Program Outline

Over 300 hours of Continuing Dental Education

continuing dental education old style loupes

Most clinicians believe that a comprehensive, didactic course of study integrated with live clinical experiences are the gold standard in implant training. Over the past several years, our program has evolved to provide what our students describe as a career-changing professional experience. We know of no other course that offers all the crucial elements and flexibility necessary to best prepare you for success in placement of dental implants.

The Vancouver MaxiCourse is a structured post-grad fellowship program, 30 days of education over ten months, September through June, with each module Friday to Sunday. It consists of a systematic buildup of didactic material, laboratory exercises, surgical demonstrations, clinical participation, and surgeries on your own patients. All surgeries are mentored and supervised by AAID/ABOI board-certified faculty members, and surgical sessions are 100% personalized to your surgical learning needs.

Module four of the program will offer an opportunity to review surgical anatomy as well as placing implants and performing various surgical procedures on cadavers at the UBC Faculty of Medicine, Department of Anatomy. At the completion oF the program, each participant will be eligible to challenge the written component of the AAID Associate Fellowship exam at the end of the program. This is optional and a personal choice.

On average, approximately 50 surgeries are performed by participants each year. Whether you’re a new or veteran dentist, the MaxiCourse is a comprehensive foundational program that any implantologist needs to take their skills to the next level.

Graduates of the MaxiCourse® will be eligible to enroll in the Vancouver Implant Continuum, offered by the Canadian Dental Implant Training Centre Inc. www.cditc.ca

* Clinical sessions are differentiated according to the previous experience and educational requests of the participant. Sessions will be tailored to focus on surgical, prosthetic and/or advanced techniques as required by the participant to maximize their educational experience. We want you to stretch yourself within the supported learning environment.

Sessions are designed as a modular approach to learning

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Each module is theme-based and is designed to facilitate effective learning. The material presented is evidence-based and/or based on best practice according to the generally accepted protocols in implant dentistry. The home study online program, developed by our faculty in conjunction with Dental Campus, is designed to supplement each module and stimulate thought on the subjects and foster a systematic development of confidence and knowledge in performing some of the procedures. It is not the intent of this program to teach all the treatment modalities to competency. Participants should develop the ability to select, develop and lead a surgical and prosthetic team in rehabilitating various partially and complete edentulous cases.

An overview:

  • A concisely presented program of study guided by a core faculty to help you navigate the complexities involved and weigh the indications and advantages of the various techniques.
  • Ten three-day sessions spread over ten months provide participants ample opportunity to learn and apply new techniques. Implant dentistry is not learned in a weekend or a week. It is an evolution of your skills that you hone during a serious course of study.
  • Participants develop actual cases from their own practices, beginning with diagnosis and treatment planning, proceeding through surgical guide fabrication and cone beam CT scan analysis, and culminating in implant placement, grafting procedures… the actual surgery is informed by the needs of the patient and the clinician’s professional learning goals.
  • Live surgeries take place on almost every Saturday/Sunday, followed by discussion of the science and techniques that inform the surgeries and a detailed discussion of the surgery itself.
  • Friday and occasional full weekend sessions featuring the world’s premier implant educators are designed to teach as well as reinforce the concepts presented in live surgeries. Through case presentations in a group participation atmosphere, we teach surgical implant placement and associated bone and tissue grafting techniques with the goal of redefining effective treatment planning.
  • Hands-on workshops are spread throughout the program to develop these skills on dental models and pig jaws, as well as surgical anatomy cadaver exercises.
  • Mentored surgeries close the loop and develop your skills on real patients.

 

Benefits of the AAID Vancouver MaxiCourse:

  • 300 Hours CE
  • 14 days of Live Patient Surgical and Prosthetic Sessions. More clinical experience than any other program in Western Canada
  • Numerous hands-on workshop opportunities: bone density, sterile setup, suturing, guided surgery, pig jaw manipulation, and much more
  • 3-day Cadaver Course with anatomy review and mock surgeries- implant placements, bone grafting, sinus lifts
  • Online case planning, support, and dialogue and discussion through a private, unique online learning platform with Dental Campus
  • 6 treatment planning sessions where you will present your cases and participate with your colleagues’ cases
  • One-on-one surgical mentorship throughout the program from six ABOI Board-Certified oral implantologists
  • Detailed case discussion and critique where you learn alongside colleagues regarding live cases
  • Non-commercial course covering the spectrum of implant types and systems
  • No implant system purchase required
  • Excellent review of fundamental sciences, comprehensive treatment planning, surgical and restorative protocols
  • Multiple distinguished faculty members to provide a broad perspective on implantology
  • Course participants will be eligible to take the Part 1, AAID Associate Fellow exam
  • 12 month membership in the American Academy of Implant Dentistry
  • Subscription to the Journal of Oral Implantology, AAID News, Implant Insights, Digital Newsletter
  • Participants may charge their professional fees to their patients during live surgical sessions to help recover tuition costs

