Double Arch Dental Implants Surgery Case Planning and Review: Pterygoids Start to Finish

Join us for an in-depth exploration of advanced double arch implant procedures. Enhance your expertise in oral surgery and implantology by accessing detailed procedural insights and innovative techniques. Don't miss the opportunity to elevate your practice and deliver superior patient outcomes. For more information and to register for our upcoming sessions, visit www.ColoradoSurgicalInstitute.com or call Chris at 970-410-6148 today!
00:00 - Planning and Placement of Dental Implants
Interpreting X-rays, planning and placing implants, and avoiding complications in a complex dental implant procedure.
04:29 - Dental Implant Surgical Procedure Tips
Address pterygoids first, achieve proper implant depth, handle dense bone carefully, prevent over-torquing, and adjust techniques based on bone density.
17:03 - Evaluation and Implementation of Implants
Nature's complexities in dental implant surgery, including bone density, threading, airway considerations, and strategic placement for sleep apnea.
26:05 - Implant Placement and Stability Evaluation
Nature's intricacies in dental implant surgery, including implant size selection, avoiding bottoming out, and precise placement for stability.
29:25 - Dental Implants Procedure Overview
Successful dental implant surgery on lower arch with high bone density, deceptive angulation in X-rays, and use of technology like iCAM and Trios 5.
Case Overview:
• Double arch case involving a 44-year-old female with significant bone loss in the upper arch and chronic periodontal issues in the lower arch.
• Detailed explanation to the patient using visual aids to illustrate the right and left sides of an x-ray, sinus locations, and bone levels.
Surgical Planning and Techniques:
• Discussion on evaluating sinus locations for potential pterygoid implants.
• The possibility of using different sizes and types of implants based on anatomical considerations, such as a 5x8 implant for a vertical lift.
• Importance of checking x-rays during the procedure to ensure correct implant placement.
Challenges and Solutions:
• The technical challenge of drilling near the sinus and the risk of causing a bloody nose if the nasal cavity is breached.
• Techniques for controlling the drill to prevent perforation into the nasal cavity.
Surgical Details:
• Strategy for placing implants, including the sequence and specifics of drilling to achieve bicortical stabilization.
• Adjustments made during surgery to avoid complications and ensure proper implant integration.
Post-Operative Considerations:
• Emphasis on the importance of post-operative x-rays to check the placement of implants.
• The potential need for adjustments based on the initial results and healing process.
Team Interaction and Protocol:
• Discussion between Dr. Dhoon and Mak about the procedural steps and outcomes.
• Emphasis on collaborative decision-making and real-time problem-solving during surgery.
Educational Insights:
• Dr. Dhoon uses the case to provide educational insights on implant surgery, discussing the nuances of dealing with complex cases.
• Tips on how to handle potential issues that may arise during surgery, such as incorrect drilling or the need for repositioning implants.
#DentalImplants #OralSurgery #DentalEducation #Implantology #Periodontics #DentalProsthetics #MaxillofacialSurgery #ContinuingEducation #DentalConference #AdvancedDentistry

[@scoutlee9604]

Fun to watch the thought process behind this. Thanks!

[@Johnnyyonnadam]

great job thanks for the valuable pre and post discussion really priceless ,, one thing though in the 23:50 min
during the post op review the pan shows a horizontal placed implant in the sinus R side !! between the pterygoid one and the canine region one but not seen in the 3d view , wonder what this was ? other than that great work and thanks again .

[@taherdhoon6211]

shadow image from the other ptyerygoid in the xray-- there is no implant there.... thank you for the question