How We Measure Success at the Sclar Center

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In a general sense, we measure success at the Sclar Center by how consistent we are in achieving our core missions:

 

 

  • To empower our students by providing a comprehensive curriculum that is individualized to their professional goals, level of training and clinical experience in implant dentistry.
  • To ensure academic integrity and excellence by providing an unbiased educational experience.
  • To build our students’ scientific and clinical knowledge base using evidence bases information
  • To focus on “experiential learning” through unique teaching methodologies

Nevertheless, the Sclar Center is a private learning center with a public purpose to provide excellence in implant education for the dental community and a mission to “Give Back”  through our Sclar Center Cares program which  provides  pro-bono or low fee implant dentistry services to those in need within our community. Therefore, we also measure the success of the Sclar Center by changing patients lives.

We recognize that success is relative to each person’s own vision.

Here at the Sclar Center we have had many conversations about how else to best measure our success: course evaluations, number of students, profit, etc. After each course we review  the course evaluations and spend considerable time discussing how we can improve each course. Many of the evaluations contain glowing accolades related to all the aspects of the course. Is this a measure of our success? We used to think so but not anymore! What changed?

We had an epiphany…

… that the most critical measure of our success is to measure the post course success of our alumni in implementation of the knowledge and clinical skills learned at our center. We realized that over time a greater number of our students were communicating with increasing frequency about how quickly and how well they were able to implement what they had learned after attending one of the Sclar Center immersion courses. They also shared with us how they had experienced practice growth and a tremendous sense of professional satisfaction.

A recent example…

Within a few weeks of attending our All-on-4 course held in November 2013, a student sent us images of their first case. The Implants were in great position, and the restorative and lab components were perfect. Then we thought about it. Our students are regularly able to implement what is learned in a short period of time. That was the epiphany that created a paradigm shift in how we measure success.

We realized that the most important measure of our success at the Sclar Center is directly tied to the level of success experienced by our students.

The Sclar Center team was able to take a complex interdisciplinary subject like All-on-4 full arch immediate function and transfer the knowledge and skills with all of the details required for course participants to achieve success and practice growth by implementing a new procedure in their office!

You are probably wondering how our course impacted this particular doctor’s patients. How many of his or her patients are now able to receive a more definitive full arch immediate function restoration because of a 3-day course they attended in Miami—a course given by a small, dedicated and experienced team rather than a large University? Well, we continue to receive an increasing number of emails from a large percentage of our immersion course students sharing their successful esthetic implant cases, Periodontal plastic and peri-implant plastic surgery cases and All-on-4 full arch immediate function cases. Case after case has rolled-in. What an impact on the population! What an impact on the dental community! After several years in operation, we can now say we have set our “success bar” rather high.

At the Sclar Center, our team is proud to provide the highest level of evidence based and practical clinical implant education focused on experiential learning for our colleagues. We are also very proud that our learning center and methodologies have continuously evolved enabling an unprecedented level of success for our students. Finally, we experience a great deal of satisfaction from helping the patients who participate in our community service program for those patients who could never afford such services. Combined with our private Oral Surgery and Implant Dentistry practice, we derive a sense of purpose and happiness.

We encourage our readers to contemplate how they measure success in their lives, and we hope that they realize that the use of their talents in helping others provides the basis for a purpose driven life. 

Anthony G, Sclar DMD,  Founder and Education Director, Sclar Center
Dake Schwarte, MBA, Director of Operations, Sclar Center

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This February: An All New 2-Day Sclar Center Implant Symposium in Orlando

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The new 2014 Leading Edge Implant Symposium will be a unique educational collaboration in an amazing resort setting.

This February, the Sclar Center is doing something different. Rather than presenting a week-long, comprehensive dental implant training conference, as in past years, we will be focusing on All-on-4® Full Arch Immediate Function and State-of-the-Art Implant Esthetics in a 2-day format.

I am pleased to invite you to attend The 2014 Leading Edge Implant Symposium, at the Ritz-Carlton Grande Lakes Resort, Orlando, Florida on Saturday and Sunday February 8-9, 2014. February is a delightful time of year in Florida and may be an ideal time to travel with your family. The Grande Lakes Ritz-Carlton is located in the heart of all the Orlando attractions—just minutes away from SeaWorld and the Walt Disney Resorts. It’s also surrounded by 500 acres of lush gardens with bass stocked lakes, a top ranked Greg Norman Golf Course and a Spa second to none; there is something for everyone. The resort offers breath taking views and a thoughtful array of amenities with world renowned Ritz hospitality. Come for the education and stay for a vacation at the special conference rate of $249 per night single or double occupancy.

This will be a unique educational collaboration.

Joining me will be Joseph Kan, DMD, MS, Prosthodontist; Gary Orentlicher, DMD, Oral and Maxillofacial Surgeon; and Juan Diego Cardenas, DDS, CAGS, Prosthodontist.

