hello and welcome to chair sideline I'm your host Megan strong thanks for checking out
this episode it's gonna be a good one here's why dr. chi is talking about placing his very first
implant he's discussing the training classes and mentorship that gave him the confidence to
take the plunge into implantology he's walking us through the steps he took to prepare for his
first implant case and sharing what he has learned along the way if you've been toying
with the idea of placing implants now's the time so let's see how dr. Cheney used the
Han surgical kit to place his first implant with ease and confidence dr. chi saw yours
as a clinical research associate at Gladwell laboratories I've specialized in digital workflows
and putting the latest tools into use on a daily basis the work has been extremely rewarding
because it allowed me to share tips and best practices for dentists to become more efficient
through digital impressions in office milling and other digital technologies entering implantology
was a natural and exciting next step for me to expand the ways I can serve patients and gain
more insights to share with fellow practitioners my first encounter with implantology was in dental
school at USC where we didn't have an official surgical implant program but we did shadow Appirio
resident for a couple of cases we would take the diagnostic impressions and we would wax up the
tooth in the attention of space from that wax up we would create a surgical guide and provide that
to one of the parents we would also assist during the procedure more recently I completed training
with the mish international implant Institute I went through surgical sessions one and two
which were excellent courses they provided the didactic information and hands-on exercises that
really showed me how to get started and the hands-on portions were particularly helpful
because we practice on models and pig jaws and went through the protocol for the Han tapered
implant surgical kit one of the biggest takeaways from my training with the mesh implant Institute
was that successful implant cases begin in the planning phase with these courses you're learning
what to look for identifying the anatomical structures taking the right preoperative
impressions and intraoral views and assessing the patient's health x-rays and CT scans because when
you're dealing with a new dental space you have to plan in all directions you have to understand
the occlusion you have to know the condition of the adjacent teeth and of course the status
of the bone and soft tissue you're factoring all of that in and that's more to consider than with
the non-surgical of restorative procedure once you incorporate all of this information in the
planning stage then you can go about the implant placement in the best way possible for my first
case I had a patient who was missing tooth number 30 which she said was removed in 2008 and restored
with a bridge from number 29 to 31 in 2011 she went to a dentist who cut through the Pontic and
tried doing Invisalign to push the teeth forward to close that space the patient didn't think
that the strategy was working out the way it was intended so she stopped the orthodontic treatment
and came to me with this problem doctors see a Maccabee director of clinical R&D at Glidewell
removed the old crowns on tooth numbers 29 and 31 and replaced them with Brooks her anterior crowns
we planned out the case together and I was able to use the information that I had learned from
the missed courses backed by doctoral buys guidance it was great to have someone who's
experienced in implantology verify what I was thinking and dr. Bai was there for the implant
placement too he served as support in addition to being the photographer and having him around
really helped a lot since the patient in this case had some ortho tooth number 31 was just a little
bit tilted over the intra role situation wasn't too unusual though considering the posterior
teeth distal to need in chula space typically will shift over the space now is almost like
a space for a premolar so we're going to have to compromise a little bit in the final tooth design
I'm planning for about four months of healing time and then most likely the final restoration
will be abrupt sir screw retained crown screw retain has some advantages regarding placement
technique and if for any reason you need to remove the crown you can do that relatively easily while
completing the procedure I did not encounter any negative surprises but I was pleasantly
surprised by how straightforward the process was the actual procedure didn't take a lot of time
because the time for the procedure is really spent beforehand in the planning phase so once
you open the flap and expose the bone making sure the ridge is level and no modifications
need to be done then you can just go through the steps of the Hahn surgical kit having practiced
with the Hahn kid on a type of model I found that using it on the patient was virtually the
same thing if you follow the layout of the kit it takes you from A to Z in the easiest way possible
everything is provided for you completing this first implant placement was exhilarating and
I'm happy to report that the patient was very pleased with the results of course she felt
nervous beforehand but my staff and I ensured she was extremely comfortable throughout the procedure
the recovery period also was a lot easier than she had expected I'm thrilled with how this case is
progressing and I'm looking forward to seeing the final restoration if you're interested in
making the transition into implantology my first recommendation is to seek out the mentorship of
others that's why we go to these courses you're learning from people who have seen the full range
of scenarios and are able to provide you with the most relevant information with the mesh
implant institute they train for everything from simple to complex cases to there are also so many
excellent resources online even before I went to the mich training I went on Glidewell dental
comm and watch youtube videos including our own chair sight life because it's really about seeing
that information and those procedures over and over with the right courses and resources you
will feel more comfortable and confident and with that foundational knowledge in place any
dentists can successfully place implants I wish you all great success with your first implant
thank you for that dr. Qi well that about wraps it
up for this episode of chairside live on behalf of everyone here at global
laboratories thank you for watching and I'll meet you right back here next time
you