For a basic introduction to the AAID Vancouver MaxiCourse, watch this video

Module 1 – Foundations of Oral Implantology & Pharmacology – September

Friday & Sunday

Module Outline

Oral Implantology is a relatively new discipline in dentistry.  It demands a multidisciplinary skill set from the clinician.  In this module, we will define the scope of Oral Implantology and introduce participants to the nomenclature commonly used in the classification of edentulous sites.  A systematic approach to quantifying as well as qualifying edentulous sites will set the stage for proper case selection, documentation, and presentation to fulfill the requirements of the AAID Vancouver Maxicourse.  Proper documentation and informed consent will be emphasized.

Continuing on, we will also examine a variety of topics: the surgical operatory set up, asceptic protocol, introduction to the surgical instrumentation, and implant placement protocols.  Participants will receive an overview of dental implants, bone grafting material, and simple grafting techniques.

Module Objectives

Following this module, participants will:

  • Understand the requirements of the AAID Vancouver Maxicourse
  • Understand the documentation requirements and presentation requirements of clinical cases.
  • Know the Nomenclature for classifying edentulous sites.
  • Know the Divisions of Available bone and Bone Quality Scale.
  • Be familiar with the components of a root form dental implant
  • Be aware of other forms of dental implants.
  • Understand the concept of Asceptic protocol.
  • Be aware of the various types of gone grafting material.
  • Know the protocol for a socket preservation graft.
  • Understand how to operate the surgical motor and handpieces.
  • Learn about surgical guides and how to use them in implant practice.

Presenter : Dr. William Liang

SOCIAL EVENT – Complementary Dinner on Friday evening with Faculty and Classmates.

Saturday

Module Outline

Dental patients undergoing routine dental procedures are exposed to pharmacologically potent drugs, stressors and increasingly complex procedures. The series of topics covered over the course of the two-day presentation serves to make dentists more comfortable in dealing with medically compromised patients, as well as aware of the various modalities of sedation available for these procedures.

The lectures are geared towards gaining a basic understanding of diseases prevalent in today’s society, how to assess these patients, what the implications are of the underlying disease pharmacological therapies, and ultimately how this impacts dental care.  The material is presented in lecture format and then reinforced through interactive modules.

Module Objectives

Following this module, participants will be:

  • Familiar with the proper technique to evaluate patient blood pressure, heart rate, respiratory rate and use of Pulse Oximetry
  • Familiar with the physiological changes of aging and how this impacts dental treatment and sedation as well as poly-pharmacy with particular focus on antipsychotic medication
  • Familiar with common diseases (Cardiovascular, Respiratory, Endocrine, Musculoskeletal) and their impact on dentistry.
  • Able to perform a thorough pre-operative patient assessment
  • Knowledgeable on common anti-coagulants and practice guidelines
  • Knowledgeable on the spectrum of anesthesia available for sedation of patients from oral sedation to general anesthesia
  • Familiar with common dental medical emergencies
  • Knowledgeable on evidence-based strategies for dental pain

Presenter: Dr. James Rutkowski

continuing dental education lecture

Module 2 – Diagnostic Imaging & Implant Complications – October

Friday

Module Outline

Morning Module:

Diagnostic imaging is integral to record keeping as well as effective treatment planning in Oral Implantology. Misinterpretation of this data may lead to poor results, improper diagnosis, and inappropriate treatment planning. Ignorance of existing pathology may result in negligence and harm to the patient. Given the importance of this topic within implant dentistry, we bring in an expert in the field to spend the morning with you, reviewing key concepts and how to integrate the skills sets into your practice and into your preparations for treatment planning.

Afternoon Module:

Check back for more details later!

