Ninja Implant Restorations 101

Been wanting to learn what is required to restore implants?

Here’s the problem:

• ❌ The surgeries look super hard to do!
• ❌ The field is littered with jargon from key opinion leaders!
• ❌ It feels like you need to have a dual degree in prosthodontics and OMFS to do these cases!
• ❌ Nobody explains it in a straightforward way…

Here’s your secret weapon

• ✅ Step by Step Explanations of Each Procedure
• ✅ Easy to Refer Back to Walkthroughs
• ✅ Access to Content Forever
• ✅ 3-Month Access to Implant and Prosth Mentorship in Our Study Club Community

Inside Implant Restorations 101

• ➡️ Step-by-Step Restorative Videos
• ➡️ Learn the Essential Tools
• ➡️ How to Identify Different Implant Systems

Course Curriculum

Introduction

• Welcome to the Course! (0:45)

Syllabus

• Don’t be a stranger!
• Important Things to Know
• Join the Ninjas Community!
• Coffee and Case Reviews with Dr. Steve Vorholt! (1:02)
• Meet your Instructors (1:15)

Tools of the Trade

• Intro to Tools of the Trade (0:30)
• 1/4 Wrench Rundown
• 2/4 Wrench Rundown
• 3/4 Wrench Rundown
• 4/4 Wrench Rundown
• Things that Attach to the Implant – Overview
• Quick Recap (0:37)
• Armamentarium Video (6:11)
• Phoning a friend… (0:09)
• Deep Dive into Wrenches (9:36)

Screw Heads/ Driver Tips

• Introduction (0:16)
• The problem (4:58)
• Screw Heads vs Prosthetic Screws
• Implant Driver (4:59)
• 0.050 Hex
• 0.048 Hex
• Nobel Torx
• Straumann Torx
• Zest Locator
• Neodent
• If you cant ID…

Checkpoint #1

• Through the First Stage!

Identifying Different Implants

• Intro to Identifying Different Implants (0:18)
• Step 1: Try to Get Records
• Step 2: Take an X ray
• Step 3: Try to take off the healing abutment
• Step 4: Take picture of the platform
• Step 5: Re-appoint and order parts
• Step 6: Place impression copings and take x rays
• How to Identify Implant Platforms and Systems (8:24)

Types of Restorations

• Intro to Types of Restorations (0:22)
• Screw Retained – whiteboard (8:29)
• Screw Retained – model (0:19)
• Cement Retained – whiteboard (5:11)
• Cement Retained – model (0:51)
• Cement Retained Hybrid Abutment – model (1:02)
• Screw-mentable – whiteboard (3:44)
• Stock Abutment vs Custom Abutment – whiteboard (3:44)
• UCLA abutment – whiteboard (4:41)

Tooth Materials

• Introduction to Restorative Materials (0:17)
• Zirconium (4:17)
• Lithium Discillicate (4:24)
• PFM (5:15)
• Choice of Cement for Routine Cases (4:03)
• Choice of Cement for Anterior Cases (2:24)

Checkpoint #2

• Treatment Planning Badge

Restorability Check

• Intro to Restorability Check (0:14)
• How to tell if your implant is ready to restore? (3:38)
• Should I use ISQ? (2:21)
• Thoughts on Reverse Torque (1:51)
• Acceptable level of bone loss at this point (2:58)
• Taking off healing abutment (2:31)
• Stage 1 vs Stage 2 – When to use a cover screw vs healing abutment (2:18)

Open Tray Impressions

• Intro to Open Tray (0:11)
• When to use? (1:58)
• What does the open tray impression coping look like? (1:33)
• How to place the open tray coping and know if it’s fully seated (2:27)
• How to cut the tray (2:05)
• How to take the impression (2:18)
• Pulling the Tray OFF
• Evaluating the impression, is it good or bad? (1:13)

Closed Tray Impressions

• Intro to Closed Tray (0:16)
• When to use? (1:24)
• What does the closed tray impression coping look like (2:01)
• How to place the closed tray coping and know if it’s fully seated (2:35)
• How to take the impression (1:36)
• Pulling the Tray OFF
• Evaluating the impression, is it good or bad? (1:19)

Intraoral Scanning

• When to use (2:03)
• Comparisons of scan bodies (1:27)

Bite Registration

• Taking the bite – model (0:59)
• What I use for bite registration and why (0:26)
• Evaluating and modifying the bite registration – model (3:33)
• What the Soft Tissue Mastercast Looks Like (0:37)

Lab Stu

• The Lab Slip Example (5:44)
• The model you get back (0:45)

Moving on to Delivery!

• Movin on! (0:27)

Cement Retained Crown

• What is an abutment seating jig (1:01)
• Assessing the crown (3:03)
• Seating the abutment – Model (1:30)
• Seating the crown (0:44)
• Occlusal Check (2:14)
• Torque and Close up access hole (2:19)
• Cement jig (1:02)
• Cleaning the cement (2:39)
• Seating the abutment and Delivery – Patient (6:18)

FAQ

Screw Retained Crown

• Assessing the crown (4:23)
• Seating the crown (2:56)
• Interproximal Adjustment (2:09)
• Occlusal Adjustment (3:31)
• Torque (1:50)
• Closing up the access hole (2:51)

Checkpoint #3

• Delivered!!!

Occlusion Theory and Practice

• Intro to Occlusion Section (0:34)
• Occlusal Considerations and Philosophies (9:34)
• Occlusal Concepts (10:30)
• Occlusal Schemes for Posterior and Anterior Teeth (14:11)

Follow Up Care

• How often to see patients after delivery (0:41)
• Do they need a nightguard (0:29)
• How to tell if something is wrong (1:24)

Complications

• Intro to Complications (0:15)
• Loose crown, how to handle it (3:02)
• Stripped Screw (1:09)
• Not Enough Restorative Room (1:57)
• Debris stuck in the Screw Channel (2:59)
• Bone Impingement: Impression Coping not seated all the way (5:33)

Farewell

• Post Course Discussion with host and instructor (3:24)
• Congratulations (0:28)