good morning I'm dr. Adams a dentist at Maryland Holistic Dentist in Burtonsville
Maryland and today we are going to be doing a video which is really targeted
mostly towards dentists we have a brand new or not super brand new any more
attacks have been approved through the FDA for a year
the serum xp6 implant which the thing that I really love about this implant is
that it actually has all the conveniences of a titanium implant
company the titanium implants and it's of course metal free zirconia which is
two colored and a lot of patients like you because it's nonmetallic you know
not to worry about any galvanic issues and it sure does help that it's two
color so that you get any recession or if there's any shine through effective
at gum you're not gonna see any any metal so today basically what I'm going
to be doing as best as I can as I'm going to be showing other dentists out
there how you can place this p6 implant today we have a site that site number 14
actually it's a teens have been previously extracted and we have
complete healing of the gum and we're going to go ahead and prepare these
sites surgically and place the implants so I'm just gonna go over the drill
sequence for the same plant system which i think is really really easy to follow
and once you come out of your gear with that camera
so the first setup we have here is this is a hyacinth implant setup you can see
how many different osteotomy birds we have here and instruments if you've
never placed implants before there's zoom weigh on so they can see like
everything there's quite a bit going on here
and then if you come back here this is the zero max kit the zero max kit has
far fewer pieces
and I think it's really straightforward so that's what we're going to be
demonstrating today sometimes I'll have out the titanium kit it's just a
personal thing I probably won't use it but there might be a little piece I'm
used to using in the past to help me get started with my osteotomy but it's
totally not necessary okay so good turn now okay so here we're looking in the
patient's mouth this is our number of 14 a dental slate and the first thing I do
is evaluate whether we're going to have to use a flap or not and the patient is
already numb so what I do is I go in here and I take my probe and I just kind
of push in here and see if I feel anything hard which obviously that's
gonna be bone so I go right here on the mid Ridge area then I come to the buckle
I'm gonna press here just kind of sound around and make sure I don't feel
anything which feels like a defect and then I'm gonna go back in here into the
towel area and do some of the same looks like our patient isn't quite all the way
now but this is a site where this is anticipated we have complete healing
there I'm not anticipating any large defects I'm going to do more of a flap
was a probe here
this is the kit that we're gonna be using and it's conveniently organized
yellow red and green today I'm gonna be placing a four-point fee by either eight
four 10 millimeter long implant so we're obviously gonna be starting with the way
you want to go I'm very impressed here with with the quality of the bun one of
you now I'm going to be going okay the other thing that I'm gonna tell you it's
a dentist that the pharmaceutical companies may not tell you is I will
modify their protocol I'm gonna use the three and a half here I'm noticing that
the bone is reasonably hard but it's not hard as concrete or anything when I go
to put the implant in I want to get good stability sit for example I might if the
bone is old on the softer side I may only go to red and I may not drill all
the way up to green at four point two so you have to really be paying attention
you don't want to over prepare the site and then have an implant that wobbles
around one $22
we can go off the drinks so this is the 4.2 doesn't like the textbook
Karami
then inside is a little bit of play here when I Whittle without music that come
with a bomb nearby the know the top of the ridge it's not super super hard is
the crust over this is gonna create the room necessary for the platform of the
implant in a coronal area I'm not gonna use this because if I were to use this
right now this pro right here I would likely over prepare my osteotomy
okay now we're going to talk about the package in for the 0 max t6 implant I
think it's kind of a neat package and it almost makes me feel like I'm opening up
some like new Apple product or something I'll show you why here in a second we're
opening it up pull out this egg looking thing
get a few things in the box first off it comes with a tissue former it's a short
one millimeter tissue former they do have other sizes three and four
millimeters so that they had even had like a traditional cover screw type one
that doesn't even really have any height to it at all but the egg looks like this
and it's sealed up and when you go to open it up you just kind of turn it and
voila open it up you've got Bott numbers in
here which I set aside so my assistants can properly keep the records than the
actual implant packaging itself I will go ahead and open this up because I'm
intending on placing this implant this is a four point eight by ten millimeter
implant I want to talk a little bit about the type of implant this is it's
actually appears as a tissue level implant not a bone level and plan
however it's treated almost all the way up to the top it's sandblasted and
etched and that promotes very very good bone attachment to the implant some of
the other circular implant companies out there they do not have the implant
sandblasted and I've seen a lot more failures because of that that's one of
the things they've really gotten right but this implant if you look in here
this is the implant itself I'm gonna put mine handpiece into delivery mode here
we're gonna get ready to go ahead and get down to business I'm going to insert
this on to the handpiece you can see the implant now I'm gonna go
ahead and deliver the endpoint so si whenever before I did not use the
crystal burr so there's a possibility when I got to
put this implant in that in the coronal portion of the implant it may be able to
bit tight and when I go to place an implant if I go to place the implant and
it's a little bit too tight but I'm getting a little bit too much torque for
my hand these I will then consider that to be a nice
problem to have I will back to implant back out and then I will prepare the
site a little bit more so as to not place too much pressure on the patient
of the implant this implant should be delivered with 40 million centimeters
which is what we're gonna do about one of the easiest implants that place in a
long time definitely beginning to feel a little bit of pressure here and you can
hear that noise see that that means you're getting a little bit tight
sometimes what I will do is I will just back off for a moment and just give that
tissue you a minute to stretch okay I've determined this implant is a little bit
too tight put this on here and it's literally not going anywhere so what
we're gonna do is not turn up the tension I'm not gonna go from 40 to 15
18 centimeters we're just gonna back this out you don't want to put it over
40 on these implants if you do what'll happen is this driver will actually
separate not nothing bad will happen to the implant and then you'll have to get
a new dryer what I'll do is just disengage this
whole thing step that aside and then I'm going to go back to the 4.2 mo here or
I'm gonna verify that I've
sometimes I'll fine it maybe I just didn't quite go all the way down to the
bottom these implants have a generous implant body so you want to make sure
because it may be that I just have not gotten the bottom of the osteotomy
prepared well now I'm gonna go ahead and try to deliver them go ahead and try to
redeliver once again now this implant has a generous body which means you're
gonna get very good primary stability you also may have to work a tiny bit
more to deliver the implant I'd rather have to work a little bit extra and that
good primary stability the placement of this implant is really really important
because we need to have enough room to actually restore a very prominent cost
tip here that we can round off and I intend on doing a screw attain crown and
I really really love the position in here like when I put my probe in here I
can feel the hard tissue right here and I can feel the hard tissue right here
and right here so I really don't want to countersink this so these are all the
considerations that I'll go through I'm hoping this will help a lot of people
out I'm gonna go ahead and put the shitty
former on top of the implant we have a very what we started this a very nervous
patient he's ready to be done but I don't think we scared her too much
there we go whoa ah it's good what your setup always
be okay