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Great Expectations

Today’s successful dental implant surgeon should be capable of ensuring esthetic results.

Patients have high expectations for both functional and esthetic results. They have little patience for poor results or complications. They are counting on their dental implant surgeon to have the knowledge and skills to know what to do and do it right.

Read this post if you want a good checklist of what you need to know and what you need to be able to do in order to meet expectations and ensure excellent esthetic results.

It is likely you will grow a successful implant practice if:

  • You meet your patients’ expectations about the diagnostic and treatment experiences they will have,
  • The results are optimally functional and esthetic, and
  • Any problems are handled quickly and competently with full communication.

The preservation or reconstruction of natural alveolar ridge anatomy is a prerequisite for esthetic success in implant therapy. When present at the implant site, natural hard and soft tissue alveolar ridge contours allow both ideal implant placement and the emergence of a restoration that is harmonious with the adjacent dentition and free from prosthetic compensations.

Today’s dental implant surgeon should:

  • Be able to perform a systematic esthetic evaluation and risk assessment to identify clinical and patient-specific factors associated with esthetic implant complications and to develop diagnostically driven prosthetic and surgical treatment planning options. From the “get go,” the successful implant surgeon will know how to avoid and manage complications in the esthetic zone.
  • Be able to identify and distinguish between cases that are amenable to simultaneous implant placement with hard and soft tissue grafting and and those cases that require staged grafting procedures.
  • Understand hard and soft tissue ridge anatomy requirements for esthetic implant sites.
  • Understand when to use open-flap versus flapless surgery in the esthetic zone.
  • Understand when to use submerged versus non-submerged implants in the esthetic zone.
  • Have extensive knowledge about soft and hard tissue wound healing and grafting biology in order to make the appropriate selection and sequencing of esthetic site development procedures.
  • Be trained and able to successfully perform all of the following implant site development procedures:
  • Ideal esthetic implant placement,
  • Minimally traumatic tooth extraction,
  • Ridge preservation procedures,
  • Repair of extraction site defects,
  • Immediate implant placement,
  • Delayed implant placement
  • Flapless and open flap grafting procedures,
  • Immediate implant provisional restorations,
  • Connective tissue grafts, MucograftTM and Xenograft-Collagen Constructs
  • Palatal pedicle flaps,
  • Papilla augmentation,
  • Particulate and block bone grafts,
  • Guided bone regeneration,
  • Use of growth factors and healing adjuncts,
  • Orthodontic site development,
  • Esthetic root coverage and crown extension, and
  • Interdisciplinary management of single, multiple adjacent and complex full arch esthetic dental implant reconstructions.

Whew, that’s quite a list of expectations! And at the rate implant biotechnology is advancing, there may be more soon.

I encourage those of you who have intermediate to advanced experience in dental implant surgery to take a look at the new Sclar-Center Immersion CoursesTM. If you have prior dental implant surgery experience, I can teach you the surgical and prosthetic protocols you need to know to get the esthetic and functional results today’s patients expect and deserve.

I can teach you everything you need to know from the above list in four intensive days of scientific and clinical presentations supported by video footage of esthetic implant procedures, live surgery observation, treatment planning sessions and hands-on surgical training for all the learned surgical and prosthetic procedures. Hands-on surgical training will be performed on both simulated anatomic models and cadaver specimens. But I teach only 16 surgeons at a time so the opportunity is limited.

Click here to read about the Esthetic Dental Implant Site Development Surgical & Prosthetic Protocols Sclar-Center Immersion CourseTM. It will be taught once in April 2013 and once in October 2013. That’s a total of only 32 seats in the next 12 months, and some are already reserved.

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