Certification in Comprehensive Oral Implantology
MASTERS OF SCIENCE IN DENTISTRY

This course will provide historical perspectives on implantology, the goals of treatment and an understanding of the diagnostic and treatment modalities necessary to properly treat patients requiring implant dentistry. Residents will learn to meet the patient before meeting the mouth (determining the patient’s needs, desires, motivations, and goals), to provide an organized approach to examination, taking records, patient evaluation, obtain appropriate tests and radiographs and formulate a clinical decision-making tree (vertical treatment planning) and to recognize and incorporate an interdisciplinary approach to treatment planning.

This course develops a competency for medical evaluation techniques, medical history evaluation, pharmacological evaluation, systemic pathologies and how they can impact the occurrence of both short and long-term complications as they relate to dental implant therapies. Residents will be provided with algorithms to follow for creating prudent medical evaluations for when it is acceptable to treat patients and when treatment should not be undertaken. Residents will review patient-based medical-laboratory tests, values, and evaluation of medically compromised patients. An immersive history of physical diagnosis training provides residents with a unique experience to learn from several esteemed doctors.

Aseptic and operating room sterility is one of the foundational principles for successful implant and regenerative surgery. Residents will be taught an in-depth knowledge and proficiency of sterilization techniques for surgical instrumentation, aseptic preparation of surgical rooms, patient, and operation theatre. These principles will be followed for every surgery performed within the residency program. The different surgical procedures taught will be presented to give residents an understanding of each, the reason for them, and their desired outcomes including potential complications.

The course includes introduction to sedation, levels of sedation, management of the medically compromised patient, airway management, patient monitoring, management of medical emergencies, advanced cardiac life support, venipuncture, and pharmacology leading to an understanding in conscious sedation. In addition to didactic instruction in moderate sedation, residents will practice scenarios in a simulation center, building competence in airway management of a compromised airway.

This course teaches an in-depth comprehensive approach to diagnosis and treatment planning from initial medical and dental history, chief complaint, clinical examination, evaluation of natural teeth, indications and contraindications for dental implants, biomechanics, ideal number and location of dental implants, bone augmentation and soft tissue management. Extra-oral and intra-oral imaging/photography skills will be taught for proper documentation and treatment planning.

A detailed study of the anatomic features including skin, fascia, muscle, blood supply, and nervous innervation will be presented as the foundation for proper surgical procedures.

This course will develop an in-depth understanding of the development, structure and role of the mandible and the maxilla and the physiology/repair of bone.

This course emphasizes the practical application of digital technology to provide laboratory support for the implant practice. This course teaches an understanding of the practical application of CAD/CAM technology to digitize the pre-surgical and restorative workflow. Residents will utilize three-dimensional imaging to design a variety of pre-operative models and surgical guides. This includes pre-operative stereolithic models, scan appliances, surgical guides, provisional and final restorations. Three dimensional printers will be used to fabricate these models and guides. Residents will scan, design, and mill provisional and final crown and bridge restorations.

This course teaches the acquisition and interpretation of two and three-dimensional radiographic images with an emphasis on the application to the practice of implant dentistry. This course teaches radiographic analysis of structures in the head and neck including normal and pathologic conditions of the teeth and supporting structures, paranasal sinuses, temporomandibular joints, maxilla, and mandible. Implant sites will be evaluated for prosthetic suitability, quantity and quality of available bone and proximity of vital structures. Virtual implant placement will be used when appropriate.

Residents will present cases to their peers and course instructors for analysis and discussion. An online forum for case presentation will provide a shared experience among the residents to develop clinical acumen.

Each resident will serve a caseload of patients or be involved in required hours of clinical care.

The course reviews levels of sedation, airway management, patient monitoring, management of medical emergencies, venipuncture, and pharmacology leading to an understanding in conscious sedation. Following the Moderate Sedation I course, the resident will receive sufficient clinical experience at an accredited clinical site to demonstrate competency in those techniques including clinical administration of conscious sedation on 20 patients.

Residents will present cases to their peers and course instructors for analysis and discussion. An online forum for case presentation will provide a shared experience among the residents to develop clinical acumen.

Residents will develop an understanding of how to design research projects by identifying which issues to study, developing a hypothesis, formalizing research questions, considering specific independent and dependent variables, checking the validity of the existing literature, and evaluating the outcome of the research project. Each resident will prepare a question to be investigated and design a research project with appropriate methodology and evaluate the findings.

This course provides an in-depth understanding of oral and maxillofacial surgical procedures will be demonstrated through various procedures.

Each resident will serve a caseload of patients or be involved in required hours of clinical care.

This course will utilize multiple presenters with in-depth experience and competency in different techniques to train residents to often contradictory treatment options. Detailed treatment steps will be taught with the intention of making correct surgical decisions based on evidence based, scientific literature as it relates to the subject.

This develops an understanding of Artificial Intelligence and its developing and future role within the medical field.

An in-depth understanding of head, neck, and plastic surgery surgical procedures will be demonstrated through various procedures.

An in-depth understanding of head and neck cancer surgical procedures will be demonstrated through various procedures.

The anatomy, function, histology, and pathology of the maxillary sinus will be given. This will be followed by the history of its development and a review of different techniques currently being used. The management of complications and revisions will be covered. Residents will critically evaluate the scientific literature as it relates to the subject.

Each resident will serve a caseload of patients or be involved in required hours of clinical care.

This develops an understanding of Artificial Intelligence and its developing and future role within the medical field.

