six modules associated with this program, each outlined in detail below. Accompanying each of these modules will be links to videos and supplemental learning provided by ITI. While you do not need to be a member of the ITI to access these supplemental learning modules, ITI recommend that if you would like to have access to wider content and materials to further support your continued studies, membership is advised. Each module associated with this program, also has a short McQ to reinforce your knowledge as you move between each of the modules.
Please note that the online content for this program, must be completed in full, BEFORE attending the face-to-face hands-on sessions at the Melbourne Dental School on 29, 30, 31 August 2023.
Module 1 lecture topics
- Implants in Dentistry: Clinical applications of implants for the fixed and removable replacement of teeth / Dental Implant vs conventional tooth replacement modalities
- Tissue Integration: Osseointegration, bone and bone healing / Soft tissue around teeth and implants – similarities and differences
- Implant biomechanics: Mechanical behaviour of tissues and prostheses under load
- Implant survival and success: Definitions of survival and success / Current evidence implant and prosthesis survival and success
- Monitoring and maintaining peri-implant tissues: Baseline records (probing pockets, radiographs) and monitoring / Monitoring and maintenance / Oral hygiene education / Protocols for mucositis management / Protocols for peri-implantitis management and when to refer
- Monitoring and maintaining implant prosthesis: Occlusal assessment / Risks posed by occlusal forces, parafunction / Recommended guidelines
Module 2 lecture topics
- Anatomy: Basic anatomy of the dento-facial region / Overview of anatomical structures with relevance to implant dentistry
- Pharmacology: The relevance to implant dentistry
- Principles of Radiography: ALARA, ALADA, 2D and 3D imaging for implant dentistry
- Biosafety: General principles for dental practice / Aseptic protocols, clean versus sterile
- Oral surgery: Equipment and instruments for dentoalveolar surgery/ General principles of flap design / Principles of flap management for implant surgery, including periosteal releasing incisions
- Post-operative care and healing abutment management
- Implant systems: Criteria for selecting an implant system
- Legal and ethical aspects: Documentation and record keeping, including photographic records / Informed consent
Module 3 lecture topics
- Structured assessment: Anamnesis/patient history/ Social factors
- Medical risk factors: Common systemic risk factors that may influence dental implant management
- Dental risk factors: Oral hygiene, chronic periodontitis, caries risk, salivary flow
- Site assessment: Bone and soft tissues
- Additional investigations: Diagnostic articulated dental casts, wax-up and set-up / Radiographic templates / Photography
Module 4 lecture topics
- Principles of guided bone regeneration: Biological principles of GBR / Indications for GBR
- Principles of bone management for implant site preparation: Surgical factors relating to achieve successful osseointegration
- Tooth extraction: Wound healing following tooth extraction and implications for implant dentistry / Principles of ridge preservation / Rationale / Techniques and healing outcomes
- Loading Protocols: Definitions / Indications for immediate loading
- Surgical technique 1: Dentsply Sirona implants / Description of key features of Dentsply Sirona
- Biological principles of bone grafting: Basics of bone biology / Classifications of bone grafts and substitutes / Healing of bone grafts / Clinical examples of bone grafts in various indications
- Surgical Technique 2: Straumann Dental Implant System / Description of key features of Straumann system
Module 5 lecture topics
- Prosthodontically driven treatment planning: Prosthodontic planning principles for implant dentistry / The prosthodontic "work-up" / The influence of implant position on restorative options and long-term outcomes
- Recording implant position and soft tissue form: Open tray and closed tray impressions / Indexing implant position / Emergence profile impressions
- Implant connections: Advantages and Disadvantages: Direct to fixture / Cross pin / Cemented / Angle corrections screws
- Implant Abutments: Common usage key abutments in the Dentsply implants / Nobel Biocare / Straumann systems
- Provisional implant restorations: Indications / Laboratory-fabricated provisionals / Direct provisionals
- Delivery of the fixed implant prosthesis: Protocol for prosthesis delivery: Step by Step / Evaluation of a prosthesis prior to delivery / Try-in and delivery / Torque settings
- Occlusion in relation to implant prostheses: Clinical relevance / Recording occlusion / Fitting and adjusting / Maintenance
- Overdentures: Principles of implant retained overdentures
- Incorporating Implant Dentistry into general practise: Practical tips to incorporate restorative implant dentistry into daily clinical practise.
