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ADVANCED SURGICAL AND PROSTHETIC 
MANAGEMENT OF THE RESORBED MAXILLA 
With implant alternatives to bone grafting with hands-on training for 
“molar-to-malar” zygomatic implant placement using models and cadavers 
INTRODUCTION 
;YLH[TLU[VM[OLMSS`LKLU[SVZTH_PSSHY`HYJO^P[OTVKLYH[L[VZL]LYLYLZVYW[PVU^P[OHÄ_LKPTWSHU[YLZ[VYH[PVUPZH 
challenging treatment indication. One alternative long available has been the utilization of bone grafting, including block 
grafts and sinus inlay grafting with either autogenous or allograft material to increase the dimension for posterior bone 
support for implant placement. 
As an alternative to sinus inlay grafting, Per-Ingvar Brånemark introduced the zygomatic implant in the 1980’s. The use 
of an implant with trans-sinus placement into the zygomatic buttress or arch demonstrating success equivalent to other 
LUKVZZLVZPTWSHU[ZOHZILLUJVUÄYTLKI`ZL]LYHSPU]LZ[PNH[VYZ,HYS`IHYYPLYZ[VZLVM[OPZPTWSHU[^LYL[OLZYNPJHS 
approach requiring direct visualization of the superior zygomatic arch and suboptimal prosthetic positioning of the implant 
head toward the palate. In 2004 John Stella and Michael Warner introduced the sinus slot technique, which increased the 
potential for safety of placement and improved alignment without extensive dissection to allow direct visualization. The 
sinus slot technique also allows for placement with local anesthesia only. 
In 2005, after learning the method from John Stella, Yvan Fortin further adapted the procedure to insert the implant apex 
in the superior maxilla, medial to the base of the zygoma. This approach has more bone available for apical anchorage, while 
also providing for more posterior placement and ideal prosthetic orientation relative to the ridge crest.
THE OBJECTIVES OF THIS COURSE 
‹ ;VYL]PL^[OLKPHNUVZPZVM[OLZL]LYLS`YLZVYILKWVZ[LYP- 
or maxilla with surgical and restorative implications for 
implant placement. 
‹ ;VKLTVUZ[YH[LHS[LYUH[P]LZ[VZPUZPUSH`NYHM[PUN[PSPa- 
ing tilted implants (15 years follow-up) and trans-sinus 
implants anchored in the superior maxilla (4 years follow 
up) for both the fully edentulous maxilla and the posteri-or 
partially edentulous segment. 
‹ ;VWYV]PKLHSP]LZYNPJHSKLTVUZ[YH[PVUVM[PSPaPUN 
mm long implants (zygomatic implants) anchored in the 
superior maxilla instead of the zygomatic buttress or arch 
for superior prosthetic positioning, followed by participant 
hands-on implant placement using models and cadavers. 
‹ ;V HSSV^ WHY[PJPWHU[Z [V L_HTPUL WVZ[[YLH[TLU[ WH[PLU[Z 
with follow-up ranging from 1 to 5 years post-prosthesis 
delivery for radiographic, soft tissue inspection.
Dr. FortinVI[HPULKOPZIHJOLSVYVM,KJH[PVUPU HUKHKVJ[VYH[LVMKLU[PZ[- 
Y`H[UP]LYZP[`3H]HSPU  /LOHZHSZVWISPZOLKVU[OL[VWPJZVM:YNPJHS 
HUK 7YVZ[OL[PJ 9LOHIPSP[H[PVU MVY [OL *VTWSL[LS` ,KLU[SVZ WWLY 1H^ ^P[O 
Moderate to Severe Resorption, Surgical and restorative Techniques to avoid 
)VUL NYHM[PUN  /L PZ H +PWSVTH[L VM [OL (TLYPJHU )VHYK VM 6YHS 0TWSHU[VSV- 
gy, a Fellow of the Academy of Osteointegration/American Academy of Implant 
+LU[PZ[Y`/LZLY]LKHZH7YVZ[OVKVU[PJJSPUPJPHUH[3H]HSUP]LYZP[`HUKSLJ[YLZ 
nationally and internationally on dental implants. 