Presenter: Dr. Peter Balogh

Module Objectives

Following this module, participants will:

  • Understand the value and limitations of various imaging techniques
  • Be able to use the radiographic imaging appropriately to practice oral implantology in a safe and effective manner
  • Be able to distinguish normal from abnormal radiographic appearances and develop a differential diagnosis of the radiographic findings
  • Be able to assess the potential risks and complications to surgical procedures in variances to the average radiographic appearance
  • Be able to use diagnostic adjuncts to clinically evaluate and overcome shortcomings in various imaging techniques

Presenter: Drs. Dorothy Sonja & Peter Balogh

Saturday
Suturing Lecture & Hands-On Workshop
Asepsis & Aseptic Technique
Surgical Demonstration, Dr. Peter Balogh – Posterior Implant or Socket Preservation Graft
Case presentations and Clinical Module
Second-Stage Surgery & Taking Implant Into Function
Impression-Taking Hands-On Workshop

Sunday
Case Presentation and Clinical Module
Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

 

continuing dental education stripped down

CBCT imaging

Module 3 – The ABC’s of Dental Implants / Bone Physiology, Pathology, & Biomechanics – November

Friday

Module Outline

The ABC’s:

Various clinical scenarios require an extensive familiarity with the different site preparations, ranging from hard and soft tissue reconstruction to the proper application of diverse implant designs; it also requires an understanding of proper sequencing of the surgical and restorative phases of treatment. This weekend focuses on an exploration of the various components of the implant structure. We will learn about the evolution of root form implant designs, with the most basic designs in the 1930’s leading up to today’s technological advances.

With a thorough understanding of the implant’s components, biomaterials, and design characteristics, we are able to prescribe the proper usage of various implants to specific case applications. We will explore the current principles of platform designs as it pertains to long-term crestal bone maintenance and soft tissue stability.  There will also be an introduction to bone metabolism and wound healing, which forms the basis for bone grafting principles and techniques. Students will also be introduced to the importance of perioplastic techniques in creating long-term, stable aesthetic results.

Everything Bone:

One of the keys to oral implantology is an understanding of the behaviour of bone when subjected to different biomechanical, physiological, and chemical stresses. In this module, we will look in depth at bone metabolism and physiology and various factors that regulate these processes. We will examine how each of these factors may affect the clinical outcome and how contraindications play a role in various types of procedures.  As well, we will examine how various pharmacological agents can enhance or interfere with bone metabolism.

In addition, we will be introduced to some of the bone regenerative theories. We will also touch on some of the craniofacial bone pathology that may be encountered while dealing with dental implant treatment; when working with patients during the screening process, it is important to be able to recognize and handle such cases.

Module Objectives

Following this module, participants will:

  • Understand the concept of osseointegration and soft tissue healing
  • Be able to critically evaluate the various components and features of different root form designs
  • Be able to rationalize their choice of dental implants based on their understanding of the biomechanical, physiological, and microbiological factors affecting the process of osseointegration
  • Be familiar with the various biomechanical, physiological, and chemical stressors of bone growth and maintenance
  • Be able to examine and recognize normal bone as opposed to bone with potential pathology
  • Be knowledgeable of the current understanding of bisphosphonates and its relationship with bone metabolism
  • Be familiar with the microscopic and macroscopic structure of bone and its implications for bone manipulation and grafting procedures
  • Be aware of the embryological origins of various types of bone and its effect on the lifetime behaviour of the organ

Presenter: Drs. William Liang & Charles Shuler

Saturday
Case presentations and Clinical Module
Pig Jaw Hands-On Workshop – flap design and suturing technique

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Sunday
Case presentations and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

 

Module 4 – Surgical Anatomy for the Oral Implantologist – December

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Friday – Sunday

Module Outline

Dental implant procedures require that the surgeon work in parts of the jaw that are outside the scope of everyday dentistry. Implantology often involves working in vital structures and surgical spaces that must be recognized and understood before working in these areas. Violation of these structures may create serious immediate or long-term consequences to the patient.

This program provides a systematic review of the anatomical structures, and participants will learn how to apply that knowledge in the surgical setting. The program is developed with a combination of modular lectures and cadaver dissection in the surgical anatomy lab to reinforce the learning. By the completion of this session, dentists can approach their surgery with confidence in knowing how to provide treatment in a safe manner.

The distinguishing feature of this program is the emphasis and reinforcement of practical application of surgical anatomy.

Saturday and Sunday will include hands-on cadaver exercises.

