After months of preparations and planning – we did it! Noris Medical 2nd global conference took place last week in Vegas, USA

After months of preparations and planning – we did it! Noris Medical 2nd global conference took place last week in Vegas, USA.
We had two incredible days combining world-leading specialists, top-quality content, professional courses, and a great atmosphere.

We cannot express in words how incredible the conference was, and we want to thank all our lecturers for providing genuinely exceptional lectures: Dr. Dan Holtzclaw, DDS, MS | Dr. Maurice Salama, DMD | Dr. Ramsey Amin, DDS | Dr. David Zelig, OMS | Dr. Alexander N. Nguyen, DDS | Prof. Francesco Zingari, DDS | Dr. Christopher W. Barrett, DDS | Dr. Juan Gonzalez, DMD, OMS | Dr. Alexandre Aalam, DDS | Dr. Simon Oh, DDS, FICOI | Dr. Dennis Smiler, DDS | Dr. Rajan Sheth, DDS | Dr. Michael Katzap, DDS

🎯 We are already planning next year’s conference….

👉 Please follow us to stay updated on all courses, conferences, and events we are planning for the upcoming year >> https://bit.ly/3eo2fZP

Noris Medical warmly welcomes Dr. Maurice A. Salama to its Advisory Board

Dr. Maurice A. Salama, DMD

Noris Medical is proud to welcome Dr. Maurice A. Salama to its medical advisory board. Dr. Salama is a world-leading dental surgeon, renowned for his work in full-arch restoration. Serving as Clinical Assistant Professor of Periodontics at the Dental College of Georgia in Augusta and the University of Pennsylvania in Philadelphia. Dr. Salama is also a permanent member of the Scientific Committee of the world’s leading online Dental Education Website, DENTALXP.com.

Welcome aboard!

Immediate success with immediate loading

The ability to immediately place and load an implant following an extraction represents a tremendous benefit to the patient and clinician.

Reduction in Time-to-Teeth

Implanting immediately after extraction saves the patient both time and clinic visits, by far the main requirements coming from dental patients. No less important, since the dentist loads the implant with a temporary crown, an immediate load procedure can also eliminate the patient’s time without a tooth.

Increased Success Rates

Research has repeatedly shown that immediate loading under the right conditions improves the success rate of implants. It also helps speed up all other benefits associated with dental implants: preventing tissue and bone loss, preserving the patient’s ability to chew, digest, and speak; and improving their overall oral health and psychological wellbeing. Recent research has even shown a connection between the preservation of mastication by dental implants and maintaining mental capacity.
Reduction in overall treatment time, Immediate loading lowers the overall treatment time per patient, both in visits and in overall treatment and consultation; freeing the practitioner to treat more patients. This is truly a win-win situation for both the patient and the practitioner.

Positioning the Practitioner as a Unique Clinician

Immediate loading is yet to become a commonplace procedure. It is even less common in special cases, such as loss to supportive tissue and bone (as in atrophic maxilla). Yet innovative new implants such as the Noris Medical Zygomatic implants enable immediate loading in complex clinical conditions, and in placing implants for bridges and dentures. Providing immediate loading for these clinical conditions expands the range of your practice and positions you as an advanced clinician with unique and exclusive treatment options.

Reduction in Surgical Intervention

In cases where there are soft tissue and bone loss, immediate loading presents even more dramatic benefits for the patients. Previously, the patient had to undergo bone grafting, which involves surgery and a waiting period of months for the bone to regenerate in order to support an implant. Now this costly and lengthy process can be eliminated, and with it also possible surgical complications, discomfort, a long waiting time, and costs.

Summary

Immediate loading is an exciting technique that opens new possibilities for both patients and dental surgeons. Contact Noris Medical to learn more about our innovative immediate loading solutions, including our Zygomatic implants for atrophic maxilla, which can dramatically expand your range of solutions and considerable benefits to your patients.

An Introduction to Dental Implants

Introduction

This guide provides an introductory overview of implants, why are they important for your health, as well as information on the implant procedure itself.

Importantly, this overview also provides guidance to the type of dental practitioner you should seek in order to perform this procedure, as well as questions you may want to ask them so you can rest assured that you are incapable hands that will enable you to enjoy a healthy and happy smile for years to come.

