Learning Objectives

• How did this life-threatening emergency happen?
• What can you do to reduce the risk of this happening to you?
• Do we have to accept some risk of this in dentistry?

Bill Schaeffer is doubly-qualified in medicine and dentistry and is also both a medically-qualified surgeon and a specialist oral surgeon.  He is co-owner of two implant centres in Sussex.

Harpal is a registered Specialist in Restorative Dentistry, Endodontics, Periodontics and Prosthodontics. He works as a part time Consultant in Restorative Dentistry and Dental Implantology at Kingston Hospital, while spending the rest of his week practicing as the Principle dentist at Elmfield House Dental Practice.

In 1988 Harpal qualified from Bristol University with prizes in both Conservative and Restorative Dentistry. Following this he trained at the Eastman Dental Institute and completed his specialist training at GKT and St Georges Hospital in Tooting, during this time he also gained his Californian state board exams.

Training under the world renowned, PI Branemark, who invented the zygomatic implant concept in the early 1990’s inspired Harpal to dedicate the past 25 years of his career to furthering his skills in implant surgery. He specialises in full arch rehabilitations, often using zygomatic implants to facilitate implant placement in more challenging cases which he has also published his own data on.

Harpal works closely and mentors dentists in both surgical and prosthetic dental implant cases ranging from single teeth to full arch rehabilitation including All-on-4 implant and zygomatic implant surgery. As a renowned speaker he enjoys sharing his wealth of knowledge to inspire and lift dentists to a high standard of care in all aspects of surgical and restorative dentistry enabling them to provide the best possible care for their patients.

Harpal is happy to take referrals for full arch reconstructions, including All-On-X, single tooth, zygomatic & pterygoid implants, including sinus lifts and block grafts.

We’re on the cusp of a whole new era in implant dentistry where “Guided Surgery” means so much more than just a surgical guide. Full arch dentistry is being guided out of the dark ages with modern methodologies focused on the bigger picture, encompassing a complete ‘’Guided Service’’ which includes specialised education, systemised data collection, detailed restorative planning, innovative guide design, guided conversion and simplified final restoration. As a result, we can create the most efficient and cost-effective, consistent, and safe solution for dentists and patients. Better planning leads to better results, with less chair-time, and even less time in court!

Learning Objectives

• To introduce the concept of Fully Guided Full arch surgery using metal stacked guides.
• To demonstrate a fully systemised workflow from data collection through to final restoration
• To illustrate how technology combined with clinical knowledge and tailored education can improve patient outcomes

Browne Centre.

James Hamill is Europe’s leading expert in the world’s leading full arch guided system, CHROME GuidedSmile, having successfully completed over 100 CHROME surgeries and provided training, mentoring and chairside support to hundreds of dentists across the UK, Ireland and Europe.

With over 20 years’ dental implant experience, James has established a reputation as one of the nation’s leading guided implant clinicians.

His pioneering work to transform full arch implant dentistry has seen him develop an enhanced fully guided solution which goes far beyond just the physical surgical guide to encompass case selection, case planning, chairside support and a full education programme.

He is a firm believer that guided surgery protocols offer a necessary and unarguable advantage for the patient, the surgeon, the restorative clinician, and the whole dental team, and ultimately elevates the quality of patient care to a level which should, and will, become the industry standard.

Martin graduated from the University of Bristol in 1995 and since 2004 he has been a partner at Ten Dental, an interdisciplinary specialist referral practice in Clapham, south London where his work is limited to implant and aesthetic Dentistry.

He has been awarded the Diploma in Implant Dentistry at the Royal College of Surgeons, England at advanced level, and alongside this has several external teaching commitments and is a Adjunct Assistant Professor at University of Pennsylvania School of Dental Medicine.

He is a lecturer on the Master in Aesthetics program at the University of Frankfurt and a full member of the British Academy of Aesthetic Dentistry.

He has a special interest on digital implant dentistry and digital smile design and has lectured internationally on all aspects of implant dentistry.

In his spare time, he enjoys time with his family, art, music and photography.

A patient attended our clinic and was treatment planned for an immediate fixed full arch implant retained restoration. It was a case that required significant alveolar bone reduction. We will outline the stages of this case before reflecting on bone reduction in full arch implant dentistry. How much is enough and when is enough too much.

