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International Focus on Healing

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Root Implant Process

INFOH'S Implant Program

INFOH's oral implant program is designed for the general practitioner who desires the knowledge and skill to plan effectively, place and restore oral implants. The training doesn't stop there. Students also learn about implant maintenance and how to solve associated complications that occur.

This program includes lectures, practical activities (hands-on), and clinical practice on patients in the surgical and prosthetics aspects of dental implants. Students earn 186 participation CE credits hours.

“I took a course that the focus was only about implant placement with little over the shoulder guidance and no follow-up. This comprehensive approach to implants is exactly what this doctor ordered! Dr. Sanz is a wizard.“

INFOH's Live Patient, Three-Session program is structured in 3 one-week gatherings. Students meet in Guatemala City, Guatemala, at 4-month intervals with other attendees from around the world.

Main Topics Covered in the Course (Course Work Provided in English and Spanish)

  • Biological Basis of Osseointegration
  • Surgical Protocol
  • Socket Preservation
  • Impressions in Implant Dentistry
  • Single-Tooth Replacement
  • Partial Edentulous Replacement
  • Implant Maintenance
  • Complications in Implant Dentistry

Students attend lectures, literature review and group discussions of the ongoing cases to further enhance the learning process. Each case from planning to completion is reviewed and is the mainstay of this program. Program activities are developed Program activities are developed by the academic staff, invited professors, and implant companies' staff for "hands-on" sessions.

Session I

  1. Biological Basis of Osseointegration
    In this session, we will introduce the basic concepts of Osseointegration. Why implants work and why they're today's standard of care.
    • Implant characteristics: Macro and Micro design and Implant surfaces.
    • Prosthetic options on implant dentistry.
    • How to approach a case.
    • Methodology: lectures, discussion of the selected literature, and "hands-on" sessions.
  2. Surgical Protocol
    This session deals with the basic concepts of implant surgery. An introductory lecture on implant surgery and a workshop is included.
    • Students' Case Presentations and Discussions
    • Hands-On Surgical Protocol
    • Imaging in Implant Dentistry
  3. Impressions in Implant Dentistry
    In this activity, students receive instructions on how to take implant impressions for single, as well as multi-unit cases. Different techniques will be covered.
    • Close Impressions
    • Open Impressions
    • Impression Post for Conventional Impressions
    • Digital Impressions
    • Hands-on: Impressions in Implant Dentistry
  4. First Clinical
    • Selection and Discussion of Cases
    • Students Present Selected Cases after Clinical Activities each day
    • Implant and Prosthetic Selection for each Individual Case
    • Surgical Procedures
    • Prosthetic Treatment

Session II

  1. Socket Preservation
    In this lecture, students gain basic knowledge of bone resorption and remodeling after a tooth extraction. We will discuss the related literature. What can be done? Learn how to preserve a socket.
    • Consequences of the Tooth Extraction
    • The Use of Bone Substitutes in Socket Preservation
    • The Use of L PRF in Socket Preservation
    • How to Proceed
  2. Surgical Guides
    What is a surgical guide? How to develop one? How to use one? The advantages and disadvantages of using a surgical guide will be discussed.
    • Classification of the surgical guides.
    • How to fabricate a surgical guide.
    • Hands-on surgical guide fabrication.
    • When to submerge the implant.
    • When to leave it exposed.
      In the second stage surgery: The connection lecture, we'll discuss the advantages and disadvantages in the second surgery.
    • Surgical techniques to increase the results in the second surgery will be covered.
  3. Single-Tooth Replacement
    A single missing tooth is a common scenario in restorative dentistry. Single-tooth replacement will most likely comprise of an increasing percentage of prosthetic dentistry in the future. Anterior single-tooth replacement is more complex than in other regions of the mouth due to the aesthetic commitment. In this session, students receive instructions for strategic treatment of posterior and anterior single-tooth replacement. Students also receive instructions regarding immediate implant placement in fresh extraction sockets.
    • Classification of Implant Placement in Terms of Time
    • When is it possible to Place an Immediate Implant
    • Atraumatic Tooth Extraction
    • 3D Implant Installation
    • Implant Placement in an Anterior Fresh Socket
    • Implant Installation in a Posterior Fresh Socket
  4. Second Clinical
    • Selection and Discussion of New Cases
    • Students Present the Selected Cases each day after the Clinical Activities
    • Students Present the Status of Patients Treated in the Prevision Session. (4 months ago)
    • Implant Selection and Prosthetic Selection for each Individual New Case
    • Surgical Procedures
    • Prosthetic Treatment

Session III

  1. Partial Edentulous Replacement
    The goal of implant dentistry is—not only to replace a patient's missing teeth, but—to restore normal contour, comfort, function, aesthetics, speech, and health, regardless of the previous atrophy, disease, or injury of the stomatognathic system. It is the overall final restoration design and not the implants that accomplish these goals. The prosthesis should be designed first, to ensure the patient's satisfaction and comfort, and the implant placement must be driven by the prosthetic design.
    • Classification of Partially Edentulous Arches
    • Prosthetic Design
    • Implants: How Many and the Distribution
    • Splinted or Non-Splinted Implants
  2. Maintenance of Dental Implants
    Dental Implants, as well as teeth, require constant care. Periodontal disease can also affect implants. Peri-implant mucositis and peri-implantitis have been recognized as the main biologic complication of oral implants. In this session, students will analyze reading materials and discuss various protocols on how to minimize and treat both diseases.
    • Case Definition of Peri-Implant Mucositis
    • Case Definition of Peri-Implantitis
    • Treatment Protocols for Peri-Implant Mucositis
    • Treatment Protocols for Peri-Implantitis
    • Maintenance Protocols
  3. Complications with Dental Implants
    Complications in Implant Dentistry can be divided into four main groups: biological, mechanical, Iatrogenic complications, and lack of patient adaptation. (Esposito1998) Another classification of clinical complications with implants and implant prosthesis recognizes 6 main categories: surgical complications, implant loss, bone loss, soft tissue complications, mechanical complications, and phonetic or aesthetic complications. (Goodacre 2003)
    In this session, we will review the most frequent complications in Implant dentistry, and we will discuss the solutions that can be found in the literature.
    • Biological Complications
    • Mechanical Complications
    • How to Solve the Most Frequent Complications
    • How to Minimize Complications with Oral Implants
  4. Third Clinical
    • Selection and Discussion of New Cases
    • Students Present the Selected Cases each day After the Clinical Activities
    • Students Present the Status of the Patients Treated in the Previous Session (4 months prior)
    • Implant Selection and Prosthetic Selection for each Individual New Case
    • Surgical Procedures
    • Prosthetic Treatment
    • In this Last Session, Students Present the Final Part of their Treatments