Placing Implant to Replace Bridge - Dental Minute with Steven T. Cutbirth, DDS

[@shahulfayyazhameed6571]

Sir, Ur words are filled with wisdom and experience...... There's a lot of interesting things to learn from u..... The flap design is amazing and the difficulties placing an implant are clearly explained

[@centerforard]

Thank you. So glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@shahulfayyazhameed6571]

@@centerforard sure

[@gentlewave8995]

as usual grt. really. u give so valuable tips. things in real world made so easy. keep it up doc appreciate reaaly

[@nmda9578]

You are a fantastic teacher!

[@diegolau]

PLEASE COME TO CHILE! Thank you for your amazing videos!

[@centerforard]

Put together some of your colleagues or your country's dental society and I would be pleased to come to Chile and present a seminar!

[@twindentists123]

Amazing as always doc please more tutorials on veneers preps and esthetics !

[@centerforard]

Yes. We will be doing videos on all areas of dentistry. The intent is to make multiple videos of all procedures so you can see the procedure performed in many different cases, many different situations. For those of you interested in comprehensive, complex aesthetic and restorative complete cases we will have those available in September 2017. Those cases will go from beginning to end and be longer than the current dental minute cases.

[@twindentists123]

Dental Minute with Steven T. Cutbirth, DDS amazing doctor. I am currently a fourth year dental student in Spain but as soon as I graduate I plan on looking into one of your restorative courses. All the best and keep up the great content. Regards, hassan

[@centerforard]

Coming soon!

[@centerforard]

My wife and I visited Spain last year. A fantastic country! Madrid was terrific!

[@drullasmenonmds5359]

Sir ..with love from India ..I admire your videos and follow in practice .. sir can you add a brief video on Basal Implants too .. how it differs from conventional implants and your advice on its practice in routine dentisty..thank you

[@centerforard]

Sorry, I know nothing about basal implants. I hope you are subscribed to DentistryMasterClasses.com for the best videos.

[@brentmichael1975]

How long will the implants last and how long will the new teeth you put on the implants last?

[@centerforard]

The implant and crown could last indefinitely so long as you do not smoke or eat hard foods and you have good home care and visit the dentist regularly for cleanings.

[@brentmichael1975]

@@centerforard how do I go about finding a dentist that will perform this procedure. So far I’ve called 3 dentist in my area and none of them do this. They all tried to talk me into another bridge.

[@centerforard]

Probably because they do not place implants. If the dentist does not place implants, you may need to find a restorative dentist who works with an oral surgeon or periodontist.

[@brentmichael1975]

@@centerforard I appreciate you getting back to me. It’s fascinating work that you do. I hope you have a Blessed year Doc.

[@throwdown47]

Awesome video! Can you make one about how you document your cases? Video/camera equipment etc...

[@centerforard]

Ha, ha! It takes time and effort! I have a videographer who videos my cases each morning. Almost every morning I see one patient from 8 - 1 or 2 o'clock (5-6 hours). The cases may be full mouth reconstructions with vertical dimension increase, porcelain veneers, implants, crown and bridges, periodontal crown lengthening or grafting, full mouth extractions followed by small diameter implant placement with bone grafting and PRF or other procedures. Every hour of video requires at least 4 hours of editing. Once the videos are edited, I am filmed describing the procedures on the videos. My procedure descriptions are filmed almost every Friday and Saturday morning from 8 - 11 or 12 o'clock. We then go to a wonderful barbecue restaurant in Waco for lunch (Uncle Dan's Barbecue). Friday and Saturday afternoons, when we are in town, I either play golf or mountain bike ride some incredible trails on our ranch outside Waco with Bx, our chief-of-staff and CEO of our teaching center (CARD), along with one or two other serious riders. Life is about balance. We work hard but also take time for play and leisure. That is important! Get in the habit of not worrying about things. Things usually work out and it does no good to worry! Plus worrying dentists make their spouses and children crazy and tense! A sense of humor and learning how to relax and enjoy life goes a long way! Play with gusto! Take vacations. Don't worry about the money. Most spouses would rather be with a broke spouse with a sense of humor who enjoyed their life and did not worry about things than a rich spouse who was always worried!

[@centerforard]

One addition. I take the still photographs. The videographer takes the videos and assists Bx, our chief-of-staff, with the editing.

[@throwdown47]

Dental Minute with Steven T. Cutbirth, DDS Thanks for those words of wisdom Dr. Cutbirth. Your style of practice is what I hope to be doing at some point of my career. I feel I would be very fulfilled in treating a low patient volume and delivering life changing comprehensive dentistry.

