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Course syllabus

COURSE SYLLABUS

Course Title: Dental Implantology
Degree Level: Master’s
Course Type: Mandatory
Course Duration: Two semesters (8th and 9th semester)
Course Level: Level M (Master’s level)
Assessment Methods: Continuous assessment, participation in seminars, semester test, practical examination
Teaching Methods and Approaches: Lectures, practical exercises, seminars, clinical case analysis, clinical demonstrations on patients
Semester Examination: Yes, 9th semester

DEPARTMENT: Center for Dental Implantology

COURSE ANNOTATION: 

The Dental Implantology course provides an opportunity to acquire knowledge and practical skills related to the clinical application of dental implants for the restoration of the masticatory system and its functions, which may be impaired due to partial or complete edentulism and associated conditions.

The primary focus of the course is the development of key competencies, which are understood as a combination of theoretical knowledge, practical skills, and abilities in dental implantology.

  • Linguistic Competence or Literacy Competence – The ability to effectively communicate in the native language, including oral and written expression, interpretation of thoughts and concepts, and mastery of the specialized scientific terminology relevant to the discipline.

Theoretical knowledge and practical skills encompass the fundamental principles and sequential steps of the diagnostic process in dental implantology, including:

  • Patient examination to determine risk profiles and treatment outcome predictability.
  • Systematic and precise treatment planning with proficiency in clinical and radiographic diagnostic methods.
  • Three-dimensional planning of implant positions and spacing.
  • Surgical implantation techniques.
  • Impression techniques in dental implantology.
  • Principles of prosthetic planning and rules for the construction of implant-supported prostheses.
  • Methods for preventing and managing complications in dental implantology.
  • The necessity of regular clinical follow-ups after treatment completion.
  • Digital Competence – The ability to use, assess, create, and share digital content. This competency is based on knowledge of digital technologies applied in modern dental implantology. A digital workflow across all stages of implant-prosthetic rehabilitation ensures precision, predictability of outcomes, and a significant reduction in treatment duration.
 

COURSE DESCRIPTION

The course consists of 75 academic hours, distributed as follows:

  • Lectures, including live clinical demonstrations – 45 hours.
  • Practical sessions – 30 hours.

Assessment Criteria:
The final grade is determined through a comprehensive evaluation based on multiple components:

  • Student participation and engagement during lectures and practical exercises.
  • Examination results at the end of the semester.

Assessment Aspects:

  • Solving clinical case studies.
  • Participation in discussions.
  • Test performance.
  • Examination results.

 

TEACHING RESOURCES

The course utilizes various teaching aids, including:

  • Multimedia presentations
  • Clinical case-solving schemes
  • Electronic surgery with CBCT
  • Demonstrations on phantom models
  • Clinical demonstrations on patients
  • Tests
 

OBJECTIVE OF THE COURSE

Dental Implantology is a clinical dental specialty that explores both the theoretical foundations and practical applications of dental implants for the restoration of the masticatory system and its functions, which may be impaired due to partial or complete edentulism and associated conditions.

The primary objective of this course is to provide in-depth theoretical knowledge in dental implantology and develop fundamental practical skills and techniques related to implant planning and placement, bone augmentation methods, and prosthetic approaches.

 

COURSE OBJECTIVES

Students will acquire theoretical knowledge and essential practical skills in the following areas:

  • Patient examination using clinical and paraclinical methods
  • Risk factors, indications, and contraindications for implantation
  • Types of modern dental implants and implant surfaces
  • Cellular basis of osseointegration and mechanisms of osteogenesis
  • Treatment planning in dental implantology, including prosthetically guided approaches, optimal three-dimensional platform positioning, and CBCT-based planning
  • Computer-assisted planning and fabrication of surgical guides
  • Computer-based planning and fabrication of temporary prosthetic structures
  • Basic surgical implantation techniques
  • Immediate implantation and immediate loading protocols
  • Specific considerations for implantation in the esthetic zone, including digital smile design
  • Special impression techniques in dental implantology – both conventional and digital
  • Types of abutments according to the selected prosthetic approach
  • Incision techniques, flap designs, suturing techniques, and suture materials
  • Guided tissue/bone regeneration: methods and materials
  • Complications in dental implantology: types and treatment approaches
  • Maintenance of implant-supported prostheses and follow-up examinations
 

PREREQUISITES

Before enrolling in the Dental Implantology course, students must have foundational knowledge in:

