Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is...
Transcript of Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is...
![Page 1: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/1.jpg)
Orientation
Prosthodontics
Asbjørn Jokstad, DDS, PhDProfessor and Head, Prosthodontics
Faculty of Dentistry, University of Toronto
![Page 2: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/2.jpg)
The prosthodontics component of the Undergraduate Dentistry Curriculum
![Page 3: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/3.jpg)
CDAC Accreditation of DDS Program
1997: “Ethics criteria”
2004: 2001 ACFD competencies
Next accreditation of the UofT:
2011: 2006 ACFD Competencies
![Page 4: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/4.jpg)
Association of Canadian Faculties of Dentistry
National Dental Examining Board of Canada
![Page 5: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/5.jpg)
![Page 6: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/6.jpg)
Prosthodontics Curriculum 2009QP program converted to IADPP in 2006 major re-
allocation of prosthodontics curriculum contents
0
200
400
600
800
1000
1200
1400
1st year 2nd year 3rd year 4th yearRest 814 860 1200 965Labor./clinic 0 108 76 0Lecture/seminar 0 38 39 20
Axi
s Ti
tle
![Page 7: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/7.jpg)
0
200
400
600
800
1000
1200
1400
1st year 2nd year 3rd year 4th yearRest 814 860 1200 965Labor./clinic 0 108 76 0Lecture/seminar 42 38 39 20
Axi
s Ti
tleProsthodontics Curriculum – 2010 2012
![Page 8: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/8.jpg)
Prosthodontics Curriculum – 2010 2012
![Page 9: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/9.jpg)
From: Sukotjo ea 2008 J Prostho 17: 495
![Page 10: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/10.jpg)
Sharepoint - spring 2006
![Page 11: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/11.jpg)
Blackboard - fall 2006
![Page 13: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/13.jpg)
CCP “Yellow” ComprehensiveExamination Form
Prosthodontics components
![Page 14: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/14.jpg)
![Page 15: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/15.jpg)
![Page 16: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/16.jpg)
![Page 17: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/17.jpg)
![Page 18: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/18.jpg)
![Page 19: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/19.jpg)
![Page 21: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/21.jpg)
Implant Prosthetics teaching in Undergraduate Curriculum
Since late 80’ies.
Educational support from implant industry (Nobel Biocare)
established in 2006
![Page 22: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/22.jpg)
Guiding Principles for teaching implant prosthetics 1/3• Implant prosthetics is today a routine procedure in many dental
practices. It is therefore essential that dentists consider the modality amongst other alternative prosthodontic technical solutions for restoring / replacing lost tissue.
• In implant prosthetic management there are multiple risks of adverse treatment outcomes and a correct patient selection is essential.
• In the undergraduate program we strive to treat only patients with low risk of adverse outcomes .
• Even though we decline going forward with implant prosthetics in the undergraduate program, the students should realize that their patients can benefit from implant prosthetics, but will require a higher level of competency.
• In future professional practice best care of the patients in this category should be to refer to a specialist.
• Hopefully, students will be motivated to learn more about implant prosthetics once graduated and a few years of clinical experience.
![Page 23: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/23.jpg)
Guiding Principles for teaching implant prosthetics 2/3
• Each patient is considered individually with regard to risk of adverse outcomes. Risk factors are:
– Specific local anatomical or general medical conditions
– “Ridge preservation” or Bone augmentation
– Multiple adjacent implants
– Implants in esthetically challenging locations
– Implant supported bridges
• In practice: Single tooth restored with implant+crown orEdentulous mandible restored with an overdenturesupported by two ball attachments
![Page 24: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/24.jpg)
Journal of Dental Education 2006: 70: 580-588
![Page 25: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/25.jpg)
Conclusions –predoctoral students
Single-tooth implant restorations & implant-retained overdenture prostheses are performed in most schools
There is no clinical competency requirement for surgical implant placement in all schools and implant prosthodontics in most schools
Prosthodontic specialty faculty are often responsible for teaching implant prosthodontics
Periodontics and oral and maxillofacial faculty are commonly responsible for teaching implant surgery
Support from implant companies is common, with most providing for implant components at discounted costs
There is a lack of adequately trained faculty in implant dentistry, which is a significant challenge in providing predoctoral students with clinical experience with dental implants.