The reasons for tooth Loss

Tooth loss is due to a wide range of factors including but not limited to hereditary conditions, injury, or age-related tooth loss; but the two overriding reasons in adults are periodontal disease and tooth decay.

According to the CDC, about 2 in 3 adults aged 65 years or older have gum disease and 1 in 5 have untreated tooth decay. As a result, about 34% of adults in the U.S. are missing one or more teeth.

Tooth loss has far-reaching implications, as we will expand on further. These include a decline in the ability to chew properly, leading to a poorer diet, impediment to speech, and a diminished physical appearance that can have negative psychological and social implications.

Recent research has also found a link between tooth loss and cognitive impairment, as well as chronic medical conditions, although the connection is not yet clear.

What is a dental implant?

A dental implant is a mechanical structure that mimics the function of the natural root of the tooth. The single implant is topped with a crown that functions like the natural tooth crown. During the implantation procedure, the dental clinician inserts the implant into the jawbone. The clinician then caps the implant with an artificial crown made specifically according to the patient’s (your) anatomy.

Together, the dental implant and crown function as the natural tooth does; in chewing, talking, and of course, smiling.

Multiple implants can be used to support other variety of teeth-implants configurations to help replace multiple missing teeth or teeth gums and bone.

Most high-quality dental implants are made of titanium, a biocompatible material (which means the body “accepts” the implant and does not reject it). Studies have shown that not only does the body accept the titanium implant; it actually grows bone around it, a process called osseointegration. This process stabilizes the implant and in effect almost turns it into a part of your body.

Just like with natural teeth, it is very important to maintain good overall health and oral hygiene and care for your implants so they last a very long time.

 

Why are dental implants important?

The first thing that comes to mind is that dental implants help us retain and maintain the ability to chew properly and to eat healthy food, preserving our nutrition and health. They also help us speak correctly, keep smiling and feel confident in how we look.

Dental implants however play another critical role: maintaining the long-term health of our jawbone.

Not many people know this, but once a tooth and its root are lost, a process of weakening and loss of the surrounding gum tissue and bone begins.

Over time, this loss compromises the health and strength of nearby teeth and gums, causing teeth to move and constrict other teeth, thus putting them in danger.

The loss of the tooth and root also leads to a loss of the jawbone mass and density. Lacking the pressure of chewing (transferred to the bone through the tooth and root), the bone of your jaw begins to atrophy, losing mass and size, leading eventually to substantial loss of function and deformity of the jawbone.

In fact, when we look at the ‘classic’ facial features of an older person of times-past; we are actually looking at jawbone degeneration due to tooth loss.

Dental implants prevent this degeneration from happening, thereby playing a vital role in preserving the health, strength, and structure of the human jaw. The continuous stimulation through the proper function of our mouth, including correct chewing, enables us to maintain and retain a healthy jawbone and the young look that comes with it.

Treatment Options

There may be indications when losing your tooth does not require dental treatment, for example, occlusion remains very stable (that is, the jaws close firmly and the teeth aren’t displaced). In many cases, however, there are treatment options available to compensate for tooth loss.

If the missing teeth are visible when you smile, or if your dentist is concerned about adjacent teeth moving, making a bridge that rests on the adjacent teeth may injure those teeth.

If there is widespread lack of teeth or no teeth at all, your dentist may recommend an option using a removable prosthesis. This prosthesis, when combined with existing teeth, may damage the gum and the teeth attached to it.

 

Implants present an especially advantageous reconstruction option for single, multiple, or full tooth loss. Your dentist or oral surgeon determines the type of implant treatment you need based on numerous factors: number and location of teeth, condition of the bone, general health, need for prosthetics, and more.

Screw retained restoration

 

Cement retained restoration

 

Removable restoration

 

Choosing Your implantologist

Dental implants have come a long way and so have Implant procedures, yet it is still a process that may take weeks to months to complete and has important health as well as economic implications. It is therefore vital that you feel completely confident in the doctor you choose.

It is also important that you have a good rapport with your implant dentist. You should feel comfortable asking questions, and your doctor should be forthcoming, welcome questions, and encourage communication.

It is also important to ascertain that your implant dentist uses the best implants and materials that will achieve the best results and last for a long time.  As a rule, the most common implant material is titanium, which as we mentioned before is a highly biocompatible material.

Noris Medical makes a wide range of innovative titanium dental implants and restorative components to help the dentist provide you with an implant-supported restoration for a long time.

