PRACTICAL CLINICAL COURSES A Service of the Gordon J. Christensen Career Development Program

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PRACTICAL CLINICAL COURSES

A Service of the Gordon J. Christensen Career Development Program

V2326

Successful Fixed and Removable Restorations

for Dental Implants

Gordon J. Christensen, DDS, MSD, PhD

Materials Included

C.E. Instruction Sheet

Products List

Clinician Responsible

Goals & Objectives

Overview

References

AGD Post Test

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Gordon J. Christensen

PRACTICAL CLINICAL COURSES

PROCEDURE FOR RECEIVING

ACADEMY OF GENERAL DENTISTRY

AND STATE CREDIT

FOR DVDS

1.

Complete the enclosed Post Test. If more than one person needs to take the test, please feel free

to make additional copies. However, only 2 free tests are allotted to each video purchaser. If

additional tests are needed, the following fees will apply: $25 per test per dentist; $10 per test

per technician; and $5 per test per staff member. This fee can be paid either by check or credit

card when tests are submitted to Practical Clinical Courses.

2.

Complete the demographic information located at the end of the test.

3.

Return the Post Test portion only of this packet to the following address:

Practical Clinical Courses

3707 N Canyon Road

Suite 3D

Provo, UT 84604

Fax: (801)226-8637

[email protected]

4.

Practical Clinical Courses will correct the Post Test. Passing scores are 70% or higher.

a.

If the AGD Box was marked, PCC will send notification to both the applicant and the

Academy of General Dentistry. (The AGD will also notify applicant of credits earned by

printout information.)

b.

If the State Box was marked, PCC will send a certificate of verification to the applicant.

The applicant must then submit this certificate to his/her state board to obtain credit.

c.

If the Both Box was marked, PCC will complete a. & b. above.

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Gordon J. Christensen

PRACTICAL CLINICAL COURSES

Sources of Products Discussed in

V2326 Successful Fixed and Removable Restorations

for Dental Implants

Presented by: Gordon J. Christensen, DDS, MSD, PhD

1. AccuFilm II Parkell Inc. 300 Executive Drive Edgewood, NY 11717 (800)243-7446 (631)249-1134 www.parkell.com 2. Ankylos Dentsply International 221 West Philadelphia Street P.O. Box 872 York, PA 17405-0872 (800)877-0020 (717)845-7511 www.dentsply.com 3. ED Primer II

Kuraray America Inc. 600 Lexington Avenue 26th Floor New York, NY 10022 (800)879-1676 (212)986-2230 www.kuraraydental.com 4. ERA Implant Systems

Sterngold, LLC 23 Frank Mossberg Drive P.O. Box 2967 Attleboro, MA 02703-0967 (800)243-9942 (508)226-5660 www.sterngold.com 5. Implant Company:

Astra Tech, Inc. 890 Winter Street Suite 310 Waltham, MA 02451 (800)531-3481 (781)890-6800 www.astratechusa.com 6. Implant Company:

BASIC Dental Implant System 3321 Columbia NE Albuquerque, NM 87107 (888)888-7564 (505)884-1922 www.basicdentalimplants.com 7. Implant Company:

Bicon Dental Implants 501 Arborway Boston, MA 02130-3663 (800)882-4266 (617)524-4443 www.bicon.com 8. Implant Company:

BioHorizons Implants Systems 1 Perimeter Park South

Suite 230 South Birmingham, AL 35243 (888)246-8338 (205)967-7880 www.biohorizons.com 9. Implant Company:

BIOMET 3i, Inc. 4555 Riverside Drive

Palm Beach Gardens, FL 33410 (800)342-5454 (561)776-6700 www.3i-online.com 10. Implant Company: Dentatus USA, Ltd. 192 Lexington Avenue Suite 901 New York, NY 10016 (800)323-3136 (212)481-1010 www.dentatus.com 11. Implant Company:

