This full-day Hands-On Workshop Session will be conducted at Nobel Biocare headquarters in Yorba Linda, California.
Travel will be provided to and from the Nobel Biocare facility. Busses will pick up at 6:30 am outside the West Hall Lobby on Gilbert Lindsay Drive, and will depart promptly at 7:00 am.
8:30 am – noon
The All-on-4® Treatment Concept for the Resorbed Maxilla – Highlight on Implant Design Evolution
Paulo Malo, DMD
This session will discuss the objectives and evidence-based principles for surgical and prosthetic therapy when using the All-on-4® treatment concept to restore complete edentulism and failed dentition cases with a special focus on atrophic maxillae.
The most recent advancements of this technique, as well as new products development by introducing implant line-up extension (longer, shorter, and wider) allow to better address specific clinical situations; because of a wider variety/selection of implant sizes, further graftless solutions can be provided which could not be considered when using other implant systems.
The rehabilitation of the severely resorbed maxilla is a challenge when poor quantity of bone restrains the use of conventional implants. The use of Zygoma implants became a good alternative for the rehabilitation of patients with atrophic maxillae, offering obvious advantages for the patient when compared to other approaches – including bone grafting – of making it possible to restore speech, prosthetic retention, mastication and esthetics following an immediate function protocol.
The Extramaxilla technique has the potential to offer better prospects of clinical success to solve the challenges of atrophic maxillae cases; it can avoid the membrane and sinus approach, also allowing the possibility of greater length of zygomatic bone anchorage. This approach is also advantageous for the prosthetic rehabilitation component, since an improved prosthetic screw exit position can be achieved, thus allowing for a more favorable outcome in terms of biomechanics and in-home patient maintenance.
Upon completion of this presentation, participants should be able to: 1) select the best implant designs/length options for each case type; 2) discuss the indications for the use of the modified technique using Zygoma implants; 3) evaluate the pros and cons of the Extra-maxillary technique; and 4) explain the All-on-4® treatment concept evolution.
1:00 – 4:30 pm
Improving Clinical Outcomes with Digital Advances for Shorter Time to Teeth
Peter Wöhrle, DMD, MMSc
The integrated workflow with digitally assisted treatment planning based on prosthetic outcomes and guided implant placement is here to stay. This treatment approach has been shown to deliver more efficient care with consistently better patient outcomes. Combining intraoral and CBCT data sets with diagnostic and treatment planning skills and properly executed guided surgery based on ideal prosthetics elevates the level of excellence. This treatment modality improves efficiency, safety, and overall patient experience. Emphasis will be placed on the latest developments for a digitally integrated treatment workflow for shorter time to teeth.
Upon completion of this presentation, participants will be able to: 1) recognize the advantages of CT assisted treatment planning; 2) describe the workflow from patient acquisition to delivery of final restoration; 3) explain the different areas throughout treatment where CT or CAD/CAM based tools can enhance outcome; and 4) discuss the various prosthetic techniques and materials used to restore patients with implant-supported restorations.
Sponsored by a grant from Nobel Biocare