 

The Implant Placement Procedure

The most common traditional implant procedure performed routinely in dental clinics around the world takes place in three phases:

  1. Assessing your mouth and teeth and devising a treatment plan. You may be required to have a dental CT or panoramic X-ray, and depending on the condition of your gum or bone, you may need a bone graft prior to implantation.
  2. Placing the implant in the jawbone. This process is relatively quick and is performed in the dental practice under local anesthetics. You then need to wait for your gums and mouth to heal, and for the implant to integrate with the bone – a process that takes between three to six months.
  3. “Uncovering” the implant. Your dentist secures an abutment and then a crown to the implant. The crown is made in a lab according to your specific dental measurements (your dentist will take an impression of your mouth).

Immediate loading of dental implants

Today there is a new generation of implant procedures that enable the completion of the whole process within one day (see “immediate loading” below).

Previously, implant dentists avoided putting force (“load”) on the implant until the surrounding tissue has healed and osseointegration occurred. Recent technological advances enable more accurate implant placement that causes less trauma and requires less healing time, reducing the need to wait.

Immediate load implants are especially advantageous if the missing tooth is at the front of the mouth. It is however important to keep in mind that immediate load implants require a high level of jaw and bone health, as well as other factors. It is up to your implant dentist to decide if you are the right candidate.

(The information presented here is for informational purposes only and is not intended as a substitute for advice from a dental or medical professional.)

The Highest Standard of Quality

Noris Medical invests significant resources in creating the optimal environment for designing and manufacturing its dental products. Patient safety is at the forefront of our full implant creation process, and the entire manufacturing process is monitored and recorded for total process traceability, and all facilities are subjected to strict inspection procedures.

We also comply with the highest international standards for manufacturing and quality:

  • All our products carry the CE mark and meet the European Medical Device Directive.
  • All our products have the FDA Clearance.
  • Our meticulous quality control system follows EN ISO 13485:2016 and FDA QSR 21 CFR Part 820 compliance guidelines.
  • Our facilities are subject to routine audits by international auditors.
  • we are a certified Class 10,000 Clean Room for production.

 

 

Frequently Asked Questions  

Can each person have an implant?

Candidates for dental implants should be at an age when most of the physical growth is complete, usually at the age of 18. After this age, candidacy depends on specific clinical and medical condition.

What are the limitations to candidacy?

Each case needs to be examined thoroughly by the doctor, who will plan the individual treatment accordingly. Recent medical developments have enabled the majority of patients to benefit from treatment. In cases of bone deficiencies, complementary surgery techniques are available. Noris Medical is continually developing new solutions that enable dental professionals to provide solutions to a wider range of patients.

Who can conduct the implantation process?

A large number of implant procedures are relatively simple and most dental clinics are able to conduct them. It is however important to note that there are more complex implant procedures and special medical conditions that require treatment by a dental implantologist with advanced training.

How long do implants last?

Implants have proven themselves as extremely long-term solutions. It is important to note that just like your natural teeth, so do implants require regular and thorough maintenance of oral health in order to extend the life of the implant.

How long does the implant procedure take?

A routine implant surgery process is within the period of normal dental treatment. In cases of more complex processes involving several locations, the duration may be longer and require several visits. Implants that require prior bone grafting take a few months to complete, in order to allow the bone graft to assimilate into the jawbone prior to the implant procedure.

Will I get my teeth at the same day of the implant procedure?

This depends on one’s specific case and the treatment plan. In some cases, the doctor will place a temporary crown at the end of the treatment. In other cases, the patient is required to wait a few months for osseointegration to occur. This is an important process, whereby the jawbone grows around the implant, stabilizing it and in effect ‘accepting’ it as a tooth root.

Is the implantation surgery a painful process?

The implant placement procedure is a routine process, and according to patients, the discomfort is less than that of tooth extraction.

How long will it take me to get back to daily activity?

In most cases, the patient can get back to daily activity the next day after the procedure, unless otherwise instructed by the dentist.

What is the advantage of dental implant treatment over other dental treatments?

