Lesson 1Ridge evaluation: clinical ridge width and height measurements, palpation for cortical plates, location of concavities or undercutsExplains practical clinical ridge checks, covering width and height measures, feeling cortical plates, and spotting dips or undercuts, matching these with images to improve grafting plans for local patients.
Crestal ridge width measurement techniquesAssessing vertical ridge height clinicallyPalpation of buccal and lingual cortical platesIdentifying concavities and undercuts by touchClassifying ridge defects for graft planningCorrelating clinical and radiographic findingsLesson 2Radiographic assessment of bone quality and cortical thickness, presence of residual socket walls, lingual undercut, and proximity to adjacent rootsCovers x-ray checks of bone strength, cortical thickness, leftover socket parts, tongue-side undercuts, and nearness to nearby tooth roots, connecting these to initial stability, graft type, and risk of cortical breach in mandibular sites.
Assessing trabecular bone density patternsEvaluating buccal and lingual cortical thicknessIdentifying residual socket walls and defectsDetecting lingual undercuts and concavitiesProximity to adjacent roots and root morphologyImplications for graft selection and stabilityLesson 3Dental and oral history: timing of extraction, prior infections, periodontal status, parafunction, and previous implant/prosthetic historyReviews main parts of dental and mouth history affecting back lower jaw implant and grafting results, stressing risk spotting, timing choices, and blending past treatment and surgery details for better care.
Timing and reasons for tooth extractionHistory of acute and chronic infectionsPast periodontal diagnosis and therapyParafunction, bruxism, and clenching habitsPrevious implants, failures, and complicationsExisting prostheses and occlusal schemesLesson 4Soft tissue imaging and planning: measuring keratinized tissue on images and use of intraoral scanning or photos for documentationShows how to check soft tissues with images, scans, and photos, key on keratinized tissue width, mucosal thickness, and records guiding flap design, grafting, and emergence profile in Botswana practices.
Measuring keratinized tissue on radiographsUsing intraoral scanners for soft tissue mappingStandardized clinical photography protocolsEvaluating mucosal thickness and phenotypePlanning soft tissue grafting needsArchiving digital records for follow-upLesson 5Targeted clinical exam: extraoral exam, intraoral soft tissue assessment, vestibular depth, keratinized tissue width, frenulum attachments, and mucosal qualityOutlines a planned clinical exam for back lower jaw sites, including outside and inside mouth soft tissue checks, vestibule depth, keratinized tissue width, frenula, and mucosal quality for surgery access.
Extraoral symmetry and neurosensory baselineIntraoral soft tissue inspection and palpationMeasuring vestibular depth and mobilityAssessing keratinized tissue width clinicallyEvaluating frenulum position and tensionMucosal quality and scarring around the siteLesson 6Comprehensive medical history: systemic conditions, medications, bleeding risk, smoking, alcohol, bisphosphonates, anticoagulants, and prior radiationSums up full medical history points key to implant and grafting safety, covering body-wide illnesses, drugs, bleeding risks, lifestyle like smoking and drinking, and past radiation or bone-protecting treatments.
Cardiovascular and metabolic conditionsImmunosuppression and infection riskBleeding disorders and anticoagulant therapyBisphosphonates and other antiresorptivesSmoking, alcohol, and healing capacityHistory of head and neck radiationLesson 7Legal, consent, and referral considerations: when to refer for medical clearance or specialist input and documentation essentialsLooks at doctor-law duties in implant planning, including clear consent, record standards, and when to get medical okay or specialist advice to keep patients safe and doctors protected in Botswana.
Elements of informed consent for implantsDocumenting risks, benefits, and alternativesWhen to seek medical clearanceIndications for specialist referralRecord keeping and imaging documentationManaging patient expectations in writingLesson 8CBCT and radiographic planning: ordering CBCT, expected DICOM data, slice selection, cross-sectional views, panoramic limitationsOutlines hands-on CBCT use for back lower jaw planning, including when to order, handling DICOM files, picking slices, cross-section views, and limits of wide-angle x-rays in local settings.
Indications and timing for CBCT orderingField of view and resolution selectionImporting and managing DICOM datasetsChoosing optimal axial and cross sectionsUsing panoramic reconstructions cautiouslyRadiation dose and justification principlesLesson 9Key measurements from imaging: horizontal ridge width at crest and 1–3 mm subcrestal, vertical height to mandibular canal, distance to inferior alveolar canal, angulation and available bone lengthDetails vital straight and angle measures from images for back lower jaw sites, focusing on ridge width, height, canal nearness, and angle to aid safe implant spots and grafting methods.
Measuring crestal and subcrestal ridge widthAssessing vertical height to mandibular canalDetermining distance to inferior alveolar canalEvaluating implant angulation in cross sectionsEstimating available bone length and trajectoryMeasurement calibration and error reductionLesson 10Periodontal and occlusal assessment: probing, attachment levels on adjacent teeth, occlusal scheme, opposing dentition considerationsCenters on gum and bite checks around back lower jaw sites, including probing, attachment levels, bite patterns, and opposite teeth, to predict load forces and risks around implants.
Probing depths on adjacent teethClinical attachment and bone support levelsFurcation involvement near implant sitesStatic and dynamic occlusal analysisOpposing dentition and parafunctional loadPeriodontal stability before implant therapy