Dentsply Tulsa Dental Specialties

5100 East Skelly Drive Suite 300 Tulsa, OK 74135 (800)662-1202 (918)493-6598 www.tulsadental.com 12. Implant Company: Implant Direct LLC 27030 Malibu Hills Road Calabasas Hills, CA 91301 (818)444-3333 www.implantdirect.com 13. Implant Company: IMTEC Corporation 2401 North Commerce Ardmore, OK 73401 (800)879-9799 (580)223-4456 www.imtec.com 14. Implant Company: Intra-Lock System 1200 North Federal Highway Suite 209 Boca Raton, FL 33432 (800)350-9386 (561)447-8282 www.intra-lock.com 15. Implant Company:

Lifecore Biomedical, Inc. 3515 Lyman Blvd. Chaska, MN 55318-3051 (800)752-2663 (952)368-4300 www.lifecore.com 16. Implant Company:

Nobel Biocare USA, Inc. 22715 Savi Ranch Parkway Yorba Linda, CA 92887 (800)322-5001 (714)282-4800 www.nobelbiocare.com 17. Implant Company:

The Straumann Company 60 Minuteman Road Andover, MA 01810-1008 (800)448-8168 (978)747-2500 www.straumann.com 18. Implant Company:

Zimmer Dental Inc. 1900 Ashton Avenue Carlsbad, CA 92008 (800)854-7019 (760)929-4300 www.zimmerdental.com 19. Implant Support Company:

Attachments International, Inc. 600 South Amphlett Blvd.

San Mateo, CA 94402-1325 (800)999-3003

(650)340-0393 www.attachments.com 20. Madame Butterfly Silk

Almore International, Inc. P.O. Box 25214 Portland, OR 97298-0214 (800)547-1511 (503)643-6633 www.almore.com 21. Maxcem Kerr Corporation 1717 West Collins Avenue Orange, CA 92867 (800)537-7123 (714)516-7400 www.kerrdental.com

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22. Multilink Automix

Ivoclar Vivadent, Inc. 175 Pineview Drive Amherst, NY 14228 (800)533-6825 (716)691-0010 www.ivoclarvivadent.us.com 23. NobelDirect

Nobel Biocare USA, Inc. 22715 Savi Ranch Parkway Yorba Linda, CA 92887 (800)322-5001 (714)282-4800 www.nobelbiocare.com

24. NobelReplace Tapered Groovy

Nobel Biocare USA, Inc. 22715 Savi Ranch Parkway Yorba Linda, CA 92887 (800)322-5001 (714)282-4800 www.nobelbiocare.com 25. Omni-Bond

Attachments International, Inc. 600 South Amphlett Blvd. San Mateo, CA 94402-1325 (800)999-3003 (650)340-0393 www.attachments.com 26. OverdentSURE

Palm Beach Gardens, FL 33410 (800)342-5454

(561)776-6700 www.3i-online.com 27. Panavia F 2.0

Kuraray America Inc. 600 Lexington Avenue 26th Floor New York, NY 10022 (800)879-1676 (212)986-2230 www.kuraraydental.com 28. Planmeca Planmeca Inc. 100 North Gary Avenue Suite A

Roselle, IL 60172 (630)529-2300

www.planmecausa.com

29. PreFormance Post

Palm Beach Gardens, FL 33410 (800)342-5454

(561)776-6700 www.3i-online.com 30. Premier Implant Cement

Premier Dental Products Co. 1710 Romano Drive Plymouth Meeting, PA 19462 (888)670-6100 (610)239-6000 www.premusa.com 31. Quad Tray

Clinician’s Choice Dental Products, Inc. P.O. Box 1706 New Milford, CT 06776 (800)265-3444 (519)641-3066 www.clinicianschoice.com 32. RelyX™ Unicem

3M ESPE Dental Products 3M Center Bldg. 275-02-SE-03 St. Paul, MN 55144-1000 (800)634-2249 (651)575-5144 www.3mespe.com 33. Ridge Caliper

