Summary

Embark on a transformative exploration of stability and aesthetics in full-arch implantology for elderly-disabled patients based on Top-Down & Restoration-Driven Treatment Planning. Transitioning to the realm of All-on-4 and All-on-X, where cross-arch splinting emerges as a potential catalyst in minimizing required implants for full-arch cases, I uncover the innovative possibilities on these reductions unleash—reshaping the landscape of implant dentistry. Drawing on extensive experience and research, I share long-term outcomes and successful methodology based on my scientific life over 39 years, offering a comprehensive perspective on achieving stability and aesthetic excellence in full-arch implantology. 

Keywords ; Top-Down & Restoration-Driven Treatment Planning, All-on-X, Immediate function, full-arch fixed implant prostheses

Course Curriculum

◆Part 1：Overview of Top-Down Implant Treatment Implant treatment in elderly disabled patients strategy & planning
・Introduction 
・Regular course introduction at University
・Best treatment option for the elderly-disabled patients 
・Implant-fixed restorations for the elderly-disabled patients 
・Strategy for implant treatment in elderly disabled patients
・Minimally invasive treatment method suitable for elderly patients who can't undergo major surgery 
・Future Directions and Recommendations for Fixed Hybrid Prosthesis (Implant-Fixed All-on-X) 
・Final destination for implant treatment 
・Top-Down Treatment Planning in Dentistry 
・Top-Down Treatment Options in Order and Additional Options: Upper 2-Implant / Magnetic Overdenture

◆Part 2：Clinical Approach using the Top-Down Concept: IFHP (Implant-Fixed Hybrid Prosthetic) and CAIS (Computer-Aided Implant Surgery), Treatment Guidelines
・Segmented Restorations for One Unit All-on-X Restorations
・Current Clinical Approach: IFHP (Implant-Fixed Hybrid Prosthetic) and CAIS (Computer-Aided Implant Surgery) using the Top-Down Concept
・Cause of Failure 
・4 Critical Issues in Clinical Dentistry in South Korea Over the Past 5 Years
・Treatment Guideline 1: Patient Preferences and Wishes
・Treatment Guideline 2: Prosthodontic Ability (Clinical Skills, Technical Skills, Cost)
・Treatment Guideline 3: A View of the Patient's Abilities 8 Characteristics of Oral Conditions for the Elderly Over 65 Years Old
・Priorities of Prosthetic Treatment Options for Edentulous Patients
・Implant-Fixed Hybrid Prosthesis History and Case from 1999 to 2023 (24 years follow-up) 

◆Part 3：Elderly edentulous transition from Complete Dentures to Fixed hybrid prostheses, Mutually Protected Occlusion for Fixed Prostheses and Considerations
・In terms of oral hygiene care, is it true that removable prostheses are better than fixed prostheses? 
・Hygienic tissue contact shape of hybrid base
・Point out the problem of the retention device in the removable prostheses 
・Precision Attachment
・Edentulism 83 y.o patients transition from Complete Dentures to Fixed Hybrid Prosthesis 
・Mutually Protected Occlusion for Fixed Prostheses, Occlusion Considerations for Implant Restorations
・Questions about Prosthodontic Retainer Devices for Elderly Patients.
・All-on-X + YK-Link + Fixed Hybrid Prosthesis 
Insertation → Occlusal adjustment → Periodic recall 
Centric Occlusion, Eccentric Movements
・Summary 

◆Part 4：Case Presentation on All-on-X Prostheses #1
・Case Presentation on All-on-X Prostheses
Retainer, SCRP & YK-Link (Click Button)
One-Unit Fixed Hybrid Prosthesis
Monolithic Zirconia
・Clinical Workflow for the All-on-X: Analogue and Digital Approaches
・Occlusal Adjustment of Immediate Dentures on a Semi-Adjustable Articulator
・The 1st Polymer Trial Prosthesis: Intraoral Adaptation
Intraoral Adjustment + Jaw Relation Record (CR) + Mounting on the Semi-Adjustable Articulator
・The 2nd CAM with Monolithic Zirconia Block
Definitive Monolithic Zirconia after coloring, staining, and pink porcelain work.
・Review on: All-on-X’ 1-unit implant-fixed hybrid prostheses study in Japan 
・Conclusion in this article 

◆Part 5：Case Presentation on All-on-X Prostheses #2: Selection of Abutment, Prosthetic type, Definitive Materials, Future Direction & Recommendations and Conclusion
・All-on-4 and All-on-6 treatment concepts applied using computer-guided surgery in a patient case report
・(1) Selection of Abutment for All-on-X
・(2) Selection of Prosthetic type for All-on-X
・(3) Selection of definitive materials for the All-on-X prostheses
・What is goal in dental care 
・How would you start implant treatment 
・What is the final goal in dental implants 
What is our future on oral rehabilitation tx. in the prosthetic dentistry?
・Future Direction & Recommendations
・Conclusion-1 
The change of treatment paradigm for partial/complete edentulism
Conclusion-2
What is the best choice of prosthodontic treatment option for the elderly disabled patients?
What is your choice for elderly ?
Top-Down Prosthodontics Treatment Concept and Dentistry in Elderly- Disabled Patients, and my 40 Years Prosthodontics 

Honorable Speaker
Prof. Dr. Richard Leesungbok
Emeritus Prof. Richard Leesungbok, DDS, MSD, Ph.D.
Department of Prosthodontics, Kyung Hee University College of Dentistry
Invited Prof. at the GAO (Global Academy of Osseointegration)
Seoul, South Korea