Face-to-Face Hands-on laboratory sessions to be held at the Melbourne Dental School and completed before final Module (6) include
Pre-clinical exercises on:
- Implant models: Instruments for implant monitoring and maintenance and plaque and calculus removal
- Models: Atraumatic Extraction and Ridge Preservation / Placement of a Dentsply Sirona Implant system implant / Placement of a Straumann dental implant
- Covering open tray impressions to incorporate the emergence profile
- Meet the components with Nobel Biocare/ Straumann / Dentsply Sirona
- Direct temporization / Fabrication of implant provisional restorations
- CBCL (Case based collaborative learning): Cases to be provided for participants to discuss in groups and to assess case complexity and establish risk profile (includes dental chart, radiographs, photographs)
Module 6 lecture topics
- Diagnosing and managing biological complications: Management strategies for biological complications with implants
- Technical and hardware complications: Identifying causes and managing technical and hardware complications
- Aesthetic complications: Aetiology and management of aesthetic complications
- The digital workflow: Overview of the digital workflow in implant dentistry
Online Examination Details
- The ITI Exam is based on the ITI online Academy Modules.
- The presenter’s notes should reflect what is outlined in the ITI modules.
- The final ITI online exam will run for 90 minutes and will consist of 60 multiple choice questions.
- PIN access to the exam will be organised and given to all participants.
- The pass mark for the exam is 60%. You will not receive an ITI certificate if you do not receive a mark of at least 60%. You will however still receive your CPD hours even if you do not pass the exam. These two certificates are separate.
- The exam is open book, but participants are encouraged to not spend too much time sifting through notes as you may not finish the exam in the allotted time. The exam will automatically shut off after the 90 minutes.
- There will be a zoom feedback session after the online examination where you will be given your results and non-participant-specific feedback provided.
- This exam will be held on Thursday 12 October 2023 via Zoom.
Associate Professor Roy Judge is Director of Continuing Professional Development and Head of Prosthodontics at the Melbourne Dental School as well as the Academic Clinical Director of the Melbourne Dental Clinic. Roy is chief investigator of the Evident Study "Implant Complications in Practice: A Prospective Study". He is Chair of the Examination and Curriculum Review Committee of the Academy of Australian and New Zealand Prosthodontists and Chair of the Melbourne Dental School, Mentor Committee. Roy is also in specialist Prosthodontic practice in Essendon.
Dr Bevan Chong completed his Bachelor of Dental Surgery at the University of Otago, New Zealand in 2005. After several years in public and private practice in New Zealand and Australia, Dr Chong pursued his specialist prosthodontic training at the University of Sydney, receiving his Doctor of Clinical Dentistry (Prosthodontics) in 2013. He was also awarded membership of the Royal Australasian College of Dental Surgeons in Prosthodontics. Since completing his specialist training, Dr Chong has been involved in teaching prosthodontics at graduate and postgraduate levels at the University of Sydney as a specialist clinical educator and a member of the Planning Committee for the Doctor of Clinical Dentistry (Prosthodontics) program. He also maintained a specialist position at Westmead Hospital. He continues to be involved in prosthodontic education as a clinical supervisor at the University of Melbourne. Dr Chong is an invited reviewer for the International Journal of Prosthodontics. He is a member of the International College of Prosthodontists, Australian Prosthodontic Society, Academy of Australian and New Zealand Prosthodontists, New Zealand Dental Association and Australian Dental Association.
