Nagoya Japan MaxiCourse　Curriculum

 

The 10th Nagoya Japan MaxiCourse® Curriculum
(18 Modules)

Aichi Implant Institute / Hotta Dental Clinic

Director: Yasunori Hotta, DDS, PhD, FAAID, DABOI/ID

Program Schedule: December 2025 – August 2026

Location: Aichi Implant Institute Meeting Room, Nagoya, Japan
　　　　　　13, Morimaki-cho, Moriyama-ku, Nagoya, Aichi-ken, 463-0073, Jpan
　　　　　　　hotta-dc@ff.iij4u.or.jp
　　　　　　　Tel; +81(Japan)52-792-5843
　　　　　　　Fax; +81-52-792-3425
　　　　　　　Clinic; +81-52-794-8188

The 10th Nagoya Japan MaxiCourse®
From December 2025 to August 2026 on one or two weekends each month 2 days: Saturday and Sunday
Saturday：14：00‐19：00 (5 hours)
Sunday: 9：00 – 17：00 (7 hours) Tuition Fee:
Total 18 modules, amounting to $8,840per participant.

We are now accepting applications for the 10th Nagoya Japan MaxiCourse® (NJMC).

2025
M1; 12/13-14 , M2; 12/20-21,
2026
M3; 1/17-18 , M4; 1/24-25 , M5; 2/7-8 , M6; 2/14-15, M7; 3/7-8 ,
M8; 3/14-15 , M9; 4/4-5, M;10 4/18-19, M11; 5/9-10, M12; 5/23-24,
M13; 6/6-7, M14; 6/20-21 , M15; 7/4-5, M16; 7/25-26, M17; 8/1-2, M18; 8/22-23

List of Lecturers
Course Director
・Yasunori Hotta, DDS, PhD- Course Director & Chief Lecturer
・Fellow of American Academy of Implant Dentistry
・Diplomate of American Borad of Oral Implantology/Implant dentistry
・Fellow & Certified Educator of the Japanese Society of Oral Implantology
・The director of AICHI IMPLANT INSTITUTE accredited by JSOI
・The Director of the Nagoya Japan MaxiCourse accredited by AAID
・Accredited member of Japanese Orthodontic Society
Course Faculty
・Koji Ito, DDS, PhD – Co-director
・Fellow of American Academy of Implant Dentistry
・Fellow & Certified Educator of the Japanese Society of Oral Implantology
・Takashi Saito, DDS, PhD– Co-director
　Fellow of AAID
・Shinichi Komatsu, DDS, PhD – Co-director
・Associate Fellow of AAID
・Accredited member of the Japanese Society of Oral Implantology THE JAPANESE SOCIETY
・Yuji Teramoto DDS .PhD– Co-director
・Fellow & Certified Educator of the Japanese Society of Oral Implantology
・Board-Certified Specialist in Oral and Maxillofacial Surgery”

Visiting Lecturer
・Prof. Hisatomo Kondo DDS, PhD
・Professor and Chair, Department of Fixed Prosthodontics and Oral Implantology,
　School of Dentistry, Aichi Gakuin University, Vice Director, Dental Hospital of Aichi Gakuin University, Japan
・Prof. Dr. Hatsuhiko Maeda, DDS, PhD
　　Department of Oral Pathology/Forensic odontology, School of Dentistry, Aichi Gakuin University, Japan
・Prof. Atsushi Abe, DDS, PhD
・Chairman and Professor in Oral Medicine and Oral Surgery, Aichi- Gakuin University, Japan
・Accredited Oral and Maxillofacial Surgeon and Accredited Consultant Oral and Maxillofacial Surgeon, Japanese 　Society of Oral and Maxillofacial Surgeons
・Fellow of the International Board for the Certification of Specialists in Oral and Maxillofacial Surgery, The 　　　 　International Association of Oral and Maxillofacial Surgeons
・Prof. Tatsuhide Hayashi, DDS, PhD
・Professor, Department of Dental Materials Science, Aichi Gakuin University School of Dentistry, Japan
・Prof. Yayoi Ikeda, DDS, PhD
・Professor at the Department of Anatomy, Aichi-Gakuin University School of Dentistry, Japan
・Prof. Nobuo Yoshinari,DDS, PhD
・Professor, Department of Periodontology, Matsumoto Dental University, Japan
・President, Japanese Society of Periodontology
・Prof. Akitoshi Katsumata, DDS,PhD
• Professor, Oral and Maxillofacial Radiology, Asahi University, School of dentistry, Japan
・Former President of the Japanese Society of Oral and Maxillofacial Radiology (JSOMR)
・Dr. Toshihiro Hotta – Medical ER Doctor
・Japanese Medical License
・Occupational Physician of Japan Medical Association
・Course Director of Immediate Cardiac Life support course Certified by the Japanese Society of Acute Medicine
・Board Certification - The Japanese Association for Acute Medicine
・Dr. Jiro Takahashi – Medical ER Doctor;
　Internal 　Medicine/Pharmacology Ph.D in Medicine, Kawasaki Medical School, Okayama, Japan
・Board Certified Doctor of Emergency and Critical Care Medicine
・Board Certified Member of Aero medical Services Soc.
・Board Certified Consultant of Aero medical Services Soc.
・Board Certified Doctor of Intensive Care Medicine
・Board Certified Member of Clinical Toxicology Soc.
・JAAM appointed physician for fellowship training
・Mrs. Keiko Ikeda – Lawyer
・Medical Ethics and Legal Aspects in Implant Dentistry
・Vice President of Japan Mediation Association（2020-2024）

Total 36 days (216 hours) and 84 hours Webinar
Training place; AICHI IMPLANT INSTITUTE meeting room (Next to Hotta Dental Clinic)
13, Morimaki-cho, Moriyama-ku, Nagoya, 463-0073 Japan
Tel; +81(JP) 52-794-8188 Fax;+81-52-792-3425
E-mail; hotta-dc@ff.iij4u.or.jp

