Course & Training: Advanced Dental Imaging And 3D Diagnosis When Treatment Planning Dental Implants.

COURSE OVERVIEW:

This two-day course is designed to provide implantologists of all levels the ability to confidently integrate three dimensional diagnosis and treatment planning in their daily practice.  The program will consist of lectures and case presentations, over-the-shoulder hands-on computer software training, practical hands-on exercises and a live-surgery demonstration during which use of the computer generated surgical guide and accessories will be demonstrated. In addition, anatomical interpretation and sequential diagnostic protocols for implant planning and placement will be taught and explained. On the second day simulated surgical implant placement will be practiced on computer generated models from the scans submitted by attendees. In the afternoon there will be a live surgery demonstration during which a computer generated surgical guide and accessories will be demonstrated.

COURSE OBJECTIVES:

Upon completion of this course, attendees will be able to:

  • Understand the importance and advantages of cone-beam imaging.
  • Assess implant recipient site anatomy three-dimensionally.
  • Differentiate abnormal findings versus artifacts.
  • Identify vital structures and tagging them on a CBCT study.
  • Utilizing software tools to enhance visualization and diagnostics.
  • When to refer to an ENT for further evaluation.
  • Identify the prosthetic need for site preparation and/or preservation.
  • Cone beam CT evaluation using a sequential diagnostic protocol.
  • Perform interactive treatment planning on your own computer.
  • Utilize CBCT and virtual implant planning software to increase case success.
  • Know how to order and customize surgical guide design for each case.
  • Understand the workflow from obtaining a scan, to ordering surgical guides.
  • Utilize the In Vivo surgical guide drill handle kit.
  • Decision making when purchasing a CBCT unit.
  • Medico-legal ramifications of CBCT.

 

RECOMMENDED PREREQUISITES:

  1. Submission of a basic dental implant case you plan to treat in your practice after attending the course.
  2. A laptop computer with enough processing power to download and utilize the InVivo software during and after the course.
  3. All participants to this course will receive a free 60-day fully functional version of InVivo 5 implant planning software installed on their laptop computer.

Please contact Charles Banh for more information on the above listed items at 408-885-1474 or by email at charles@anatomage.com.

SCHEDULE:

FRIDAY, JUNE 7, 2013: ADVANCED CLINICAL CURRICULUM

7:30 am Registration/Continental Breakfast
8:00 am CBCT Technology
9:30 am Patient case review (Scanning to surgery)
10:30 am Live surgery demonstration
12:00 pm Lunch (provided)
1:00 pm Treatment planning (Clinical, Radiographic, Adv planning methods)
2:30 pm Implant selection
4:00 pm Temporization techniques –case review

 

SATURDAY, JANUARY 8, 2013: HANDS-ON

8:00 am Interactive treatment planning (on your computer)
9:30 am Actual cases planning (case submitted by attendee)
10:30 am Simulation order of a surgical guide
1:30 pm Lunch (provided)
2:30 pm Hands-on implant placement with surgical guide and 3D model
4:30 pm End of Course

LODGING/LOCATION:

This 3D diagnosis and treatment planning program will be held at Miles of Smiles Implant Dentistry located at 801 Wayne Ave, Suite #G200 in Silver Spring, Maryland. Sessions on both days will start at 8 a.m. and end around 4 p.m. Lodging information will be sent upon receipt of your registration.

CANCELLATIONS AND CHANGES:

Full refunds may be granted only if notification is received no later than May 20, 2013. Cancellation after this time will result in a $350 processing fee. We cannot assume responsibility for losses due to participant travel arrangements.

REGISTRATION

This is a two-day course, 12 CE (continued education) credits will be awarded and full tuition for both days is $599. International Academy of Ceramic Implantology Members (IAOCI) save $100.

           Full Tuition: $599.00

           IAOCI Member: $499.00

           First-time IAOCI Members: $199.00 (Must sign up by May 17, 2013)

If you are not yet a member of the IAOCI you can sign up for a one year membership ($395.00) at www.IAOCI.com/join. All IAOCI memberships will be verified before you are enrolled in the course.

This course has limited space and only ten (10) doctors will be able to attend this session.

FOR FURTHER INFORMATION PLEASE CALL RONETTA AT 301-588-0768 TO REGISTER.

Using Cone Beam CT (CBCT) Technology To Plan Complex Implant Placement In The Maxilla

This is a case report published in Prexion3D’s December 2011 newsletter.  All phases of this case were completed by Dr. Noumbissi. A patient had a missing tooth in the anterior maxilla, 3D dental imaging technology (CBCT) and software (InVivo5) were utilized to adequately and accurately plan the placement and temporization of a metal free zirconia dental implant.

The  CBCT radiation from the Prexion is extremely low compared to medical CT scanners. The InVivo 5  software was used to perform virtual implant placement prior to surgery. From the  implant placement simulation a surgical guide was generated using CAD/CAM technology.  The surgical guide was then utilized to place the implant in a precise manner allowing for much safer and more predictable implant placement.
Sammy Noumbissi DDS MS

Using Cone Beam CT (CBCT) Technology to Plan Zirconia Implant Placement in a Bone Deficient Site.

