Guided Dental Implant Placement - LIVE Treatment

Innovative Dental - Cosmetic & Implant Center
20 Jul 2018101:02
EducationalLearning
32 Likes 10 Comments

TLDRThe video script discusses the process of dental implant placement using 3D guided technology. It emphasizes the importance of precision and planning in implant dentistry, comparing it to architectural planning in construction. The script details the steps involved in the implant process, from initial assessment and 3D imaging to the actual placement of the implant and post-operative care. It also addresses common concerns and questions about implants, such as the minimum time after extraction for implant placement, the cost and components of implants, and the benefits of computer-guided implant procedures over traditional methods. The video aims to educate and reassure patients about the safety, accuracy, and predictability of modern dental implant techniques.

Takeaways
  • 🦷 Dental implants require a precise and well-planned procedure, similar to architectural planning for building a house.
  • πŸ—“οΈ The timing for placing an implant after tooth extraction can vary, but immediate placement is possible in some cases without infection risks.
  • πŸ’‘ Three-dimensional imaging and computer-guided technology enhance the accuracy, safety, and predictability of dental implant procedures.
  • 🦷 Implant components include the fixture (implant itself), abutment (attachment), and the crown, which together form a complete tooth replacement.
  • πŸ’° The cost of dental implants can vary significantly, and it's essential to understand if the quoted price includes all components for a full tooth replacement.
  • πŸ”§ The process of placing an implant is minimally invasive with the use of computer-guided surgery, reducing post-op pain and healing time.
  • 🦷 Proper implant placement is crucial for long-term success, avoiding issues like implant fracture or failure due to improper angulation or size.
  • πŸ“š Education and understanding of the implant process are vital for patients, helping them make informed decisions about their dental health.
  • 🦷 Dental implants can be used for various applications, including single tooth replacement, supporting dentures, and full mouth rehabilitation.
  • πŸ“ For patients considering dental implants, it's beneficial to choose a dental practice that utilizes the latest technology and offers comprehensive treatment planning.
Q & A
  • What is the first step in the implant process for Trey?

    -The first step in the implant process for Trey is to use three-dimensional topographical imaging technology to take an impression of his current teeth, gums, and surrounding structures.

  • Why is it important to have a detailed plan before placing an implant?

    -It is important to have a detailed plan before placing an implant to ensure accurate placement of the crown and to work with the patient's bite, preventing any future complications and ensuring the best possible outcome.

  • What is the difference between a 3D computer guide and a stent?

    -A 3D computer guide offers a higher level of accuracy, safety, and precision compared to a stent. It is based on three-dimensional imaging of the patient's mouth, while a stent is a physical guide that may not provide the same level of precision.

  • What are the pros and cons of implants versus bridges?

    -Implants offer a more stable and natural-looking solution compared to bridges, as they replace the entire tooth structure, including the root. However, they may be more expensive and require a surgical procedure. Bridges, on the other hand, are less invasive but may put pressure on neighboring teeth and may not look as natural.

  • How long after tooth extraction can an implant be placed?

    -The time frame for placing an implant after tooth extraction can vary. In some cases, it is possible to place the implant immediately after extraction, especially if there is no infection or other complications. However, in other cases, it may be necessary to wait several weeks to allow for healing and to ensure there is no infection.

  • What is the surgical class of Trey's crossbite?

    -Trey has a surgical class three crossbite, which typically requires surgical intervention to correct, such as sectioning of the jaw and repositioning.

  • How does the Cone Beam CT technology help in the implant process?

    -The Cone Beam CT technology provides a three-dimensional x-ray image of the patient's jaw and teeth. This detailed image allows for precise planning of the implant, ensuring it is placed in the optimal position for long-term health and functionality.

  • What are the three components of every dental implant?

    -The three components of every dental implant are the implant fixture (the titanium root), the abutment (the attachment that connects the fixture to the crown), and the crown (the visible part of the tooth that resembles the natural tooth).

  • How does the guided implant process differ from traditional surgical methods?

    -The guided implant process uses advanced technology, including 3D imaging and computer-guided placement, to place the implant with precision without the need for large incisions or tissue reflection. This results in less post-operative pain, reduced risk of infection, and a quicker healing time compared to traditional surgical methods.

  • What is the importance of maintaining gum health around an implant?

    -Maintaining gum health around an implant is crucial because poor gum health can lead to complications such as infection and implant failure. Regular brushing and flossing help to keep the gums healthy and ensure the long-term success of the implant.

Outlines
00:00
πŸ—οΈ Planning the Dental Implant

The paragraph discusses the initial stages of planning a dental implant, akin to an architect drawing up a plan for a house. The importance of having a visual aid before starting any dental work is emphasized. The dentist plans to use technology to create a 3D impression of the patient Trey's teeth and gums to accurately plan the implant placement. The conversation also touches on the pros and cons of implants versus bridges, and the reasons why an implant might be chosen over a bridge.