Home Page; http://www.hotta-dc.com
CURRICULUM AND COURSE OUTLINE GENERAL COURSE OBJECTIVES
To impart the understanding of the diagnostic and treatment modalities necessary to properly treat patients who are candidates for dental implant therapy. The
interdisciplinary approach utilizing case based learning methodology will include lectures, demonstrations, interactive seminars, hands- on sessions and relevant review of literature emphasizing evidence based clinical approach.
To provide an intensive overview of the state-of-the-art in implant dentistry Provide live surgical and prosthetic demonstrations on patients.
To aid the participants in the preparation for the AAID Associate Fellow/Fellow membership examinations and JSOI examination for qualifications.
* * * * *
Nagoya Japan MaxiCourse® ADVANTAGE
1. Over 300 hours of comprehensive lectures, live surgeries, demonstrations and hands- on sessions.
2. In-depth review of surgical and prosthetic protocols.
3. Non-commercial course covering wide spectrum of implant types and systems.
4. Certificate of Completion from Nagoya Japan MaxiCourse and Aichi Implant Institute accredited by JSOI.
Practice schedule of various implant systems SPI-Tomen, ANKYLOS & ASTRA – DENTSPLY, ITI-Strawman.
The model practice of each system is done by a separate schedule.
Note: This course does not receive any funding from any of the above-named implant manufacture.
This course contains live on-site practical surgical observations of a range of implant procedures.
Module 1: Crown-Bridge in Implant Dentistry (Original Modules 1 & 2)

【 the 1st module & the 2nd module】
Crown-Bridge in Implant Dentistry (４ days) 24 hours
Training place; Aichi Implant Center meeting room and Hotta Dental Clinic’s laboratory.
* The implant superstructures that are made in laboratory will be focus during this course.
･Functional occlusal contact pattern
Appropriate occlusal contact pattern for implant prostheses
Configuration of occlusal surface and the pattern and disposition of occlusal contact points
Position and direction of occlusal ridges, and grooves Position, size and depth of fossa
About long-centric occlusion
･Consideration of implant prostheses configuration Relation to implant position
Importance of axial surface of implant prostheses
Relation between implant number and shape of prostheses in mandibular molar region Harmony of shape between alveolar ridge and implant prostheses
･About centric occlusion
Consideration of both existing natural teeth and implants, and their concept and background
Concept of synchronizing or non-synchronizing occlusal contacts in relation to PDL Dr. Misch’s Implant-protected occlusion
How to manage centric occlusion in practice
Maintenance of centric occlusion in follow-up, and the procedures of occlusal adjustments
･Consideration of occlusal contact pattern in lateral movement
･Occlusal contact pattern
The change of occlusal contact pattern according to age
How to accommodate the change in implant prostheses throughout a patient’s life
･ Controversy of single-stand implant and connected implants Consideration of biomechanics
Pros and cons of each
Relationship of implant option to bone quality
Difficulties of laboratory work in connected implants prostheses
･The connection of natural teeth and implants Principles and Exceptions
Problems of the connection of natural teeth and implants Long-term prognosis when connecting them
Possibility of problems when connecting them
･Cement-retained vs screw-retained prostheses Pros and cons of each
Screw-retained indication for short clinical crown cases About the use of temporary cement
Dissolution of the temporary cement
･Criteria of implant selection for esthetics applied in maxillary anterior region Minimum inter-implant distance
Minimum space between the implant and adjacent tooth Diameter of maxillary anterior implants
Abutment selection for esthetic zone
Pros and cons of immediate loading or placement

Prosthodontic management of emergence profile
Distance from the base of the contact area to the crest of bone with the presence or absence of the interproximal papilla
･Evaluation of platform-switched implants and platform-matched implants Advantage of platform-switched implants
Decision factor regarding distance from crest of bone to crest of the interproximal papilla
･Occlusal pattern in anterior region Importance of anterior guidance
Influence of anterior guidance on posterior separation Determining occlusal contact pattern in full arch implant cases
Disadvantage of anterior deep bite, and how to create proper occlusal pattern Difficulty of bite raising in relation to a patient’s TMJ
《 Practice 》Setup of articulator and waxing-up of crown
･Proper occlusal contact points to reduce lateral force in implant prostheses
･Configuration of axial crown surface for protection of soft tissue surrounding implant neck
《 Practice 》Making of anterior implant temporary bridge on a plaster model
･Esthetic problems of anterior implant prostheses
･Prosthodontic solution of black triangle
1. Prosthodontic Diagnosis. Objectives:
• To review the need for obtaining proper diagnostic casts, take face-bow transfer, jaw relation records to mount the casts, techniques of wax-ups and mock cast surgeries. Outcomes:
• The students will be able to relate the maxillary and mandibular diagnostic casts in an average or semi-adjustable articulator with proper orientation and centric records.
• They will be able to visualize the end result through the wax ups thereby identifying the deficiencies that need corrections.
2. Fabrication of provisional prosthesis and providing template for the final restoration. Objectives:
• Impression techniques and procedures.
• Effective ways of registering inter Occlusal records.
• Mounting the cases and creating appropriate occlusal schemes.
• Educating the lab about the case and writing appropriate prescriptions.
• Trial of metal frames and obtaining passivity.
• Working with matrices and templates from provisional’s.
3. Prosthodontic Protocols – Presurgical, Provisional and Definitive. Objectives – to teach the following:
• Evaluation of Patient expectations – avoidance of removable prosthesis: stability and retention.
• Functional requirements placed upon prosthesis.
• Predicting aesthetic outcomes and satisfying aesthetic expectations.
• Creating improvement in self-confidence and self-esteem.
• Therapeutic/surgical concerns – short term success.
• Long term prognoses.
• Evaluations Contradictions: Prosthetic – insufficient inter arch space, extreme jaw relationship, etc. Surgical, Medical, anatomical, etc.
• Prosthetic Design Considerations.
• Evaluation of structures to be replaced by prosthesis.
• Aesthetics – lip support, dento-gingival aesthetics.
• Phonetics.
• Design for hygiene.
• Soft tissue considerations.
• Ridge laps and emergence profiles.
• Opposing dentition.
• Length of edentulous spans, AP spreads cantilevers, etc.
• Parafunctional habits etc.
• Control of biomechanical stress.
• Reduction of forces of occlusion.
• Narrowed occlusal table.
• Minimal posterior cusp height.
• Occlusal materials and design.
• Occlusal schemes for implants.
• Distribution of forces of occlusion.
• Number and size of implants used.
• Angulations of implants and offsets of prosthesis.
• Reduction of cantilevers.
• Prosthesis designed considerations for screw retained and cemented restorations. Module 2: Complete Overdenture in Implant Dentistry (Original Modules 3 & 4)

【 the 3rd module & the 4th module】
Complete Overdenture in Implant Dentistry (4 days) 24 hours
Training place; Aichi Implant Center meeting room and Hotta Dental Clinic’s laboratory. These modules show live on-site practical observations of a full range of denture making procedures.
《 On-site practical observations 》
･Impression taking, adjustment of individual tray, pressure control, muscle trimming, final precision impression taking

