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Medical Forum / General / Dentistry / May 2005

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Teeth in an Hour

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jfsl2@aol.com - 27 May 2005 17:02 GMT
Could anyone provide some feedback on this new procedure.

I'm scheduled for implants this summer. Had bone grafts 8 months ago.

My oral surgeon presented this to me on my last appointment.

It is definetly much easier and faster, but am a little concerned about
my denture being made in Sweden.

Not sure my dentist is going to be pleased either.

Any thoughts would be appreciated.

Kim
Dr. Jochen Kulow - 28 May 2005 16:27 GMT
> Could anyone provide some feedback on this new procedure.
>
[quoted text clipped - 10 lines]
>
> Kim

What exactly are you talking about? Is this a full denture or just a
single tooth made?

Sounds like old Master Branemarks One-Day Denture.
But as far as I know the procedure is a method not a firm doing it.

Or perhaps you mean the procera system, but this is single tooth. But no
ready tooth is made just a cap.

Please be more specific.

JK

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jfsl2@aol.com - 28 May 2005 16:58 GMT
> > Could anyone provide some feedback on this new procedure.
> >
[quoted text clipped - 21 lines]
>
> Please be more specific.

> JK
>
[quoted text clipped - 7 lines]
> DAA3 468E 10FB 463D AE5C A135 6D6B 9250 7746 6FC7
> ------------------------------------------------------
Dr. Jochen Kulow - 28 May 2005 17:07 GMT
Sorry you didn't post the answer to my questions.
was this intentionally?

JK

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jfsl2@aol.com - 28 May 2005 17:22 GMT
> > Could anyone provide some feedback on this new procedure.
> >
[quoted text clipped - 21 lines]
>
> Please be more specific.
===================================================================Sorry. Yes, it is the Procera System.
http://www.nobelbiocare.com/global/en/ClinicalProcedures/ImmediateFunction/teeth
_in_an_hour.htm


IMMEDIATE FUNCTION™

The Teeth-in-an-Hour™ protocol is a unique solution made possible by
the Procera® System. A custom fabricated precision drill guide and a
pre-manufactured prosthesis, based on CT images and virtual planning,
can be made before surgery. The major decisions of the treatment are
made during the planning. The execution of the implant placement that
follows is performed with minimal surgical intervention.

The result is that the patient leaves the chair with teeth in place
after a short and non-traumatic surgery with a minimum of
post-operative reactions. This new modality provides enhanced patient
satisfaction and simplifies the work of the treatment team.
==================================
My general dentist is supposed to make sure my current denture is as I
want it visually, that the bite and length what it should be etc..
A prototype of that will be sent to Sweden. The final product is made
there.
He will be placing 8 implants.
The video on this site involves several implants placed with the
denture.

> JK
bergzy - 28 May 2005 19:46 GMT
find out where and how many implants he will be placing in your mouth.
are you missing all your teeth or some of them?  if some, then list
where and how they were lost.  in addition, what kind of bone graft was
performed and with what material?  also, how long has it been allowed
to mature and do you plan to on any further bone or tissue grafts?
these are just some of the questions one needs to know.

implant locations where and how many? for example, four on top and four
on bottom? etc.

i have been demo'ed this method and know about it.

i have not had any patients requesting it.

my prefered method for patients totally missing all their teeth is to
place the implants (after any bone and soft tissue grafts have healed
and matured) and allow them to integrate (rest) for the time determined
by the placement surgeon.  after the healing time, i have the surgeon
place special attachments onto the implants and i fabricate teeth on
top of them.  whether they are permanent or removable is up to the
patient and the fee they are willing to pay.

the patient never goes without teeth as i fabricate them traditional
dentures that are altered to alow the implants to heal.

hope this helps.  i rarely give teeth advice on the net but you seem
confused, allowing others to dictate your treatment, so i just wanted
to clarify some things for you.
jfsl2@aol.com - 28 May 2005 23:01 GMT
> find out where and how many implants he will be placing in your mouth.
> are you missing all your teeth or some of them?  if some, then list
[quoted text clipped - 24 lines]
> confused, allowing others to dictate your treatment, so i just wanted
> to clarify some things for you.
===============================================================

I'm not letting others dictate my treatment. I just asked if anyone
would provide their experience or feedback. From what I'm told this is
really very new. So, there is some risk. Where I live only 2 surgeons
do this. Mine and one other.
I lost my top teeth ..  All 8 would be on top.
The original plan was to allow the grafts to heal then proceed with the
implants, then later the abutments.
The grafts look good so far. Had x-rays a couple of weeks ago. He is
happy to let me wait as long as I want. He said the bone only gets
better.
I'm shooting for September, which would be a year. He took bone from my
tibia.
He just started doing this a few months ago. I haven't committed to it
yet, but there is quite a bit to like about it. It's quicker, less
invasive, and less expensive.
Again, I am concerned about the new teeth being made in another
country.
I don't think most dentists will care for it either. Can't blame them.
I see my dentist next month, and plan to talk to him.
bergzy - 29 May 2005 00:42 GMT
this is not really a new idea as a few implant companies have tried
this idea before.

it is my opinion that this wasnt possible until recently as with the
new accuracy in scanning and milling that we now have today.

if your dentist is using the nobel biocare procera scanning system and
it is scanned and produced in sweden...there is usually no problems.

my lab uses sweden and new jersey scanning centres for fabricating a
crtical part of a 'ceramic' crown.

8 implants for your top sounds pretty good and if they have integrated
properly should provide you years of function and aesthetics.

if you are going with a fixed bridge for your top.  one important thing
to keep in mind that keeping your implants clean daily is really
important.  if it is hard to clean underneath, it makes it so that it
is difficult to get everything out and 'most' people tend to eventually
get lax about it.

if you are getting individual units (single teeth that you can
individually floss) then make sure that your dentist try to minimize
any black triangles that may form.  these are either the easiest things
to do or can be very difficult.

i was at an international implant symposium a few years ago with
doctors showing their latest fixed bridge implant work.  looked great
but also looked like a nightmare for the patient to keep clean.

it will be up to you and your dentist to come up with game plan on how
to deal with these topics.
Dr. Jochen Kulow - 28 May 2005 22:18 GMT
It sounds reasonable approach. I think it just depends on the costs.
For 8 Implants also fixed teeth could be done.

As stated in another post before, you normally get dentures for the
healing time of the implants. But functional load after primary healing
(6weeks or so) is helpful for the rest of healing due to the stimulus to
the bone.

So to me it sounds OK.

JK

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