Journal of Dental Education 2006: 70: 580-588
![Page 26: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/26.jpg)
Types of implant-related procedures restored
by predoctoral students
![Page 27: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/27.jpg)
Undergraduate implant Manual Implant Prosthodontics in the undergraduate clinics
Student Information
![Page 28: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/28.jpg)
Undergraduate implant Manual Student Kits
Student Information
![Page 29: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/29.jpg)
Implant Prosthodontics in the undergraduate clinics
General Information
Cost estimates (Implantina)
Student Information
![Page 30: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/30.jpg)
IPU-surgeon
diagnostics
Undergrad Student+/- radiographs
Medical questionnaireConsent to obtain more information
Comprehensive examination form
Axium ReferralCollection, use & disclosure
Consent to use information
Emergency examination chartConsent for emergency treatment
Medical letter
Examination history
+/- report
Clinical regulationsGeneral consent (for treatment)
Caries risk
Diet
Master problem
AXIUM EHR
ODChart audit
Pros. Consult2 implants / student
UncomplicatedSingle crowns
or mand. ball-overdenture
![Page 31: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/31.jpg)
Surgery consult :Medical & Local issues OK
Likelihood of grafting ↓Patient information
Patient consent to surgery
Prosthodontic Demonstrator
Student
1. Examination+ xrays2. Prosthodontic consultation,
general & local considerations - OK3. Likelihood of grafting ↓
4. Treatment plan & Cost estimate
Implant Surgery
Laboratory fees
Restore
Planned patient flow from the undergraduate Clinics
Scenario 1 – No reason to suspect need for grafting
Heal
Surgical stentSurgical consult referral
![Page 32: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/32.jpg)
Surgery consult :Medical & Local issues OK
Likelihood of grafting ?Patient information
Patient consent to surgery
Prosthodontic Demonstrator
Student
1. Examination+ xrays2. Prosthodontic consultation,
general & local considerations - ?3. Likelihood of grafting ?
4. Treatment plan & Cost estimate(include grafting)
Implant Surgery W / wo grafting
Laboratory fees
Restore
Heal
Surgical stentSurgical consult referral
Planned patient flow from the undergraduate Clinics
Scenario 2 - Possible need for grafting during surgery identified before surgical consultation. Include grafting in txplan and fees.
![Page 33: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/33.jpg)
Surgery consult :Medical & Local issues OK
Likelihood of grafting ?Patient information
Patient consent to surgery
Prosthodontic Demonstrator
Student
1. Examination+ xrays2. Prosthodontic consultation,
general & local considerations - ?3. Likelihood of grafting ?
4. Treatment plan & Cost estimate
Implant Surgery W / wo grafting
Laboratory fees
Restore
Heal
Verify / correctTreatment planCost estimate
+Surgical Stent
Surgical consult referral
Planned patient flow from the undergraduate Clinics
Scenario 3 - Possible need for grafting during surgery identified by surgical consultatation. Txplan/fees must be corrected/adjusted and signed before proceeding
![Page 34: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/34.jpg)
Surgery consult :Medical & Local issues ?Likelihood of grafting ↑
Patient informationPatient consent to surgery
Prosthodontic Demonstrator
Student
1. Examination+ xrays2. Prosthodontic consultation,
general & local considerations - ?3. Augmentation considerations - ?4. Treatment plan & Cost estimate
Implant Surgery w / wo grafting
Laboratory fees
Restore
Heal
1
2
Alternatives:1. Seek private Dentist
2. Refer to Graduate Prosthodontics
Surgical consult referral
3
Unplanned patient flow from the undergraduate Clinics
Scenario 4: Grafting need identified before or during surgical consultation and patient still undergoes implant surgery
X
![Page 35: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/35.jpg)
Surgery consult :Medical & Local issuesLikelihood of graftingPatient information
Patient consent to surgery
Prosthodontic Demonstrator
Student
1. Examination+ xrays2. Prosthodontic consultation, general & local considerations
3. Augmentation considerations4. Treatment plan & Cost estimate
Implant Surgery
Laboratory fees
Restore
Heal
1
2
Alternatives:1. Seek private Dentist
2. Refer to Graduate Prosthodontics
Surgical consult referral
3
Problem
ProblemProblem
Adjustment of Treatment plan &
cost estimate?