Salvin Dental Specialties 3450 Latrobe Drive

Charlotte, NC 28211 (800)535-6566 (704)442-5400 www.salvin.com 34. Sideless Triple Tray

Premier Dental Products Co. 1710 Romano Drive

Plymouth Meeting, PA 19462 (888)670-6100

(610)239-6000 www.premusa.com 35. Sirona Dental Systems

Sirona Dental Systems LLC 4835 Sirona Drive Charlotte, NC 28273 (800)659-5977 (704)587-0453 www.sirona.com 36. Spectra-System® Implant Direct LLC 27030 Malibu Hills Road Calabasas Hills, CA 91301 (818)444-3333

www.implantdirect.com 37. TempoCem

Zenith Dental 242 South Dean Street Englewood, NJ 07631 (800)662-6383 (201)894-5500 www.zenithdental.com 38. Triad Trutray Dentsply International 221 West Philadelphia Street P.O. Box 872

York, PA 17405-0872 (800)877-0020 (717)845-7511 www.dentsply.com

Product names, the products themselves, and company names change rapidly. Please

contact the companies shown to confirm current information.

Gordon J. Christensen Practical Clinical Courses, 3707 North Canyon Road, Suite 3D, Provo, UT 84604 Toll Free (800) 223-6569 or Utah Residents (801) 226-6569

The techniques and procedures on this videotape are intended to be suggestions only. Any licensed practitioner viewing this presentation must make his or her own professional decisionsabout specific treatment for patients. PCC is not responsible for any damages or other liabilities (including attorney’s fees) resulting, or claimed to result in whole or in part, from actual or alleged problems arising out of the use of this presentation.

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PROGRAM

V2326 Successful Fixed and Removable Restorations for Dental Implants

CLINICIAN RESPONSIBLE Gordon J. Christensen, DDS, MSD, PhD

Director, Practical Clinical Courses CEO, CR Foundation

Practicing Prosthodontist, Provo, Utah Adjunct Professor, Brigham Young University

Clinical Professor, University of Utah

GOALS & OBJECTIVES

At the completion of this video presentation, participants should be able to accomplish the following: 1. Discuss the importance of root-form dental implants in dental practice today.

2. Compare the usefulness of implant-supported dentistry vs. conventional dental therapy. 3. Discuss overall health considerations relative to implant placement.

4. Describe the types of radiographs necessary for diagnosis and treatment planning for placement of dental implants.

5. List and discuss the characteristics of the described four types of bone in maxillofacial area, and the clinical implications.

6. List the six characteristics required for “informed consent”. 7. Discuss the types of root-form implants relative to diameter.

8. Discuss the types of root-form implants relative to connection to the abutment. 9. List five popular brands of root-form implants.

10. Discuss immediate loading of implants vs. remote loading relative to long-term success.

11. Discuss making provisional restorations for immediate loading of single-tooth implant restorations and multiple-tooth implant restorations.

12. Compare manufacturer-made abutments vs. custom-made abutments.

13. Discuss cements and cementing for single and multiple-tooth implant restorations.

14. Describe impression techniques for single tooth, multiple tooth, removable partial dentures, and complete dentures when implants are involved.

15. Compare ceramic abutments with metal abutments for implant-supported restorations. 16. Describe the technique for single-tooth implant-supported restorations.

17. Describe the technique for multiple-tooth implant-supported restorations. 18. Describe the technique for implant-supported removable partial dentures. 19. Describe the technique for implant-supported complete dentures.

