7th Successful Year!

Founded twenty-two years ago, the Misch International Implant Institute® is recognized as the standard of advanced dental implant education. The Institute teaches the skills and techniques required to bridge the gap between what is learned in dental school and the critical knowledge needed to advance to a new level of patient care and practice success.

Dr. Carl E. Misch developed the Misch International Implant Institute to help set and elevate the standard of care in implant dentistry using a hands-on training approach. The Misch International Implant Institute courses are unlike any other currently available.  The Institute provides only the most progressive information, based on documented research literature, not based on "opinion" or an "in my hands" concept.  In addition, a consistent philosophy ensures that information is presented in a logical sequence with non-conflicting opinion.  Most other programs provide information by using a myriad of lectures and lecturers without consistency or a common thread to link the material in a usable format.  This is frustrating, especially for the doctor on an early learning curve. 

Participants at the Misch International Implant Institute are trained in techniques that can be reproduced.  Past data has demonstrated an average success rate of 98.4%.  Many of the concepts and methods presented have been developed or modified by Dr. Misch.  These concepts are not provided in detail outside the Misch Implant Institute.

Many graduates are now well known speakers, authors and/or researchers in the field. The Institute offers programs both nationally and internationally and has trained more than 1,500 dentists over the last 16 years.

It is important to note, given the medical-legal atmosphere and the high costs of dentistry overhead, dentists cannot afford to learn one of the most complicated patient treatments without a game plan.  Attending 20 meetings by 100 different lecturers over a five- year period does not provide the experience and knowledge attainable through a structured one-year program.

Session I: “Diagnosis and Treatment Planning”: December 12, 13, 14, 2008

Course Topics
• Rationale for Implants
• Prosthetic Options
• Bone Volume-Available Bone
• Posterior Single Tooth Implant
• Stress Factors • Treatment Plan Modifiers
• Implant Success and Failure
• Radiographic Diagnostic Interpretation
• Stress and Treatment Planning
• Pre-Implant Prosthodontics
• Bone Density and Treatment Planning
• Templatesand Study Casts
• Biomaterials and Biomechanics
• Treatment Planning Session
• Implant Number / Prosthesis
• Implant Economics
• Laboratories – Workshops
• Computerized Tomography Workshop

Course Objectives
• Recognize and explain the impact of complete and partial edentulism as a national health problem in dentistry.
• Understand the history of dental implants, recognize the pioneering efforts, and understand the current and future status of implant dentistry.
• Classify and define the different types and modalities of dental implants.
• Classify and define different prosthetic options for implant dentistry.
• Explain the anatomical maxillary and mandibular considerations and limitations in relation to implant placement.
• Recognize diagnostic imaging procedures for the assessment of available bone quantity and quality.
• Understand the biological basis (materials, mechanics and implant-tissue interface) and interactions between dental implants and host tissues.
• Demonstrate and conduct complete dental history and clinical evaluation of implant patients. Assess implant quality of health and matters to obtain and maintain health of soft and hard tissues.
• Recognize and identify local conditions which may influence the surgical and/or the prosthetic implant treatment.
• Recognize and properly perform referral procedures to medical and dental specialists, when indicated.
• Complete sequential treatment surgical planning for implant treatment, including alternative treatments. Describe a protocol for preparation; dentally, medically, psychologically and financially, prior to placement of implants.
• Properly perform implant surgical placement procedures for posterior single tooth implants, manage related complications, and recognize situations which mandate referral for posterior single tooth surgery.
• Understand and apply principles for proper hard and soft tissue surgery, such as, but not limited to, incision design, flap preparation, osteotomy preparation, controlled pressure and heat generation, implant placement and suturing for posterior single tooth surgery.
• Establish an organized approach to implant placement techniques with the ability to select the appropriate surgical technique and materials in relationship to the bony topography.
• Establish an organized approach to ridge atrophy management with the ability to select the appropriate implant modality in relationship to the bony anatomy.
• Select and fabricate surgical templates with different designs for each specific surgical indication.
• Develop treatment planning skills specific to implant restorations.