Module Objectives

Following this session, participants will:

  • Be able to identify surgical spaces and vital structures, and the clinical significance of both
  • Be able to identify these structures in the Anatomy Lab and aware of the clinical consequences of intruding into these structures
  • More confidently be able to apply various local anesthetic techniques
  • Be familiar with bone, anatomy, physiology, and local growth factors
  • Be introduced to evidence-based management of atrophied jaw bones
  • Understand the spread of infection, emergency treatment of complications, and emergencies in the dental office
  • Be knowledgeable of the surgical anatomy of the submandibular region of interest to implantologists
  • Be familiar with the surgical anatomy of the mandible and maxilla as organs

Presenter: Dr. Mohamed Sharawy

continuing dental education cbct

Module 5 – Implant Maintenance & Soft Tissue Management – January

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Friday

Module Outline

This full day presentation will cover a number of different but interrelated concepts in dental implantology.  In the morning module, the basic principles of hard and soft tissue grafting will be presented, which will include the use of various graft materials as well as membranes with a discussion on their biologic activity and biologic “potential”.  These basic principles will then be used in the management of simple extraction defects as well as more complex defects, and provide a framework for a decision-making process: when to place implants immediately into extraction sites, or when to delay implant placement.

Various patient situations will be presented, demonstrating these basic principles and illustrating when to use what materials and techniques for each specific situation.  Following the presentation on hard and soft tissue grafting techniques, viable alternative treatment options to grafting will also be presented and validated through scientific literature. These alternatives include the use of short implants, angled implants to avoid bone deficiencies, cantilever prostheses, and the application of a shortened dental arch.

In the afternoon module, peri-implant histology will be presented and contrasted to periodontal histology.  The attachment apparatus will be compared between tooth and implant, and in order to provide a foundation for understanding various aspects of implantology including the following: basic wound healing, osseointegration, periodontal and peri-implant regeneration, and implant maintenance.

A working knowledge of peri-implant histology also forms the foundation for analyzing and critiquing new concepts and materials that develop in the field, such as platform switching or scalloped implant designs.  Finally, the most common complications in implant dentistry will be presented along with management and prevention.

Module Objectives

Following this module, participants will:

  • Understand the differences between osteogenic, osteoinductive, and osteoconductive bone graft materials and when to apply which for specific defects
  • Develop an understanding of the biologic rational for using membranes and when they are required
  • Appreciate when an implant can predictably be placed immediately into a fresh extraction socket and when it would be better to perform a site preservation procedure instead
  • Become familiar with how a connective tissue graft is harvested and applied
  • Gain knowledge on the Extraction Defect Sounding Classification Syste
  • Recognize scientifically sound alternative treatments when patients cannot have, or cannot afford hard and/or soft tissue grafting
  • Understand the basic anatomy and histology of the periodontal and peri-implant environment
  • Be exposed to the most common biologic complications associated with dental implants and become familiar with the techniques to resolve as well as avoid problems.

Presenter: Dr. Nicholas Caplanis

Saturday
Surgical Demonstrations, Dr. Nicholas Caplanis – Soft Tissue Graft, Gum Graft
Case Presentation and Clinical Module

Presenter: Dr. William Liang
Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Sunday
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Module 6 – Principles of Bone Manipulation & the Fully Edentulous Patient – February

Friday

Module Outlinecontinuing dental education with Dr. Hilt Tatum

Many of the concepts of contemporary implant dentistry were developed long ago by our speaker, Dr. Hilt Tatum. In this module, we will examine the concept of Natural Implant Restoration in Stable Alveolar Bone [NIRISAB]. Issues such as establishing and maintaining long-term bone stability around dental implants, the effects of the micro-gap implant connection, and the principles of dental alveolar reconstruction have been thoughtfully developed throughout Dr. Tatum’s career and through many years of clinical experience.

In addition to the above, we will also thoroughly explore the concept of sinus augmentation, as pioneered by Dr. Tatum, and its continued superiority in its application to contemporary implant dentistry.

Participants will have a thorough exposure to the surgical protocol and aseptic guidelines for achieving a high level of success in these reconstructive procedures.

The ability to implement these skill sets into your dental implant practice is key to your success as an oral implantologist.

