Treatment Planning Attachments and Implants
A Nuts & Bolts Approach

New Course

AM Session: Lecture

Course Description

Attachment and implant dentistry provide a very functional
and esthetic means to achieve the treatment planning
objectives of the dentist as well as overwhelming patient
satisfaction. Attachments are rigid or resilient connectors
that redirect the forces of occlusion. They are stress
attenuators and absorbers. Their function is to protect and
preserve soft tissue and bone, as well as provide retention
and cosmetic alternatives. Implants are devices that are
rigidly fixated to bone. This characteristic differentiates
them from natural teeth. Their long term success depends
on bone characteristics, occlusal relationships and loading
forces as well as the types of attachments selected.

The course explores the rationale for using attachments
as connectors to implants. It clarifies the role of the
restorative dentist who initiates treatment planning the
amount of implants that will insure success through the
use of study models, wax bites, occlusal set ups and surgical
stents. A clear understanding of what needs to be
achieved must be established first by the restorative dentist
and communicated to the surgeon and to the patient.
Implants must be placed where they can be successfully
restored and not just where available bone is. Treatment
planning options from two to ten implants are presented.
Various precision and semi-precision attachment cases
are reviewed along with numerous types of resilient and
non-resilient bar units, joints, studs, magnets, screws, and
various accessory attachments. Numerous clinical variants
are considered such as the quantity and quality of available
bone, various ridge relationships, number of implants
placed, the anterior-posterior spread, osseointegration and
loading protocols are explained and elaborated.

Treatment plans are presented using attachments and
implants in a variety of removable or fixed prosthetics
approaches. Clinical cases are reviewed and a logical
approach to the treatment planning of attachment and
implants is presented which insures long term success and
patient satisfaction. Participants will gather knowledge,
excitement and confidence enabling them to utilize attachments
and implants in their daily practice immediately.
Participants are encouraged to bring questions which will
be discussed throughout the presentation as well as any of
their past experiences with attachments.

Course Objectives

Upon successful completion of this course, the attendees will:

  • Have a fuller understanding of how rigid or resilient
    attachments work to insure successful implant prosthetics
  • Explore the treatment possibilities using bars and
    stud attachments
  • Learn how to do occlusal set ups first and work with
    surgical stents
  • Learn the dos and the don’ts in attachment case
    treatment planning
  • Learn the treatment planning differences between
    implants and natural teeth
  • Learn how to successfully treatment plan two to eight
    implants using attachments
  • Learn how accessory attachments work to enhance
    retention and esthetics
  • Gain a new level of confidence in treatment planning
    attachment retained fixed, segmented or overdenture

PM Session: Hands-on Workshop – Attachments and Implants

Course Description

The participants will work on typodont models which
will have implants placed in them. Two attachment
abutment systems are used for demonstration. An
attachment abutment is placed on the implant and
torqued to the required torsion as directed by the specific
implant abutment requirements. The process of
how the male or female attachment is picked up in
cold cure acrylic is demonstrated for each of the attachments
abutment systems The procedure is repeated for
the other attachment abutments. The corresponding
male or female retentive element located in the denture
is checked for retention on the model. This element is
then changed and a new one is replaced, simulating
what is done chairside by the dentist.

The workshop will include the use of appropriate block
out materials. A hands-on approach is used throughout
the session as well as a PowerPoint presentation for
demonstration purposes.

Course Objectives

The participants will:

  • Learn how to select the proper implant attachment
  • Learn how various angled attachment abutments
    can correct for misaligned implants
  • Become familiar with implant attachment abutment
  • Cold cure attachments in denture bases
  • Replace worn out male retentive elements
  • Use block out materials
  • At the conclusion of the session, participants will
    experience increased confidence when placing
    attachments chairside, a familiarity of attachment
    dynamics, and the ability to include attachments
    in the treatment planning of fixed and removable

Course Limit

Workshop limited to 30 on first-come basis.

It is suggested that dentists bring their magnifying loupes as well as a laboratory coat.


George Bambara, M.S., D.M.D.

Dr. Bambara is a graduate and faculty of the University of Medicine and Dentistry of New Jersey. He is past president of the Richmond County Dental Society and holds Fellowships in the American College of Dentists, the International College of Dentists and the International Academy of Dento-Facial Esthetics. He is an Adjunct Assistant Professor at the College of Staten Island and is on the attending staff at Methodist Hospital in Brooklyn and Seaview Hospital on Staten Island. He lectures nationally and internationally on attachment prosthetics and has been selected as one of the “Top Clinicians in Continuing Education” for 2006, 2007, 2008, 2009 and 2010 by Dentistry Today magazine. He is a general practitioner with a private practice on Staten Island.


UF College of Dentistry
1395 Center Drive
Gainesville, FL 32610

University of Florida

Continuing Education Units

7 contact hours. Lecture/Participation

Hands-on Course Hands-On Workshop


Dentists, Lab Technicians

  • Team Discount available Team Discount Available
Full Day Regular Fee Early Bird Fee
8 a.m. – 4 p.m. (Expires 1 month before course date)
Dentists $329 $299
Auxiliaries $229 $199
Lunch included (Full Day only)
PM Workshop only Regular Fee Early Bird Fee
1 p.m. – 4 p.m. (Expires 1 month before course date)
Dentists $179 $149
Auxiliaries $119 $99
Dates Course # AGD #
March 1, 2013 (Friday) 130045 695 Register Online