VISTA Treatment of Fully Edentulous Immediate Function 2021

Educational Objectives

Decision tree for the treatment of terminal dentition:

• Saving teeth vs. extraction

Prosthetic aesthetics:

• Smile design
• Extraoral and intraoral landmarks
• Fundamentals of full-arch implant prosthetics

Treatment planning for full-arch prosthesis:

• Considerations for maxilla vs. mandible
• Opposing arch considerations
• Patient preferences and expectations

Loading considerations:

• Primary stability, biologic basis
• Immediate vs. delayed restoration

Implant planning:

• Implant selection, position, numbers and orientation

Digital workflow:

• Prosthetic and surgical planning
• Guided surgery
• Prosthetic design
• Immediate-load prosthesis
• Definitive prosthesis

Prosthetic solutions:

• Fixed vs. removable

Prosthetic design:

• Cantilever length
• Prosthetic space requirement
• Abutment selection
• Material selection

Surgical guide

• Digital vs. analogue
• Surgical and prosthetic positions

Surgical protocol:

• Flap design and management
• Suturing technique under fixed or removable prosthesis
• Osseous resection guidelines:
  • Bone crest correction
  • Prosthetic space creation
  • Smile line consideration
  • Consideration for prosthesis contour
• Soft tissue management
  • Mucosal phenotype (biotype) conversion therapy
  • Vestibular depth extension
  • Contour augmentation
  • Anatomic considerations
    • Surgical anatomy
    • Maxilla vs. mandible
    • Contour augmentation
    • Consideration for prosthesis contour

Steps for fabricating a conversion prosthesis. Complications:

• Prevention and management

Pre- and post-operative Care:

• Antibiotics and antiseptics
• Analgesics
• Anti-inflammatory agents
• Nutritional and herbal supplements