Dr Hossam El-Haddad is a specialist prosthodontist in private practice Prosthodontics Plus in Essendon, in addition to Tasman Prosthodontics in Launceston. He graduated from Ain Shams University in Cairo, Egypt in 2006, and worked in both public and private sectors before relocating to Australia in 2010. Hossam obtained a Fellowship of the Royal Australasian College of Dental Surgeons in 2015, and graduated with a Doctorate of Clinical Dentistry in Prosthodontics from the University of Melbourne in 2018. He continues to be involved in prosthodontic education as a lecturer in the Prosthodontics Department at the University of Melbourne. He is a member of the International Team for Implantology, the Australian Osseointegration Society, and he's a committee member of the Australian Prosthodontic Society as well as the Victorian representative on the Federal Committee of the APS.
A/Professor Jaafar Abduo received his BDS (Otago, New Zealand), DClinDent (Otago, New Zealand), MRACDS (Pros). His current position is as Senior Lecturer in Prosthodontics and Convener of the Postgraduate Diploma in Clinical Dentistry (Implants) and Convenor of Removable Prosthodontics at the Melbourne Dental School. His research interest are in the areas of CAD/CAM dentistry, Removable prosthodontics, Implant biomechanics and Dental occlusion. Jaafar’s teaching interests are in the areas of Fixed and removable prosthodontics, Oral implantology and Evidence based prosthodontics.
Dr Gaurika Sud is a registered specialist prosthodontist. She received her Doctor of Clinical Dentistry in Prosthodontics (DCD) from the University of Melbourne. Prior to specialization, she worked as a general dentist in private practices in regional Victoria and in New Zealand. Gaurika has been involved in teaching as a clinical supervisor at the Melbourne Dental School since 2012. A regular continuing professional development program lecturer, she is also an examiner for the Australian Dental Council and President of her local ADA (Australian Dental Association) group. She is a committee member of the Australian Osseointegration Society (AOS Victorian branch) and a member of Australian Prosthodontic Society. Gaurika enjoys all aspects of prosthodontics with particular interest in use of digital technology for aesthetic dental treatments. She specialises in treatment of patients with complex dental problems using crowns, bridges, implant supported prostheses and removable dentures. Gaurika can be contacted at Manningham Dental Specialists Suite 6, 195 Thompsons Road, Bulleen Victoria 3105, Phone: 03 9850 8344
Dr Luan Ngo is a periodontist working in private practice in Carlton. He has taught extensively at both the undergraduate and postgraduate levels at the Melbourne Dental School for the past 5 years. Luan is the outgoing President of the Australian Society of Periodontology (Victorian Branch) and a Fellow of the Royal Australasian College of Dental Surgeons. Luan's research interests are in Periodontal diagnostics and disease biomarkers.
Professor Ivan Darby is Head of Periodontics and Convener of the Postgraduate Periodontic program at the Melbourne Dental School. He graduated with a BDS (1991) and completed his PhD (2000), both from the University of Glasgow. In 2006 he received his FRACDS(Perio). Ivan is a specialist periodontist working part-time in Moonee Ponds. His research interests include periodontal and surgical implant treatment outcomes and bone regeneration. He has published widely in peer-reviewed journals and serves as editor of Periodontology. A Fellow of the ITI, Ivan has lectured locally, nationally and internationally.
Dr Alice HS Huynh is a female Specialist Periodontist who speaks Cantonese, Mandarin and Vietnamese (as well as English). Alice is a registered specialist periodontist under the Dental Board of Australia. She specializes in periodontal treatment and dental implants. Alice graduated from the University of Melbourne (2007) with BDSc (Hons). She than worked at the Alfred Hospital in 2008 where she gained increased experience in working with medically compromised patients and developed an interest in surgery. Since then, she has worked in private practices in Melbourne and embarked on her DCD in periodontics in 2012 at the University of Melbourne and graduated in 2014. Her research thesis was on the proteome (the proteins found in various tissues) of gingival fluid in healthy, gingivitis and periodontitis. This has been accepted for publication in a peer reviewed journal. Alice is a member of the Australian and New Zealand Academy of Periodontists, the Australian Society of Periodontology and the Australian Dental Association.
