certificate Courses

ORAL AND MAXILLOFACIAL IMPLANTOLOGY

 
COURSE CONTENT :
MODULE  I
1.1
Scope and evolution of implant dentistry & future directions in implant dentistry  
1.2
Anatomy of Maxilla & Mandible (post extraction healing). 
1.3
Physiology of bone.
1.4
Bone remodeling and types of bone.
1.5
Basic principles of diagnosis and treatment planning.   
1.6
Biomaterials – titanium, graft materials
1.7
Sterilization and Asepsis – Dr S M Kotrashetti.
1.8
Osseointegration. 
 
  1. Concept of Osseointegration.
  2. Biomechanics of Osseointegration
1.9
Implant prototypes and different systems.
 
  1. Design of each implant
  2. Endosteal implants
  3. Submucosal implants
  4. Subperiosteal implants
  5. Blade implants.
  6. Transosteal implants.
1.10 Indications and contraindications for Implant therapy. 
1.11 Special emphasis on:
 
  • Diabetes Mellitus
  • Smoking
  • Steroid therapy
  • Irradiation
  • Alcohol abuse
   
MODULE  II
2.1 Examination of oral cavity  .
 
  • Assessment of existing dentition and periodontal status.
  • Oral hygiene status 
2.2 Edentulous ridge
 
  1. Type and classification
  2. Soft tissue and bony evaluation
2.3 Pre prosthetic surgery     
2.4 Intermaxillary space evaluation.
2.5 Determination of prognosis
2.6 Radiological assessment
 
  • OPG, IOPA
  • CT Scans
  • Ball bearing templates
  • Study casts
  • Photographs
  • Templates.
2.7 Fabrication of radiographic splint.
2.8 Designs for edentulous patient treatment.
2.9 Designs for partially for edentulous patient treatment.
2.10 Number of implants.
 
  • Single tooth / multiple teeth implants.
  • One stage / Two stage implants
2.11 Surgical exposure of implants.
 
  • Use of Implant software for case planning.
  • Marketing of Dental Implant Practice
  • Patient Communication regarding Implants
  • Importance of Membership in Professional Organisations
  • Importance of Study Clubs 
   
MODULE  III
3.1 Basic principles of surgery  
 
  1. Surgical instruments.
  2. Preparation of patient.
  3. Anesthetic options – LA/GA/IV Sedation
  4. Flap design
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
3.10
3.11
Preparation of the implant site  .
Implant placement
Suture materials and suturing techniques. 
Post operative care  
Post operative complications and management. Healing after implant placement) .
Implant designs, indications and uses.
Evaluation and selection of implant placement.  
Choice of proper implant 
Immediate loading implants 
Intra and extra oral applications
   
MODULE  IV
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
4.12
4.13
4.14
4.15
4.16

Impression materials.
Impression techniques. 
Fabrication of study and working cast.
Fabrication of template
Provisional restoration.
Prosthodontic options in implantology.-
Study of abutments.
Use of  Surveyor.
Use of Milling machine.
 Precision attachments.
 Fabrication of prosthesis.
 Evaluation of Prosthesis.
 Occlusion in Implantology.
 Immediate implantation.
 Immediate delayed implantation.
 Esthetics in Implantology.

   
MODULE V
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9

Soft tissue grafting.  
Bone grafting.
Sinus lift-
Ridge augmentation.
Guided Tissue Regeneration.
Distraction Osteogenesis.
Peri Implant Regenerative therapy. 
Decision making on ailing and failing implants 
Future consideration

   

    MODULE – VI
    Exams (Theory, Clinical & Viva-voce)

    SCHEME OF EXAMINATION
    Theory : 100 Marks
     
    Type of question papers

    1. MCQ                                         : 1 X 25 = 25 Marks
    2. Long Essays                          : 2 X 10 = 20 Marks
    3. Short Essays                         : 5 X 05 = 25 Marks
    4. Short Answers                       : 10 X 3 = 30 Marks 

    Practical : 75 Marks
    Viva voce : 25 Marks

    PRACTICALS

    1. Identify and name various implant designs and components.
    2. Training in dummy implant placement in typhodont and animal model.
    3. Prosthetic hands-on on models
    4. GBR & GTR hands-on on models and animal bone

    CLINICALS

    • Evaluation of the patient’s medical status.
    • Fabrication of study casts splints and drilling stents.
    • Diagnostic Imaging and Radiographs.
    • Sterilisation of: 
    • Instruments.
    • Surgical atmosphere.
    • Technique of washing and draping the patient
    • Assisting
    • Implant placement (1st stage surgery)
    • Abutment placement (2nd stage surgery)
    • Impression procedures.
    • Prosthodontic rehabilitation.
    • Independent placement of implant and completing restorative procedure. Each candidate should place a minimum of 03 implants preferably in of the following situations. (The implants + additional cost are to be borne by the candidate and can get his/her patient by self or the patient available in the department can be used.)
      • Edentulous mandible.
      • Edentulous maxilla
      • Single tooth replacement
      • Distal extension cases