Lesson 1Implant-supported options: single implants, implant-retained FPDs, fixed vs removable implant overdenturesThis section outlines implant-supported choices like single crowns, implant-held bridges, and fixed versus removable overdentures, covering when to use them, design, implant numbers and spots, and upkeep needs.
Indications for single implant crownsPlanning implant-retained FPDsFixed implant prostheses designRemovable implant overdenture conceptsImplant number and distribution planningMaintenance of implant-supported prosthesesLesson 2Material selection: metals (precious, non-precious), metal-ceramic, monolithic zirconia, lithium disilicate, acrylic and thermoplastic denture basesThis section looks at picking materials for fixed and removable prostheses, comparing metals, metal-ceramics, zirconia, lithium disilicate, and denture polymers for strength, looks, wear, bonding, and clinical uses.
Precious versus non-precious alloysMetal-ceramic indications and limitsMonolithic zirconia indicationsLithium disilicate for anterior estheticsAcrylic and thermoplastic denture basesMaterial selection based on occlusal riskLesson 3Removable partial denture design principles: Kennedy classification, major connectors, clasp design, stress distributionThis section covers main RPD design rules, including Kennedy classes, major connectors, clasp setups, and stress management, using biomechanics to boost comfort, function, and long-term support tooth health.
Kennedy classification and modificationMajor connector selection criteriaDirect and indirect retainer designClasp type selection and indicationsStress breakers and stress distributionSurveying and path of insertion planningLesson 4Biomechanics of support, retention and stability: tissue-borne vs tooth-borne vs implant-borne prosthesesThis section explains biomechanical ideas for support, retention, and stability in tissue, tooth, and implant-borne prostheses, focusing on load sharing, stress spread, and controlling long-term biological and mechanical risks.
Concepts of support, retention, stabilityLoad transfer in tissue-borne prosthesesLoad transfer in tooth-borne prosthesesLoad transfer in implant-borne prosthesesOcclusal scheme and force distributionManaging parafunction and overloadLesson 5Evidence-based considerations for diabetic patients: healing, implant success rates, periodontal controlThis section reviews evidence for diabetic patients, highlighting wound healing, implant survival, gum control, blood sugar levels, and adjusted protocols to make prosthetic treatment safer and more predictable.
Effects of diabetes on oral tissuesGlycemic control and healing outcomesImplant survival in diabetic patientsPeriodontal management in diabetesAdjusting surgical and recall protocolsPatient education and medical liaisonLesson 6Fixed partial dentures (FPDs) and adhesive bridges: indications, abutment evaluation, tooth preparation considerationsThis section reviews when to use FPDs and adhesive bridges, picking and checking abutments, and main tooth prep rules that balance hold, resistance, looks, and keeping healthy tooth structure.
Indications for conventional FPDsIndications for resin-bonded bridgesAbutment tooth selection criteriaAssessment of abutment periodontal statusTooth preparation for FPD retainersTooth preparation for adhesive retainersLesson 7Advantages and disadvantages of each option in patients with moderate ridge resorption and periodontal historyThis section weighs upsides and downsides of fixed, removable, and implant options for patients with moderate ridge loss and gum history, stressing support, ease of cleaning, aesthetics, cost, and risk of more tissue loss.
Assessing ridge resorption severityImpact of periodontal history on choicesFixed options in compromised supportRemovable options for ridge resorptionImplant options in reduced bone volumeRisk–benefit communication with patientsLesson 8Shared decision-making: balancing aesthetics, function, maintenance, and budgetThis section covers shared decision-making, showing how to draw out patient values, offer choices, and weigh aesthetics, function, upkeep, and budget, while noting consent and realistic goals.
Eliciting patient goals and prioritiesExplaining options in plain languageDiscussing esthetics versus functionMaintenance burden and visit frequencyBudget constraints and phased careDocumenting consent and expectationsLesson 9Hybrid solutions and staged approaches: combined implant-supported and tooth-supported prosthesesThis section discusses hybrid and phased plans mixing tooth and implant support, including shifting from failing teeth, risk checks, load sharing, and order to cut invasiveness and treatment breaks.
Rationale for hybrid prosthetic designsCombining tooth- and implant-supported unitsStaged extraction and immediate replacementTransition from RPDs to implant prosthesesManaging differential support and mobilityLong-term monitoring of hybrid cases