Dr. Sullivan is Vice President, Clinical Technologies for Nobel Biocare USA in 
@VYIH3PUKH*HSPMVYUPH/LJVTWSL[LK[OL[^V`LHY/HY]HYKUP]LYZP[`:LTPUHYZ 
PU0TWSHU[+LU[PZ[Y`WYVNYHTPU HUKOHZWYV]PKLKWSHJLTLU[YLZ[VYH[P]L 
and dental laboratory aspects of implant dentistry treatment as a general dentist 
ZPUJL[OPZ[PTL+Y:SSP]HUOHZWYV]PKLKVZZLVPU[LNYH[PVUWYVNYHTZH[UP]LYZP- 
[PLZHUKMVYWYVMLZZPVUHSHZZVJPH[PVUZPU[OLUP[LK:[H[LZ/LOHZHSZVWISPZOLK 
on the topics of esthetics, biomechanics and treatment of the fully edentulous 
WH[PLU[+Y:SSP]HUPZH-LSSV^VM[OL(JHKLT`VM6ZZLVPU[LNYH[PVUHUKOHZ 
served as Chairman of the Professional and Public Relations Committee. 
Dr. Yvan Fortin, DDS 
Dr. Richard M. Sullivan, DDS 
COURSE INFORMATION 
Friday, October 10th, 2014 
OHT[VOWT 
*LU[YLK»0TWSHU[VSVNPL+LU[HPYLKL8LILJn4VU[YLHS 
Saturday, October 11th, 2014 
8h30 am to 16h00 pm 
*LU[YLK»0TWSHU[VSVNPL+LU[HPYLKL8LILJn4VU[YLHS 
Tuition: $ 4 500.00 (taxes included) Shuttle service from 
hotel to course included 
For registration, travel and hotel information, please call: 
4HY`+L;VYYLZJVVYKPUH[VY 
*LU[YLK»PTWSHU[VSVNPLKLU[HPYLKL8LILJ 
Phone : 1.418.658.2000 
Fax : 1.418.781.2366 
,THPS!THY`K[THYPZ'NTHPSJVT 
9LMUKPZNYHU[LKVUS`PMH^YP[[LUJHUJLSSH[PVUUV[PÄJH- 
tion is received at least 21 days before this course. 50% 
of the tuition minus processing fee will be refunded if 
cancellation occurs within 14 days before this course. 
Sponsors
PERSONAL ACCOUNTS 
+LHY+Y-VY[PU 
The cadaver course for hands on skills to place zygomatic implants was the best implant course I have attended. The course 
covered both surgical and prosthetic treatment and provided many pearls that I could immediately apply to my practice. I should 
Z[H[L[OH[[OPZ^HZ[OLZLJVUKJVYZL[OH[0H[[LUKLK^P[O`VHUKZ[PSSJHTLH^H`^P[O^LHS[OVMPUMVYTH[PVU0KLÄUP[LS`YLJVTTLUK 
`VYJVYZLMVYWYVMLZZPVUHSZPUVYÄLSK 
-YLK/LJO[ 
+LHY+Y-VY[PU 
I want to thank you for one of the most satisfying professional experiences of my career. The meeting could not have been better. 
Your passion and commitment were obvious and certainly contagious. What you were able to share in such a short time with us 
^HZUV[OPUNZOVY[VMHTHaPUN0JHTLIHJR^P[OHYLUL^LKZLUZLVMWYWVZL5V^^LOH]L[VVSZ[VTVYLLɈLJ[P]LS`HKKYLZZ 
[OLWHPUZɈLYLKI`[OVZLWH[PLU[ZZLLRPUNVW[PVUZMVY[OLLKLU[SVZTH_PSSH@VY[LJOUPXLZHUKWH[PLU[KVJ[VYHWWYVHJO 
WYV]PKLKHUL^WLYZWLJ[P]LHUKJSLHYS`ZVTLL_JP[PUN[YLH[TLU[HS[LYUH[P]LZ,]LY`HZWLJ[VM[OPZTLL[PUN^HZV[Z[HUKPUN0[^HZ 
a privilege to attend and it is a meeting I will not forget. Thank you again for sharing your wealth of experience in this specialized 
area and for your warm hospitality. 