･Bite registration
･3D gothic arch
･Denture space
･Trial of wax denture
･Setting of provisional denture
･Impression taking for relining
･Completion of dentures
《 Laboratory work 》
･Making plaster model
･Making record block for bite registration
･Setting up gothic arch tracer
･Remount the model to articulator
･Preparing table for record of mandibular movement
･Provisional arrangement of maxillary artificial teeth
･Making tray (keel) for taking denture space
･Making buccal and lingual plaster cores
･Evaluation of neutral zone and determination of position for arrangement of artificial mandibular teeth
･Polymerization
･Selective grinding on articulator
･Polishing
･Polymerization after relining
《 Practice 》
･Trainee record each other’s gothic arches and set up articulators
･Selective grinding on articulator to understand the difference of occlusal contact pattern between natural dental arch and complete denture
Module 3: Original Module 5

【 the 5th module】
The exciting world of Implant Dentistry.
This module will feature examples of some ideal results achieved with implant dentistry and will provide numerous pre and post op cases from start to finish. This is intended to expose the audience to the scope of treatment that can be achieved through Implant Dentistry.
Introduction and basic study of implants. ・History of dental implants ・Necessary basic science for implant treatment
・Patient management guidelines
《 Practice 》
･ Preliminary medical examination by interview
･ Safe sterilization practices, disinfection methods and handling apparatus.
1. The Expanding Scope of Implant Dentistry – An introduction about the objectives of the course.
Objectives:
• To provide an overview of the discipline of implant dentistry as it relates to mainstream practice of dentistry.
• To emphasize the necessity of considering implant dentistry as an adjunct to overall patient treatment planning rather than predominantly focusing on corporate driven concepts.
Outcomes:
• The students will be able to consider implant dentistry as proven mainstream dental therapy.
• Be able to identify the discipline as part of their scope of treatment.
2. Examples of cases where the patients’ needs and desires could not have been met without implants.
Objectives:
• To illustrate the end result of various cases that have been successfully treated.
• To provide basic reports of cases from simple predictable situations to varying advance levels.
• Display examples of significant changes in the quality of life produced through the benefits of implant dentistry.
Outcomes:
• This will instill confidence among participants that they too can plan for treatment of predictable cases.
• They will be able to have a perspective early in the course as to identify various approaches that practitioners could take and have an overall understanding of the multimodal approach.
3. How implants work?
• History of Implant Dentistry
• Materials used in the fabrication of dental implants
• Biomechanics
• Manufacturing of dental implants
• Wound healing around dental implants
4. Evolution of Modern Implant Dentistry Objectives:
• To provide a chronological sequence of events that has led to the professional acceptance of implants as part of mainstream dentistry.
• To emphasize the importance of understanding previous designs and configurations and their pitfalls.
• To provide an overview of the corporate strategies that changed the practice of implant dentistry.
• To elaborate on regulatory standards that govern the sale and distribution of dental implants.
Outcome:
• This presentation will enable the participants to compare the present implants systems as they are being constantly modified and help them in deciding if there may be any validity in the changes.
• They will also understand that their practice would have to be patient centered rather than a “one implant system” practice.

【 the 6th module 】
12 hours
Why are there several implant systems?
• Implant modalities, companies and the market
• Choosing an implant system that will work for me
• What to look for in an implant system
• Evaluating manufacturers claims
1. Review of Current Implant Modalities - Systems – Configurations, Surface Treatments and Enhancements
Objectives:
• To review the salient features of some of the popular implant systems.
• The corporate influence in the practice of implant dentistry.
• Review of literature about valid scientific evidence.
• To provide an overview of Evidence based dentistry.
• To help a reader to critically evaluate articles published in peer reviewed literature.
• Evaluate and verify if the results from one system can be extrapolated to another
• Review of various surface modifications including – coatings, coined, acid-etched, small/large grit blasted, diffusion bonded microspheres and other interface enhancing technologies.
• Factors to consider in choosing the appropriate implant systems.
• Prosthetic complications.
• Mechanical problems.
• Excessively inclined implants.
• Difficulty in obtaining passivity of fit of prosthesis.
• Broken abutment screws, migrating interlocks, etc.
• Loss of fixture integrations.
• Prosthesis design guidelines for different clinical situations.
• Protocols for single tooth.
• Protocols for quadrant restorations protocols for removable prosthesis (over denture and inserts).
• Laboratory procedures in implant dentistry.
• Completion of prosthetic rehabilitation of clinical cases.
□Alternative concepts in implant treatment planning: use of Morse Tapers vs. Screw vs.
Cement retained abutments.
Outcomes – The students will be able to:
• Have a broad knowledge of the various commercially available implant systems
• Compare benefits and risks associated with each of the systems
• Evaluate manufacturers’ claims of efficacy and safety in an analytical manner
• To judiciously utilize features that claim rapid and better integration 2.Biomaterials and Biomechanics
Objectives:
• To teach concepts of passivity, corrosion, metallurgy and biomaterials
• To elaborate on the influence of biomechanics, design features, configurations, factors of force, force transfer on the longevity of implants
• To explain the various types of loads sustained by the prosthesis and the resultants fatigue induced into the implant/prosthesis unit
• Understanding the principles and results of immediate vs. delayed function of implants and to prognosticate the type of tissue support
• Help validate the response of bone to various surface textures.
3. Peri-implant Tissue. Objectives:
• To help students in the understanding of soft tissue healing around dental implants.
• To review whether attached gingiva is essential around dental implants. Outcomes – The students will be able to:
• Learn the principles of soft tissue healing around dental implants.
• Compare the attachment mechanism between natural teeth and implants. Prof. Dr. Hatsuhiko Maeda
• Plan for adequate soft tissue architecture that is conducive for maintenance of implants.
• Relate the surface treatment margins of implants, polished collars and abutment/implant interfaces to the soft tissue/bone interfaces of implants.
• Plan for proper prosthetic design features to promote soft tissue health.
4. Office Emergencies. Lecture and practice. Dr. Toshihiro Hotta (Medical ER doctor)
･ Management practice of overall medical status Sphygmomanometer, blood test, and urine test, etc. Intravenous instillation
Actual directions of patient monitor (medical monitor) before and during operations