Learning Objectives

• To revise the classification of Fixed Full Arch Implant Restorations

• To consider the prosthetic space requirements for Fixed Full Arch Implant Restorations

• To reflect on the advantages and disadvantages of the different options available to Patients

Paul Swanson received a Diploma in Implant Dentistry from the Royal College of Surgeons England and an Advanced Certified in Bone Grafting from the RCS in 2008. He then completed the Master of Science Degree in Implant Dentistry from Queen Mary University London. Paul’s clinical practice is limited to Implant Dentistry. He owns a specialist referral practice in Liverpool and contributes to the implant elements of multidisciplinary cases done by his team. Paul mentors’ dentists at both entry and advanced level and contributes to study clubs in his region. He is a former tutor for the Royal College of Surgeons Diploma in Implant Dentistry and the ITI Study Club Director for Liverpool and is the co-director of IDEAL - an organisation running dental courses for all members of the dental team.

The use of guided surgery for implant placement is a concept that has been around in implant dentistry for some time now. Despite the well-accepted notion of restoratively driven implant placement among clinicians, the wider acceptance of guided surgery, which I consider to be the pinnacle of restoratively driven implant planning and placement, has been slow to come. This presentation aims to make a compelling case for the adoption of computer-guided surgery in implant placement. We will discuss the myriad benefits of planning your surgery using virtual tools before operating on the patient, as well as the various clinical advantages of guided surgery. Finally, we will delve into the future of this rapidly evolving technology and its potential impact on the field of implant dentistry. It is time to move out of the stone age and embrace the future with guided surgery

Learning Objectives

• How using guided surgery protocols can simplify all aspects of implant dentistry.

• How planning your implant cases virtually benefits the surgeon, restoring colleagues (if different to the surgeon) and, most importantly, the patient.

• How guided surgery can be used to improve patient safety.

• How virtually planned and surgically guided implant placement is a powerful tool medico-legally.

Nick works in Woodborough House, his multidisciplinary referral practice in West Berkshire. 

Nick works as a specialist prosthodontist and, as such, accepts referrals related to fixed and removable prosthodontics and all aspects of dental implantology. 

Of particular interest has been his involvement in many aspects of digital dentistry. As a pioneer in computer-guided surgery, Nick has taught a generation of dentists about guided surgery and has been a KOL in this field for many companies. 

Of recent interest is the amalgamation of 3D facial scanning and real-time jaw movements into the planning process for complex reconstructive cases.

 Nick has lectured worldwide on topics such as computer-guided surgery and virtual implant planning and has authored a dental textbook titled “Guided Surgery – Making Implant Placement Simpler”. Nick is also co-director of the FitzFahey Academy – a dental education resource focused on Transforming Modern Dentistry.

Dr Balaji since he obtained the BDS Degree, he worked in Maxillo facial units in the UK for several years and gained substantial experience in surgical dentistry.

For the past 15 years Dr Balaji has been working in his private dental practice which is based in Buckingham. He is the principal dentist and owner of the Gallery dental group which is made up of Meadow walk dental practice and the Gallery dental and Implant Centre. He is founder of Academy of Soft and Hard Tissue Augmentation (ASHA). and run courses and lectures in the UK and around Europe, where He teach other aspiring implantologists how to treat difficult cases. In addition, He also host study clubs, Webinars.

This journey has led me to being invited to speak at prestigious international conferences and I have been chosen as a Key Opinion Leader for Hu-friedy Germany (surgical instrument company), Geistlich Biomaterials Switzerland, Meisinger surgical instruments Germany,  Dentsply Sirona Implants Sweden and Sweden and Martina implants Italy.

 At present his practice is predominantly focused on dental implants and Regeneration techniques.

Dr Balaji has placed a few thousand dental implants to date over the last 15 years.  He has travelled around the world to develop his skills and worked with world-renowned implant surgeons.  He completed TMJ and occlusion curriculum with Peter Dawson in USA, Implant curriculum with Dr Hilt Tatum, MFDS RCPS in Glasgow, MFDS RCS in Edinburgh, LDSRCS in London, Full curriculum of autogenous bone grating technique with Prof F Khoury in Germany, Advanced surgical Master Curriculum Regenerative Implant Dentistry with Istvan Urban in Budapest and Master Soft tissue Course with Prof G Zucchelli in University of Bologna.

He routinely mentor other dentists using the latest skills and techniques. Dr Balaji has an enduring passion and commitment to his work, teaching and keeping up to date with the latest surgical innovations and research to ensure his patients are receiving the best possible care and his practice.

Where did we come from and where are we going; Assessment of the opportunities available to aspiring and established implantologist when considering mentoring as part of personal development. This talk aims to explore the recently published mentoring guidelines from the ADI/CGD and the influence this has on practice.

