and here he is with this converted denture for his follow-up heel check so to be able to take
a patient who is unable to wear their denture to someone who has fixated teeth on the day of
surgery i think this is within the capacity of most surgically oriented general practitioners
if we can separate out a lot of the phases hello everyone welcome to full arch implant placement
in the heel ridge i'm doctor peresta i'll be your moderator and speaker for this ce video
this is an excellent topic for the budding implantologist maybe someone who has
delved into implantology has done lots of singles maybe multiples may have done some over dentures
and is looking for you know a pathway to say how do i get involved in this patients are asking me
for this kind of you know teeth in a day or whatever we want to call it teeth that i want
to take out put into a glass at night something more secure or more fixed than snap in or snap
out denture and i think that rightfully so because uh as technology evolves it does a lot of things
and one is it makes uh surgery a little bit more predictable and as technology and manufacturing
evolves it certainly drives down costs so we now have implants that i consider to be premium
products at value price points there are some suggestions maybe that for your surgery if you're
starting on this journey for the first time and one of them is that if you're going to be talking
about taking out teeth and using implants for immediate fixation of a temporary bridge or a
converted denture you have to pick an implant that's an aggressively threaded implant and this
happens to be the han implant uh and and i would say an implant like this is a good choice because
it's going to get you that primary stability that you're looking for as an implantologist who wants
to place an implant into an extraction site and that's paramount because if we're talking about
converting the patient's denture on the day of surgery we have to have that good primary
stability so we don't want to use an implant that doesn't allow that kind of stability to happen
the other suggestion i really would have for you is i want you to embrace the concept of
this multi-unit and there's a ton of reasons why we want you to embrace the concept of
the multi-unit but first and foremost i like it because it brings everything
to tissue height so prosthetically everything is going to be done at the tissue level at this point
so can we do this absolutely if we're taking out this patient's teeth level the bone grafted made
sure that his transition line is above where he can lift his lip then why not be able to take that
patient and then put our implants in and if we need to do a tilted approach to stay in front of
these pneuma neutai sinuses we can then place a long implant stay in front of that sinus and do
that on both sides embrace the use of a mulch unit and these have to be 17 degree multi-units because
the slope of the maxilla has absorbed like this so i want to bring everything back to where the
prosthetic channel is behind the incisal edges of the anterior teeth and then we can take his
denture and we can convert it we can convert his denture into something that we are going to turn
into a screw retain prosthesis for him to wear the day of surgery so we get that converted which
means that we took away everything that we needed to take away and only left what we needed to for
him to have the support he needs and made the underside as smooth as possible so it's cleansable
and then he goes home with a converted denture with no cantilevers at this point because the
implants have just been placed but now the guy has what we call show teeth he can show people he has
teeth uh but we let him use this does fixate the implants together gives them the ability to have
the confidence of teeth that are screwed to his implants that are not going to fall out while
he's healing if you extract teeth and graft which i think most of us could i think you can probably
come to the point of this and say if i can embrace the use of tilted implants if i need to get around
a sinus then i think we can have the success that you're looking for in full arch implant dentistry
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