Automatic sphygmomanometer, electrocardiogram, and pulse oximeter.
* Actual method of making PRP and PRF. Demo: blood draw and monitor set up
• Evaluation of patient’s overall medical status pre-surgery and office emergency (BLS) IV sedation.
• How to use patient monitors (medical monitor) before and during operations
• Evaluation of RPP
PRP (Platelet Rich Plasma) and PRF (Platelet Rich Fibrin) Objectives:
□To learn BLS
Outcomes – The students will be able to:
□perform BLS

【 the 7th module】
12 hours
YASUNORI HOTTA, DDS, PhD KOJI ITO, DDS, PhD
TAKASHI SAITO, DDS, PhD SHINICHI KOMATSU, DDS, PhD
* The surgical practice using pig’s mandibular jaws for implant surgeries. (Both Saturday and Sunday will be spent on practice)
1. The participants will learn about the incision line and the suture as a basic surgical method (practice).
2. They will also learn about the basic and necessary periodontal surgeries for the implant operations.
《 Practice 》
･The above-mentioned operation method is practiced using 3 pig's mandibles Surgical Phase
Objectives:
• Knowledge regarding the usage of various types of scalpels.
• Learn how to make an incision in the soft tissue and make a flap.
• Learn various suturing techniques.
• Knowledge about how to perform a Free Gingival Graft (FGG).
• Learn about conventional periodontal flap surgery.
• Learn how to perform the closing of the surgical sight through vertical incision and releasing of the periosteum.
Outcomes: The student will be able to:
• Perform appropriate incisions.
• Suture using various techniques.
• Make a full or a partial sickness flap.
• Preform FGG.
• Perform conventional flap surgery and appically positioned flap surgery.
• Close the flap without any tension.

【 the 8th module 】
･ Practice of root form implants with plastic model. 2 hours or more. Faculty:
Prof. Dr. Akitoshi Katsumata
1. Diagnostic Radiology – Periapicals, CT Scans, Tomograms. Objectives:
• To teach how to interpret various forms of radiographs including periapicals, panoramic, CT scans and MRIs.
• To discuss the advantages and disadvantages associated with each of them.
• Evaluate and quantify available bone, identifying vital structures and mapping out possible implant sites.
• To teach application of implant planning software (Simplant).
• To teach fabrication of radiographic stents.
• To teach about the radiation dose emitted by various machines.
• To teach about the limits of exposure to radiation dose for patients. Outcomes – The students will be able to:
• Prescribe the appropriate radiographs necessary for a given situation.
• Make a preliminary determination of the available bone, and have a basic understanding of the anatomic configuration of potential implant sites.
• Fabricate radiographic stents for CT scans and later on modify the same as a surgical stent.
• Explain the radiation dosage of various machines.
• Prevent overexposure of the patient to radiation.
2. Periodontology･ Basic knowledge of periodontitis and periodontal surgery.
• Treatment of remaining natural teeth.
･Biologic width of natural teeth Objectives:
□ To teach differences between the surrounding tissue of natural teeth and that of
implants.
□ To teach the difference between peri-implantitis and peri-implant mucositis.
□ To teach about the healing mechanism of epithelium/connective tissues around
submerged and non-submerged implants.
□ To explore the existence of biological width around dental implants – discussion of the microgap.
Outcomes – The students will be able to:
□ Explain surrounding tissue of natural teeth and implants.

□ Explain definition of peri-implant diseases.
□ Compare the attachment mechanism between natural teeth and implants.
□ Plan for adequate soft tissue architecture that is conducive for maintenance of implants.
□Relate the surface treatment margins of implants, polished collars and abutment/implant
interfaces to the soft tissue/bone interfaces of implants.
□ Plan for proper prosthetic design features to promote soft tissue health.
3. Applied Anatomy in Implant Dentistry – Lectures Objectives:
• To illustrate applied anatomy of the maxillofacial region as it relates to implant dentistry.
• To review the basics of gross anatomy through videos of dissection.
• To teach regional anatomy with all the vital landmarks as it relates to diagnosis and surgical planning.
• Correlation of radiographic images with anatomical structures.
• To teach an anatomic approach to local anesthesia of mandible and maxilla.
• Anatomical spaces of the head and neck.
• Anatomy of the maxillary sinus. Outcomes:
• The participants will be able to apply the knowledge of anatomy to clinical situations during the administration of anesthesia, trouble shoot during times when anesthesia fails to work, minimize complications of surgery, refine surgical approaches and other related surgical interventions.
• Obtain a three-dimensional relationship of the available bone and apply to modalities and configurations of dental implants.
• Visualize the anatomy of the sinus and correlate with the radiographic information.
• Appreciate the importance of careful surgical techniques to prevent violation of vital structures.
• Recognize variations and abnormal anatomical departures.
4. Statutory requirements in implant treatments.
• Social dentistry concerning implant treatment; informed consent of patients regarding the terms and conditions of contracts and agreements etc.
Objectives:
□ To teach the basics of informed consent.
□ To teach how to draft agreements for implant treatments.
□ To learn past judicial precedents on the implant treatments. Outcomes– The students will be able to:
□ Explain pros and cons in implant treatments.
□ Draft agreements for implant treatments and contracts.
□ Explain lawsuits on implant treatments.
《 Practice 》
･ Practice of root form implants with plastic model.

【 the 9th module 】
12 hours
･ Practice of root form implants with plastic model. 2 hours or more Faculty:
KOJI ITO, DDS, PhD (Fellow of AAID) TAKASHI SAITO, DDS, PhD (Fellow of AAID)
SHINICHI KOMATSU, DDS, PhD (Associate Fellow of AAID)
1. Implant treatment for senior citizens. Objectives:
□ To make clear the difficulties in treatment of senior citizens.
□ To explain about the various physical conditions of senior citizens.
□ To teach the kinds of procedures better suitable for a senior citizen.
□ To teach about implant super structures suitable for patients who may suffer from decline in their mental faculties in the future.
Outcomes: The student will be able to:
□ Determine if a senior citizen qualifies for implant surgery.
□ Evaluate the physical conditions of the patient for suitability of implant surgery.
□ Determine which procedure is most suitable for the patient: conventional or implant.
□ Able to give super structure implants that are easy to maintain.
2. Advanced implant surgeries including bone grafting. Objectives:
• To teach the fundamentals of defect anatomy, wound stability and a review of alloplasts, allografts, autografts and xenografts.
• To review the graft healing principles and to elaborate on growth factors such as BMP - 2, BMP -7, PDGF, TGfb, IGF, P-15 etc.
• To review in-depth – autogenous bone grafts - corticocancellous, cortical, membranous, nonvascularized, composite grafts, intra-oral and extra-oral graft sites.
• Instrumentation – chisels, drills, trephines, frames and meshes etc.
• Procedures of harvesting – blocks, chips, slurry etc.
• Graft fixation techniques – screws, ligatures for tissue closure techniques. Outcomes – The students will be able to:
• Have an overall knowledge of the various graft materials, their composition, and their inductive and conductive properties.
• Choose the appropriate graft materials for the situation indicated.
• Become familiar with the techniques of bone harvesting and learn the protocols for grafting.