Implants show a high percentage of long-term success with almost no need for complicated maintenance, providing the patient with a higher level of convenience compared to other dental modalities like bridges or removable dentures

Full Arch Case of severe Atrophic Maxilla using the EZgoma® – Zygomatic Guided Technology

Full Arch Case of severe Atrophic Maxilla using the EZgoma® – Zygomatic Guided Technology

By Rami Siev, former CTO at Noris Medical

 

Surgeon: Prof. Ziv Mazor / Lab Tech: Gustavo Skladnik (DentexLab) / Surgery Planning: Rami Siev / Digital Planning: Ilan Sapir

___________________________________________________

EZgoma®  – Zygomatic Guided Technology enabling a quick precise minimally invasive Extra Maxillary and Intra Sinus drilling protocol execution for Zygomatic implants placement as well as Pterygoid and regular implants.

All components, Implants, and Prosthetics are directed by the guide to an accurate pre-planned position and orientation.

___________________________________________________

Introduction

Freehand execution of Zygomatic and Pterygoid implants require special knowledge skills and experience.

Unlike ridge related angles for regular implantation, Zygomatic implants angles are related to the Inferior Orbital rim, alveolar ridge, the maxillary sinus lateral wall and the Zygomatic bone itself. Pterygoid Implants angle trajectory is related to the tuberosity, the maxillary sinus and the medial plate of the sphenoid bone.

Both procedures are 3D angle trajectory-based and are challenging to perform.

Noris Medical EZgoma® (Patented) Guided technology enables a time-saving and accurate execution for the most complicated atrophic maxilla cases.

Noris Medical Zygomatic Implants and instrumentation greatly simplifies the Drilling Protocol and Implant and Prosthetic placement. High torque is consistently achieved, allowing immediate placement of a screw-retained prosthesis.

Clinical case

Female patient, 60 years old without major systemic disease.

Having edentulous atrophic maxilla[1], the maxilla presents severe bone resorption with defects in the area around the nasal spine, severe posterior ridge bone loss and narrow Zygomatic bone.

A Pre-op E.N.T specialist evaluation advised performing a FESS (Function Endoscopic Sinus Surgery) operation. The procedure was performed 3 months before the surgery [1.1]

According to the clinical and radiographic examination CBCT, it was decided to install two Zygomatic implants and one Pterygoid on each side and one Lateral narrow implant in a lateral position for Screw-retained Prosthetic Rehabilitation. The procedure is done guided, Lateral implant will be placed freehand.

Planning Procedure

[1] Severe Edentulous Atrophic Maxillary bone situation

[1] Severe Edentulous Atrophic Maxillary bone situation

[1.1] Post-Op FESS (Function Endoscopic Sinus Surgery) operation 3 month prior to surgery.

[1.1] Post-Op FESS (Function Endoscopic Sinus Surgery) operation 3 month prior to surgery.

 

Surgery planning was done using the CT dicom that was available prior to the FESS operation.

[2-3] Zygomatic and Pterygoid implants planned positions

[4-6] Implant positions are planned to support the desired screw-retained rehabilitation

[2-3] Zygomatic and Pterygoid implants planned positions [4-6] Implant positions are planned to support the desired screw-retained rehabilitation

Anterior Zygomatic Implant Positioning

Posterior Zygomatic Implant Positioning

 

Pterygoid Implant Positioning: entering point on the buccal side of the ridge, 10-12 mm anterior to the maxillary tuberosity aiming towards the medial plate.

 

[7] Implant Position 13 [8] Implant Position 23

[7] Implant Position 13 [8] Implant Position 23 [9] Implant Position 15 [10] Implant Position 25

 

When analyzing the implant positioning it can be seen that the zygomatic bone in each position is relatively short (Between 9 to 11 mm) and the alveolar ridge excluding position 15 is completely atrophic, such a bone structure cannot support an individual zygomatic Implant. However, when all implants are connected by a rigid bar the construction is solid and can carry the load.

When analyzing the implant positioning it can be seen that the zygomatic bone in each position is relatively short (Between 9 to 11 mm) and the alveolar ridge excluding position 15 is completely atrophic, such a bone structure cannot support an individual zygomatic Implant. However, when all implants are connected by a rigid bar the construction is solid and can carry the load.

 

EZgoma guide:

Based on the implants positioning design, an individual guide is planned for each side, right and left, enabling a good insertion path with minimum undercuts. the guides enable positioning the implants through it to the correct position and prosthetic orientation.

