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Hands On, Participation

Many participants in the IRC CE Credit Programs have requested additional Hands On training in implant dentistry. The Hands On Participation addition is the answer to this need. Each Level consists of a Distance Home Study portion, a Slide presentation portion, a Hands On Clinical portion and Hands On Laboratory portion. The program is self paced and allows the participant to learn at whatever pace they choose.

A personal trainer experienced in implant dentistry will be assigned to each participant to act as an advisor and tutor.

The 6 Day Hands On Participation Levels allows the restoring dentist or denturist to take the knowledge and information learned with the Home Study Modules and interact with experienced clinicians to totally understand implant dentistry as it relates to real time settings.

Each Hands On experience lasts one day and each experience is separate. The entire 6 Day Hands On Participation Program can be taken over as long a period as each individual requires.

The Hands On Participation Program consists of 6 separate levels of experiences.

Level 1. Basics of Implant Dentistry

Understanding why implants are successful, how the patient’s medications and medical condition affect implant success and how Treatment Planning affect implants are the three keys to implant success. They provide the basis for all other learning and is a prerequisite for all other Levels.

The participant will be given Modules 1: Introduction, 2: Patient Selection and 3: Treatment Planning along with multiple choice Examinations on each subject.

As well, the participant will be given the software program PREP™ for 6 months and familiarized with its operation. PREP™ takes all the information learned in Module 2: Patient Selection and provides the participant a software program to automatically evaluate a patient for the potential success or failure of dental implant treatment.

Hands On Treatment Planning: This is a one day, hands on program for the group. Before attending, you will be required to select a minimum of 2 patients from your practice. You will use your best effort to treatment plan each case with at least 3 treatment options using Treatment Planning Forms. Each treatment plan must be accompanied by mounted study models, a recent Panorex* radiograph (within one year) and a PREP™ evaluation. The Panorex radiographs can be taken at no charge at the Mentor’s office prior to the program.

Each case will be discussed by the group and the best options selected for each patient. A discussion of how best to inform the patient of these options will be discussed. Afterwards the student can then discuss these options with their patients in their own offices to encourage the patient to patient seek treatment. On completion of the Level 1, you are eligible for a 23 CE Credits.

** ** Successful completion of Option 1: Basics of Implant Dentistry is a perquisite for the taking of Options 2 to 6. No other Level will be offered until Level 1 is complete.

Level 2. Soft Tissue Over Dentures:

Soft Tissue Over dentures are the most common prostheses involving implants fabricated by dentist and denturists. Although there are numerous ways to attach Soft Tissue Over dentures to implants, the two main means of attachment are rubber O rings and plastic Locators. There are advantages and disadvantages to both. Although many denturists have various degrees of experience restoring Soft Tissue Over dentures, the student must read and understand Module 7: Soft Tissue Over dentures and Module 16: Mini Implants before proceeding to more technical and clinical knowledge levels. These modules will be supplied along with a written multiple choice Examination on the subject. Once the examinations are submitted and marked, the Mentor will discuss the results with the student to ensure the student understands the subject.

The Hands On program will include a slide presentation as well Impression Taking for O ring and Locator attachments, chair-side pickups & tooth setups for Soft Tissue Over dentures. On completion of Level 2, you are eligible for 13 CE Credits.

Level 3. Bar Supported Over Dentures:

Bar Supported Over dentures are dentures supported either totally or partially by a metal, zirconium or composite bar. While most if not all Provincial Colleges allow Denturists to fabricate the Over denture, most do not allow Denturists to fabricate the bars. Alberta is one such exception although many Denturist Colleges are expanding the scope of practice to include bars. The student must read and understand Module 8: Bar Supported Over dentures before proceeding to more technical and clinical knowledge levels in this area. This module will be supplied along with a written multiple choice Examination on the subject. Once the examinations are submitted and marked, the Mentor will discuss the results with the student to ensure the student understands the subject.