• Have a thorough knowledge of the graft healing sequence to predict maturation times, problem avoidance and problem solving.
3. MRONJ
・Biphosphonates (BP) may cause ‘bisphosphonate-related osteonecrosis of the jaw’ (BRONJ)
・BRONJ is similar to osteonecrosis and is usually identified by the appearance of exposed bone in the oral cavity
・BRONJ is difficult to treat. If patient is diagnosed with BRONJ, advice and cooperation with the whole dental and medical rehabilitation team is critical
・The term MRONJ (Antiresorptive drug related osteonecrosis of the jaw) is now used instead of MRONJ.
Objectives:
□ To teach definitions and classifications of MRONJ.
□ To teach bisphosphonate therapy.
□ To inform the patient about the probability of the occurrence of MRONJ
□ To teach about the various difficulties in treatments.
Outcomes: The student will be able to:
□ Explain the definition and classifications of MRONJ.
□ Explain about (BRONJ) or (MRONJ).
□ Evaluate the probability of MRONJ occurrence caused by certain drugs taken over a long period of time.
□ Refer the patient to specialists in hospital.
4. Physiology of Pain: Theory and Management. Objectives:
• To teach principles of pathophysiology of pain and neuronal transmission.
• To be able to distinguish character, type, origin, and theories of pain such as the Gate control theory of pain.
• To teach various types of infiltration and block anesthesia.
• To teach the basics of sedation.
• To teach principles of pain management.
• To teach pharmacology of pain control. Outcomes – The students will be able to:
• Understand the mechanism of pain generation.
• Be able to appropriately prepare patients for pain control.
• Distinguish between neuralgias, myofascial pain, odontogenic pain, neuropathies dysesthesias, paresthesias, etc.

【 the 10th module】
12 hours
･ Practice of root form implants with plastic model. 2 hours or more Faculty: KOJI ITO, DDS, PhD (Fellow of AAID)
TAKASHI SAITO, DDS, PhD (Fellow of AAID)
SHINICHI KOMATSU, DDS, PhD (Associate Fellow of AAID)
1. Itemized discussion of root form implants
･History of root form implants in Japan About Kyocera “Bioceram” ceramics implant
･Concept of Osseo-integration
･Design concept, indications, and pros and cons of various forms of implants
・Screw type: configuration such as ITI・BONEFIT screw and Branemark implant.
・Press fit (cylinder) type (non-screw type): configuration such as IMZ and Integral implant, etc.
・Hollow basket type: configuration of ITI-BONEFIT hollow basket.
・Various connected styles and the pros and cons of implant body and abutment.
･Basic concept of various implants’ surface properties. Indication, pros and cons.
・Titanium surface (Non-HA coating) Sand blast, acid-etched
・Concept of Bio-integration with HA coating
・Titanium Plasma Spray (TPS) coating
2. Basic ideas of root form implants configuration
・What configuration is preferable? The diameter or the Length?
• The shape of screw, the width of pitch and the depth of groove.
・The relation between the bone quality and the configuration of screw.
・The properties of different implant surfaces and their load carrying ability.
• How to prevent implant neck bone resorption.
・What is the controversy surrounding the stress theory and the periodontal theory?
3. Manipulation of various kinds of implants in relation to bone quality Diagnosis and indications
・Classification of bone quality
Implant indications of each classification
・Diagnostic imaging and technique
･Panoramic and dental radiograph, CT application for implant treatments.
･Diagnosis and treatment plan using implant simulation software (SIM/PLANT).
･Decision regarding the position and direction of implant insertions.
3. Pre-Surgical Prosthetic Planning:
Diagnosing implant candidates and work-up sequence
・Study casts
・X-rays and CT scans
・Diagnostic wax ups
・Surgical guides
・Trial prostheses and evaluation of final outcomes
・Evaluation of available bone
4. Demonstration of placement of Endosseous Implants Objectives:
• To demonstrate the clinical setting of inserting dental implants.
• To review sterilization and clean room protocols.
• To review radiographic and pre-surgical planning.
• To review implant insertion protocols.
• To provide an in-depth live demonstration of the actual surgical sequencing and the protocol for endosseous dental implants – root form/plate form.
Outcomes:
• The learner will be able to have some clinical background knowledge that will be relevant when discussing the applied basic science course materials.
• As the students will have first-hand exposure to real life procedures, they will be excited to learn right from the start of the course.
• They will return to their respective offices with a broader perspective regarding patient treatment.
• They will return enthused about future Maxi-Course® sessions, since the faculty will be there to trouble shoot their clinical problems.
□ The student will be able to better understand the nature and validity of suggested
treatment options.
• They will learn the mechanics of osteotomy preparations.
• Know how to choose appropriate drilling systems.
• Know their hand piece basics.
• Gain knowledge of asepsis v/s sterility.
• Learn the proper procedures regarding the preparation of the patient.
• Learn about implant handling and transfers.
• Surgical manipulation of available bone.
• Know how to work with stents and establish prosthetic predictability.
• Pre, intra and post-operative medications and care.
6. Surgical Principles – Basic implant surgeries
Objectives: This lecture will review the presurgical evaluation, operatory setup, equipment setup, and surgical techniques for the placement of popular implant systems. It will teach about:
• Instrument care and sterilization techniques.
• Sterility vs. Clean aseptic environment.
• Preoperative preparation – Surgical drapes and equipments.
• Treatment room preparation.
• Surgical field preparation.
• Clinical attire.
• Instrumentation check list.
• Anesthetics and pain control.
• Incision and flap designs.
• Evaluation of the available bone and management of osteotomy sites.
• Implant drilling sequence and protocols.
• Performing surgery with prosthodontic considerations.
• Tissue management and methods of achieving homeostasis.
• Sutures and suturing techniques.
• Techniques of fixture level impressions – when to take them and when not to.
• Impression materials and provisionalization of immediate function implants. Outcomes: The students will be able to:
• Perform surgical setups and create a clean room environment for implant placement.
• Implement prosthetically driven surgeries.
• Commence prosthetic phases during stage I surgery.
• Identify and manage minor surgical complications.
• Plan for stage II root form surgeries to allow for aesthetic integration of soft tissues.
□Utilize aesthetic and anatomic healing abutments, incorporate emergence profile,
aesthetically sculpt and apically reposition flaps to increase keratinized gingival.
《 Practice 》
･ Practice of root form implants with plastic model