If risk of unfavourable outcomes
Unknown whether consultation has been
done together with a prosthodontist demo
Tx planning done by the surgeon and not together
with a prosthodontist demo
Inadequate information about higher cost estimates
Patients not advised that they are select for educational needs
Current problems causing unplanned patient flow from the undergraduate Clinics
![Page 36: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/36.jpg)
Information sheet 1/3• Undergraduate students have the opportunity to provide
one implant-supported overdenture supported by ball attachments on two implants in the mandible or up to two implant-supported single crowns for an assigned patient.
• The implant supported prostheses must be a component of a comprehensive treatment plan approved by your Comprehensive Care Program (CCP) Coordinator and signed by the patient.
• The treatment planning of the implant supported prosthesis is to be done in the undergraduate clinic together with your prosthodontic speciality instructor. Your periodontology speciality instructor should also be consulted.
![Page 37: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/37.jpg)
Information sheet 2/3• Implants are only to be placed into healed extraction sites and
usual minimum bony dimensions are 10mm of bone height and 6mm of bone width.
• The implant placement must be done in the Implant Prosthodontic Unit (IPU) located in the Graduate Prosthodontic Clinic.
• All patients require a surgical consult with an IPU staff surgeon before proceeding with implant surgery and further therapy. Appointments for consultation are booked through the IPU patient manager office (room 355) (see details below).
• For the actual implant surgery the student must assure that a surgical stent has been made and is available. He/she will be able to observe/assist during surgery at the discretion of the surgeon
• Patient costs will be discounted as each undergraduate student will receive up to a maximum 2 free implants plus supplementary components (courtesy by Nobel Biocare).
![Page 38: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/38.jpg)
Information sheet 3/3• Patients in need of more than 2 implants or other types of
implant-supported prostheses or any need of bone grafting cannot be treated in the undergraduate clinic. The patient may be considered for treatment in the graduate clinic if a thoroughly completed referral form has been forwarded together with adequate radiographs and study casts. Inform the patient that:
• The patients are accepted on basis of the graduate clinic research and educational needs
• The fees are substantially higher in the graduate clinic
• The wait time for screening new patients is at least 3 weeks.
• The overall treatment time is minimum 9 months.
![Page 39: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/39.jpg)
Guiding Principles for teaching implant prosthetics 3/3
• Basically, our philosophy is compatible with treating patients according to the ITI “SAC (Straight-forward / Advanced / Complex) criteria. We deal only with the “S” category.
http://www.iti.org/var/external/sac-tool/default-1000.htm
![Page 40: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/40.jpg)
![Page 41: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/41.jpg)
![Page 42: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/42.jpg)
![Page 43: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/43.jpg)
![Page 44: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/44.jpg)
![Page 45: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/45.jpg)
Proposed treatment plan
• Endo assessment 11 and 21
• Preliminary crown preparations 11 and 21 with preliminary temporisation
• Esthetic crown lengthening area 11-21 and connective tissue graft area 12
• Final temporisation
• 3 units FPD X-11-21
![Page 46: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/46.jpg)
Preliminary preparations
![Page 47: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/47.jpg)
Initial temporisation
![Page 48: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/48.jpg)
![Page 49: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/49.jpg)
Periodontal surgery
![Page 50: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/50.jpg)
![Page 51: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/51.jpg)
3 weeks post-op
![Page 52: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/52.jpg)
Final preparations
![Page 53: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/53.jpg)
Final temporisation
![Page 54: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/54.jpg)
![Page 55: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/55.jpg)
![Page 56: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/56.jpg)
Try-in of bisque bake with light glaze
![Page 57: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/57.jpg)
Characterisation and final glaze
![Page 58: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/58.jpg)
Insertion appointment
![Page 59: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/59.jpg)
![Page 60: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/60.jpg)
![Page 61: Orientation day.pdf · responsible for teaching implant surgery . Support from implant companies is common, with most providing for implant components at discounted costs. There is](https://reader033.fdocuments.in/reader033/viewer/2022053100/6058cc5fc45f5979ee3b0a36/html5/thumbnails/61.jpg)
From:TheProsthodontics
SharepointWebsite