Full-Arch Live 1:1 Patient Surgery
A Premium Hands-On Immediate Load Surgical Implant Experience by Dr. Michael A. Pikos at ILAPEO Dental School
Perform Full-Arch Cases on 4 patients (4 arches) as Lead and assisting Surgeon in Brazil — 1:1 Hands-On Training in Immediate Loading & Digital Workflow
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Learning Objectives
Case Selection & Treatment Planning
- Diagnose and treatment plan full-arch cases, including: Radiographic interpretation (including CBCT), digital record-taking and facial scan integration, and pre-surgical planning (mockups, wax-ups, and surgical guide design).
- Apply prosthetic fundamentals to achieve predictable esthetics, function, and biomechanics.
- Differentiate between levels of alveolar atrophy (partially atrophic, moderately atrophic, fully edentulous, and severely resorbed ridges) and understand surgical and prosthetic implications for each condition.
Surgical Techniques & Live Patient Protocols
- Prepare patients for full-arch surgery: pre-op protocols, instrumentation, and workflow.
- Review IV sedation fundamentals for safe, relaxed surgical procedures.
- Master full-arch immediate-load implant surgery, including: flap reflection, soft tissue management, and bone reduction techniques; anatomical recognition: paranasal bones, remote fixation areas (e.g., pterygoids), and when to use them; osteotomy and implant placement techniques; and evidence-based protocols for achieving primary stability and immediate function.
- Alternative techniques (palatal approach, trans-sinus, and subnasal protocols) and an introduction to zygomatic implants—when to use and when to avoid.
- Develop an algorithm for managing soft bone situations (how to recognize soft bone, adjust the surgical plan, and respond step-by-step in real-time).
Prosthetic Concepts and Immediate Loading
- Understand monolithic zirconia: proper design, vertical/horizontal dimensions.
- Select and position multi-unit abutments for long-term prosthetic success.
- Immediate prosthetic protocols (analog, digital, and hybrid workflows) and fast chairside conversion using NeoConvert techniques.
- Address implant depth, abutment height, and bone reduction to optimize prosthetic fit.
- Biomechanical considerations (implant design, placement strategies, and angulation for full-arch cases).
Practice Integration
- Learn how to reduce chair time and increase efficiency and profitability.
- Gain the confidence to implement these protocols immediately upon returning to your practice.
- Discuss ethical and cultural considerations in live patient settings, including informed consent, international patient care, and safety protocols.
Management of Complications
- Prevent prosthetic and surgical complications through sound principles.
- Avoid re-dos by planning effectively and designing hygienic prostheses.
- Learn strategies for identifying, managing, and correcting complications when they do occur.
Live Course Topics
- Full-Arch Diagnosis and treatment plan
- CT Scan & 3D printed model evaluation
- SmileCloud connectivity - AI-powered smile design and collaboration platform
- Definition and principles of immediate loading
- Pre-requisites for primary stability
- Remote anchorage approach overview
- The importance of pre-prosthetic prep for the success of a full arch rehabilitation
- Pre fab surgical prosthetic template
- Restorative digital workflow: chair side prosthesis conversion, IOS + Exact (horizontal scanbody) and IOS + iCam (photogrammetry)
- Clinician and Lab technician interaction
- Recommendations & follow-ups post surgery
- Clinical discussion post surgery – what went well, what should be done differently
- Hands-on surgical and prosthetic steps conducted on model and 3D printed patient model
- Direct clinical experience - 2 full-arch treatment per participant as a main surgeon and another 2 as an assistance.
Package Add-ons
Optional
Convenient Financing Solutions
Take advantage of tailored payment solutions to suit your needs. Choose quick financing through Live Oak Bank to cover all course-related expenses, or opt for flexible payment plans that let you pay in full or in manageable installments over time.
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Live Course
Full-Arch Live Surgery Immersion – Curitiba, Brazil