【 the 11th module】
12 hours
･ Practice of root form implants with plastic model 2 hours or more.
1. Explanation regarding the fundamental concepts of designing overdentures with various kinds of bars supported by anterior implants in edentulous jaw (especially, mandibular jaw). This includes:
 Knowing how many implants are necessary in the anterior region.
 Identifying suitable implant sites.
 Explanation about the cross-sectional shape, pros and cons of various bars.
 Learning about the Biomechanics and occlusal pattern of overdenture supported by anterior implants.
2. Transplantation of natural teeth:
 History and problems of transplant from another person.
 Teeth autotransplantation (success and ankylosis).
3. Indications and methods of endodontic stabilizers:
・Improvement of the ratio of coronal length to root length in the tooth.
・Problems in blind technique operation.
・About using the direct view operation and its complementary procedure, especially with an apicoectomy.
4. History, the indications, methods, and pros and cons of Blade/Plate Implants: What is the concept of Fibro-osseous integration? In answering this question, the basic idea of the support style will be taught. This includes:
 Case study of long-term cases dating back twenty years or more showing positive results.
5. Subperiosteal implants
･Indication of severe bone resorption.
･Design concept and procedures.
･Support mechanism of subperiosteal implant: Sling theory.
･Various kinds of subperiosteal implants:
 Concept of mandibular tripodial subperiosteal implants.
･The knowledge learnt from a long term (ten years or more) case and excellent passage examples.
･ Explaining why subperiosteal implants are not used in Japan anymore.
･ Difficulties in archiving good long term results about subperiosteal implants and the limitations in their maintenance.
6. Distraction osteogenesis
･Necessary apparatus.
･Various kinds of methods and notes.
7. About GBR (Guided Bone Regeneration) technique in implant treatments Prof. Dr. Kuniteru Nagahara
• Underlying concept of GBR
･Implant placements with GBR technique immediately after same day tooth extraction(s)
･Staged implant placements 6-8 weeks after extraction and GBR
• Evaluation of various bone substitute materials and the directions for use
• Kinds and the characteristics of the various membranes as barriers, and their pros and cons, and directions for use
･Non-resorbable membrane (synthetic) GORE-TEX membrane etc.
･Resorbable membrane (organic)
Characteristic and directions of various resorbable membranes
• GBR technique with titanium mesh
• GBR technique as recovery after implant removal

･Repair of bone defect after defective implant removal and implant replacement
• Autogenous bone graft
･Autogenous bone graft by bone collection from mentum, ramus of mandible, retromolar triangle and tuberosity of maxilla, etc.
《 Practice 》
･ Practice of root form implants with plastic model.

【 the 12th module】
12 hours
1. Immediate placement and immediate loading
・Indications and the risk
・Current thinking concerning HDD (Horizontal Defect Dimension) Objectives:
□Immediate v/s delayed loading of cases.
□Submerged v/s one stage surgeries.
□Interim Prosthesis.
□Transitional implants.
□Stage II surgical protocol.
Outcomes: The students will be able to:
• Explain pros and cons of immediate and delayed loading of cases.
• Explain how to choose Submerged or one stage surgeries.
• Commence prosthetic phases during Stage I surgery.
• Identify and manage minor surgical complications.
• Plan for stage II root form surgeries to allow for aesthetic integration of soft tissues.
2. About the ridge expansion (Lateral expansion of alveolus bone)
• Indications, use of apparatus, and notes
・Procedure of split crest technique for cases where bucco-lingual bone width is extremely thin, and case reports of this technique
3. Sinus elevation technique
・History and the method
・Selection of surgical method by the distance between bottom of the sinus and the alveolar crest of ridge
Lateral Window Technique (Lateral approach technique) Crestal Approach Technique (Socket lift)
Dr. Summers’ Osteotome Technique
・Consideration of selection of bone substitute materials for sinus elevation
・Consideration of superstructure and selection of occlusal contact pattern
《 Practice 》
･Practice of sinus lift using chicken eggs
Summary of JSOI 100-hour course
1. Summary of implant diagnosis and treatment planning
2. Design of superstructures.
Basic concept and summary of natural teeth prostheses and implant prostheses.
･Identification of best occlusal contact pattern.
･Risk of the connection of implant prostheses to natural teeth, and exceptions.
･Pros and cons of screw-retained and cement-retained superstructures.
3. Basic concept and kinds of implant superstructures.
･Operator removable superstructure with precision attachments or telescope system, and their pros and cons.
･ Management of occlusion.
4. Production method of implant superstructure and how to create occlusal contacts
5. Directions of semi-adjustable articulators
・Demonstration of use of face bow, check bite and mounting to articulators in semi- adjustable articulators.
7. Maintenance.
《 Practice 》
･ Case presentation by current course trainees

【 the 13th ～18th module】
Advanced Implant Course
Models 13-18 present a more in depth discussion of procedures and techniques, and prevention of complications.
On site live implant surgery observations where possible, supplemented by viewings of a comprehensive list of a wide range of different un-edited video surgeries by the course director.
【 the 13th module】advanced implant course session 1 12 hours
The preparation necessary for the AAID examination. Objectives:
□To properly document all of the necessary information such as oral photographs, CT,
panoramic X-rays, periapical X-rays in preparation for the AAID examination. Outcomes: The students will be able to:
□Meet the AAID requirement and standard for documentation.
1. Clinical Examination. Objectives:
• To review a sequential way of performing clinical examination, including extra-oral, intra-oral, soft and hard tissue exam, periodontal and Occlusal evaluations.
• To make a preliminary assessment of the patients’ chief complaint, identifying aggravating and contributing factors.
Outcomes: The students will be able to:
• Examine their patients as a whole rather than focusing on just the problem.
• Gather clinical data related to the patient’s oral health.
• Create a problem list that will further outline the probable interrelationships of the various contributing factors.
2. Introduction to Diagnosis and Treatment Planning. Objectives:
• To help understand the diagnostic and treatment modalities necessary to properly treat patients requiring implant dentistry.
• To meet the patient before meeting the mouth (determining the patient’s needs, desires, motivations and goals).
• To provide an organized approach to examination, taking records, patient evaluations, obtain appropriate tests and radiographs and formulate a clinical decision-making tree (vertical treatment planning).
• To recognize and incorporate an interdisciplinary approach to treatment planning. Outcomes: The participants will be able:
• To provide medical evaluation of implant patients.
• To diagnose and incorporate criteria for recognition of basic predictable cases as opposed to more complex forms of treatment.
• To understand the indication and contraindications for implant modalities and therapies.
• To learn how to determine whether they should treat or refer a case based on their degree of training and experience.
• Incorporate DeVans axiom “preserve what remains rather than meticulously replace what is missing.”
• Will be able to consider comprehensive treatment planning.

