How do I know if a case is suitable for me?

The Partner in Implantology programme is designed to equip you with the knowledge and skills to restore straight forward cases. By so doing you will grow in confidence and may aspire to further training to tackle more complex cases. Success breeds success and happy patients will be strong ambassadors for the treatment you have offered and been involved in.

So how do you tell what is straightforward and what isn’t?

The FGDP have published guidelines on training for implant dentistry, in which they help us classify straightforward and complex cases. As with any new discipline this is an invaluable aid in deciding what to tackle and what to refer (initially).

Categorisation

Few treatment episodes will fall exactly into either category, but the definitions here should help to identify the degree of complexity and potential risks involved in individual cases. Dental practitioners can then better match cases to their level of experience and skills, at the same time as determining their professional development and training requirements.

Perception of case

Straightforward:

You can easily visualise the end result and the treatment stages are predictable. There are no aesthetic risk factors.

Complex:

The end result cannot be easily visualised without extensive diagnostic and planning techniques.Treatment will include multiple stages to achieve the desired outcome and may involve multidisciplinary planning.Complications are more likely to occur than with straightforward cases. The aesthetic requirements or limitations of the case are high, as are the expectations of the patient.

Age and Medical History

Straightforward:

The patient is fit to undergo routine oral surgical and restorative treatment procedures. There are no medical risk factors.

Complex:

Due to age or physical/medical compromise, the patient will require special care and management. Consideration will need to be given to the duration of the required procedures and the complexity of any remedial action that may be required should complications occur.

Tooth position

Straightforward:

The teeth to be replaced conform to the existing arch form, and the adjacent and opposing teeth easily determine the optimal prosthetic tooth position. There are no aesthetic risk factors.

Complex:

There are no adjacent teeth, or those present are in an unsuitable position. There is a need to carry out extensive diagnostic procedures to determine the optimal tooth/implant position for aesthetics and function.

Implant Surgery

Straightforward:

The implant surgery procedure is without anatomically related risks and can be carried out without the need for significant hard tissue grafting (this includes onlay bone grafting and sinus grafting).

Complex:

There are no adjacent teeth, or those present are in an unsuitable position. There is a need to carry out extensive diagnostic procedures to determine the optimal tooth/implant position for aesthetics and function.

Periodontal Status

Straightforward:

The patient has healthy periodontal status or requires only straightforward mechanical periodontal intervention to eliminate minor pocketing or bleeding and improvement in plaque control.

Complex:

The patient has active periodontitis with advanced horizontal/vertical bone loss and tooth mobility. There are lifestyle issues or co-morbidities such as smoking, diabetes or bruxism.

Placement Timing

Straightforward:

Delayed after hard and soft tissue healing.

Complex:

Immediate placement.

Loading Protocols

Straightforward:

Implants are loaded after a conventional period of 8 to 12 weeks.

Complex:

Implants are loaded/temporised immediately or soon after their placement (early loading)

Maintenance

Straightforward:

Dental hygienist or clinician provides oral hygiene advice and manages implant mucositis or peri-implantitis with non-surgical periodontal therapy.

Complex:

Surgical management of peri-implantitis or implants that require removal by surgical approach.

[nectar_woo_products product_type=”all” category=”courses” columns=”3″ orderby=”date” order=”DESC”]

 

 

 

Sign Up To Our Mailing List And Keep Up To Date