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WelcomeIntra-Lock
© Davidoff Dental Seminars 2008
Thirty Years of Implant Dentistry
S. Robert Davidoff, DMD, FACP
“Oral Health in America”
• Complete edentulism for adults 18 years of age and older is 9.7% (that’s 9.7% of the total adult population in the US)
• 33.1% of adults over the age of 65 are completely edentulous
David A. Felton, DDS, MS, FACPDepartment of Prosthodontics
UNC School of DentistryChapel Hill, North Carolina USA
Diplomate, American Board of ProsthodonticsPast-president, American College of Prosthodontists
Editor-in-Chief, Journal of Prosthodontics
303,164,031
Goals in Tooth Replacement
•Restore Function•Restore Esthetics•Provide for Maintenance•Provide Longevity
The Essence of Good Implant Dentistry
© Davidoff Dental Seminars 2008
Implant PlacementImplant placement is a necessary procedure. . .The Goal is Tooth Replacement!
© Davidoff Dental Seminars 2008
Flapless Placement
Implant Classification system
Restorations for people without teeth. . .
© Davidoff Dental Seminars 2008
Attachment OverdentureLocator Attachments
© Davidoff Dental Seminars 2008
Attachment OverdentureSpacers
© Davidoff Dental Seminars 2008
Attachment OverdentureCompleted Attachments
© Davidoff Dental Seminars 2008
Locator Attachments
© Davidoff Dental Seminars 2008
Alternative Treatments
Immediate Overdenture Stabilization
Flapless Surgery
• Requires precise knowledge of existing boney anatomy
• Less healing time• Less discomfort• No sutures
Initial Drilling
Initial Implant Insertion
Three Implants
O-rings in Denture
Completed Restoration
More Efficient Types of Restorations for Edentulous Patients
© Davidoff Dental Seminars 2008
Maxillary Bar Overdenture
“Cool Beans Flora, loved the E Mail. Happy, Healthy New Year, to you and Dr. Davidoff. He sure gave me , my perfect smile back and I thank him for that every day. HELEN”
Maxillary/Mandibular Hybrid
Maxillary BarMandibular Hybrid
Fixed Crown and Bridge
The Single Tooth Restoration
Single Tooth Implant
Immediate Non-Loaded
© Davidoff Dental Seminars 2008
Immediate Loading• Original Implant protocol called for a period
of 3 to 6 months where the implants could not be loaded
• Over the last 25 years, many dentists have experimented with shorter times to loading
• We now know that implants can be placed and loaded right away with a restoration but under very strict circumstances
• I have been doing immediate load implants for 20 years with no failures (patient selection is the key)
Extraction
© Davidoff Dental Seminars 2008
4.3 Tapered Implant
© Davidoff Dental Seminars 2008
Prepared Abutment
© Davidoff Dental Seminars 2008
Provisional Restoration
Final Restoration
Fixed Partial Dentures
Fixed Partial Dentures
Full Dental Reconstruction with Implants
What is Important in Dentate Implant Restorations?
• Function• Esthetics• Soft Tissue Health• Maintenance & Longevity• Cost & Access• Ability to Place & Care for
Prosthesis
Long DistanceI had 8 implants holding a bridge of 16 teeth on my lower mouth and that was the best thing happened to me last year. I could not be happier with my decision having implants done by Dr. Davidoff. The reason that I went so far to Boca Raton was 1) I could not find a qualified Dr. in Austin who had enough experience to do such complex work, and 2) who would charge me with reasonable fees.Please see my answers to your questions below:
Describe the procedure: Five visits to Boca Raton Dr. Davidoff's office. 1) office visit - duration 30 minutes, 2) implant surgery - 4 hours but stay overnight at Boca Raton, 3) taking imprints - one hour, 4) temporary bridge and taking imprints again - 3 hours , 5) permanent bridge - 3 hours
What were the results?: I can eat anything I want. The bridge is stronger than my own teeth and it does make my face fuller. It is like my own teeth and I feel normal.
Overall, I am very impressed with Dr. Davidoff. Dr. Davidoff is a veryexperienced, responsible, and caring Doctor. He likes what he is doing. Somehow I feel that money is NOT all he is after. If you need to know more, please feel free to call me after work. My home phone number is…
© Davidoff Dental Seminars 2008