【 the 14th module】
advanced implant course session 2 12 hours
3. Developing Treatment Plans Objectives:
• To teach principles of vertical treatment planning by creating a decision tree for implant modality selection preferred choices etc.
• To help organize the data gathered from the initial interview to the wax-up and create the appropriate treatment plan that fulfills the patient’s needs and satisfies their wants.
• To teach how to customize the treatment plan for every individual. Outcomes – The students will be able to:
• Integrate all the diagnostic information gathered from their patients and provide for a comprehensive treatment plan.
• Provide for optional plans and contingencies in the event that an ideal plan cannot be achieved.
• Consider implant therapy as part of the overall treatment plan for patients.
4. Medical Assessment and Pharmacology – Review of tests, values and evaluations of

the medically compromised patient. Review of basic pharmacokinetics and pharmacodynamics.
Dr. Jiro Takahashi (Medical doctor) Objectives:
• To review a sequential way of performing clinical examination, including extra-oral, intra-oral, soft and hard tissue exam, periodontal and occlusal evaluations.
• To make a preliminary assessment of the patients’ chief complaint, identifying aggravating and contributing factors
Outcomes: The students will be able to:
• Examine their patients as a whole rather than focusing on just the problem
• Gather clinical data related to the patient’s oral health
• Create a problem list that will further outline the probable interrelationships of the various contributing factors
5. Bone Biology
Prof. Dr. Hatsuhiko Maeda Objectives:
• To teach the basics of bone biology.
• Responses to function – Wolfe’s law.
• Adaptation, modeling and remodeling (RAP – concepts of Regional Acceleratory Phenomenon) etc.
• To understand the biological basis for bone healing, resorption, and related bone changes.
• To define and describe osseointegration, osseopreservation, fibro-osseous integration for bone support around dental implants.
• To teach and describe micro-anatomy – light microscopic and ultra microscopic levels.
• To teach levels of bone injury resulting from osteotomy preparations, heat generation with various drills speeds, aseptic thermal necrosis, appositional and undermining restorative patterns of osseous healing in osteotomies.
• Evidence through animal models and correlation of sigma cycles of bone healing.
• To teach at the microscopic level the bone response to surface modifications and enhancements of the implant interface.
Outcomes:
• This overview will provide for a sound biological basis for preserving bone as a vital tissue.
• Appreciation of gentle handling of bone during osteotomy preparations, reflection of mucoperiosteal flaps and maintenance of homeostasis during surgery.
6. Basics of Surgery – Introduction to immunology and wound healing Objectives:
• To teach basic principles of wound healing.
• Day to day sequence of osseous healing around dental implants.

• Soft tissue healing around implants –submerged and non-submerged.
• Healing sequence of one stage and two stage implants. Outcomes:
• The students will be able to understand the pathophysiology of bone healing in extraction sockets.
• The students will learn the basic wound healing mechanism that is initiated following insertion of dental implants and correlate it with functioning and non functioning implants.
They will be able to apply immunological principles that govern wound healing to the systemic conditions that may impair normal responses.

【 the 15th module】advanced implant course session 3 12 hours
7. Fundamentals of Sinus Graft, Symphyseal Grafts, Ramus Grafts Objectives:
• Learn how to perform pre-surgical planning and assess the maxillary sinus prior to surgery
• Be introduced to the surgical techniques and armamentarium to perform a crestal sinus window approach
• Be introduced to the surgical techniques and armamentarium to perform a crestal sinus lift using osteotomes
• Learn how to use the piezoelectric device to access the sinus
• Be introduced to the techniques necessary to perform the Balloon sinus lift procedure Outcomes:
• Gain knowledge in anatomy and physiology of the maxillary sinus and augmentation surgery.
• Come to understand the concept of prosthetic guided bone graft surgery.
• Gain knowledge on how to avoid and manage sinus complications and learn when an ENY specialist referral is appropriate.
• Come to understand the histologic behavior of graft materials used in sinus.
8. Extra Oral Grafting.
9. Implant Periodontics and Aesthetics.
10. Advanced Implantology- Immediate loading principles and techniques.
11. Long-term Validation of Principles and Techniques – Predictable implant sequencing.
12. Advanced Restorative and Esthetic Strategies in Implant Dentistry.
13. Identifying failures and managing complications.
14. Pathophysiology of Implant Failures – Mechanical, Biological, Chemical and Surgical.
15. Presenting cases and Patient management in Implant Dentistry: Marketing the Implant Practice.
Objectives

• Presenting implant therapy to patients.
• Presenting implant cases to peers.
• Establishing fees for implant cases. Outcomes: The students will be able to:
□Explain implant therapy to patients.
□Present their own case professionally.
□Understand and explain the fee structure for implant cases.
16. How to document cases and present at National and International symposia.
17. Medico-Legal considerations.
18. Preparation for the Associate Fellow/Fellow exams of the AAID.

【 the 16th module】
advanced implant course session 4 , 12 hours
Summary of review (made from JSOI)
Ⅰ．Ethics required of a specialist GIO:
Acquire knowledge and attitudes about significance of medical ethics, which is important to be a respectable specialist of oral implantology.
SBOs:
The learner will be able to;
1 explain ethical problems related to life and death,
2 establish the trustful relationship with a patient through implant therapy,
3 provide a patient with appropriate explanation on possible troubles and complications associated with implant therapy,
4 handle patients equally with different personal and/or social backgrounds,
5 recognize and cope with diverse value systems of patients in a flexible manner,
6 explain to a patient what is deemed best for him/her,
7 list legal obligations of a dentist. Ⅱ．Knowledge of basic medical science GIO:
Acquire knowledge of basic medical science in order to grasp concepts of oral implant therapy
SBOs:
The learner will be able to;
1 explain historical backgrounds of implant therapy,
2 explain anatomy (histology), physiology, biochemistry, bacteriology, and social dental science, which are required for implant therapy,
3 explain properties of biological materials which are used in implant therapy,
4 explain osseointegration which takes place around the implant body,
5 explain soft tissue responses around the implant body,