  • Prosthetic Dentistry
  • Oral Surgery
  • Periodontology
  • Radiographic Diagnostics
  • Orthodontics
 

EXPECTED LEARNING OUTCOMES

Upon successful completion of the course, students will have acquired the following knowledge, skills, and competencies:

  1. Advanced knowledge of clinical anatomy of the maxillofacial region.
  2. Comprehensive understanding of bone morphology and physiology.
  3. In-depth knowledge of peri-implant healing and bone regeneration processes.
  4. Ability to correctly determine indications, contraindications, and risk factors in dental implant treatment.
  5. Proficiency in modern diagnostic methods in dental implantology.
  6. Competence in planning implant treatments and patient preparation.
  7. Mastery of implantation techniques.
  8. Fundamental knowledge of bone augmentation methods, including guided bone regeneration, block grafting, sinus floor elevation, and more.
  9. Understanding of soft tissue management and augmentation techniques.
  10. Ability to perform tooth extractions and prepare post-extraction sockets for implantation.
  11. Proficiency in contemporary fixed and removable implant prosthodontics.
  12. Knowledge and basic skills in temporary prosthetic solutions in dental implantology.
  13. Understanding of preventive and therapeutic approaches to perioperative complications in dental implantology.
  14. Basic knowledge of the prevention and management of technical and esthetic complications in dental implantology.
  15. Competence in the maintenance phase of implant treatment.
  16. Familiarity with the etiology, pathogenesis, treatment, and prevention of biological complications in dental implantology.

This comprehensive course ensures that students gain both the theoretical and practical expertise necessary for a proficient practice in dental implantology.

 

LECTURE PROGRAMME – DENTAL IMPLANTOLOGY, VIII SEMESTER

1. Introduction to Dental Implantology. History Overview. Specialized Terminology. Classifications - Prof. Dr. B. Yordanov, PhD

2. Patient Examination and Treatment Planning in Dental Implantology. Preoperative Analysis and Risk Factors. Indications and Contraindications for Implant Placement - Prof. Dr. B. Yordanov, PhD

3. Patient Examination and Treatment Planning in Dental Implantology. Optimal Three-Dimensional Implant Positioning. Radiographic Analysis and Diagnostic Models. Electronic Surgery – Virtual Implant Treatment Planning Using CBCT - Prof. Dr. B. Yordanov, PhD

4. Prerequisites and Conditions for Successful Implant-Prosthetic Treatment. Patient Preparation for Implant-Prosthetic Therapy. Modern Surgical Guides - Prof. Dr. D. Filtchev, PhD

5. Aesthetic Smile Planning. Digital Design - Dr. G. Iliev, PhD

6. Fundamentals of Periodontal-Implant Therapy. Periodontal Incisions and Sutures - Assoc. Prof. Dr. K. Kotsilkov, PhD

7. Types, Shapes, and Surfaces of Modern Implants. Criteria for Implant Selection. Criteria for Successful Implant Treatment - Prof. Dr. D. Filtchev, PhD

8. Implant-Tissue Interface. Osseointegration. Concept of Intraosseous Integration – Contact and Distance Osteogenesis - Prof. Dr. B. Yordanov, PhD

9. Anesthesia in Dental Implantology. Basic Incisions, Flaps, and Sutures. Suture Materials. - Assoc. Prof. Dr. E. Deliverska, PhD

10. Instruments and Equipment for Implant Treatment. Types of Implant Placement – Immediate, Early, Delayed, Late. - Prof. Dr. B. Yordanov, PhD

11.Introduction to the Surgical Kit. Basic Surgical Approaches for Osteotomy in Implant Placement - Assoc. Prof. Dr. E. Deliverska, PhD

12. Implant Uncovering: Techniques and Indications. Types of Temporary (Provisional) Crowns. The Role of Provisional Crowns in Shaping the Emergence Profile and Achieving Stable Soft Tissue Aesthetics - Prof. Dr. D. Filtchev, PhD, Dr. E. Ruseva

13. Impression Techniques in Prosthetic Implantology. Fully Digital Workflow for Prosthetic Rehabilitation - Prof. Dr. B. Yordanov, PhD

14. Contemporary Digital Solutions in Implant Prosthetics- Digital impressions. Defining the Indications for Immediate, Early, and Delayed Loading - Prof. Dr. D. Filtchev, PhD

