FP1 - Full Arch Rehabilitation: Step-by-Step Procedure

FP1 - Full Arch Rehabilitation: Step-by-Step Procedure

Category: Prosthodontics

Instructor(s): Martin Wanendeya

Course structure: Lessons: 5 lessons | Duration: 3 h 52 min

Course overview

Who the course is for:
This course is recommended to all prosthetists who want to master the surgical protocols for placing FP-1 prostheses and want to keep up-to-date with the latest developments regarding the tools, products, and materials available.

Dr.

Martin Wanendeya welcomes you to FP-1 Full-Arch Rehabilitation, the video course dedicated to the FP-1 approach in full-arch implantology.

Immediate loading on full and partial arches is something that many implant dentists want to learn.

However, the common thought, based on literature, that fixed dentures are made by removing bone on the ridge is a factor that has traditionally worried professionals.

In this course, Dr.

Wanendeya shows the entire workflow for planning, making, and placing FP-1 prostheses.

With the support of several clinical clips, Dr.

Wanendeya guides you step by step to full-arch rehabilitation with FP-1 prostheses, from diagnosis to surgical protocols and from the provisional to the final restoration in just one sitting.

By following this course, you will explore all the advantages of using FP-1 prostheses
– natural-looking results, less invasiveness, improved preservation of hard and soft tissues, and increased treatment acceptance – and you will make sure that your patients receive the most respectful treatment possible in terms of aesthetics, function, and biology.

Join Dr.

Wanendeya and take your implant-prosthetic practice to new heights!

Topics covered in the course:
-The FP-1 approach in full-arch implantology
-Diagnosis and treatment planning: analog and digital workflow
-How to plan, make, and place the provisional restoration
-Provisional and final prosthetic design
-Guided surgery and guided bone regeneration
-Soft tissue manipulation around the full-arch prosthesis
-FP-1 vs FP-3 prostheses: advantages and disadvantages
At the end of the course, you will be able to:
-Perform immediate loading on full and partial arches
-Preserve and augment hard and soft tissues while placing FP-1 prostheses
-Reconstruct the tissues with grafting procedures or prosthetically replace them
-Plan every surgical phase by adopting a digitally-guided approach, integrating extra- and intra-oral -clinical photographs with the digital wax-up
-Create different types of guides
-Achieve natural implant aesthetics
-Select the proper tools, equipment, and materials
-Prevent and manage a wide range of possible complications

Curriculum

Lecture 1 – An introduction to FP-1 prosthesis

• In this first video lecture, Dr. Wanendeya will introduce participants to the topics covered in the course by showing the training pathway that will lead participants to a full understanding of full-arch rehabilitation procedures with FP-1 prosthesis.
• Several clinical clips will be shown to get into the topic of FP-1 prosthesis and to introduce the newly standardized, step-by-step treatment protocol.
• Participants will discover the challenges faced by the clinician in full-arch treatments and will compare FP-1 with FP-3, focusing, above all, on the advantages and potential of FP-1 prosthesis
• In particular, this lesson covers the following topics:
• Full-arch rehabilitation surgical, restorative and psychological challenges
• FP-1, FP-2 and FP-3 prosthesis definition
• The classification of full-arch treatments
• Soft and hard tissue management options: preservation and reconstruction
• Advantages and disadvantages of FP-1 and FP-3 prosthesis
• Materials and tools selection
• The advantages and the potential of the digitally guided approach

Lecture 2 – Diagnosis and treatment plan

• Steps and stages of the process to execute full arch rehabilitations with fp-1 prosthesis will be shown and discussed in this presentation.
• The first stage is photography and participants will understand the importance of taking good extra and intra-oral clinical photographs as well as CBCT, and digital and diagnostic wax-up.
• Then, the conversation will move to surgical planning and the assessment of biological factors that may influence the outcome; Dr. Wanendeya will discuss the function and the potential of different typologies of guides paying particular attention to the choice of materials.
• In particular, this lecture covers the following topics:
• Photography: extra and intra-oral clinical photos, intra-oral scan, face-scan, CBCT, digital wax-up and diagnostic wax-up
• Digital integration and 3D-model creation
• Surgical planning
• Ideal implant position and pontic shape Guides and materials selection

Lecture 3 – Surgical guides and provisional restorations

• In this lecture, a clinical video will be presented thanks to which participants will observe the full-arch rehabilitation protocol with FP-1 prosthesis associated with the use of a stack-guide.
• Each step will be analyzed in detail; from the pick-up stage to planning stage and from extraction to pins placing.
• Participants will appreciate the potential of surgical guides in the placement of implants and abutments with the aim of preserving as much bone as possible.
• Finally, the procedure for creating the provisional prosthesis will be shown, paying attention to the prosthesis fitting phase and management of the soft tissue around it.
• In particular, this lesson covers the following topics:
• What happens when you use a stack guide?
• Lab conversion procedure for FP-1 bridges
• Provisional FP-1 prosthesis fitting
• How to create the correct contour to your provisional restoration?
• Pick-up, provisional restoration creation and fitting, hard and soft tissue management
• The use of biomaterials to pack the sockets
• Soft tissue grafting: Free Gingival Graft technique

Lecture 4 - From the provisional to the final restoration

• In this lesson, the focus will be on the clinical steps leading from provisional to final prosthesis.
• Dr. Wanendeya will talk about the “Digilog” approach, i.e. a working philosophy that is purely digital but retains analogue aspects in particular stages.
• In particular, this lecture covers the following topics:
• How to copy the provisional to create the final restoration
• Provisional restoration scansion inside the mouth
• Scan bodies scansion after having removed the provisional restoration.
• Ideal material or combination of materials for full-arch restorations
• The accuracy of verification jigs
• How to assess how well the frameworks fits
• Bonding and cleaning agents
• Proper tools for full-arch rehabilitations

Lecture 5 – Maintenance and complications management

• This learning experience concludes with an analysis of possible complications that may occur during full-arch rehabilitations with FP-1 prosthesis.
• Dr. Wanendeya will show several clinical cases in which complications arising from poor initial patient selection, incorrect implant placement, wrong abutment and guide selection can be observed.
• In particular, this lecture covers the following topics:
• Possible complications prevention and management
• How to reduce the risk of complications
• Planning complications: patient selection, implant position, abutment and guide selection
• Surgical complications: Implant position, implant failure, soft and hard tissue healing
• Prosthetic complications: seating errors, prosthesis fracture and incorrect shapes