The Hands On portion is a one day program which will include a slide presentation as well as actual Impression Taking & Fabrication of Over denture Bars, Impression Taking & Fabrication of Bar Supported Over dentures, Wax-up for a metal bar casting and discussion of various bar attachments.

On completion of Level 3, you are eligible for 13 CE Credits.

Level 4. Fixed Detachable Prostheses:

This subject originally encompassed a number of screw retained or cemented prostheses for totally edentulous mouths. Today the subject has been expanded to involve “All on Four” concept, zirconium bar concept, the “SIXFIX” Fixed Removable concept amongst others. The scope of practice varies from Province to Province but with the expanding scope of practices being sought and approved, this subject is most timely for Denturists. This Option is designed to educate and teach the denturist in depth knowledge about the background, the basics and the skills to fabricate Fixed Detachable Prostheses over implants using a variety of methods. The student must read and understand Module 9: Fixed Detachable Prostheses before proceeding to more technical and clinical knowledge levels in this area. This module will be supplied along with a written multiple choice Examination on the subject. Once the examinations are submitted and marked, the Mentor will discuss the results with the student to ensure the student understands the subject.

The Hands On portion is a one day program which will include a slide presentation and a requirement to take an Impression for bar fabrication, wax-up for a metal bar casting , take an impression for over denture fabrication over a bar & wax up a Fixed Detachable Prostheses.

On completion of Level 4, you are eligible for 13 CE Credits.

Level 5. Marketing:

Almost all lower denture patients can be helped with the placement of implants. Every Denturist practice has the potential of $3,503 per patient or implant dentistry, a “Gold Mine”. This program teaches you how to educate your patients by “Mining Your Practice”, and how to overcome objections and close your patients into accepting implant treatment. The student must read and understand Module 12: Ethical Marketing & Selling of Implants and Module 18: Mining Your Practice. These modules will be supplied along with written multiple choice Examinations on each subject. Once the examinations are submitted and marked, the Mentor will discuss the results with the student to ensure the student understands the subjects.

In the Hands On session, the Denturist will be shown the necessary educational material including brochures, posters and newsletters and taught how to maximize these documents to move the patient to ask about implant treatment. They will be taught how to use demo models to move the patient how to say “yes” and will role play with each other to hone these skills.

On completion of Level 5, you are eligible for 18 CE Credits.

Certification: On completion of all Levels, the participant will be awarded a Certificate attesting to their advanced level of knowledge of implants. This certificate will be suitable for framing to be displayed on their wall. Their name will also be included in a list of Certified Dentists & Denturists on the SINC™ website.

Level 6. (Optional) Surgery:

Although the student may not place implants in patients, it is important that they understand the procedures and options for surgical treatment to better inform their patients on what to expect. Level 7: Surgery is designed to not only involve and familiarize the non surgical dentist and denturist with the surgical challenges facing the patient and the surgeon but provide an in depth knowledge of surgery, bone and bone grafting procedures.

The student must read and understand Module 4: Surgical Placement & Uncovering of Implants, Module 5: Uncovering of Implants Module 10: Understanding Bone & Bone Grafts and Module 11: Bone Augmentation Techniques. These modules will be supplied along with written multiple choice Examinations on each subject. Once the examinations are submitted and marked, the Mentor will discuss the results with the student to ensure the student understands the subjects. On completion of Level 7, you are eligible for up to 23 CE Credits depending upon your area of registration.

For the Hands On portion, the patient pays a reduced SINC fee for surgery while there is N/C for the non surgical dentist or denturist who will either assist or watch surgery & provide denture modification and insertion, if needed. The participant will fabricate whatever pre-surgical prostheses required and charge their patients accordingly. Each case will be discussed between the patient, the Mentor and the student for each patient prior to implant placement. There is an estimated 2 to 3 CE credit hours for participation.

The non surgical dentist or denturist can attend additional surgeries with their patient at N/C.