Based on the implants positioning design, an individual guide is planned for each side, right and left, enabling a good insertion path with minimum undercuts. the guides enable positioning the implants through it to the correct position and prosthetic orientation.

 

EZgoma® Titanium Surgery Guides

EZgoma® Titanium Surgery Guides

 

Surgical procedure

Raising the flap

Raising the flap

 

Positioning and Guide Fixation

Positioning and Guide Fixation

 

Drilling osteotomy for Pterygoid Implant

Drilling osteotomy for Pterygoid Implant

 

Pterygoid implant positioning and orientation is defined by the alignment of the driver Hex to the guide sleeve Hex

Pterygoid implant positioning and orientation is defined by the alignment of the driver Hex to the guide sleeve Hex

 

Grooving the Maxillary sinus lateral wall by using a diamond burr

Grooving the Maxillary sinus lateral wall by using a diamond burr

 

Drilling osteotomy for the Zygomatic Implant

Drilling osteotomy for the Zygomatic Implant

 

Verification measurement of pre-planned Implant length

Verification measurement of pre-planned Implant length

 

Insertion of Zygomatic implant

Insertion of Zygomatic implant

 

The zygomatic implant is entered through the guide. Positioning and orientation are defined by the alignment of the driver Hex and the guide Hex. A control pin will verify the correct position

The zygomatic implant is entered through the guide. Positioning and orientation are defined by the alignment of the driver Hex and the guide Hex. A control pin will verify the correct position

 

Multi-Units placement

Multi-Units placement

 

Multi-Units placement

Multi-Units placement

 

Transfers on the Multi-Units for open tray impression

Transfers on the Multi-Units for open tray impression

 

Preparation of a Titanium bar for rigid based restoration

Preparation of a Titanium bar for rigid based restoration

 

Restoration Delivery

Restoration Delivery

 

Post-operative X-Ray

Post-operative X-Ray

Summary – The EZgoma® technology enables quick accurate and expected Zygomatic / Pterygoid implant positioning locations thus providing solutions for the most extreme cases.

Noris Medical warmly welcomes dr. Francesco Grecchi to its Advisory Board

Noris Medical warmly welcomes dr. Francesco Grecchi to its Advisory Board. Dr. Grecchi is an eminent surgeon based in Milan – Italy, where he leads the maxillofacial unit at Ospedale Galeazzi. He developed the “One Step Oral Rehabilitation”, his own immediate loading reconstruction technique of the upper jaw that was successfully performed on over 150 patients. He is a reputed specialist in the fields of orthognathic surgery, malformative and dysmorphic surgery, and pre-prosthetic reconstructive surgery. Dr.Grecchi is the maxillofacial coordinator of the Italian Association of Ectodermal Dysplasia and the author of over 100 papers published in the most important scientific journals. He has been placing zygomatic implants for 10 years and is a leading Noris Medical trainer and scientific consultant and actively contributed to developing the Ezgoma® guided surgery system.

Welcome on board, dr.Grecchi!

Noris Medical Awarded the European CE MDD Certification up to  May 2024 and MDSAP Qualification 

Noris Medical Awarded the European CE MDD Certification up to  May 2024 and MDSAP Qualification

Noris Medical is proud to announce that it has been awarded the European CE up to May 2024 certification. The certification validates that all our range of products meets the EU standards for health, safety, and environmental protection.

Noris has also successfully passed the MDSAP regulatory audit of our manufacturing quality management system.

These two certifications are added to our existing approvals –EN ISO 13485:2016, FDA 510K, Health Canada MDL, INDIA –CDSCO, RUSSIA Roszdravnadzor) and more

Noris Medical is constantly striving to provide our customers with the highest quality dental implants that meet the most stringent international regulations. Contact us to learn more about our offerings, our manufacturing standards, and regulatory accreditations.

A short Guide for getting your Dental Practice back on its Feet

A short Guide for getting your Dental Practice back on its Feet

Dealing with the aftermath of the Coronavirus is not easy and just about every dental practice across the world suffered disruption to work. Here are five steps that can help you get you get going again, create a team that is more unified and productive, improve communication and to your customers and put their mind at ease to facilitate quicker return to normal, and reach out to new patients.

Create a Plan and a Schedule

Your plan should include preparation and delivery of communications with both patients and employees (more on that below), a supply checklist, schedule for restocking and procedures for the protection of patients and employees from Coronavirus.

