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Dr. Ghaboussioffline

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  • Welcome to all the new members of O-Club. This is a safe place for us all to improve and learn. Please post anything you have questions about, want to learn about, or maybe even a case you are proud of!

  • 2 weeks ago I posted about “meeting patients where they are” and talked about upgradable dentistry.
    I feel strongly that technology can help us in that mission. The patient I posted about had come to us wanting a fixed upper implant prosthetic… but didn’t have the finances for it. We got him out of his infected, unesthetic, painful situation…Read More

  • Meeting patients where they are at. I’m not talking about location, I’m talking about needs and ability. Its great to give patients the best option for treatment, but lets face it, many patients may not be ready financially for the type of treatment they WANT. I feel that its important to provide patients with upgradable options that will…Read More

    3 Comments
    • Dr D’alise I saw the OCO LoK kits. I was planning on using locators for this case. Are those O-LoKs comparable to locators? Does it use the same triangular shape driver?

      • Our OCO Lok has the same fixation strength as other abutments such as the locator system. To make it easier for our OCO dentist and avoid the need for multiple wrenches, the OCO uses the standard o5o hex driver. procesing of retention disks are the same as other similar type abutments.

      • Dr after reading your long term stragey for this patient, I want to say “right on”. That is the beauty of of our implant system and prothetic options. As life changes for our patients, we givethem positive hope that their expetations and outcomes can change. As you said by simply changing abutments and perhaps adding an implant or two can switch…Read More

  • Not every patient CAN afford a fixed implant solutione, although many WANT one. In fact, it seems to me that MOST denture patients WANT a fixed solution. “Upgradable dentistry” is a concept I learned from Dr Nazarian at an OCO Implant course years ago.

    This patient was in her early 30’s and had rampant perio disease necessitating the removal…Read More

  • Pulling some guides of the printer this morning. Dragged my son to the office this weekend and he printed some Pokemon!

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  • I just finished this surgery. 5X8 Engage. I could have gone with a 5X10 however I like to keep 3 mm between the tip of my drill and the IAN. With the 5X8 Engage I was 3.8 mm, If I had gone with the 5X10 I would have been closer than is my preference. Everything went great with the surgery. Very smooth. Very efficient bread and butter implant…Read More

    1 Comment
    • Dr. It appears that the implant body could have been placed a little lower to take a little more advantage of platform switching. Other than that it is nicely placed

  • OH NO! This patient came in today with a #13 broken off at the gumline and a visable vertical fracture.
    Replacing the tooth as soon as possible is a priority for her so we discussed the +’s and -‘S of same day implants. She decided that she wanted the tooth extracted and an implant placed today, and that is exactly what we did.
    I’ll measure the…Read More

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    3 Comments
    • Hi Doctor,
      Very nice placement of the implant after extraction. This is definitely a practice builder and saves the patient time and multiple visits. We are also recommending immediate load of the implant body if certain baseline values are achieved, e.g. 50+ final torquing and an ISQ value of 65+. These are safety measures that have been used…Read More

      • Thanks Dr Jim. I suspect that it would have been fine to immediate load. I have to admit that it always makes me a little nervous to do immediate loading. When we do, I always document that I explain to the patient that if we “Put a tooth on right away” there may be complications and may have to start over. It makes me feel a little less tense…Read More

        • Yes it is safer to second stage it if you do not evaluate the implant with an ISQ measurement. Also, bone level implants are for the most part designed for staging because final bone stabilty and integration takes 3-6 months. Nevertheless you did a great service for this patient. Socket grafting would have added an additional 4 months!

  • my birthday was on March 2nd. we had a great time with it at work, and its also presents a great opportunity to boost your social media influence. what do you all do to boost your social media presence?

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  • I really like combining orthodontic treatment with implants. I feel as though patients can get the best outcome when we take occlusion into account prior to treatment, and in my mind ortho can be one of the best ways to ensure an ideal restorative situation that helps avoid future problems for the patient.

    In this case a patient came to my…Read More

  • I really like combining orthodontic treatment with implants. I feel as though patients can get the best outcome when we take occlusion into account prior to treatment, and in my mind ortho can be one of the best ways to ensure an ideal restorative situation that helps avoid future problems for the patient.

    In this case a patient came to my…Read More

  • I’ve seen this a few times so I just had to share it. I think it sums up why I love Cone Beam images so much!

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  • How would you all handle this situation? Teeth have super errupted into the treatment space leaving insufficient space for an abutment and restoration. For this patient we have planned invisalign to recapture the space. Once invisalign is complete we will plan the implant placements and final restorations. I’m sure there are many different ways to…Read More

    2 Comments
    • Hi Dr. G,
      This a very common occurence of super erupted teeth. My question is I did not think invisalign could bodily move teeth. Is driving the tooth apically considered bodily and how long would it take? Would you consider an enamelplasty instead?

    • Hi Dr Jim, Invisalign has come a long way and is perfectly able to make space for these implants by uprighting and leveling the arch. Here its a bonus because the patient wants to fix the collapsed bite as well. The treatment time for this will be about 6 months.

      I like enameloplasty but in this case I’m worried that it wouldnt be sufficient.…Read More

  • It was fun chatting with Dr D’Alise the other day. While we were discussing things I remembered an article I wrote a few years back that addresses some of the things we were focusing on. Its not specific to implants, but the methods of implementing new skills can be applied to any procedure.

    Strategy.pdf
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  • How are all of you dealing with placing implants in tight spaces? This patient just came in for recall and I, and most importantly the patient, are really happy with how everything turned out. Thanks to Dr D’Alise’s implant designs, the ISI implants are a great, simple, and efficient way to help patients in these types of situations. This…Read More

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