15. Types of Abutments, Indications for Use, Selection of Abutment According to the Type of Prosthetic Construction. Workflow Stages and Completion of the Final Structure. Fixation of Implant Prostheses to the Supports - Prof. Dr. D. Filtchev, PhD

 

 

LECTURE PROGRAMME – DENTAL IMPLANTOLOGY, IX SEMESTER

1. Optimum implant positioning - prosthetically driven three-dimensional approach. Immediate implant placement and immediate prosthetic restoration in the aesthetic zone. Importance of provisional crowns for designing of emergence profile. Prof. Dr. B. Yordanov, PhD

2. Immediate prosthetic treatment in dental implantology. Determining the indications for immediate, early, and delayed loading. Indications and contraindications for immediate loading. - Prof. Dr. D. Filtchev, PhD

3. Implant prosthetic treatment in partial edentulism. Classification. Single-tooth implant restorations. Clinical approaches for prosthetic treatment. Prof. Dr. B. Yordanov, PhD

4. Clinical approaches for implant rehabilitation in complete edentulism. Fixed and removable prostheses. Types of retainers. "All on four" concept. - Prof. Dr. D. Filtchev, PhD

5. Principles of bone augmentation. Tissue-restorative materials. Guided bone regeneration - GBR. Barrier membranes. Expansion, condensation and split-osteotomy of alveolar bone. Osteodensification. Other methods of augmentation. - Prof. Dr. B. Yordanov, PhD , Assoc. Prof. Dr. E. Deliverska, PhD

6. Success criteria of implant treatment. Intraoperative and early postoperative complications - prevention, diagnosis and treatment. Assoc. Prof. Dr. E. Deliverska, PhD

7. Peri-implant health – definition, clinical parameters. Basic factors for long-term stability of peri-implant soft tissues. - Assoc. Prof. Dr. K. Kotsilkov, PhD

8. Biologic, aesthetic and mechanical/technical complications in dental implantology. Diagnosis and treatment. - Prof. Dr. B. Yordanov, PhD

 

TOPICS FOR PRACTICAL CLASSES IN DENTAL IMPLANTOLOGY
 VIII Semester

  1. Patient examination in dental implantology. Analysis and visualization of aesthetic outcomes. Analog and digital smile design. 
  2. Analysis of diagnostic models – occlusion and articulation.
  3. Mapping of Cone Beam Computed Tomography (CBCT). Examination and analysis of the edentulous area and anatomical structures.
  4. Treatment planning in dental implantology. Interactive computed tomography – CBCT.
  5. Surgical guides for guided implant therapy – digital planning and application.
  6. Introduction to implantation tools and surgical kit.
  7. Three-dimensional positioning of a single implant in the posterior area of the dental arch. Basic osteotomy surgical approaches for implant placement.
  8. Basic surgical incisions and flap designs in dental implantology. Sutures and suture materials.


TOPICS FOR PRACTICAL CLASSES IN DENTAL IMPLANTOLOGY
IX Semester

  1. Three-dimensional positioning of a single implant in the posterior area of the dental arch. Introduction to implantation tools. Basic osteotomy surgical approaches for implant placement. Practice – introduction to surgical kit, placement of a single implant.
  2. Implant placement in partially edentulous posterior area. Examination and analysis of the edentulous area, anatomic structures. Positioning, distance to adjacent teeth and implants. Practice – measuring and placement of two implants in the posterior zone.
  3. Implant placement in the aesthetic zone. Immediate and delayed implant placement in anterior jaw area – criteria, techniques, ideal positioning. Distance to teeth and implants. Practice – immediate placement of a single implant in the aesthetic zone.
  4. Provisional /temporary/ restorations – types and methods of fabrication. Design of peri-implant soft tissues. Practice – fabrication of a provisional single-tooth implant restoration.
  5. Impression techniques for permanent implant-supported restorations – conventional and digital impressions. Practice – open tray and closed tray impressions.
  6. Impression techniques for permanent implant-supported restorations. Types of digital impressions. Intraoral scanning with an impression post /scan-body/. Demonstration.
  7. Permanent prosthetic restorations and fixing to implant abutments. Types of abutments and materials for permanent implant prosthetic treatment.
  8. Implant-supported prosthetic restorations for completely edentulous patients. All-on-X restorations. Relining of a complete denture with "Locator" type retainers.

