Oral Implantology

Robert Miller, D.D.S.Chairman

Robert Miller, M.A., D.D.S., FACD, DABOI, HFAAID, FAO

Co-Chairmen

Donald Cooper, D.D.S.
Richard Leong, D.D.S.
Bruce Knecht, D.M.D.
Mark Roberts, D.D.S.
Wolf Schwartz, D.D.S.
Philip Kohn, D.D.S., Periodontal Consultant
John Stone, D.D.S., Prosthodontic Consultant
David Feinerman, D.M.D., M.D., Oral and Maxillofacial Surgery Consultant

Dr. Miller received his B.A. from New York University and M.A from Hofstra University, both in biology. He graduated with honors from New York University College of Dentistry where he received the International College of Dentists Award for clinical excellence. Following graduation, he completed his residency program at Flushing Hospital and Medical Center where he was involved in all phases of dentistry including facial trauma. Dr. Miller is a Board Certified Diplomate of the American Board of Oral Implantology/Implant Dentistry, Diplomate International Congress of Oral Implantologists, Honored Fellow American Academy of Implant Dentistry, Fellow Academy of Osseointegration, and Fellow American College of Dentists. He has served as President of the South Palm Beach County Dental Association and Atlantic Coast District Dental Association. Dr. Miller has lectured nationally on all phases of oral implantology and aesthetic dentistry and is the director of The Center for Advanced Aesthetic and Implant Dentistry in Delray Beach, FL.

The Oral Implantology program is a comprehensive three year course consisting of a one year prosthetic and two year surgical residency. There are 21 full days of instruction consisting of a morning didactic seminar and an afternoon clinical session where the general dentist or specialist can gain experience performing surgical or prosthetic procedures on patients. It is patterned after the AAID Maxicourse.

The morning seminar will provide extensive exposure to a wide variety of surgical and prosthetic implant procedures. The didactic sessions will train the doctor to diagnose and treatment plan simple to more complex dental implant cases. There will also be a comprehensive review and an opportunity to work several major implant systems.

The clinical sessions will provide an opportunity to perform dental implant procedures on live patients. Residents will be assisted by a co-chairman to gain experience in the surgical phase as a prerequisite to working on patients. Surgical procedures will be performed under the guidance and direction of a co-chairman who will be assigned to that case, allowing the doctor to acquire the knowledge, training and confidence needed to incorporate this sophisticated care into their dental practice.

At the end of the program, the resident will have a comprehensive understanding of dental implant procedures. There will also be exposure to and experience with the prosthetic components of each system so that the prosthetic reconstruction may be completed. This program is also designed to prepare the doctor for AAID, ABOI, and ICOI Fellow/Diplomate exams.

Each resident, in addition to treating Research Clinic patients, is expected to provide a minimum of one private patient per year who is a candidate for dental implant treatment. For Research Clinic patients, prosthetic care will be at current Atlantic Coast Dental Research Clinic prosthetic fees. The course is limited to 30 residents with priority given to returning doctors; it is highly recommended that you sign up early if you desire to enroll in this unique program.

The following is the program lecture schedule: 2015-16 begins at lecture #1.

LECTURE #1 – INTRODUCTION TO ORAL IMPLANTOLOGY

  • Introduction to Course
  • History and Rationale for Implants
  • Maxillofacial Anatomy
  • Histology
  • Biomechanics and Occlusion
  • Biomaterials and Surface Coatings
  • Implant Terminology

LECTURE #2 – DIAGNOSIS AND TREATMENT PLANNING

  • Medical Evaluation
  • Pharmacology
  • Indications/Contraindications for Implants
  • Diagnosis
  • Treatment Planning
  • Pre-Operative Workup/Master Diagnostic Model
  • Surgical Templates
  • Reconstructive Classifications
  • Informed Consent
  • Medical Clearance

LECTURE #3 – SURGICAL CONSIDERATIONS AND CLASSIFICATIONS

  • Bone and Ridge Classifications
  • Periodontal Considerations
  • TMJ Evaluation
  • Bone Grafting/Expansion
  • Soft-Tissue Grafting
  • Flap Design
  • Suture Techniques
  • Volumetric Scanning/Digital Radiography
  • Selection of Implant Modality

LECTURE #4 – PROSTHETIC OPTIONS

  • Prosthetic Options
  • Progressive vs. Immediate Loading
  • Attachments and Tooth/Implant Splinting
  • Cement vs. Screw Retained Restorations

LECTURE #5 – PERI-IMPLANT CONSIDERATIONS

  • Esthetics in Implant Dentistry
  • Healing Abutments
  • Temporization for Soft Tissue Healing
  • Implants in Orthodontics
  • Radiation/Chemotherapy
  • Lasers in Oral Implantology
  • Treatment of Ailing/Failing Implants
  • Management of the Failed Implant Case

LECTURE #6 – LABORATORY TECHNIQUES

  • Impression Techniques
  • Communicating with the Laboratory Technician
  • Setting up the Semi-Adjustable Articulator
  • Medico-Legal Considerations
  • Maintenance

LECTURE #7 – MAJOR IMPLANT SYSTEMS REVIEW

LECTURE #8 – IMPLANT SURGERY

  • Submerged vs. Non-Submerged Implants
  • Immediate, Delayed-Immediate and Delayed Placement
  • Tapered vs. Cylindrical Implants
  • One-stage vs. Two-stage procedures
  • Transitional Implants
  • Small Diameter Implants

LECTURE #9 – RIDGE AUGMENTATION PROCEDURES

  • Bone Graft Types
  • GBR/GTR
  • Membranes, Tacks and Screws
  • Titanium Mesh
  • Block Grafts and Ridge Expansion/Splitting
  • Distraction Osteogenesis
  • Bone Growth Factors (rh-PDGF, BMP)
  • Platelet Rich Plasma (PRP)
  • Platelet Rich in Growth Factors (PRGF)
  • Platelet Rich Fibrin (L-PRF)
  • Piezo Surgery

LECTURE #10 – PROSTHETICALLY DRIVEN IMPLANT SURGERY

  • Bar Retained Overdentures
  • Fixed Detachable
  • Marius Bridge
  • “All-On-Four”
  • “Tilted” implants
  • Zygomatic implants
  • Fixed Multiple Unit
  • Single Implants in the Esthetic Zone
  • Immediate Load, Immediate Provisionalization
  • Stereolithic Models, Rapid Prototype and CAD-CAM Milled
  • Surgical Guides

LECTURE #11 – PLATE FORM AND EPOSTEAL IMPLANTS

  • Plate-Form Implants
  • Eposteal Implants
  • Direct Bone Impression
  • CT Procedures
  • CAD CAM custom made implants

LECTURE #12 – TREATMENT OF THE ATROPHIC MAXILLA

  • Sinus Grafting
  • Lateral Wall/Osteotome Approaches
  • Sinus Balloon
  • Immediate vs. Delayed Implant Placement
  • Sinus Repair
  • Grafting the Pre-Maxilla
  • Inlay vs. Onlay Grafting

LECTURE #13 – COMPUTERIZED TREATMENT PLANNING

  • CBCT Volumetric Scanning
  • Implant Planning Software
  • Computer Generated Surgical Guides
  • Active vs. Passive Surgical Navigation

LECTURE #14 – MAJOR PROCEDURES/HOSPITAL DENTISTRY

  • Facial Trauma
  • LeFort Procedures
  • Orthognathic Surgery
  • Segmental Osteotomy
  • Hyperbaric Oxygen
  • Cranio-Facial Applications
  • Sequencing the Complex Implant Case

 

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