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OVERVIEW

This presentation is designed to be a useful overview of the broad area of implant prosthodontics, ranging from single-tooth replacements — to multiple-tooth replacements with fixed and removable prostheses — to implant-supported overdentures for edentulous patients. The following and other topics are included:

• The importance of implants in dentistry

• Implants vs. conventional prosthodontic therapy

• Diagnosis and treatment planning including overall health considerations, radiography, bone types, oral hygiene history, and informed consent

• Types of root-form implants

• Brands of root-form implants

• A discussion of selection of the type of dentist to place implants including oral surgeon, periodontist, prosthodontist, endodontist, or general dentist

• Immediate loading of implants vs. remote loading

• Provisional restorations

• The technique for single-tooth implant replacement

• One-piece implants

• Root-form implant abutment connections

• Manufacturer-made vs. custom abutments

• Impressions for direct implant-supported abutments

• Seating and cementing crowns and fixed prostheses over implants

• Impressions at the implant level

• Metal vs. ceramic abutments

• The overall technique for multiple-tooth implant restorations

• The overall technique for using implants with removable partial dentures

• The overall technique for using implants with complete overdentures

• Occlusion on implant-supported restorations

• Practice management tips

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REFERENCES

1. Christensen GJ. Complex fixed and implant prosthodontics: making nearly foolproof impressions. JADA 1992; 123:69-70.

2. Christensen GJ. The most needed application for dental implants. JADA 1994; 125:743-6. 3. Christensen GJ. Implants and general practitioners. JADA 2000; 131:359-61.

4. Christensen GJ. Treatment of the edentulous mandible. JADA 2001; 132:231-3. 5. Jalbout Z, Tabourian G. Glossary of implant dentistry. New York: ICOI; 2004.

6. Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent. 2007 Jun;97(6):340-8. Review.

7. Mijiritsky E. Implants in conjunction with removable partial dentures: a literature review. Implant Dent. 2007 Jun;16(2):146-54. Review.

8. Cooper LF, De Kok IJ, Rojas-Vizcaya F, Pungpapong P, Chang SH. The immediate loading of dental implants. Compend Contin Educ Dent. 2007 Apr;28(4):216-25; quiz 226. Review.

9. Leblebicioglu B, Rawal S, Mariotti A. A review of the functional and esthetic requirements for dental implants. J Am Dent Assoc. 2007 Mar;138(3):321-9. Review.

10. Inversini M. Prosthetic implant treatment of the edentulous maxilla with overdenture. Minerva Stomatol. 2006 Oct;55(10):567-86. Review. English, Italian.

11. Hwang D, Wang HL. Medical contraindications to implant therapy: part I: absolute contraindications. Implant Dent. 2006 Dec;15(4):353-60. Review.

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POST TEST

1. Implant-supported fixed and removable prostheses are better than conventional dental therapy. a. always

b. usually c. sometimes d. never

2. Dense compact bone is classified as: a. D1.

b. D2. c. D3. d. D4.

3. Radiographs that show bone width from facial to lingual are known as: a. bite wings.

b. periapical. c. panoramic. d. tomographic.

4. Informed consent is intended to educate the patient about of the treatment alternatives. a. the most logical

b. the best c. all

d. the least expensive

5. Single-tooth replacement implants may have: a. internal anti-rotational features.

b. external anti-rotational features. c. a one-piece implant and abutment. d. all of the above.

6. When an all-ceramic crown or fixed prosthesis is planned, implant abutments should be used if possible.

a. metal b. ceramic c. one-piece

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POST TEST (cont.)

7. So called “mini” or small-diameter implants are less than mm in diameter.

a. one b. two c. three d. four

8. When making an impression of an implant at the implant level:

a. stability of the impression coping in the impression is the most important challenge. b. proper seating of the impression coping on the implant is the most important challenge. c. accuracy and stability of the impression material is the most important challenge. d. all of the above are important challenges.

9. Small-diameter implants, “minis” are:

a. usually loaded immediately after placement. b. usually loaded at least 4 months after placement.

c. more difficult to place than conventional-diameter implants. d. not yet approved by the FDA.

10. Natural teeth are:

a. just as rigid in place in the bone as implants. b. never to be connected to implants.

c. to be extracted before placing implants, if they have significant mobility. d. more caries prone when located next to implants.

PLEASE PRINT

Name

Name of video purchaser (if different from above) Address City/State/Zip Phone No.

Indicate which type of credit you wish to obtain AGD State Both AGD No.

State License No.