:PUJLYLS`9VILY[(:ORLU++: 
I have taken several courses from Yvan and found them all to be very thorough, informative, and practical. Yvan is a master 
clinician, yet very down to earth in his presentations. After taking a few classes and watching the follow up on his cases I feel 
fortunate to have participated. I consider him a friend and a great resource for our profession. 
Marty Kolinski 
;OHUR`V]LY`TJOMVY[OLPU]P[H[PVU(M[LY[OLa`NVTH[YHPUPUNJVYZL0PTWSLTLU[LK[OPZ[LJOUPXLHJJVYKPUN[V+Y@]HU-VY[PU»Z 
JVUJLW[HUK0OH]LUVMHPSYLZ[PSSUV^0HTVWLYH[PUNL_HJ[S`[OLZSV[[LJOUPXL^P[O­KPZ[HU[]PL^®HZ+Y-VY[PUKVLZ0OH]L 
PU[YVKJLK[OLWVU[PJKLZPNU+Y-VY[PU[HNO[Z¶HUKP[PZ^VYRPUNNYLH[0MLS[]LY`JVTMVY[HISLPU8LILJHUK4VU[YLHSHUK0HT 
TLU[PVUPUN+Y-VY[PUZUHTL^OLYL]LY0JHUP[ORPUK?THZNYLL[PUNZMYVT(Z[YPH 
+Y7L[LY/LTLY 
05:;0;;+9/,4,9 
Implantology, Periodontology 
Ästhetische Zahnmedizin 
+Y@]HU-VY[PUPZH]LY`JHYPUNHUKLU[OZPHZ[PJWYHJ[P[PVULY^OVOHZKL]LSVWLKHWHY[PJSHYUPJOLVML_WLY[PZLHUKRUV^SLKNL[V 
treat even the most compromised edentulous dental cases. I recently attended the hands-on zygoma implant course in Montreal. 
;OLJVYZL^HZL_JLSSLU[0UZPNO[MYVT+Y9PJOHYK:SSP]HU^HZHSZV]LY`ILULÄJPHS;OPZWHYHKPNTJHUILWYH[PJHSS`HWWSPLK[VT` 
daily clinical practice to assist the fully edentulous patient with oral implantology rehabilitation. I would recommend this course for 
those practitioners who deal with such challenging clinical situations. 
Best regards, 
+H]PK+PHTVUK++:4:+7LYPVKVU[PZ[ 
Sudbury, Ontario
Hotel information 
A block of rooms has been reserved at SpringHill Suites 
by Marriott Old Montreal - under “Centre d’implantologie 
KLU[HPYLKL8tILJ¹WVUHYYP]HSWSLHZLJVUÄYTKLWHY- 
ture date and present your credit card for payment. 