[@AbdallahMichail]

Thank you for the wonderful presentation. But can’t it be worrying if we punctured the sinus membrane? How would you know if the sinus membrane got fractured and how you you manage ?

[@centerforard]

Not a significant problem. Read the article on sinus membrane penetration with implants in DentistryMasterClasses.com.

[@dansberg7]

Dr. Cutbirth, can you please share the link to the Dentis implant burs kit? TY

[@centerforard]

Look up the Dentis home page on the internet.

[@joshalum732]

Are you still doing the trips to Mexico?

[@centerforard]

I haven't lately due to Covid and travel issues.

[@joybaishya1837]

Sir apart from dentis can you name a few companies that have shoulder drills in their implant system

[@centerforard]

I do not know of any other systems that have depth limiting shoulders on their drills. I find it hard to believe all implant systems do not have depth limiting shoulders on their drills. I have discussed this drill system with several implant companies and none of them is willing to change from drills with black lines or scored lines, which are very imprecise and difficult to see when the drill is spinning covered with water and/or blood. It makes no sense to me why all implant drills would not have depth limiting shoulders. Going too deep, especially in the posterior mandible, is the greatest worry with implant placement. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@kimandnikki]

Loved your content ,each time. When are you in puerto Vallarta for the course? Thanks

[@centerforard]

We normally take 12 dentists a few times annually. You can contact Bx in my office and register if interested. Where do you practice? Bx: 254-772-5420.

[@stacyg585]

I recently got a bridge to replace 2 missing teeth on my right side. I had to sacrifice my healthy canine and back molar a abutments. The final bridge has been cemented but I’m not in love with it. I realize now I should have just put 2 implants in. Dentist told me that down the line i can just cut the bridge and leave the abutment crowns on and implant the 2 missing teeth. I feel like an idiot for going the bridge route. Do you have experience with someone replacing a bridge with implants, because they changed their minds?

[@centerforard]

Yes, I have videos in the library of DMC.com of me performing that procedure.

[@francois8470]

Could this have been done without cutting a flap?

[@centerforard]

In my opinion, it's not as predictable without reflecting a flap because you cannot tell the condition of the alveolar crest, i.e., is it flat or is bone grafting needed because of a defect.

[@joybaishya1837]

Sir I have a doubt...in the initial radiograph length from the crest of alveolar ridge to the floor of the sinus was 10.7 mm apporox....but when you did the pilot drilling your took the safe length as 12mm...won’t it perforate the sinus? Sir can you plz explain this method of taking approx length for the pilot drilling

[@centerforard]

I prefer to slightly perforate the floor of the sinus because that engages the dense bone of the floor of the sinus, which makes the implant more secure.

[@snobbips5107]

Hello doctor ....I have a lower right jaw, first molar removed eight years ago and the adjacent teeth has shifted ...I feel a discomfort while eating ....what could be the solution to the problem ...please reply sir🙏

[@centerforard]

An implant or a fixed bridge would be the first choices. A removable partial or "Nesbitt" removable appliance would be another option.

[@popularvideosbs5751]

dr should we do implant in a diabetic or medicaly compromisied patient?plz give a note

[@centerforard]

Yes, I place implants regularly in patients with medical problems. A patient taking bisphosphonates is an exception. Read the article in DentistryMasterClasses.com library on treatment of patients taking bisphosphonates.

[@popularvideosbs5751]

thx dr @@centerforard

[@101historian]

Dr. Cutbirth, a problem you mentioned with surgical guides is that it is more difficult to place accurately after the flap has been reflected. Could this be solved by punching a hole in the tissue for a guide, or is reflecting the flap necessary for the procedure? Thanks!

[@centerforard]

I like to reflect a flap so I can see the architecture of the bone, particularly the alveolar crest. I am using a surgical guide you order and soften with hot water that seems to be excellent. I have made some videos with this guide that will be forthcoming in the DentistryMasterClasses.com library. No problem with flap interference.

[@9cyclop]

God bless you

[@igbaljafarov6409]

perfect. thank you very much dok)

[@wali303]

Dear Doctor Steven, it's great work and awesome presentation. But I want to ask you why you are doing the incision from the palatinal side? What is about doing the incision from the buccal side? As I know the stitching in the Palatine more difficult than mocuse memberan in the buccal side.

[@centerforard]

It is harder to reflect and retract the flap to the palatal side. It is much easier for you, the clinician, to retract the flap and hold it to the facial side than to reflect and hold it to the palatal. Reflecting and holding a flap reflected to the palatal is an awkward angle. You would have to have the hand holding the retractor coming in from the opposite side of the patient's mouth, making it awkward for you and your assistant.