Level 1
International Curriculum -
Foundational Skills
International Curriculum – "Foundational Skills" represents the foundational entry program of the Ghanaati Educational Pathway. The curriculum introduces clinicians to the scientific principles of regenerative implant dentistry and the structured surgical concepts underlying the ARENA-Protocol® and Guided Open Wound Healing (GOWH®).
The program integrates biological foundations of post-extraction healing with CBCT-based three-dimensional diagnostic interpretation and protocol-based surgical workflows. Participants develop the diagnostic and conceptual understanding required for regenerative ridge management and implant therapy in compromised extraction sites.
Core Learning Areas
Foundations of Post-Extraction Healing:
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Mechanisms of wound healing and bone regeneration
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Differences between long-bone healing and socket healing
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Biological processes of post-extraction wound healing
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Physiological contraction and collapse of the extraction socket
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Critical and non-critical bone defects
Regenerative Surgical Concepts
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Introduction to the ARENA-Protocol®
(Alveolar Ridge Enhancement via Neo-Epithelialization following Augmentation)
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Principles of Guided Open Wound Healing (GOWH®)
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Regenerative ridge preservation and augmentation strategies
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Combination of autologous blood concentrates with regenerative procedures
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Indication-based use of bone substitute materials
Diagnostics and Clinical Decision Making
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CBCT-based three-dimensional diagnostic analysis
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Assessment of post-extraction healing patterns
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Identification and management of Covered Socket Residuum (CSR)
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Treatment planning following tooth extraction
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Immediate vs delayed implant placement
Surgical Workflow & Clinical Integration
Participants are introduced to the surgical workflow of the ARENA-Protocol® and observe the integration of regenerative strategies in extraction site management and implant therapy.
Topics include:
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Surgical instrumentation for ARENA-Protocol® procedures
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Tooth extraction and ridge preservation techniques
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Implant planning considering alveolar bone conditions
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Lingual and palatal bone availability
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Socket and ridge management strategies
Program Structure
The program is delivered through four structured modules combining in-person training, live surgical demonstrations, and interactive clinical discussions:
Module I
Foundations of the ARENA-Protocol® and Guided Open Wound Healing (GOWH®), Cadaver-based surgical demonstrations
Module II
Live online surgery session with workflow integration of the ARENA-Protocol®
Module III
Clinical integration and implantology with case presentations and treatment planning
Module IV
Final module and certification including surgical video analysis and case discussions
Program Duration: 6 months
Outcome
Successful completion of Level 1 is a prerequisite for progression to Education Level 2 and the clinical certification phase.
Level 2
International Curriculum – "Advanced Skills" builds upon the scientific and diagnostic foundations established in Level 1 and focuses on the advanced clinical application of regenerative implant surgery. The program deepens participants’ understanding of jaw anatomy, regenerative bone management, cavitation treatment, and implant therapy in compromised clinical situations. Particular emphasis is placed on the surgical implementation of the ARENA-Protocol®and Guided Open Wound Healing (GOWH®).
Through structured surgical training, case-based discussions, and live surgical demonstrations, clinicians develop advanced skills for performing regenerative procedures while managing anatomical risks and surgical complications.
Core Learning Areas
Advanced Surgical Anatomy and Diagnostics
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Detailed anatomy and biology of the upper and lower jaw
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Identification of high-risk anatomical structures, particularly nerve pathways
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Interpretation of radiographic imaging for surgical planning
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Assessment of bone conditions and extraction sites prior to surgery
CSR Treatment and Extraction Site Management
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CSR surgery in former wisdom tooth sockets
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Surgical osteotomy and cavitation removal techniques
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Ridge preservation strategies following tooth extraction
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Management of compromised extraction sites
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Prevention of postoperative bone defects
Regenerative Techniques and Biomaterials
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Classification and indication-based use of bone substitute materials
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Application of sticky bone techniques for ridge preservation
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Integration of regenerative concepts in socket management
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Combination of regenerative biomaterials with surgical protocols
Implant Therapy and Surgical Decision-Making
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Immediate vs delayed implant placement
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Preparation of implant sites based on clinical conditions
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Implant placement in anatomically and functionally optimal positions
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Biomechanical considerations in single and connected implant prosthetics
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All-on-X treatment concepts
Ridge Augmentation and Advanced Reconstruction
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Ridge augmentation in anterior and posterior jaw regions
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Soft tissue management in augmentation procedures
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Crestal sinus lift techniques
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Advanced regenerative reconstruction strategies
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Integration of regenerative concepts with implant therapy
Complication and Risk Management
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Identification of anatomical risk structures
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Intraoperative complication management
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Bleeding control and infection prevention
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Management of postoperative complications such as swelling and infection
Surgical Training Format
The program combines structured lectures, clinical case discussions, and live surgical demonstrations to translate regenerative concepts into daily surgical practice.