Session II: “Fixed Prosthetic Options”, January 16, 17, 18, 2009

Course Topics
• Fixed Prosthetic Options
• Anterior Single Tooth Implants
• Cemented Prostheses Principles
• Abutment Selection for Cemented Prostheses
• Prosthesis Fabrication, Direct and Indirect Technique
• Implant Protective Occlusion • Joining Implants to Teeth
• Occlusal Materials
• Progressive Bone Loading
• Treatment Planning the Maxilla
• Occlusal Evaluation
• Immediate Loading
• Attachments for Fixed Prostheses
• Abutment Screw Loosening
• Common Complications in Implant Prosthetics
• Implant Design Rationale
• Treatment Planning Options for FPD
• Premaxillary Implant Prosthetics
• Treatment Planning Session
• Crown Height Space Considerations
• Color Scheme Selection
• Laboratories- Workshops

Course Objectives
• Compare the three prosthetic options for fixed prostheses in implant dentistry.
• Understand and perform maxillary anterior single tooth crowns on implants.
• Appreciate the ideal implant size requirements for implant restorations.
• Apply ideal soft tissue drape conditions of implant dentistry.
• Learn and apply principles of cemented prostheses to implant dentistry.
• Understand the advantages and disadvantages of three different methods to provide fixed implant prostheses to patients.
• Understand and apply occlusal concepts to implant fixed restorations.
• Learn the biomechanical approach to treatment planning.
• Understand the most common causes of complications in implant dentistry.
• Determine when, how, and why an implant may be joined to a natural tooth in an implant restoration.
• Understand the differences and indications between direct and indirect restorative techniques.
• Learn the step by step approach to fabricate an implant prosthesis using the direct or indirect techniques.
• Determine methods to select the occlusal material for an implant prosthesis.
• Understand and apply the basic principles of proper shade selection.
• Understand bone density and how it affects treatment plans and complications.
• Learn and apply methods to increase bone density by progressive bone loading.
• Recognize three different healing methods used in implant dentistry.
• Appreciate the advantages of one stage healing in implant surgery.
• Understand the scientific rationale to immediate loading of implant restorations.
• Perform step by step procedures for implant restorations on laboratory models.
• Treatment plan partial and complete edentulous patients for implant restorations.
• Perform radiographic interpretation techniques for partial edentulous patients.
• Treatment Planning.

Session III: “Removable Prosthetic Options”. April 3-5, 2009

Course Topics
• Removable Prosthetic Options
• Generic Terminology of Implant Components and Overdentures
• Cement vs. Screw in Prostheses: Indications and Complications
• Implant Overdentures for Maxilla
• Implant Overdentures for Mandible
• Step-by-Step Removable Prosthesis Fabrication
• Overdenture, Prosthetics Movement/Attachments
• Bar Design and Attachment Selection
• Maxillary Denture Opposing Mandibular Implant Overdenture
• Screw-Retained Prostheses
• Treatment Planning Sessions
• Mandibular Overdenture Transformed to a Fixed Prosthesis
• Dental Photography
• Laboratories – Workshops

Course Objectives
• Compare two prosthetic options for implant overdentures in completely edentulous patients.
• Learn and use a generic terminology of implant prosthetic components for implant overdentures.
• Appreciate the advantages and disadvantages of cement retained restorations and compare with the advantages and disadvantages of screw retained restorations.
• Diagnose and perform five different overdenture options for completely edentulous mandibles.
• Perform step-by-step procedures for implant overdenture in the mandible.
• Understand the advantages and disadvantages of implant overdentures compared to fixed prostheses.
• Understand and select implant overdenture attachments and bare designs used in implant dentistry.
• Appreciate the difference between attachment movement and prosthesis movement for implant overdentures.
• Review the classic principles for maxillary denture support, retention and stability.
• Understand the differences between maxillary denture fabrication opposing a denture vs. an implant prosthesis.
• Treatment plan maxillary implant overdentures.
• Perform step-by-step procedures required for maxillary implant overdentures.
• Recognize six advantages for segmented prostheses with attachments for fixed implant restorations and four disadvantages.
• Compare five different treatment options for fixed prosthetics in the edentulous mandible based upon flexure, torsion, and biomechanics.
• Observe and perform photographic techniques required for implant prosthetics.
• Diagnose and treatment plan patients for implant overdentures or fixed prostheses using radiographic imaging, CT scans and diagnostic casts.
• Treatment Planning.