It is advisable to build an action plan according to deliverables, deadlines, and the person responsible for each deliverable.

If you did not have weekly meetings with your staff until today – now is the time to start. Each meeting should be used to go over the plan and see if it is progressing according to schedule, that everyone is doing what they are supposed to, and what challenges, if any, need to address.

Just like you, your employees also need to change their mindset to be more attuned to the practice of financial and operational goals. Providing weekly quantifiable targets for each one is the best way to go about it. For example, the number of patient calls, the increase in the number of active patients, and the increase in the number of collections and reimbursements.

Create Protocols for preparing the Practice for Screening, Greeting and treating patients

Use the guidelines found in the websites of your professional associations to create a protocol for greeting and treating patients. Post the guidelines around the office and be sure to regularly communicate these protocols to your team as well as to your patients, in order to assure them that you are doing whatever is required to keep them safe.

Create a Patient Communication Plan

Your customers(patients) will not come back unless they know they can. It is vital to let them know that you are open for business (aligned with your state guidelines) and that you are taking every precaution to keep them fully protected – screening, protecting, disinfecting, etc.

Specify new procedures/equipment implemented in the practice to protect your patients, keep assuring them the practice is safe, and showcase your renewed work.

Once is not enough. Be sure to repeat this message weekly, and every time there are updates in local and national regulations and guidelines. Also, don’t forget to address different age groups, even if the enhanced precaution procedures may be the same.

Inform your patients of whether you are taking in only certain patients, what type procedures are you performing, who should come in sooner and who can wait, and if you are offering any special payment plans for patients who have been furloughed.

When communicating with patients via email, social media, and your website, you can link to professional websites of your local dental associations, so your patients know you are relying on your country’s regulations and on sound medical advice.

Be attuned to your Financial Situation

Your plan should include milestones in growing your business back to its former capacity, and to increase it in order to make up for the loss incurred in recent months. Set the pace with the help of your accountant, considering your patient base

It is advisable to look at your Profit and Loss statement every week, and with the help of your accountant try to adjust your payables and receivables so your revenue grows at the pace that you envisaged.

Be sure to take advantage of the new payment plans and pricing programs offered by Noris Medical. Our new plans are aimed at helping your practice get on its feet as soon as possible.

For more information, contact your local rep. or email us >>

In addition, ask your accountant to find out if you are eligible for any government assistance programs for small businesses or programs for subsiding workers. These programs could help you balance your books and retain your employees so you can go back to full capacity as soon as possible.

Create a Contingency Plan

We don’t know if and when Coronavirus will strike again, so it’s wise to develop a contingency plan with your accountant: work out how much liquidity is needed to support a two-month shutdown and add it to your financial growth plan.

 

How to communicate with your patients

Informing Your Patients about Dental Implant Procedures

Dental implant placement and restoration is an important procedure with considerable medical and financial implications, and therefore should be considered carefully. As a dental professional your role is to educate your patients and put them at ease so they can approach this procedure with confidence.
From talking to patients you probably know that there is a lot of misinformation out there. Patients come to you expecting all kinds of fast solutions, or alternatively are discouraged by false stories they read online.
It is therefore paramount that you take steps to establish yourself and your practice as their prime trusted information source, provide patients with clear and dependable information, help alleviate concerns they may have, and prepare them for the procedure to ensure the optimal outcome. And, as a general rule, it also doesn’t hurt to be considerate and informative to your customers – no matter what kind of business you have.

Here are some guidelines on how to set up good communication with your patients:

  1. Set up your preferable mode for ongoing communication. Common forms are an email newsletter or text alert forwarding to new posts on your website (that is, if your practice has one).
  2. Create a basic information page. This can be in the form of Questions and Answers or according to topics. It should ideally cover the different options for replacing missing teeth, outlining the advantages and disadvantages of each option.
  3. Create a pre-procedure page outlining the process, as well as a page for post-procedure care.
  4. Create scheduled updates on new implant procedures and technologies. For example, let your patients know when you start using new types of implants such as our Mono one-piece implants, mini implants, and our Zygomatic implants (which were recently chosen as one of the Top 25 Implant Products for 2020 by Dentistry Today’s Readers’ Choice).