Training methods include:
Program Duration: 12 months
Outcome
Completion of International Curriculum – Advanced Skills prepares participants for the final stage of the Ghanaati Educational Pathway, where the acquired surgical concepts are implemented in clinical practice within the Mentored Clinical Certification (Level 3) program.
Level 3
Level III represents the transition from advanced knowledge to full clinical integration. It is designed for participants who have successfully completed Level I and II and are ready to apply their expertise in complex regenerative procedures within the upper and lower jaw through a structured, hands-on, and case-driven approach. Participants will deepen their understanding of jawbone biology, chronic inflammatory processes, and the clinical relevance of CSR (Covered Socket Residuum) in both local and systemic health contexts.
Building on prior levels, this stage emphasizes precise diagnosis, surgical decision-making, and the execution of advanced CSR-based interventions across both upper and lower jaws. A central component of Level III is the application of the ARENA-Protocol® and Open Guided Wound Healing (GOWH®) within real clinical scenarios. Through live surgeries, cadaver training, and guided case documentation, participants will refine techniques such as sinus augmentation, ridge reconstruction, All-on-X concepts, and the use of biomaterials and biologics to enhance regenerative outcomes.
At each module, participants are required to present and discuss their own clinical cases, fostering peer-to-peer learning, critical evaluation, and continuous improvement in treatment planning and execution. Enrollment in this level marks the beginning of the clinical documentation phase required for certification, enabling participants to systematically record and evaluate their own cases while working toward CSR-Certified Center Status. By combining cutting-edge scientific insights with structured clinical execution, this program empowers clinicians to elevate their surgical outcomes, implement reproducible protocols, and deliver biologically driven, patient-centered care at the highest level.
Enrollment in Level III initiates the clinical documentation phase required for participation in the ARENA-Protocol® Clinical Certification Program, positioning participating practices to achieve ARENA-Protocol®-Certified Center status.
Program Structure
Mentored Case Conferences
Level 3 includes four interactive online classes and two in-person classes with hands-on cadaver training.
It consists of a structured clinical implementation program combining online education, case-based discussion, and mentored clinical application.
Topics include:
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diagnostic evaluation and treatment planning
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discussion of surgical strategies
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case outcome analysis
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troubleshooting complex clinical situations
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complication management
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scientific updates
Participants receive direct feedback and mentoring from Professor Ghanaati.
Educational Resources
Level 3 participants and three of their assistants receive full access to the Ghanaati-Education animation library, providing visual explanations of regenerative concepts, surgical workflows, and implant therapy strategies.
The participants are also part of an exclusive communication group with the professor, enabling continuous discussion of clinical questions, treatment strategies, and complex cases between mentoring sessions.
This allows comprehensive and direct communication throughout the certification process.
Clinical Case Documentation within Level 3
Participants are required to document a defined number of clinical cases as part of the Level 3 clinical implementation phase.
This includes:
3 full visualized clinical cases
3 segmental visualizations
All cases must be documented according to the standardized
GE Clinical Documentation Framework.
The documented cases are reviewed and discussed with the program director, who provides structured feedback to ensure correct clinical implementation.
Successful completion of this documentation phase qualifies participants for participation in the ARENA-Protocol® Clinical Certification Program for CSR Surgery.
Program Duration: 12 months
Outcome: Transition to Clinical Implementation
Successful completion of International Curriculum Level 3 marks the transition from structured education to structured clinical implementation.
At this stage, participating institutions implement the GE Clinical Documentation Framework required for participation in the ARENA-Protocol® Clinical Certification Program to become a highly qualified CSR-surgeon.
This includes:
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Documentation of defined clinical cases using standardized pre- and post-treatment Visiogenics (unique 3D visualization)
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Integration of patient-related systemic factors, including nutrition and hydration, into treatment planning
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Use of structured patient questionnaires for clinical assessment and monitoring of treatment outcomes
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Pathological and microbiological analysis of relevant clinical samples to support diagnostic evaluation and scientific documentation
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Systematic clinical documentation to further investigate the pathological and microbiological characteristics of Covered Socket residuum (CSR)