Residents will critically evaluate the scientific literature as it relates to the subject. For over 60 years the use of overdentures has been a hallmark of oral implantology. The benefits of restored function and esthetics with overdenture prostheses are well documented. From the original subperiosteal implants to the ramus frame and root form implants with superstructures or simply ball retention post, all facets of overdenture therapy will be presented. Additionally, from the single tooth replacement to full arch, fundamental concepts of implant retained fixed prosthodontics will be taught to the residents with an emphasis on esthetics (form) and biomechanics (function). Principles of occlusion will be presented as well as different restorative materials available to achieve the restorative goals. Residents will critically evaluate the scientific literature as it relates to the subject.

Residents will be taught the importance of proper business management of implant practices. The development of personal leadership style will be the guidepost for business development. Systems development techniques and materials will be presented. Sound financial practices will be taught as pertaining to practice acquisition and start-ups. Staff (hiring, firing, and training) development and retention practices will be taught. Marketing strategies will be taught and developed for implementation.

An in-depth correlation between the surrounding tissues of teeth and endosteal implants will be taught and a current review of periodontal therapy/treatment/surgical procedures will be presented. An understanding of the etiology of the condition of peri-implantitis, including its etiology and treatment will also be studied.

This course will deliver a deeper understanding of details and variations encountered when performing these different surgical procedures, which residents have already observed: Nerve Repositioning, Onley Bone Grafting, Maxillary Sinus Augmentation, Autogenous Bone Augmentation, TVO™ Procedures, Extra Oral Augmentation Procedures, Laser Therapy, and Advanced Implant Procedure.

Residents will present cases to their peers and course instructors for analysis and discussion. An online forum for case presentation will provide a shared experience among the residents to develop clinical acumen.

Each resident will serve a caseload of patients or be involved in required hours of clinical care.

This course will develop an understanding of the concept, history, design, fabrication, placement, prosthetic restoration, and maintenance of ramus frame implants. The information in this course, combined with in-depth surgical training, demonstrates advances in comprehensive oral implantology training.

This course will develop an understanding of the concept, history, design, fabrication, placement, prosthetic restoration, and maintenance of sub-periosteal implants.

Residents learn how long-term health can be better predicted when implants are surrounded by stable keratinized gingiva. Coursework will illustrate multiple creative ways to move gingiva to new locations and function as stable gingiva resulting in stable bone that improves the prognosis of dental implants. Residents will critically evaluate scientific literature as it relates to the subject. Knowledge of cellular biology and histo-morphological differences between soft tissue around natural teeth and soft tissue around implants will be gained. Management strategies for preservation of natural and esthetic architecture and surgical site development through soft tissue manipulation or augmentation will be taught for reconstruction and re-establishment of esthetic soft tissue.

Piezo surgery has brought a level of safety to Nerve Lateralization which has never been possible before. Techniques will be taught which will open the possibility of this procedure to be performed by our residents. Residents will critically evaluate the scientific literature as it relates to the subject. Vertical bone loss in posterior mandibular areas can result in bone being unable to receive implants without unacceptable risks of nerve injury. Successful moving of the inferior alveolar out of the mandible can then permit implant placements. This procedure has been safely used within the AAID for 45 years. The results will be presented. Current techniques with non-rotary cutting have eliminated much of the risks and will be taught. Onlay bone blocks will be demonstrated as a frequent component of this treatment.

History of autogenous grafting procedures will be discussed. Residents will learn harvesting procedures for intra-oral and extra-oral techniques. Vascularized grafts, triple grafts, and other intraoral procedures will be taught for the purpose of regenerating lost vertical and horizontal ridges. Histomorphology core samples will be evaluated for comparison against allografts and xenografts.

An overview of currently available laser for dental surgery will be taught. Specific LASERs and their indication of use and treatment modalities will be taught in detail. Osseous surgery, soft tissue surgery, TMJ therapy and peri-implantitis therapy with LASERs is also a part of this course.

This class will introduce residents to an understanding of what is current knowledge of sensory nerve physiology and nerve related pathology. Combined with laboratory training, micro- vascular nerve repair will likely become a component of resident’s clinical choices.

This course will provide residents with an understanding of these conditions and their influence relating to comprehensive oral implantology treatment.

Residents will present cases to their peers and course instructors for analysis and discussion. An online forum for case presentation will provide a shared experience among the residents to develop clinical acumen.

Each resident will serve a caseload of patients or be involved in required hours of clinical care.

An in-depth, specific criterion of esthetics with relationship to spatial arrangements and smile display will be taught. Smile design will be based off of skeletal form, as well as masticatory and speech function. Immediate implants in the esthetic zone and the management of potential esthetic pitfalls, along with the management of osseous and soft tissues with delayed restorations are a part of this course.

Multiple designs of implants and methods of placements are in current use. An understanding of the indications and contraindications of the contemporary choices will be covered. The surgical steps for successful outcomes will be presented and demonstrated. This course will involve multiple course instructors presentations to provide in-depth experience in and competency in different techniques to expose residents to often contradictory treatment options. Detailed treatment steps will be taught with the intention of making correct surgical decisions a habit and not a guess. Residents will critically evaluate the scientific literature as it relates to the subject.

Guided bone regeneration principles, the use of cellular exclusion membranes, and the indications of use will be taught in this course. Included in this topic will be the specific use of titanium mesh, poly-galactic acid mesh, Polytetrafluoroethylene mesh, and several types of collagen for reconstruction of the alveolar ridge shape. Indications of use, procedural steps, and complication management will be taught.

Residents will report on the progress of their selected topics and discuss the challenges which have been faced and the solutions which have been found. The course instructor will monitor and assist during these classes.

Each resident will serve a caseload of patients or be involved in required hours of clinical care.