Implant dentistry has become extremely predictable. However, we must pay attention to some very non-forgiving principles if we hope to create stable, long lasting results for our implant patients. I call these the “Seven Deadly Sins”. Each one, on it’s own, can jeopardize even the best implant surgery.
Implant Dentistry has been a huge topic, especially as of recent. You can't pick up a dental publication without seeing multiple articles surrounding the topic.
Statistics show that Implant Dentistry can actually be the highest production per hour procedure and have the greatest lifetime financial opportunity for your practice.
So why leave that opportunity to just Oral Surgeons? The general dentist can (and should) play a major role in any case involving dental implants too.
Well, the short answer is probably because they are too long. They also might be too far out.
It’s important to remember that when you’re restoring maxillary anterior teeth, unless you give the laboratory very specific guidelines on where you want the maxillary incisal edge, their tendency is to make the teeth too long and to make them too far labially.The other thing that we have the tendency to do on maxillary anterior teeth is under-reduce, which sets up a lot of these problems.
One of the things that is extremely important to remember is that if all the lab has to go by is a nice model of the prepared teeth with good margins, they are simply guessing at where the maxillary incisal edges will be in space. We have to determine these things in the mouth and then give very specific communication to the lab on where that’s going to be, and then have some verification or protocols to make sure they do it.
My name is Tom Dawson and I recently joined the faculty here at The Dawson Academy. My charge is to bring new educational thoughts regarding dental implants.
Today’s dentist must deliver high quality, beautiful dentistry. In dental continuing education, there are countless opportunities to learn the techniques to prepare the maxillary anterior teeth and deliver a decent result. However, I am utterly convinced that once a dentist learns and applies the techniques taught by The Dawson Academy, clinical results will become exceptional.
A complete dentist will deliver more than just a pretty smile; a complete dentist provides a stunning smile that is not only comfortable, but also maintainable long-term.
It was certainly an honor to be selected to refine the American Academy of Cosmetic Dentistry Guide to Accreditation Criteria. This guide was first introduced in 2000, where it defined the criteria recognized as the gold standard in esthetic dentistry. This same criteria is used for credentialing dental esthetics by the AACD.
In this webinar, Dr. Cranham discusses the elements involved in perfecting an occlusion to insure predictability in restorations.
- Insuring a Perfected Occlusion with centric stops
- What to do when back teeth rub
- Anterior Guidance
- Tooth Preparation (under and over)
- Proper coping design
Rehabilitating the completely edentulous patient is one of the most challenging tasks we face in restorative dentistry, and for me, the most rewarding. The majority of the patients I see with an existing set of complete dentures are suffering from pain under the denture bases, poor retention, difficulty with mastication and unnatural esthetics (Figure 1). I feel our society has come to accept the fact that this is what you get when you lose all of your teeth, that this is how dentures are supposed to feel because they are dentures! The psychological effects that accompany the loss of teeth often lead patients to insecurities, social isolation, and even depression. The physical effects of pain, weight loss, and poor nutrition can be even more debilitating.
Combining what we have learned from Pete’s Concept of Complete DentistrySM, classic removable prosthodontic principles, and the latest technologies in implant dentistry, we have the ability to impact our patients’ lives in a way they never knew was possible.
It’s important to keep in mind, when assessing prototypes for final restorations, we are in the third step of treatment. At this stage we have a complete exam, a diagnosis and treatment plan, and a full contour wax up.