Having graduated from Kings College London Dental Institute in 2009 Sami worked across primary care and Maxillofacial Surgery House jobs in the South of England before taking on specialty training in Oral Surgery. 

As a specialist he currently manages and provides NHS Oral Surgery across the Wessex region and is one of the few UK graduates to have held an ITI scholarship where he spent a year in Graz Austria with the Oral Surgery and Implant team expanding his Implantology skillset.
 

He holds Memberships with the Royal College of Surgeons Edinburgh and England as well as the Faculty of General Dentistry.  Sami has completed an MSc in Aesthetic Dentistry and was awarded one of the first recognised UK Fellowships in Clinical Leadership with Health Education England. Furthermore, he is an active member of many societies and represents the profession with the British Dental Association and at the Royal Society of Medicine as well as acting as a Key Opinion Leader to several companies within the industry.

Learning Objectives

• Defining Clear Career Objectives and Strategies- By the end of this presentation, attendees will be able to articulate their personal career objectives within the field of implant dentistry, and develop a strategic plan to achieve those objectives, including identifying potential career paths, setting clear goals, and prioritising skill development
• Navigating Continuing Education and Specialised Training -  Participants will acquire the ability to assess available educational opportunities and evaluate reputable courses within the realm of implant dentistry
• Effective Mentorship and Mentee Engagement- At the conclusion of this lecture, attendees will be able to outline effective strategies for identifying potential mentees, building meaningful professional networks, and fostering successful mentor-mentee relationships. They will understand how to transfer knowledge, offer guidance, and contribute to the growth and development of others in the field
• Self-Assessment, Progress Monitoring, and Avoiding Pitfalls- After attending the presentation, participants will be proficient in utilising various methods and tools for self-assessment, enabling them to track their professional progression and measure success in implant dentistry. They will also be equipped with practical insights to identify and navigate common pitfalls, maintain work-life balance, and stay informed about advancements within the field.

Having qualified as a dentist in 2010 from King College London, Dr Fezaan Gatrad has taken great pleasure in caring for his patients.

Immediately after his foundation year training and obtaining his Diploma of Membership of the Joint Dental Faculties of England (MJDF RCS), he was accepted to The University of Warwick completing a Diploma in Implant Dentistry in 2014. In 2016 he graduated with a Masters in Clinical Dentistry with distinction from BPP University having received the outstanding achievement award while studying Implant Dentistry (MClinDent Implant).

Under the mentorship of leading clinicians within the UK and internationally, he has amassed a wealth of experience in a variety of implant treatments, from the replacement of single teeth, bone and Soft tissue Regeneration, to full mouth rehabilitation.  Dr Gatrad is actively involved in Implant education and has lectured on Implant Dentistry. He also works as a travelling surgeon, providing Implant treatment for multiple implant practices within the UK.

Dr Gatrad has a passion for Implant Dentistry and is a firm believer in bettering yourself through research and education. His quest to acquire new knowledge and learn the latest technique will only continue to enhance his capabilities as a clinician.

Dr Gatrad has dedicated most of his career to Implant dentistry and achieving the best possible clinical outcomes in restoring people’s confidence and smiles through his work. He prides himself on providing excellent care and maintaining long -term relationships with his patients.

The lecture will be about my (still early) training pathway and my view on zygomatic implants. I will present a case where one of the implants failed and will discuss potential reasons for this.

Learning Objectives

• To understand when to opt for zygomatic implants and the benefit of their use in today's world

• To understand the importance of thorough medical assessment for implants in general but especially for advanced implants procedures

• To shed light on the training pathways for those who might be interested 

Ali qualified in 1998 and undertook his oral surgery training at Senior House Officer level in NHS oral and maxillofacial surgery posts. He taught undergraduate oral surgery at King’s Dental Institute from 2002 to 2004. Following this he embarked on a two-year training programme in dental implants at King’s College London resulting in a Master’s Degree in Implant Dentistry (2007). Ali has since then practised implant dentistry at advanced levels and has undergone further advanced training both in the UK and internationally in bone grafting, soft tissue grafting, sinus grafting and advanced zygomatic implants. He teaches implant dentistry on private courses.

Ali practised for many years in Covent Garden London and at his own clinic in the Harley Street area (Devonshire Place), London, before moving to Hertfordshire and setting up his second clinic in St Albans, UK.

• Why I went into implants and the importance of mentors

• Challenges faced from doing basic implants to more advanced cases

• Overcoming obstacles as a working mum

• The change in mindset and the passion I developed to do more in implant treatments

• Aspiring more women into implant dentist

Dr Aria qualified in Stockholm Sweden and has been practicing in the UK since 1999. He has been the Principal Dentist at The Harrow Dental Practice since 2001.

