Professor Cemal Ucer talks to The Revu about how the Intensive 3-Day Sinus and Bone Grafting course with hands-on cadaver surgery, which he co-developed with Dr Koray Feran, has evolved to become the most comprehensive theoretical and practical introduction to advanced sinus and bone augmentation surgery for implant surgeons.
Maxillary sinus surgery and bone grafting surgery have traditionally been offered by oral or maxillofacial surgeons. However, as implantology evolves and more clinicians have become involved with dental implants in practice, moving from Straightforward cases to Advanced then on to Complex surgery, there has been an increasing demand for clinicians to learn more about reconstructive hard and soft tissue techniques and grafting procedures.
Dr Koray Feran and I started the course in 2008 in response to this need and we were very fortunate to team up with Mr Abbad Toma, who is an ENT consultant in London. Abbad has a special interest in rhinology and endoscopic sinus surgery and this really complemented Koray’s and my skills in this area. More recently we have been privileged to be joined by Miss Sarah Little who is also a consultant ENT surgeon specialising in rhinology and treating sinus disease.
About the course
This course has become established as a benchmark in Europe for sinus and bone grafting, thanks mainly to the multi-disciplinary teaching we offer using fresh frozen cadavers, one of the first of such courses in the country. It’s a GDC requirement that if you want to progress into advanced surgical procedures such as sinus surgery or bone grafting, you must complete a structured advanced level course and develop skills through mentoring.
We believe that being able to operate on cadavers in order to develop final pre-clinical skills before moving on to patients, is a great privilege as the surgery is almost identical to working on live patients and we are very fortunate to be able to do this. The trainees learn all the theory both from dental, oral surgery and ENT perspectives and develop competence by carrying out cadaveric surgery under supervision before actually moving on to treat patients. This ensures that the students develop the necessary skills and surgical precision safely and effectively.
Our courses have been attended by a great mix of dentists ranging from oral and maxillofacial surgeons, periodontists, oral surgeons to general practitioners who bring a wealth of knowledge and experience which inputs a strong multi-disciplinary emphasis to teaching and learning on the course.
You’re not going to be able to do advanced sinus, bone or soft tissue grafting until you have achieved basic clinical competence in implantology, and that requires placing at least 50 to 100 implants. You need to be comfortable with Straightforward and Advanced cases before moving on to Complex reconstructive surgery, therefore it’s not really a suitable course for beginners.
Working together with ENT surgeons
It’s unusual, but shouldn’t be a surprise that ENT surgeons are involved in the course as maxillary and paranasal sinuses are their day-to-day working environment. If you are grafting the maxillary sinuses or placing implants within them, you will need to develop a close professional relationship with an ENT surgeon as you will need to routinely collaborate with them and seek their expertise in managing the sinus patients.
Both Sarah and Abbad specialise in endoscopic sinus surgery that they also teach on the course. Learning how to assess sinus diseases and treat these conditions before implant procedures is a very important part of the learning process. It’s also about developing a greater understanding of how to work together with other professional colleagues and when it’s the right time to refer to an ENT surgeon.
A unique and structured course
This is truly a benchmark course. It’s unique in structure and taught by eminent dental and ENT surgeons with many years of experience to give the most comprehensive theoretical and practical introduction to advanced sinus grafting and bone and soft tissue regenerative surgery.
Working with such a highly experienced, multi-disciplinary team on cadavers is a totally unique experience. As today’s clinicians come under increasing pressure to perform more advanced implant cases, this is the ideal opportunity to develop clinical skills under supervision of the full course faculty to carry out surgical dissections, sinus grafting, bone grafting, bone harvesting from the ramus, the chin and other intraoral sites as well as using the Bone Ring technique. Delegates can practice placing implants in the pterygoid or paranasal region in severely atrophic cases and learn to handle the entire range of botiss® hard and soft tissue products when placing implants.
Throughout this intensive course digital dentistry and full digital workflow is given a great emphasis, from CBCT-based 3D assessment of the sinus anatomy and pathology, treatment planning using co-DiagnostiX™ and 3D guided surgical access to the maxillary sinuses.
Delegates have the choice of attending the course in either London or Manchester.
The next Intensive 3-Day Sinus and Bone Grafting Course with hands-on cadaver surgery will be held at St George’s Hospital and LCIAD Academy in London on 11th – 13th July 2019. The course will be repeated at ICE Hospital & Manchester Medical School on 14th – 16th November 2019.
Places are limited and filling up fast so for more information or to book your place visit www.bonegraftingcourse.co.uk
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