Module Objectives

Following this module, participants will:

  • Understand the importance of prosthetic planning and direction for implant treatment
  • Understand the importance of and a practical way to introduce an operating room level of surgical asepsis into your dental operatory
  • Be able to understand the pattern of alveolar changes after tooth loss and the need for bone and gingival enhancements
  • Be able to understand how bone expansion/manipulation is possible and doable
  • Be able to identify the roll of bone repair and techniques to achieve optimum  results with bone augmentations
  • Be able to identify clinical boundaries and landmarks to the maxillary sinus and be able to outline the protocol for a lateral access sub-antral augmentation and be familiar with surgical and post-surgical management of the procedure
  • Be able to understand the benefits of remote incisions for bone augmentations
  • Know how to utilize multiple techniques for onlay bone augmentations
  • Be able to understand how to establish stable gingiva around implants at time of implant placements
  • Be able to the techniques and benefits of a TVO (Tatum Vascularized Osteotomy) procedure to enhance bone stability and esthetics around implants
  • Be able to understand the benefits of trans-mucosal implant placements
  • Be able to understand the current safe techniques of nerve repositioning

By combining the knowledge developed from the last seven modules, participants should be able to understand the clinical implications of possibilities as well as limitations of bone reconstruction.

Presenter: Drs. William Liang & Hilt Tatum

Saturday
Surgical Demonstration, Dr. William Liang – Sinus Augmentation / Vertical Bone Augmentation
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Sunday
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Module 7 – Second Stage Surgery & Implant Provisionalization – March

continuing dental education live surgery

Friday

Module Outline

At this stage, participants should realize the complexities of oral implantology. Current expectations and standards of care are increasingly demanding, and oral implantologists are required to be more attentive to the relationship of soft and hard tissue around dental implants. Implant placement is clearly more complicated than simply titanium and bone interaction. Keys to sustainable aesthetic results will be examined.

We will look at issues such as edentulous site reconstruction, extraction site preservation, and immediate implant placement.

Our success in oral implantology comes is based on an understanding of the science that informs our decision-making algorithms. We endeavour to provide research updates to the ever-evolving art of implant dentistry.

The process of taking a dental implant from simple titanium root form to the appearance and function of a replacement tooth is the highlight of this module. Our focus up until this month have been site reconstruction and implant placement, and now we explore the process of bringing that implant into function and creating an emergence profile for that tooth for aesthetics and functionality.

In this module, we will study the many years of clinical and academic research that Dr. Jaime Lozada, professor and director of the Loma Linda University oral implantology programs, brings to our program.

Module Objectives

Following this module, participants will:

  • Understand how and when to load a dental implant
  • Be familiar with criteria for evaluating soft tissue adequacy around an implant
  • Recognize developments or preservation of the implant/tooth emergence profile
  • Understand the current science supporting immediate implant placement
  • Understand the contraindications to immediate implant placement
  • Learn basic perioplastic techniques to enhance outcomes
  • Be familiar with key research articles in the field of oral implantology

Presenter: Dr. Jaime Lozada

Saturday
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Sunday
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Module 8 – Implant Treatment Strategies for the Maxilla & Mandible – April

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Friday

Module Outline

By this point in the year, we should have developed the ability to diagnose and classify various types of edentulous arches and be familiar with the various soft and hard tissue reconstructive requirements for fixed or removable prostheses.

For the more advanced surgeons, this module will incorporate most of the skill sets and principles developed throughout the Vancouver MaxiCourse. Functional biomechanics, implant site conditions, and aesthetic and clinical outcome requirements will dictate the implant position strategies.

Once again, decision-making algorithms will be reviewed in terms of matching patient expectations to the realities of site preparation requirements and positions and numbers of implants. We will use several case studies to demonstrate the entire process of diagnosis, treatment planning, and execution of the treatment stages.

Presenter: Dr. William Liang

Saturday
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Sunday
Case Presentation and Clinical Module

Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Module 9 – Implant Prosthetics Workflow, Complications, & Management – May

continuing dental education quadrant photoFriday

Module Outline

Check back for more details later!

Presenter: Dr. William Liang

Saturday

Case presentation and Clinical Module
Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Sunday

Case Presentation and Clinical Module
Clinical Instructors: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Peter Kim

Course review, preparation for exam.
Presenter: Dr. William Liang

Module 10 – Final Topics, Exam Prep, & Wrap-Up – June

Friday & Saturday

Theme: 

Module Outline

As each MaxiCourse year progresses, and as we introduce new speakers and update and alter the curriculum, we will also be customizing lectures to suit the needs of the group. The final module serves three main purposes:

  1. Fill in gaps where other speakers have not expanded on key topics.
  2. Cover any material not yet covered and requested by the group.
  3. Help prepare you all for the AAID Associate Fellow written exam.

As such, the June module will customize its program to suit these needs.

Presenter: Dr. William Liang