6 explain the anatomical structures including major vascular vessels and nerves in the maxilla-facial region.
III. Medical safety GIO:
Acquire knowledge and skills in order to perform implant therapy in safety SBOs:
The learner will be able to;
1 perform standard precautions,
2 take appropriate actions for needle stick injuries,
3 explain preventive measures of medical accidents,
4 perform safety measures in implant therapy,
5 explain infection control manual of the institution to which one belongs.
IV. Medical interview GIO:
Acquire knowledge, skills and attitudes required for having basic communication in order to establish a trustful relation between the patient and the dental care provider and to obtain accurate information on the patient
SBOs:
The learner will be able to;
1 interview a patient with appropriate appearance, speech, and polite manners,
2 explain basic communication skills required in medical interview,
3 obtain the patient’s history (chief complaint, current and past history, and family history),
4 extract and summarize the patient’s problems in consideration of his/her physical, psychological and social sufferings,
Mrs. Keiko Ikeda (Lawyer)
5 record the obtained information in the patient medical record in the format of POMR (problem-oriented medical record),
6 have consideration for protection of patient’s privacy,
7 understand significance of duties to protect patient’s information and information delivery to the patient,
8 Implement protection of the patient’s private information and provision of information to the patient,
9 explain to the patient the outline and prognosis of implant therapy and prognosis.

【Module 17&18】
Advanced Implant Course (Session 5–6) 24 hours
V. Systemic Examinations and Tests GIO:
Acquire knowledge and skills required for basic examinations and tests to understand the

patient’s systemic conditions and identify risk factors of implant therapy. SBOs:
1. Explain examinations/tests needed to grasp systemic conditions.
2. Perform examinations/tests needed to grasp systemic conditions.
3. Know the reference values of various clinical tests and explain the meanings of significant abnormal values.
4. Refer the patient to a medical doctor when necessary.
5. Explain the relationship between the patient’s medications and implant therapy.
6. Record systemic findings obtained with examinations/tests in the patient record.
7. Explain systemic risk factors of implant therapy.
8. Perform accurate placement of a monitor of vital information.
VI. Local Examinations/Tests
GIO:
Acquire knowledge and skills about basic examinations and tests to grasp local conditions and clarify treatment policy.
SBOs:
1. Explain examinations and tests of mandibular functions.
2. Perform examinations and tests of mandibular functions.
3. Explain examinations and tests performed in the mouth.
4. Perform examinations and tests in the mouth.
5. Explain examinations and tests for occlusal conditions.
6. Perform occlusal examinations and tests.
7. Explain the status of missing teeth.
8. Explain examinations and tests needed for esthetic areas.
9. Perform examinations and tests needed for esthetic areas.
10. Explain tests conducted with study models.
11. Explain radiological tests.
12. Record local findings obtained from examinations and tests in the patient record.
13. Explain local risk factors related to implant therapy.
VII. Treatment Plan
GIO:
Acquire basic knowledge for making treatment plans to ensure safe and secure implant therapy.
SBOs:
1. Explain treatment plans needed to manage caries, periodontal disease, and occlusion for preparation before implant therapy.
2. Explain differences between implant therapy and other prosthodontic options for tooth replacement.
3. Explain prosthetic-driven implant therapy.
4. Explain surgical plans related to implant therapy.

5. Explain selection of implant bodies.
6. Explain treatment planning with CT-based simulation.
7. Explain the design of superstructures.
8. Explain the informed consent for the final treatment plan.
VIII. Peri-Operative Management GIO:
Acquire basic knowledge and skills of peri-operative systemic management, psycho- sedation methods, and local anesthesia to perform safe implant surgeries in patients with systemic disease or old age.
SBOs:
1. Explain systemic conditions of the patient.
2. Explain features, purposes, and kinds of psycho-sedation methods.
3. Explain indications, contraindications, and medications for inhalation sedation.
4. Explain indications, contraindications, and medications for intravenous sedation.
5. Explain the purpose of local anesthesia.
6. Explain classification of local anesthetics and their modes of action.
7. Explain factors affecting the actions of local anesthetics.
8. Explain vasoconstrictors (purposes, kinds, features, precautions).
9. Explain complications associated with local anesthesia.
10. Take appropriate measures for complications associated with local anesthesia.
11. Perform appropriate peri-operative monitoring.
12. Explain innervation relevant for performing local anesthesia.
【Module 18】 Advanced Implant Course (Session 7–8) 12 hours
IX. Implant Placement Surgeries
GIO:
Acquire basic knowledge and skills for safe and secure implant placement surgery and secondary operation.
SBOs:
(Learners will demonstrate knowledge of vital signs, anesthesia selection, surgical steps, asepsis, osteotomy, implant placement, wound closure, radiographic evaluation, secondary surgery, and post-operative monitoring.)
X. Implant Therapy-Related Surgeries
(Bone tissue management: bone grafting, GBR, sinus elevation, bone distraction, split crest, nerve repositioning; Soft tissue management: free gingival graft, connective tissue graft, vestibuloplasty)
GIO:
Acquire knowledge and skills in oral surgery for implant therapy-related procedures. SBOs:
(Learners will be able to explain, perform, disinfect, select procedures, harvest

bone/tissue, use biomaterials, apply regenerative medicine, manage healing, evaluate radiographs, and provide post-op care.)
XI. Implant Prosthodontic Procedures
GIO:
Acquire prosthodontic knowledge and skills for appropriate superstructure fabrication in implant therapy.

SBOs:
(Learners will be able to explain and perform impression taking, abutment selection, superstructure design, CAD/CAM fabrication, provisional restorations, and secure delivery.)
XII. Maintenance of Implant Therapy
GIO:
Acquire knowledge and skill for long-term maintenance of implant-supported oral function.
SBOs:
(Learners will be able to explain peri-implant tissue differences, peri-implantitis prevention, periodic exams, patient instructions, PMC, and CIST.)
ⅩⅢ. Troubles and Complications
GIO:
Acquire knowledge and skills to cope with implant therapy-related complications. SBOs:
(Learners will be able to manage surgical/post-surgical infection, nerve injury, sinusitis, bleeding, pain, aspiration/swallowing accidents, osteotomy errors, implant/prosthetic fractures, loosening, esthetic problems, residual cement, peri-implantitis, implant dislodgement, occlusal wear, and bone resorption.)