Springhill Suites by Marriott Old Montreal 
445, rue Saint-Jean-Baptiste 
H2Y 2Z7, Montreal QC (Canada) 
www.springhillmontreal.com 
Airport information 
Montreal - Pierre-Elliot-Trudeau International Airport 
975, rue Roméo-Vachon 
H4Y 1H1, Dorval QC (Canada) 
514.394.7377 
1.800.465.1213 
www.admtl.com 
IMPORTANT: Please take in consideration a three (3) 
hours delay before your departure time for international 
KLZ[PUH[PVUZ^OLUIVVRPUN`VYÅPNO[IHJROVTL 
Course Agenda 
Friday, October 10th, 2014 
8:00 AM Breakfast 
Lecture Introduction to the zygoma and how to position the emergence on 
top of the crest 
Live surgery Patient fully edentulous including zygoma implants 
Lunch provided 
Live patients 1 to 5 years post-prothesis delivery 
Prosthetic step-by-step 
Questions Interactive discussion 
Dinner (Spouses/Guests are welcomed) 
Saturday, October 11th, 2014 
8:30 AM Breakfast 
Hands-on Workshop hands-on using models and cadavers 
Lunch (Provided) 
Discussion Review and questions

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Yvan fortin implant dentaires Québec Cours Zygoma

  • 1. ADVANCED SURGICAL AND PROSTHETIC MANAGEMENT OF THE RESORBED MAXILLA With implant alternatives to bone grafting with hands-on training for “molar-to-malar” zygomatic implant placement using models and cadavers INTRODUCTION ;YLH[TLU[VM[OLMSS`LKLU[SVZTH_PSSHY`HYJO^P[OTVKLYH[L[VZL]LYLYLZVYW[PVU^P[OHÄ_LKPTWSHU[YLZ[VYH[PVUPZH challenging treatment indication. One alternative long available has been the utilization of bone grafting, including block grafts and sinus inlay grafting with either autogenous or allograft material to increase the dimension for posterior bone support for implant placement. As an alternative to sinus inlay grafting, Per-Ingvar Brånemark introduced the zygomatic implant in the 1980’s. The use of an implant with trans-sinus placement into the zygomatic buttress or arch demonstrating success equivalent to other LUKVZZLVZPTWSHU[ZOHZILLUJVUÄYTLKI`ZL]LYHSPU]LZ[PNH[VYZ,HYS`IHYYPLYZ[VZLVM[OPZPTWSHU[^LYL[OLZYNPJHS approach requiring direct visualization of the superior zygomatic arch and suboptimal prosthetic positioning of the implant head toward the palate. In 2004 John Stella and Michael Warner introduced the sinus slot technique, which increased the potential for safety of placement and improved alignment without extensive dissection to allow direct visualization. The sinus slot technique also allows for placement with local anesthesia only. In 2005, after learning the method from John Stella, Yvan Fortin further adapted the procedure to insert the implant apex in the superior maxilla, medial to the base of the zygoma. This approach has more bone available for apical anchorage, while also providing for more posterior placement and ideal prosthetic orientation relative to the ridge crest.
  • 2. THE OBJECTIVES OF THIS COURSE ‹ ;VYL]PL^[OLKPHNUVZPZVM[OLZL]LYLS`YLZVYILKWVZ[LYP- or maxilla with surgical and restorative implications for implant placement. ‹ ;VKLTVUZ[YH[LHS[LYUH[P]LZ[VZPUZPUSH`NYHM[PUN[PSPa- ing tilted implants (15 years follow-up) and trans-sinus implants anchored in the superior maxilla (4 years follow up) for both the fully edentulous maxilla and the posteri-or partially edentulous segment. ‹ ;VWYV]PKLHSP]LZYNPJHSKLTVUZ[YH[PVUVM[PSPaPUN mm long implants (zygomatic implants) anchored in the superior maxilla instead of the zygomatic buttress or arch for superior prosthetic positioning, followed by participant hands-on implant placement using models and cadavers. ‹ ;V HSSV^ WHY[PJPWHU[Z [V L_HTPUL WVZ[[YLH[TLU[ WH[PLU[Z with follow-up ranging from 1 to 5 years post-prosthesis delivery for radiographic, soft tissue inspection.