 

TOPICS FOR SEMINARS AND COLLOQUIA:

  1. Semester test at the end of the 8th and 9th semesters.
  2. Colloquium during the 9th semester on the topic: “Complications in Dental Implantology – Biological, Aesthetic, and Mechanical/Technical.”

 

Questionary IX semester examination in dental implantology

1. Introduction in dental implantology. Brief historical overview. Classification of dental implants and terminology.
2. Clinical morphology and physiology of bone.
3. Implant to bone interface. Osseointegration. Implant surfaces.
4. Peri-implant soft tissues.
5. Prerequisites and conditions for successful implant-prosthetic treatment.
6. Design of dental implants – implant body and apical zone. Crestal module. Implant shoulder. 
7. Patient examination and treatment planningin dental implantology– clinical and instrumental examination. 
8. Patient examination and treatment planning in dental implantology – diagnostic imaging. Diagnostic and surgical guides. 
9. Patient examination and treatment planning in dental implantology - diagnostic imaging. Specific characteristics of CBCT in dental implantology. 
10. Treatment planning in dental implantology. Treatment options for prosthetic restoration in dental implantology.
11. Indications and contraindications for dental implant treatment General contraindications. Local contraindications. 
12. Preparation of the patient for implant treatment. Sequence of clinical steps. 
13. Implantation tools and surgical kit for implant placement. 
14. Anaesthesia in dental implantology. 
15. Clinical anatomy. 
16. Basic surgical techniques for implant placement.
17. Rules for performing first surgical step – incisions, flaps, sutures and suture materials. 
18. Rules for performing first surgical step – osteotomy and implant placement.
19. Rules for performing first surgical step – three-dimensional positioning. Prosthetically and biologically driven implant positioning. 
20. Second surgical step. Gingiva forming / shaping. Soft tissue management. 
21. Fixing of implant restorations to abutments.
22. Types of abutments, indications, selection of abutment with respect to the type of prosthetic restoration. 
23. Impression technique in dental implantology. 
24. Implant prosthetic treatment of partial edentulism.
25. Implant prosthetic treatment of complete edentulism. 
26. Implant prosthetic treatment in the aesthetic zone. Evaluation of aesthetic risk.
27. Fixed implant restorations.
28. Removable implant restorations.
29. Imnmediate functional loading.
30. Provisional /temporary/ restorations. Transitional implants.
31. Principles of bone augmentation – mechanisms to repair bone defects.
32. Guided bone regeneration - GBR. Tissue-restoration materials /grafts/. Barrier membranes. 
33. Block grafting. 
34. Maxillary sinus floor elevation – lateral approach.
35. Maxillary sinus floor elevation – crestal approach.
36. Bone expansion and bone condensation.
37. Split-osteotomy of alveolar bone.
38. Toothextraction–specificrequirementsconcerningexpectedimplantplacement in the same zone.
39. Immediate and early implant placement.
40. Ridge preservation. Late implant placement.
41. Digital sequence of dental implant rehabilitation.
42. Intraoperative and early postoperative complications in dental implantology.
43. Biological complications in dental implantology. Diagnosis, etiology and treatment of peri-implant mucositis and peri-implantitis.
44. Mechanical/technical complications in dental implantology.
45. Aesthetic complications in dental implantology.
46. Supporting stage of complication treatment.

 

RECOMMENDED LITERATURE:

1. Lectures of prof. B. Yordanov, prof. D. Filtchev, prof. El. Deliverska, prof. K. Kotsilkov.
2. Lectures on dental implantology from VIII, IX semester, IV – V year.
3. Попов Н., Пеев Ст., Йорданов Б., Абаджиев М., Йончева Ил. Зъбопротезна имплантология – учебник и справочник за студенти, специализанти и специалисти, под ред. на Н. Попов. С., Изд. “Минерва“, 2012.
4. Филчев Д. Дигитална пътна карта в денталната имплантология. Изд. “Проф. Петко Венедиков“, 2022. 
5. Пеев Ст. Костна аугментация в денталната имплантология. Изд. Медицински университет, Варна, 2016.
6. Пеев Ст., Събева Ел., Чапанов Кр., Дентална имплантология, под ред. на Ст. Пеев, 2023.
7. Lang N., Lindhe J. Clinical Periodontology and Implant Dentistry, John Wiley & Sons, 2015.
8.Resnik T. Misch’s Contemporary Implant Dentistry, 4th edition, Elsevier Inc., 2021