Dr Andrew Tucker maintains a Specialist Periodontal and Implant practice in Melbourne. He has taught postgraduate periodontics and implant dentistry at University of Melbourne for over 10 years. Dr Tucker is a Fellow of RACDS and the Royal College of Surgeons and Physicians (Glasgow).
Dr Shayne Callis graduated BDS with distinction in 1985 at The University of the Witwatersrand, Johannesburg (Wits) and was the recipient of awards for Periodontology, Maxillofacial and Oral Surgery (Lester Brown award), Conservative Dentistry and Pharmacology (Jan Breyer award). He graduated M Dent in the field of Periodontics and Oral Medicine (Wits) in 1991 and maintained a private practice in Johannesburg and a post graduate teaching position at Wits until 2001. He has served on the committees of the South African society for periodontics and the South African society for dental implantology and was the president of the latter society for a 2-year term. He attained the Australian Dental Certificate in 2000 and has been in full time practice in Balwyn since 2002. His clinical interests are in the management of periodontitis, both surgical and non-surgical and dental implants. He has been a clinical demonstrator in the post graduate clinic at Melbourne University since 2004 and has also served as an examiner for Melbourne University. He is a fellow of the ITI.
Dr Benedicta Wong completed her BDS in New Zealand in 2005 and subsequently worked in Mackay for Queensland Health. She then moved to practice in both the public and private sectors in Malaysia. She returned to Melbourne in 2011 to complete her specialist training in the field periodontics in 2013. Since then, she has been practicing in Melbourne as a specialist periodontist and is and ITI Fellow who is actively involved in continuing education activities.
Dr Adam Rosenberg graduated with a BDS from the University of Witwatersrand, Johannesburg, South Africa and obtained his Masters Degree in Periodontology from the University of North Carolina at Chapel Hill USA. Dr Rosenberg is in full time clinical private practice in Melbourne. Dr Rosenberg is actively involved in continuing professional development both nationally and internationally. Fields of interest include periodontal plastic surgery, implantology and guided bone and tissue regeneration.
Dr Paul Wright completed his undergraduate degree at Melbourne University in 1979, attaining his Bachelor of Dental Science degree with Honours. After a period in general practice and an extended sojourn travelling overseas, Paul commenced postgraduate studies in 1985 obtaining his Fellowship of the Royal Australian College of Dental Surgeons in 1987. In 1988, he joined Dr Harley Moffatt in East Kew, forming an associateship in 1989. Paul has a keen interest in the scientific basis of clinical procedures and strongly believes in continuing education as a prerequisite to delivering the highest standard of dental care to his patients.
Mr Andrew Bridgeman is a specialist Oral and Maxillofacial Surgeon in private practice. He graduated BDSc, and MBBS from The University of Melbourne and has a Masters Degree in Oral and Maxillofacial Surgery from the same university. He completed his specialist fellowship in 1999 and undertook further post-fellowship training in the United Kingdom in the surgical management of head & neck oncology. He has multiple journal publications and has a special interest in Orthognathic surgery and surgical implantology.
Mr Mark Barit obtained his undergraduate dental qualification at the University of Melbourne for Dentistry and Medicine 1999 and 2005 respectively. Mark has worked in many hospitals in Australia and overseas in the UK. He received his Oral & Maxillofacial Surgery Training through the Victorian Training Program, involving rotations through various Melbourne Hospitals (The Royal Dental Hospital, The Alfred Hospital, Austin Hospital, Royal Children’s Hospital, Southern Health and The Royal Melbourne Hospital). Mark then undertook a Clinical Fellowship in Oral & Maxillofacial Surgery at University Hospital Aintree & Alder Hey Children’s Hospital, in Liverpool UK. During this time he worked with various subspecialty Oral and Maxillofacial Units including: the Head & Neck Oncology and Reconstructive Team, the Cleft / Craniofacial and Facial Deformity Teams. Additionally, Mark was heavily involved in the management of numerous facial trauma cases which were managed by the Maxillofacial Surgery Unit.
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