  • 3. Dr. FortinVI[HPULKOPZIHJOLSVYVM,KJH[PVUPU HUKHKVJ[VYH[LVMKLU[PZ[- Y`H[UP]LYZP[`3H]HSPU /LOHZHSZVWISPZOLKVU[OL[VWPJZVM:YNPJHS HUK 7YVZ[OL[PJ 9LOHIPSP[H[PVU MVY [OL *VTWSL[LS` ,KLU[SVZ WWLY 1H^ ^P[O Moderate to Severe Resorption, Surgical and restorative Techniques to avoid )VUL NYHM[PUN /L PZ H +PWSVTH[L VM [OL (TLYPJHU )VHYK VM 6YHS 0TWSHU[VSV- gy, a Fellow of the Academy of Osteointegration/American Academy of Implant +LU[PZ[Y`/LZLY]LKHZH7YVZ[OVKVU[PJJSPUPJPHUH[3H]HSUP]LYZP[`HUKSLJ[YLZ nationally and internationally on dental implants. Dr. Sullivan is Vice President, Clinical Technologies for Nobel Biocare USA in @VYIH3PUKH*HSPMVYUPH/LJVTWSL[LK[OL[^V`LHY/HY]HYKUP]LYZP[`:LTPUHYZ PU0TWSHU[+LU[PZ[Y`WYVNYHTPU HUKOHZWYV]PKLKWSHJLTLU[YLZ[VYH[P]L and dental laboratory aspects of implant dentistry treatment as a general dentist ZPUJL[OPZ[PTL+Y:SSP]HUOHZWYV]PKLKVZZLVPU[LNYH[PVUWYVNYHTZH[UP]LYZP- [PLZHUKMVYWYVMLZZPVUHSHZZVJPH[PVUZPU[OLUP[LK:[H[LZ/LOHZHSZVWISPZOLK on the topics of esthetics, biomechanics and treatment of the fully edentulous WH[PLU[+Y:SSP]HUPZH-LSSV^VM[OL(JHKLT`VM6ZZLVPU[LNYH[PVUHUKOHZ served as Chairman of the Professional and Public Relations Committee. Dr. Yvan Fortin, DDS Dr. Richard M. Sullivan, DDS COURSE INFORMATION Friday, October 10th, 2014 OHT[VOWT *LU[YLK»0TWSHU[VSVNPL+LU[HPYLKL8LILJn4VU[YLHS Saturday, October 11th, 2014 8h30 am to 16h00 pm *LU[YLK»0TWSHU[VSVNPL+LU[HPYLKL8LILJn4VU[YLHS Tuition: $ 4 500.00 (taxes included) Shuttle service from hotel to course included For registration, travel and hotel information, please call: 4HY`+L;VYYLZJVVYKPUH[VY *LU[YLK»PTWSHU[VSVNPLKLU[HPYLKL8LILJ Phone : 1.418.658.2000 Fax : 1.418.781.2366 ,THPS!THY`K[THYPZ'NTHPSJVT 9LMUKPZNYHU[LKVUS`PMH^YP[[LUJHUJLSSH[PVUUV[PÄJH- tion is received at least 21 days before this course. 50% of the tuition minus processing fee will be refunded if cancellation occurs within 14 days before this course. Sponsors
  • 4. PERSONAL ACCOUNTS +LHY+Y-VY[PU The cadaver course for hands on skills to place zygomatic implants was the best implant course I have attended. The course covered both surgical and prosthetic treatment and provided many pearls that I could immediately apply to my practice. I should Z[H[L[OH[[OPZ^HZ[OLZLJVUKJVYZL[OH[0H[[LUKLK^P[O`VHUKZ[PSSJHTLH^H`^P[O^LHS[OVMPUMVYTH[PVU0KLÄUP[LS`YLJVTTLUK `VYJVYZLMVYWYVMLZZPVUHSZPUVYÄLSK -YLK/LJO[ +LHY+Y-VY[PU I want to thank you for one of the most satisfying professional experiences of my career. The meeting could not have been better. Your passion and commitment were obvious and certainly contagious. What you were able to share in such a short time with us ^HZUV[OPUNZOVY[VMHTHaPUN0JHTLIHJR^P[OHYLUL^LKZLUZLVMWYWVZL5V^^LOH]L[VVSZ[VTVYLLɈLJ[P]LS`HKKYLZZ [OLWHPUZɈLYLKI`[OVZLWH[PLU[ZZLLRPUNVW[PVUZMVY[OLLKLU[SVZTH_PSSH@VY[LJOUPXLZHUKWH[PLU[KVJ[VYHWWYVHJO