Toronto Implant Academy | June 8, 2018
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June 8, 2018

FRIDAY June 8, 2018

Registration: 8:00am – 8:30am | Lecture: 8:30am – 12:30pm

4 CE Points



Treatment Planning the Maxilla for Full Arch Fixed and Fixed Detachable Prostheses

A full arch implant supported prosthesis requires a minimum number of implants at the proper vertical position. The final design will dictate these requirements.


The variable anatomy of the maxillary bone at the alveolar level makes implant therapy a challenge. The presence of large maxillary sinuses, limited bone height and bony resorption limits the placement of dental implants. Bony angulations and the presence of infected space occupying lesions creates further challenges. This session will reveal a systematic approach to the analysis of available maxillary bone for the full arch implant rehabilitation. Indications for immediate implant placement versus delayed placement will be reviewed. The difference between fixed and fixed-detachable prostheses will be outlined and interesting cases will be presented.

 Dr. Lorenzo Vigna

Dr. Lorenzo Vigna was born and raised in Toronto, Canada. He graduated with Honors from the University of Toronto, Faculty of Dentistry. Dr. Vigna completed his Oral and Maxillofacial Surgery Residency at Sinai Hospital of Detroit, University of Detroit Mercy. Dr. Vigna has private practices in both St. Catharines and Toronto. He is the Chief of Oral and Maxillofacial Surgery and Lead for Dental Service for the Niagara Health System.

Dr. Vigna is also an Assistant Clinical Professor of Surgery with McMaster University and teaches E.N.T. residents in both his private clinic and hospitals. Dr. Vigna is a member of various associations including the Michigan Chalmers J. Lyons Academy of Oral and Maxillofacial Surgeons. He is one of the leading clinicians in Canada for Dentsply Sirona and the Conus Treatment Concept and for NeoDent and the Zygoma Implant.

Sponsored by: Neodent

Same-day Guided Implant Surgery with Cerec and 3D Printing/Milling


• Review of literature on Guided Implant Surgery


• Guided Surgery:
– Information needed
– Keys for InLab system,
– Scanning and CBCT integration
– Software surgical simulation and exporting DXDfile
– Surgical guide design and fabrication of CERECGuide2 stent
– Printing vs. milling of stent


• Temporary Abutment Crowns to modify and shape gingival zenith
– Using Procera wax sleeves and InLab
– Using Ti-Base and inLab
– Tarnow principles and creating papilla
– Quantifying gingival modification digitally
– Screw vs cemented implant restorations

Dr. Amarjit Rihal, DMD

Dr. Amarjit Rihal, DDM obtained his DMD degree from the University of Manitoba, Faculty of Dentistry, in 1995. His professional interest has involved all aspects of implant and CAD/CAM dentistry. He has additional training in both hard and soft tissue grafting as well as placing and restoring implants. In addition to implantology, Dr. Rihal has acquired expertise in CAD/CAM based prosthetic dentistry, involving numerous CAD systems and materials. Utilizing his CEREC ac, Sirona InLab system, and Nobel Procera scanner he has designed over 4000 restorations. He currently manages operations of his in-house lab Lodge Dental and is the owner of his own digital lab called Rihal Digital Designs.

Dr. Rihal has trained with numerous ceramists in California and is versed on ceramic pressing and layering techniques over zirconia and metal substructures. He presently is a partner in a large group practice in Winnipeg, MB and serves on the boards of the Manitoba Dental Association (MDA), National Dental Examination Board (NDEB) and the current chair of the Commission on Dental Accreditation of Canada (CDAC). He was also a part time instructor at the University of Manitoba Faculty of Dentistry and is a fellow of the Pierre Fauchard Academy and International College of Dentist.

Sponsored by: Dentsply Sirona