05:00
🦷 Assessing the Tooth Gap and Bite

In this paragraph, the dentist examines the specific condition of the patient's missing tooth and the resulting drift of other teeth. The decision to perform an implant is discussed, and the process of using a three-dimensional topographical impression of the patient's mouth is explained. The software used for planning is described, and the dentist talks about the precision and safety of the implant process, differentiating it from the use of a stent and emphasizing the importance of 3D imaging for accurate implant placement.

10:01
πŸ“Š Discussing Extraction Timeframes and Implant Placement

The dentist delves into the varying opinions on the minimum time required after extraction before placing an implant. Drawing from personal experience, the dentist explains that immediate placement can be done in certain cases, especially if there's no infection. The importance of careful extraction to minimize bone trauma and avoid the need for bone grafts is also highlighted. The dentist shares an anecdote about a patient from New York who had immediate implant placement.

15:02
🦷 Understanding the Components of an Implant

The paragraph explains the three main components of a dental implant: the fixture, the abutment, and the crown. The dentist clarifies that the cost of an implant should include all these components and not just the fixture. The variability in implant costs is discussed, with the dentist emphasizing that a full tooth replacement, not just the fixture, should be considered when discussing costs. The paragraph also touches on the need for grafting in some cases and the dentist's philosophy on when it's necessary.

20:02
πŸ“ Using 3D Imaging for Implant Planning

The dentist discusses the process of using 3D imaging to plan the implant, including taking an impression and merging it with a 3D X-ray. The precision and safety of the cone beam CT used for the 3D imaging are highlighted. The software used to plan the implant is demonstrated, and the dentist explains how the implant will be placed without needing large incisions, reducing post-op pain and healing time. The importance of verifying the correct orientation of the implant is also discussed.

25:04
πŸ”§ Milling the Guide for Implant Placement

The paragraph describes the process of milling the guide for the implant using a CAD/CAM machine. The dentist explains the importance of the guide in ensuring the implant is placed at the correct depth and angle. The use of inspection windows in the guide to verify the fit is discussed. The dentist also talks about the benefits of guided implants, such as reduced bleeding, infection risk, and post-op pain, and how they can improve the overall healing time and patient experience.

30:04
🦷 Addressing Tooth Shifting and Implant Precision

The dentist discusses the natural forces that cause teeth to shift over time, especially when there are missing teeth. The importance of precise implant placement to prevent future issues is emphasized. The dentist shares an anecdote about a patient whose implant broke due to incorrect placement and insufficient bone support. The discussion also touches on the dentist's approach to root canals and the decision-making process involved in recommending implants over other treatments.

35:05
πŸ’° Cost Considerations for Dental Implants

The dentist discusses the cost differences between having a general dentist or an oral surgeon place an implant. The benefits of not requiring sedation for the implant procedure are highlighted, leading to cost savings. The dentist also talks about the importance of understanding the total cost of an implant, including the fixture, abutment, and crown, and warns against comparing only the fixture cost. The dentist encourages potential patients to seek complimentary consultations to get a clear understanding of the costs involved.

40:07
🦷 Implant Options for Dentures and Bridges

The paragraph discusses the use of implants for stabilizing dentures or supporting bridgework. The dentist explains the difference between implant-retained and implant-supported dentures, and the number of implants required for each. The process of placing implants for a bridge is also described, and the dentist shares insights into the training and learning process for dental professionals to master implant procedures.

45:07
🦷 Replacing a Tooth with an Implant

The dentist talks about the possibility of replacing a tooth with an implant, especially in cases where the tooth is not viable for a root canal. The benefits of choosing an implant over a root canal are discussed, and the dentist emphasizes the importance of having a dentist who can both place and restore implants to provide the best possible outcome for the patient.

50:10
🦷 The Art of Implant Aesthetics

The dentist discusses the cosmetic aspects of dental implants, particularly the challenge of placing an implant in the front of the mouth where aesthetics are crucial. The importance of training in handling and manipulating tissues to achieve a natural-looking result is highlighted. The dentist shares personal experiences and learnings from various educational platforms and emphasizes the importance of hands-on experience in mastering implant procedures.

55:14
🦷 Finalizing the Implant Placement

The paragraph describes the final steps of the implant procedure, including the placement of the implant and the healing cap. The dentist uses imaging technology to verify the position of the implant and ensure proper placement. The patient's comfort and quick recovery are emphasized, and the dentist invites viewers to seek more information about the implant process.

00:20
🦷 Post-Implant Care and Next Steps

The dentist discusses the immediate aftermath of the implant procedure, including the patient's comfort and the minimal bleeding. The use of a healing cap is explained, and the dentist talks about the typical waiting period before a crown can be placed on the implant. The importance of following up with the dentist and taking care of the implant site is highlighted.

