Immediate Implant Placement & Guided Bone Grafting: Level II with Dr. Al Panjali (Hands-On)

Course Outline:

• Rationale, indications, contraindications for immediate placement/load, bone grafting & mini Implants
• Detailed, predictable, technique description
• You will understand the graft material selection process
• You will know what works and what doesn’t work
• You will recognize how to avoid and treat complications
• Hands-on exercises will put knowledge to practice

DAY 1

• One stage, Two stage vs. Immediate Placement
• Anatomical considerations and limitations
• Diagnosis and treatment planning
• Soft and hard tissue principles
• Flap designs and periodontal principles utilized in implant dentistry
• Perform atraumatic extractions
• Minimally invasive implant placement
• Understand the mechanics and biomechanics of bone grafting
• Principles of GTR and GBR
• Utilizing the tunneling technique for soft tissue augmentation
• Membranes: Types, techniques, and applications
• Socket preservation and minimally invasive bone grafting
• Clinical cases

DAY 2​

• Soft tissue grafting.
• Tenting and alternate grafting techniques
• Autogenous Bone Grafting: Advantages, disadvantages, harvesting techniques, and block grafting
• Ridge Augmentation
• Inlay and Onlay grafts
• Discuss PRP., PRF, rh – BMP
• Sinus Elevation: Lateral and Crestal approach
• Ridge splitting and expansion
• Full arch treatment (fixed and removable)
• Discuss complications including fractured screws, drills, and implant in the sinus, etc.

HANDS-ON Portion: 

Hands-on exercises are divided into 4 sessions including, treatment planning modalities, immediate implant placement, bone grafting, ridge expansion, suturing techniques, and a lot more.

• Treatment Planning Immediate Implants will start with establishing diagnosis and treatment plans on models for atraumatic extractions, immediate placement, and socket grafting. Different techniques and modalities will be practiced.
• GBR with PRF will include, a detailed hands-on protocol for tenting, venipuncture, PRF and iPRF. Fabrication of sticky bone using PRF and iPRF. Manipulation and usage of sticky bone for socket grafting and other grafting procedures.
• Sinus Elevation Module will include an internal and lateral approach for sinus elevation on models utilizing the hydraulic lift kits as well as the traditional Caudwell luc approach.
• Bone Blocks and Flap Management will include incisions and flap designs on the pig jaw; extraction and immediate placement of dental implants, manipulation of surgical flaps; obtaining of tension-free closure; elongating flaps for primary closure; Ridge expansion and splits using piezosurgery and discs; harvesting blocks and cylinders; tacking membranes using screws for ridge augmentation and 3-step suturing techniques.