May 7, 2017
What are the most important factors for Quad Zygomas?
What are the most important factors for Quad Zygomas?
In the world of cosmetic and rehabilitative dentistry, the worst ‘Befores’ are often followed by the best ‘Afters’ because of the psychological impact of the contrast. In other words, when the situation is bad, any kind of an improvement is an improvement.
But to achieve visual aesthetics without the contrast of the situation at the start, and at the same time achieving ideal function and stomatognathic health involves more than just performing routine procedures. It involves thinking outside the square.
There are various methods to make immediate All-On-4 implant-supported fixed bridges. The nature of the treatment often precludes the ability to fit the FINAL bridge immediately after surgery. This is due to a number of factors, including:
If my first professional visit to Japan was synonymous with the famous Bullet Train, whilst similarly first class as a testament to my hosts and entourage, this one more closely resembled an overnight sleeper train …stopping all stations!
I visited four cities in as many days, shuffling between airport, bullet trains stations and private cars, conducted three lectures in Tokyo, Nagoya and Osaka, and visited numerous high profile clinicians, …all that in humid 35 degree heat. But it was not as onerous as it sounds. I had the pleasure of meeting some very interesting people, and forged relationships that will likely be a basis to the establishment of a sub-economy in Oral Rehabilitation with Dental Implants. Let me explain …
You’ve Got To Be In It to Win It!
I have been running surgical residency programs for 9 years, and had visitors from many parts of the world with the special privilege of hosting some of the world’s most renowned dental implant experts, but never before have I looked forward to an event as much as I did to this month’s conference at my training centre. Weird as this might sound, it was Deb’s Syrian Chicken that got me excited. She finally succumbed to my nagging and agreed to cater our event, so I knew it was going to be special.
The common meaning of the word Specialist is “a person who concentrates primarily on a particular subject or activity; a person highly skilled in a specific and restricted field.” In other words a specialist is expected to have expertise in a specific area, and this can be facilitated through training, focus and experience, as well as through individual skills and talents. However, in dentistry, a “Specialist” does not carry its common meaning, – instead it means a Registered Specialist. As such, clinicians who may indeed fall under the common definition of a “specialist” which the public understands, are actually prohibited from advertising themselves as such.
Meticulous, systematic, minimalist, and bullet-trains, …that’s Japan. So why would an invitation to speak be any different: fly-in Wednesday, do two lectures, visit a couple of clinics and fly out Thursday, …oh, and on 3 weeks notice, …plenty of time, right!?
With the advancements made in dental medicine and oral surgery, dental implants have become not only an increasingly viable option, but a preferred solution for patients seeking a more permanent and aesthetically pleasing alternative to loose dentures. However, there are situations where conventional dental implants simply will not work, such as cases with advanced jawbone atrophy caused by long-term denture wearing or from severe infections in the past, cancer or even the common gum disease that can also destroy the jawbone over time.
When Geistlich Pharma AG invited me to do a roadshow in China, I thought this was going to be just “another day in the office”. What I didn’t expect was a cultural and culinary experience that would leave a lasting impression.
A recent dental graduate recently posted a complex case on dental Product Review. He faced a dilemma of how to plan a young 35 years old woman, who had numerous missing teeth and a Class III skeletal discrepancy. Here is an image of this dentist’s post, and me reply below:
After years of teaching English in China, it wasn’t hard for Yi Yu to acclimate to her new home when she relocated close to her family in Australia in 1995. Life was pleasant until five years ago when Yi Yu’s speech began to progressively slow down. Her daughter, Min, was alarmed and took her mother for medical testing. The doctors diagnosed that she had suffered a mini-stroke, which negatively impacted her speech. She lost her ability to communicate clearly, which became even more problematic when she couldn’t explain to her family why she was regularly refusing food.
There are numerous registrable and recognised dental specialist titles such as endodontists, paediatric dentists, orthodontists, oral & maxillofacial surgeons, prosthodontists, periodontists, among other specialties. These specialists practice in a niche area of dentistry in which they were trained. However, most of those various areas of dental practice are also part of the training that general dentists receive, and the question often arises amongst my colleagues when to refer?
Last night I reviewed one of my patients who I treated with the Zygoma-Plus technique, a method that I developed, borrowing from the traditional Zygomatic Implants and sinus grafting techniques, with some critical modifications. I presented this technique at the India International Dental Conference.
The patient is a successful businessman/entrepreneur, with a busy life and completely time-deprived. He lost his upper teeth in 2008 and received dental implants from his periodontist, who planned to maintain the natural lower teeth at the time with gum treatment. The upper implants were done using a traditional 2-stage approach,whereby the implants were fitted with locator abutments, and supported a removable clip-on denture.
Computer-Assisted Guided Surgery enables clinicians to better visualise the anatomy of the bone in relation to the planned design and positions of replacement teeth, and then to use a specially fabricated stent to guide the installation of the implants in the pre-planned positions.
It has become very popular in recent times because, in theory, it appears to make it possible even for novice clinicians to undertake implant surgery. It certainly has been marketed in that way by companies that sell this technology, whereas quite the opposite is actually true.
I was motivated to write this article after reading some facebook correspondence between All-On-4 Clinic’s provider Relations Manger, Laurie, and some dental prosthetists from New Zealand. I love how passionate my staff are about what we do. This article explores the contrasting views on the future of dentures as well as the roles and responsibilities of dental prosthetists.