WYV]PKLKHUL^WLYZWLJ[P]LHUKJSLHYS`ZVTLL_JP[PUN[YLH[TLU[HS[LYUH[P]LZ,]LY`HZWLJ[VM[OPZTLL[PUN^HZV[Z[HUKPUN0[^HZ a privilege to attend and it is a meeting I will not forget. Thank you again for sharing your wealth of experience in this specialized area and for your warm hospitality. :PUJLYLS`9VILY[(:ORLU++: I have taken several courses from Yvan and found them all to be very thorough, informative, and practical. Yvan is a master clinician, yet very down to earth in his presentations. After taking a few classes and watching the follow up on his cases I feel fortunate to have participated. I consider him a friend and a great resource for our profession. Marty Kolinski ;OHUR`V]LY`TJOMVY[OLPU]P[H[PVU(M[LY[OLa`NVTH[YHPUPUNJVYZL0PTWSLTLU[LK[OPZ[LJOUPXLHJJVYKPUN[V+Y@]HU-VY[PU»Z JVUJLW[HUK0OH]LUVMHPSYLZ[PSSUV^0HTVWLYH[PUNL_HJ[S`[OLZSV[[LJOUPXL^P[O­KPZ[HU[]PL^®HZ+Y-VY[PUKVLZ0OH]L PU[YVKJLK[OLWVU[PJKLZPNU+Y-VY[PU[HNO[Z¶HUKP[PZ^VYRPUNNYLH[0MLS[]LY`JVTMVY[HISLPU8LILJHUK4VU[YLHSHUK0HT TLU[PVUPUN+Y-VY[PUZUHTL^OLYL]LY0JHUP[ORPUK?THZNYLL[PUNZMYVT(Z[YPH +Y7L[LY/LTLY 05:;0;;+9/,4,9 Implantology, Periodontology Ästhetische Zahnmedizin +Y@]HU-VY[PUPZH]LY`JHYPUNHUKLU[OZPHZ[PJWYHJ[P[PVULY^OVOHZKL]LSVWLKHWHY[PJSHYUPJOLVML_WLY[PZLHUKRUV^SLKNL[V treat even the most compromised edentulous dental cases. I recently attended the hands-on zygoma implant course in Montreal. ;OLJVYZL^HZL_JLSSLU[0UZPNO[MYVT+Y9PJOHYK:SSP]HU^HZHSZV]LY`ILULÄJPHS;OPZWHYHKPNTJHUILWYH[PJHSS`HWWSPLK[VT` daily clinical practice to assist the fully edentulous patient with oral implantology rehabilitation. I would recommend this course for those practitioners who deal with such challenging clinical situations. Best regards, +H]PK+PHTVUK++:4:+7LYPVKVU[PZ[ Sudbury, Ontario
  • 5. Hotel information A block of rooms has been reserved at SpringHill Suites by Marriott Old Montreal - under “Centre d’implantologie KLU[HPYLKL8tILJ¹WVUHYYP]HSWSLHZLJVUÄYTKLWHY- ture date and present your credit card for payment. Springhill Suites by Marriott Old Montreal 445, rue Saint-Jean-Baptiste H2Y 2Z7, Montreal QC (Canada) www.springhillmontreal.com Airport information Montreal - Pierre-Elliot-Trudeau International Airport 975, rue Roméo-Vachon H4Y 1H1, Dorval QC (Canada) 514.394.7377 1.800.465.1213 www.admtl.com IMPORTANT: Please take in consideration a three (3) hours delay before your departure time for international KLZ[PUH[PVUZ^OLUIVVRPUN`VYÅPNO[IHJROVTL Course Agenda Friday, October 10th, 2014 8:00 AM Breakfast Lecture Introduction to the zygoma and how to position the emergence on top of the crest Live surgery Patient fully edentulous including zygoma implants Lunch provided Live patients 1 to 5 years post-prothesis delivery Prosthetic step-by-step Questions Interactive discussion Dinner (Spouses/Guests are welcomed) Saturday, October 11th, 2014 8:30 AM Breakfast Hands-on Workshop hands-on using models and cadavers Lunch (Provided) Discussion Review and questions