The fourth course for the IAOMS Continuing Education program in Paraguay was held in Encarnacion on April 22-24, 2010.  Featured speakers were Prof. Dra. Edela Puricelli (Brazil), who spoke on the topic of Pre-Prosthetic Surgery, and Rafael Martin Granizo (Spain), who spoke on the topic of Implants. The November program attracted over 100 attendees, 85% of whom had previously attended the prior educational courses.