 

Accurate And Precise Implant Size Selection And Placement Planning Using (CBCT) Scan Technology

The case presented here details the process by which Dr. Noumbissi uses dental Cone Beam Computed Tomography (CBCT) technology also commonly called 3D dental imaging to diagnose and plan the course of treatment for all our implant patients. This technology has been available in our practice since 2007. The images obtained from the CBCT are reconstructed with a specialized software called InVivo5 (www.Anatomage.com).

The diagnostic aspect of  the InVivo5 software allowed Dr. Noumbissi to visualize the patient’s bone and determine prior to surgery the volume (height and width) and the quality (density) of the bone at the projected implantation site. Critical anatomical structures like the floor of the nose in relation to the implant were also evaluated in a three-dimensional manner.

The implant planning aspect of InVivo5 software made it possible for Dr. Noumbissi to select the precise implant size and type specifically indicated to replace this patient’s front tooth. A surgical guide was also generated from the CBCT data;the surgical guide makes it possible for Dr. Noumbissi to transfer the virtual plan to the patient during implant placement.

Immediate Replacement of a Front Tooth With a Zirconia Implant from Sammy Noumbissi DDS MS on Vimeo.

Sterilization And Patient Safety

OUR OFFICE USES STATE OF THE ART STERILIZATION TO ENSURE PATIENT SAFETY.

Sterilization and disinfection are the basic steps in instrument processing and surface asepsis. Sterilization refers to the use of a physical or chemical procedure to destroy all forms of microorganisms, including the highly resistant spores.

WE USE RAPID STEAM AUTOCLAVE AT 275º F(35PSI), FOR 15-20 MINUTES

First, the instruments are prepared for the sterilization process. Patient debris and fluids are removed by placing the instruments in 3.2% glutaraldehyde for 40 minutes. Following this pre-disinfection step the instruments are transferred to an ultrasonic cleaner for another 15 minutes. Then the instruments are rinsed, dried, placed in self sealing sterilization pouches and sterilized in the autoclave. Instruments which can not be heat sterilized, are immersed in 2% glutaraldehyde for 10 hours to cold sterilize.

WE USE BIOLOGICAL, CHEMICAL AND MECHANICAL INDICATORS TO MONITOR OUR STERILIZATION PROCESS.

Using bacterial spores to monitor the sterilization process is referred to as biologic monitoring (or spore-testing), and the bacterial spores used for monitoring the sterilization process are referred to as biologic indicators (BIs). Of the three methods, biologic monitoring is regarded as the most valid for monitoring the sterilization process, for it uses live, highly resistant bacterial spores.

We biologically monitor our sterilizer once a week to ensure complete sterilization using spore strips and keep accurate records for our monitoring. These strips are enclosed in a glassine envelope and processed through the sterilizer. They are then sent to our spore testing center where they are tested for live spores.

Chemical monitoring involves using chemical indicators (CIs) that change color or form when exposed to specific high temperatures or to the sterilizing conditions within a sterilizer. This is referred to as chemical monitoring (or process monitoring). We use sterilization pouches that have special marking that change color when subjected to sterilizing temperatures.

Mechanical monitoring involves observing and recording the physical aspects (e.g., temperature, pressure or time) of the cycle when the sterilizer is being operated. Our Sterilizer is serviced regularly to ensure proper functioning.

Technology

STATE OF THE ART TECHNOLOGY

Our State of the art facility is equipped with the most advanced technology available. We offer 3D dental imaging, Computer guided surgery, ultrasonic bone surgery, metal free dental implants and soft tissue laser therapy.

  • Digital X-rays
  • Intra Oral Camera
  • Sterilization and Patient Safety
  • Prexion – Dental CAT Scan (Cone Beam Computed Tomography)
  • Sony MD2GO High Definition Surgery camera
  • InVivo Dental Treatment Planning Software
  • Heine Surgical Loupes (Magnification for accurate and minimally invasive surgery)
  • PiezoSurgery (Ultrasonic Bone Surgery)/ No drilling during surgery
  • Ceraroot Ceramic Dental Implants
  • Ceraroot metal-free Ceramic implants
  • Z-Systems metal- free (ceramic) implants
  • X-Lase 1064 laser/Scalpel-free gum and implant surgery
  • DIO Implants
  • W&H Surgical Motors

Guided Bone Regeneration & Bone Graft

GUIDED BONE REGENERATION IS THE PROCESS BY WHICH BONE IS REGENERATED IN A DEFICIENT PROSPECTIVE IMPLANT AREA AND IN SOME CASES AROUND A TOOTH THAT HAS LOST SOME BONE.

This method of bone augmentation requires not only the bone material (graft) but also a barrier membrane to exclude gum tissue from invading the slower forming bone. Therefore the bone materials used in this case must be carefully selected because they need to be conductive at the very least. In other words the graft material must allow and facilitate your own bone forming cells to migrate into the graft and allow or trigger (inductive) your bone forming cells to use it as a scaffold for new bone formation and deposition.