Constant updates are important reminders to your patients that you are their prime and trusted source of information. The updates can also bring new patients who previously did not consider themselves candidates; and last but not least – those updates show patients your practice is up to date, helping you build a good name for yourself.
Ongoing communication with your patients is also vital in special circumstances, such as the current Coronavirus crisis.
There is no substitute for a doctor’s opinion and diagnosis. It is the most credible and precise information the patient can get. Make sure your patients know this and are tuned to you in all matters relating to their dental health.

The Latest Trends in Dental Implants

Mini Implants

If dental implants represent a revolution in restorative dental care, then mini implants are the next stage in this revolution.
Mini implants enable dental surgeons to use implants in situations where traditional implants cannot be used, thereby extending their benefit to many more patients. For example, in the past patients with low bone mass (as a result of osteoporosis, for example) would require bone grafting. Today, a dental surgeon can often use mini implants, bypassing the lengthy and costly grafting procedure.
Mini-implants can also be used in cases of bone loss when the surrounding bone is not thick enough to support regular implants. Now many patients can enjoy the benefits of implants, especially older patients who require support for bridges and fixed dentures (which is usually placed at the front of the jaw, an area with a naturally thin ridge that gets thinner with age). In fact, mini-implants have become the go-to for denture support.
Mini implants, with their thin diameter, are also prime candidates for placing in small areas and replacing narrow teeth, such as lateral incisors.

CBCT Imaging

CBCT images (CBCT being a more advanced form of CT) provide a three-dimensional accurate scan of the jaw, including the bone condition, location of nerves, facial bone anatomy, and other variables required to assess the right treatment. Being much more reliable than two-dimensional scans, CBCT has become the go-to for digital implant procedures.
CBCT scans are also lighter and less expensive than traditional CT scans, enabling many dental practices to purchase them, eliminating the need for a separate visit to a scan lab and lowering the cost of scans.

Implant planning software

Implant planning software uses the CBCT scans as input to create 3D images of implants, including their exact position, angle, and depth; taking into account all the required variables such as bone mass, bone structure, and location of nerves.
The software creates a radiographic guide of the implant procedures that converts to a surgical guide used by the dental surgeon during the procedure. The software is also used to create 3D models of the crowns to be placed; which are then sent to the lab which digitally designs and produces the crowns.
Implant planning software has played a significant role in streamlining the implant procedure, shortening it and most important – improving the accuracy of the implant procedure and its outcome.

3D Printing

In the past, dentists used dental plaster casts to create a model of the patient’s teeth – a messy and unpleasant process. Today, the models are generated using 3D imaging, the same CBCT imaging mentioned above, and the model itself is produced by a 3D printer.
In recent years, with the cost of 3D printers and materials going down, many dental practices decided to purchase them for in-house use. Together with a local CBCT scan, this cuts down considerably on the time, effort and dependency on external providers required to plan and execute the dental treatment.

Image-Guided surgery

The advances in CBCT imaging and implant planning software has enabled dental surgeons to prepare for surgery by looking at precise virtual placements of the implants. It also enables us to fabricate highly accurate drill guides (which look like an encasing over the teeth).
The drill guides are used to ensure the dental surgeon drills and place the implant at precisely the planned location, angle, and depth. As a result, the procedure has such high levels of accuracy that it lowers the possibility of human error to virtually zero.

How they all come together

If you compare the process the implant today to just five years ago, you can see how technological advancement has completely altered the progression, stops on the way, number of external providers (and therefore for the chance of mistakes and delays), the procedure outcome, downtime and discomfort level.
Five years ago, the fewer patients that were eligible for immediate implants were sent to external labs for two-dimensional CT scans. Doctors would work without implant planning software and drill guides, and with less knowledge of the patient’s anatomy.
Today, when a patient comes in a CBCT scan is taken immediately and the imaging is shared between the surgeon, restorative dentist, and lab, so they can decide in close collaboration on a course for action.
Once the implant specifics are decided, the CBCT is inputted into a planning software that creates the surgical guides for precise implant placement.
Meanwhile, the CBCT scans are used to create a model of the patient’s jaw and the restorative elements, which are then created on a 3D printer. Scan data is entered into and implant planning software to create the surgical guide for the implant.
Doctors now enjoy a more streamlined, efficient procedure and less costly procedure (transferring the savings to their patients). Patients enjoy less hassle, discomfort, and downtime.
Most importantly, the success rates of implant procedures have risen dramatically.

 

 

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