Master Level II-Design and Fabrication of CAD/CAM Bar Attachment Retained Overdentures including the All-on-4™ and Immediate Load Conversion Concepts with Tom Wade, CDT

This course will examine the less prescribed but more complex arena of attached over-denture bar restorations, including design considerations for the Nobel Procera Free-Form and Paris Bars, utilizing popular Locator and Bredent VKS-SG attachments.

Specialized processing techniques unique to attached over-dentures will be examined in depth, including the design and incorporation of cast chrome meso-structures, which are necessary components for long-term success.

The class will participate in an actual processing of an attached over-denture bar case utilizing Phonares II Nano-hybrid composite resin denture teeth and the Ivobase injection processing system.

Additionally, this course will examine the digital workflow of the “Front half” of this technology including: 

• Communications between the surgical and restorative teams to better plan and execute for the benefit of the final prostheses and ultimately, the patient
• Digital planning of implant placement and bone modifications necessary to adequately meet restorative requirements.
• Various surgical guides and apparatus fabricated by Laboratories to assist with implant placement
• The All-on-4 concept and protocol for the day of surgery conversion of the immediate load provisional prosthesis
• Working with either challenging or obsolete implant systems in which proper prosthetic fabrication components are unavailable

This course provides a solid overview of this entire arena of technology, with an emphasis on bar design, attachment incorporation, occlusal schemes, and the fabrication techniques of an attached over-denture prosthesis.