05:21
🦷 Encouraging Implant Education

The dentist encourages viewers to educate themselves about the implant process and to seek out dentists who use the latest technology. The benefits of 3D guided implants are reiterated, and the dentist shares a personal anecdote about the impact of implant videos on viewers. The importance of choosing a dental practice that prioritizes learning and technology is emphasized.

Mindmap
Keywords
πŸ’‘Dental Implant
A dental implant is a titanium fixture that is surgically placed into the jawbone to replace a missing tooth. In the video, the dentist explains the process of planning and placing an implant for a patient named Trey, emphasizing the precision and safety of the procedure.
πŸ’‘3D Imaging
3D imaging, as discussed in the video, refers to the use of advanced technology to create a three-dimensional representation of a patient's teeth, gums, and surrounding structures. This technology is crucial for planning the exact location and angle of the dental implant, ensuring a successful and accurate placement.
πŸ’‘Osteointegration
Osteointegration is the biological process where the jawbone grows around and secures the dental implant, making it a stable and permanent part of the patient's mouth. The video mentions that an osteointegrated implant is solid and cannot be removed without force, indicating a successful implantation.
πŸ’‘Guided Implant
A guided implant is a dental procedure that uses computer-guided technology to ensure precise placement of the implant. The video highlights the benefits of this method, including reduced invasiveness, less post-operative pain, and increased accuracy compared to traditional free-handed implant placement techniques.
πŸ’‘Tissue Healing
Tissue healing refers to the body's natural process of repairing and regenerating the soft tissues, such as gums, after a surgical procedure like a dental implant. The video discusses the importance of shaping the tissue around the implant to prevent food and plaque traps, ensuring a smooth and healthy healing process.
πŸ’‘Abutment
The abutment is a component of a dental implant that connects the implant fixture to the crown or artificial tooth. In the video, the dentist explains that the abutment is screwed into the implant and then a crown is either cemented or bonded on top, completing the implant restoration process.
πŸ’‘Crossbite
A crossbite is a type of dental malocclusion where the upper teeth bite inside the lower teeth. The video mentions that Trey has a class three bite relationship, which is a surgical class three crossbite, and this information is crucial for planning the implant to ensure it fits correctly within the patient's bite.
πŸ’‘Bone Graft
A bone graft is a surgical procedure where bone is transplanted from one part of the body to another to repair or replace lost bone. In the context of dental implants, a bone graft may be necessary if there is insufficient bone to support the implant. However, the video emphasizes that careful extraction can often avoid the need for grafting.
πŸ’‘Immediate Implant
An immediate implant is a dental implant that is placed in the jawbone immediately after the extraction of the natural tooth. The video discusses the possibility of placing an immediate implant if the tooth is removed due to trauma and there is no infection present, highlighting the benefits of this approach in terms of faster tooth replacement and reduced healing time.
πŸ’‘Prosthodontics
Prosthodontics is a branch of dentistry that deals with the replacement of missing or damaged teeth with artificial ones. In the video, the dentist discusses the prosthodontic process of placing a dental crown on top of the implant abutment, which is an essential step in restoring the patient's smile and function.
Highlights

The importance of having a visual aid before starting any dental procedure, just like an architect would draw up a plan before building a house.

The use of three-dimensional topographical impression or image of the patient's teeth, gums, and surrounding structures for precise implant placement.

The difference between implants and bridges, and the reasons why an implant might be chosen over a bridge.

The process of using software to select the correct tooth number and design the future tooth position in relation to the patient's bite.

The explanation of the 3D computer guide versus a traditional stent, emphasizing the increased accuracy, safety, and precision of the computer-guided implant.

The discussion on the minimum time required after extraction to place an implant, and the conditions that might necessitate immediate placement or a delay.

The process of taking a 3D X-ray and merging it with the topographical image to create a guide for the implant.

The description of the three components of every implant: the implant fixture, the abutment, and the crown, and the importance of considering the total cost rather than just the fixture cost.

The use of cone beam CT for a single-pass, three-dimensional impression of the jaw and the rapid creation of over 500 images in under 20 seconds.

The software planning of the implant, including the ability to adjust depth and angle, and the verification of the correct orientation of the implant through the 3D x-ray.

The process of exporting the implant plan and creating a guide through milling, including the creation of inspection windows for visibility during the implant placement.

The benefits of guided implants over traditional surgical methods, including less bleeding, reduced risk of infection, shorter healing time, and the elimination of the need for sedation.

The explanation of the implant placement process using the guide, including the use of carbide burrs and the precision achieved through the 3D guided system.

The discussion on the long-term health and maintenance of implants, emphasizing the importance of proper brushing and flossing to maintain gum health.

The comparison of the strength of implants to natural teeth, and the factors that contribute to the longevity and durability of implants.

The conclusion of the implant procedure, including the placement of the implant, the profiling of the tissue, and the application of a healing cap.

Transcripts
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