He is a member of The Association of Dental Implantologists (ADI), International team of implantology (ITI), The British Dental Association (BDA), World Clinical Laser Institute (WCLI) and The International Society of Laser Dentistry (ISLD).

He has extensive knowledge in Dental implants, bone/ridge augmentation, soft tissue management around teeth and implants and sinus floor elevation and has completed many cases over the years.

Straumann awarded him gold member status for his dental implant achievements, and he is a keynote speaker for Neoss Dental implant system which discusses bone augmentation and laser assisted implant placement especially for medically compromised patients.

Since completing his MSc in dental lasers Dr Aria has completed numerous different procedures using the laser from laser assisted endodontics, Dental Laser assisted implant placement specially for medically compromised patients, periodontal/peri-implantitis treatment and many more. He is passionate about the benefits of using the dental laser and is eager to educate and share these benefits with his peers.

Treatment of the compromised bone, particularly in the posterior maxillofacial region and mandible can present a challenge, especially when conventional methods like sinus lift and bone grafting are not an option or not preferred. Fortunately, there are innovative and minimally invasive alternatives such as the placement of Pterygoid and Transnasal implants, Hybrid Plates are an option too.

Pterygoid Implants
Pterygoid Implants provide a solution for patients who have inadequate bone in the posterior maxilla. They are named after the pterygoid process of the spenoid bone, where they are anchored.

By engaging this region it´s possible to achieve effective stabilization of the implant, enabling them to bear the masticatory load. Pterygoid impalnts do not require a sinus lift or bone grafting. They reduce surgical time, as they may be used by immediate loading, or delayed loading.

Transnasal implants
Transnasal implants are another option when treating patients with atrophied maxilla without sinuslift or bone grfating. These implants are placed through the nasal cavity and engage the cortical in the nasal floor and anterior wall of the maxilla. Transnasal implants allow immediate laoding making them a convenient solution for patients who want to avoid multiple surgeries.

Hybrid Plates
Whenthere is no height of crestal bone specially in the mandible the Hybrid Plate may be  atreatment option. The Plates are placed in a special prepared bed in the bone  in order that the Plates can osseointegrate. The Plates are put in the retromaolr region of the mandible and are combined either with two piece convenitional implants or with One Piece Tissue level implants. Immediate loading or delayed loading is applied depending on the case. While these  methods are innovative alternatives for dealing with the problem of inadequate bone, it is essential to remember that each patient is unique. There it´s always important to consider all available options and tailor the treatment plan to the specific needs and circumstances of each patient.

Learning Objectives

• Developing a comprehensive understanding of alternative approaches that may eliminate the need for sinus lift or bone grafting procedures

• Understanding the principles behind minimal invasiveness options and exploring these approaches in treating the atrophied bone, we aim to provide patients with effective treatment while minimizing the impact on their bone structure.

• Overall, our goal is to offer patients a more comfortable, efficient, and successful experience, sparing them unnecessary surgical interventions and enabling them to enjoy the benefits of fixed teeth within a relatively short timeframe.

The use of dental implants to replace single teeth in the aesthetic zone is a well established protocol. Early Implant Placement (6 weeks post extraction) alongside simultaneous GBR has been well documented and researched. The purpose of this study was to evaluate the long term stability of the buccal bone and to assess whether the techniques demonstrated in a hospital setting are transferable to the general dental clinic.

Learning Objectives

• To Demonstrate the use of Guided bone regeneration in the aesthetic zone

• To provide the general dentist with long-term follow up of this technique

• To discuss complications regarding this technique

David qualified from Cardiff University in 2000 and joined the Royal Army Dental Corp.  He completed initial surgical training in the Royal Surrey County Hospital and then joined private practice. He has since completed further postgraduate training at Kings College London in Prosthodontics. David’s implant training has also included a fellowship at the University of Berne, Switzerland.

David has published extensively in the areas of aesthetics in dental implants, immediate loading of dental implants, ceramic implants and digital dentistry, he has also published multiple research papers in peer reviewed international dental journals. He won the research prises at both the ADI conferences in 2019 and 2021 and the ITI UK conference in 2019. His work has been presented at the European Association of Osseintegration congresses in Athens and Copenhagen and he has also presented at the ITI world congress in Geneva.

David lectures both nationally and internationally on both the surgical and restorative aspects of dental implants. He has recently lectured in France, Switzerland, Latvia, Dubai and Oman as well as lecturing in the UK.