As a result of increasing patient awareness and demands for immediate function and esthetic implant procedures, the symposium topics are of great interest and importance to clinicians who desire to stay at the forefront of implant dentistry. It’s these clinicians who will be best posed to experience growth of their practices by offering the leading-edge procedures their patients are looking for.

Day 1 Learning Objectives:

  • Understand the quality of life benefits that the All- on-4® solution provides for edentulous and terminal dentition patients.
  • Understand the scientific and biomechanical basis, case selection criteria and diagnostically driven treatment planning methods required to successfully deliver All-on-4® full arch immediate function procedures.
  • Fully understand the surgical, prosthetic and laboratory procedures, and team work required for successful and efficient delivery of All-on-4® full-arch immediate-load provisional and definitive prosthesis.
  • Avoid, identify and treat All-on-4® surgical and prosthetic complications.
  • Understand the benefits of CT Guided workflow as well as the instrumentation and techniques required to minimize complications and successfully deliver CT Guided full arch immediate function procedures using conventional axial implant placement and CT Guided full arch immediate function procedures using conventional axial implant placement and CT Guided All-on-4® procedures for your patients.

Day 2 Learning Objectives:

  • Understand the prognostic keys for predictable esthetic implant treatment and risk factors for complications.
  • Discuss the impact of gingival biotypes onimplant esthetics and list the reliable methods for biotype diagnosis.
  • Comprehend conventional and CT based esthetic implant treatment planning and surgery.
  • List the indications, advantages and pitfalls of immediate, delayed and early esthetic implant placement.
  • Understand immediate esthetic implant placement & provisionalization concepts and discuss the indications and procedure details related to performing socket gap management and soft tissue augmentation.
  • Understand the etiology of implant gingival recession and efficacy of available treatment solutions.
  • Distinguish between esthetic case scenarios that are amenable to simultaneous implant placement and grafting from those that require pre-implant site development procedures.
  • Select and sequence State-of-the-Art surgical and prosthetic esthetic implant site development procedures as part of interdisciplinary management of single, multiple adjacent and full arch esthetic implant reconstructions.
  • Avoid, identify and treat common to complex esthetic implant complications.

Until November 1, 2013, the reduced Early Registration fee of $2,695 will be in effect. I encourage you to make your plans to attend now!

Course Director,

Dr. Anthony G. Sclar DMD

Early Registration

 

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Concern about Bone Graft Success

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The patient was in crisis and needed treatment. My student wondered how to handle this patient. The situation was a tough one. The patient needed a bone graft at #5 site, but there was loss of periodontal attachment on the adjacent canine.

Tooth #5 max right first premolar was fractured, decayed, with loose crown-post and significant bone loss. The implant surgeon was concerned about esthetic facial soft tissue loss after extraction and was unsure about the bone graft working due to loss of attachment on the adjacent canine tooth. The patient was in crisis and needed immediate treatment.

 

My Advice:

 

I have treated this type of situation on several occasions with good and sometimes excellent success. My advice is to do the following:

1. Extract failed tooth #5 using an open flap approach with a cosmetically concealed distal releasing incision. This will provide access for complete debridement and disinfection of the site by removal of granulation tissue, thereby reducing the risk of post grafting infection.

2. Although detoxification of the exposed root surfaces is necessary using citric acid or Straumann Pref Gel, maintenance of the PDL or remnants of the PDL in the unexposed portions of the adjacent canine tooth is important.

3. I would graft this site using Straumann Emdogain to coat the distal canine root surfaces and a particulate graft of Bio-Oss with autogenous bone harvested from the local area or preferably cancellous marrow harvested from the maxillary tuberosity. I would adapt a non-cross linked membrane such as BioGuide to isolate and protect the graft. Use of PRP in these cases provides the advantage of stabilization of the graft and the technical advantage of allowing you to sculpt the graft with a high degree of precision and “Glue” the barrier membrane in place eliminating the need for sutures or tacks. If you do not have access to PRP, you can collect blood from the local area using a syringe at the surgical site. This is facilitated by minimizing vasoconstrictor in the local anesthetic.

4. You could also consider using Gem21S growth factor enhanced matrix to graft the area. The Gem21S product provides recombinant platelet derived growth factor at a concentration 1,000 times higher than the patient’s own blood. Studies demonstrate 3 times greater bone fill in periodontal defects grafted with Gem21S.  Although off label, mixing the Gem21S with a slow substitution graft material that provides long term structural stability such as Bio-Oss is an approach that has been very successful in compromised sites such as the case you are faced with.

5. After securing the barrier membrane over the graft complex, I would then rotate and secure a VIP-CT palatal pedicle flap over the grafted site and achieve primary closure. This flap provides a vascularized periosteal-connective tissue flap that not only provides additional circulation to the area but also provides a large volume of soft tissue cover and the required mesenchymal cell pool required for maintenance of the graft volume during the remodeling phase of bone graft healing.

6. Allow up to 4-6 months healing time before reentry for implant placement or 3 months if conventional dental restoration is planned.

 

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