Full Tilted Implants: Prosthetic and Surgical Protocols

Category: Surgery

Instructor(s):  Enrico Agliardi

Course structure: Lessons: 12 lessons | Duration: 6h 58min

Course overview

Prof Enrico Agliardi welcomes you to FULL Tilted Implants - Prosthetic and Surgical Protocols, the new hybrid course that combines video lectures with clinical videos on anatomical preparation and LIVE sessions with the author concerning the review and discussion of surgical videos.
This course is composed of 4 training modules dedicated to the step-by-step treatment of edentulous patients with severe atrophies through predictable prosthetic and surgical protocols that include the use of tilted implants as an alternative to sinus floor augmentation procedures.

Curriculum

Lesson 1. All-on-4® and V-II-V maxillary surgical protocols and advanced cases

• In this video lecture, Prof. Agliardi focuses on the treatment of atrophic patients with terminal dentition using All-on-4® and V-II-V protocols, as well as trans-crestal, trans-sinusal and hybrid techniques in case of severe atrophies.
• Each technique will be discussed in depth, highlighting their advantages, indications and possible risk factors.
• In particular, this lecture focuses on the following topics:
• How to use the patient’s residual bone in different degrees of atrophy Indications for standard techniques such as All-on-4® and V-II-V
• Indications for complex techniques such as trans-crestal, trans-sinusal and hybrid techniques
• Evaluation of local risk factors (quality and quantity of residual bone)
• The importance of analyzing the patient’s medical history to make a correct diagnosis
• The assessment of the sustainability of the treatment for any given patient

Lesson 2. Tilted implant placement protocol

• In this first clinical video on anatomical preparation, Prof. Agliardi shows the All-on-4® protocol for trans-sinusal and transverse implant placement in patients with severe atrophy.
• In order to highlight the specific characteristics of each technique, the specific entry and end points will be compared with particular reference to the exposure of the canine abutment to illustrate the path of the posterior tilted implants typical of both the All-on-4® and transinusal implant protocols.

Lesson 3. Pterygoid implant placement protocol

• In this second clinical video on anatomical preparation, pterygoid implants will be analyzed by highlighting their path through the maxillary and pterygoid bone, as well as their differences from tuberous implants. Prof. Agliardi discusses in detail the necessary measurement of the proportion of bone available to accommodate the implant, which can only be performed by accessing the pterygoid process through the disconnection of the incisure with the maxillary bone.

Lesson 4. ReLIVE Session with clinical review - April 17th, 2023 - Full Tilted Implants

• During this LIVE Session, Prof. Agliardi reviewed all the topics covered in the theoretical video lecture and Cadaver Labs of Module 1.

Lesson 5. All-on-4® mandibular surgical protocol

• In this presentation, Prof. Agliardi discusses the necessary preoperative evaluations and the main surgical steps of the All-on-4® protocol, paying particular attention to the emergence of the mental nerve and the proper tilting of the implants to avoid possible nerve foramen injury.
• In particular, this lecture focuses on the following topics:
• The emergence of the mental nerve to expose the entry point of the All-on-4 implant protocol
• The correct inclination to treat each degree of mandibular atrophy
• The placement of the prosthetic abutment and anterior implants for the All-on-4 protocol
• The utility of MUAs (Multi-Unit Abutments)

Lesson 6. All-on-4® mandibular osteotomy preparation protocol

• How to place implants in a way that ensures symmetry, proper distribution, and respect for both alveoli?
• In this video lecture on anatomical preparation, you will be shown how to create an entry point without impacting the integrity of the mental nerve, as well as the most appropriate inclination depending on the specific degree of atrophy presented by the patient.

Lesson 7. ReLive Session with clinical review - May 8th, 2023 - Full Tilted Implants

• During this LIVE Session, Prof. Agliardi reviewed all the topics covered in the theoretical video lecture and Cadaver Lab of Module 2. Surgical videos and clinical cases are shown and analyzed by the author.

Lesson 8. Transcrestal and transinusal techniques and zygomatic implant protocol

• In this theoretical video lecture, Prof. Agliardi focuses on complex techniques such as trans-crestal and trans-sinusal techniques integrated with All-on-4® and V-II-V protocols.
• Special attention is paid to zygomatic implants and their anatomical and biomechanical characteristics.
• In particular, this lecture focuses on the following topics:
• How to spot typical signs of vertical dimension loss
• Clinical case of application of the trans-sinusal technique in the V-II-V protocol
• Key points to be observed when choosing zygomatic implants
• When to use zygomatic implants?
• Anatomical and biomechanical considerations for using zygomatic bone

Lesson 9. Zygomatic implant placement protocols

• In this clinical video on anatomical preparation, the protocol of anterior and posterior zygomatic implant placement on a very concave maxilla will be shown step by step. Due to the configuration of this particular maxilla, this will be a ZAGA 2 and ZAGA 4 type of rehabilitation, and therefore space will be left between the zygomatic implant and the vestibular bone of the maxilla.
• In particular, this Cadaver Lab focuses on the following topics:
• The exposure of the zygomatic body and the course of the zygomatic implants through it
• The correct inclination of the zygomatic implants
• The anatomical aspects to be considered in this type of treatment

Lesson 10. ReLive Session with clinical review - May 29th, 2023 - Full Tilted Implants

• During this ReLIVE Session, Prof Agliardi review all the topics covered in the theoretical video lecture and Cadaver Labs of the third module.

Lesson 11. Prosthetic rehabilitation

• In particular, this session focuses on the following topics:
• Pre-surgical prosthetic planning
• Provisional prosthetic rehabilitation
• Definitive prosthetic rehabilitation
• Technical laboratory procedures

Lesson 12. ReLive Session with clinical review - June 19th, 2023 - Full Tilted Implants

• During this ReLIVE Session, Prof. Agliardi review all the topics covered in the theoretical video lecture and clinical case of Module 4. Surgical videos and clinical cases are shown and analyzed.