UDLT 111 - Dental Implants, Abutments and Attachments

Co-requisite(s): UDLT 101, 102, and 103, or concurrent enrollment.

  

1. Description history of dental implants 
2. Differentiate between implant technologies 
3. Categorize and identify case design options 
4. Describe diagnostics and case planning as they relate to the application of radiographic stent and surgical guides 
5. Explain master cast fabrication through both conventional and digital workflows 
6. Explain removable prosthetic fabrication through both conventional and digital workflows 
7. Explain bar/substructure fabrication through both conventional and digital workflows
8. Explain screw-retained fixed or removable (hybrid) restoration fabrication through both conventional and digital workflows 
9. Explain abutment and cement-retained restoration fabrication through both conventional and digital work
10. Abutment and cement-retained restoration, conventional and digital workflows 
11. Describe various precision and semi-precision dental attachments 
12. Explain applications of various dental attachments

1. History of dental implants 
   1. Ancient examples 
   2. Modern era 
2. Differentiate between implant technologies 
   1. Subperiosteal 
   2. Endosteal 
      1. Blade
      2. Cylindrical 
   3. Zygomatic dental implants 
   4. Review of implant components 
   5. Understand federal regulatory requirements governing implant abutment design and manufacturing 
   6. Identify components of CAD/CAM systems
3. Categorize and Identify Case Design Options 
   1. Cement retained 
   2. Screw retained 
   3. Enagaging vs non-engaging 
   4. Fixed hybrid 
   5. Removable hybrid 
4. Case Design Consideration 
   1. Describe osseointegration and biocompatiblity 
   2. Describe correlation between bone density and load-bearing capability 
   3. Describe occlusal considerations for fixed or hybrid restorative options 
   4. Describe occlusal considerations for removable restorative options 
   5. Recognize contradictions for materials/case design 
5. Planning and case diagnostics 
   1. Describe treatment planning options 
   2. Recommendation of final case design 
   3. Describe the manufacture and use of a radiographic stent 
   4. Describe the manufacture and use of surgical guide 
6. Master Cast, Conventional and Digital Workflows 
   1. Identify custom tray options and assess impression for acceptance 
      1. Open tray
      2. Closed tray
   2. Identify, select, and assemble implant parts 
   3. Explain the manufacture of soft-tissue cast 
   4. Explain articulation of casts 
   5. Explain the design, construct and application of verification jig 
7. Removable Prosthesis Fabrication, Conventional and Digital Workflows 
   1. Explain the construct and application of baseplate and occlusal rim
   2. Identify and understand implant attachments and abutments as they relate to implant retained tissue supported removable complete and partial dentures 
   3. Compare and contrast bar overdentures vs traditional overdentures 
   4. Compare and contrast the manufacture implant retained denture vs conventional denture 
8. Bar/Substructure Fabrication, Conventional and Digital Workflows 
   1. Identify and explain implant retained options 
   2. Identify and explain implant bar attachments 
   3. Identify and explain load-bearing parameters 
   4. Identify and explain angle correction at fixture levels 
   5. Describe the verify and fit process for bar/substructure 
   6. Describe correction of fit discrepancies (e.g., weld, solder, remake) 
9. Abutment and Cement-Retained Restoration, Conventional and Digital Workflows 
   1. Identify and explain component selection 
   2. Identify implant system component 
   3. Discuss implications of selecting Orginal Equipment Manufacturer (OEM) vs 3rd party parts 
   4. Review path of insertion 
      1. Conventional surveyor 
      2. Digitally derived 
   5. Explain emergence profile and soft tissue models 
   6. Compare and contrast the restoration design processes (e.g., traditional, digital) 
   7. Compare and contrast the restoration manufacturer processes (e.g. traditional, digital) 
10. Attachments 
    1. Intracoronal 
    2. Extracoronal 
11. Application of Dental Attachments 
    1. Nonparallel bridge abutments 
    2. Stress broken bridges 
    3. Retention for removable partial dentures 
12. Survey and Place a Semi-Precision Attachment in a Bridge 
    1. Prescriptions and work authorizations
    2. Interpretation of dental prescriptions and work authorizations 
    3. Infection control and disinfecting procedures 
    4. Gypsum materials selection, manipulation, and safety procedures 
    5. Model and die procedures 
    6. Articulation 
    7. Survey 
    8. Waxing procedures 
    9. Attachment placement 
    10. Investing procedures 
    11. Casting 
    12. Recovery 
    13. Seating finishing