Single edentulous space 20%

Bilateral edentulous space 15%

Unilateral edentulous space 17%

Anterior edentulous space 10%

Combinat ion of above 25%

Complete edentulous Jaw 17%

Written By Dr. Mayur Khairnar 04 May 2015

Shift Your Focus & Take Your Dental

Implant Practice To Next Level

Many young dentists are seeking dental implant training & dental implantology is

no more a rocket science. Setting up practice for implants require a heavy

investment; such as buying surgical kit, physio-dispenser and stocking the

components.

The competition is getting tougher & tougher with every passing day & it

becomes frustrating when the dental practitioners fail to generate adequate

revenue from implant practice after investing heavily.

We have done general survey at multiple dental centers for analyzing on

frequency of patients with different category of missing teeth requiring teeth

replacement. Almost similar pattern of frequency patient were observed in all

centre. The general distribution of patients with missing teeth in day-to-day

clinical practice was found to be as follows

You must be wondering that what the signi�cance of this analysis is? It was

observed that many clinicians focus Implant practice on 20% of patients with

single edentulous space, since these are most easy cases.

Logically they are right but actually this is where the problem begins! Patients

with single edentulous space are the most di�cult to convince for implant

treatment. This class have an option of getting �xed teeth by means of Dental

Bridge also. Even if these patients decide not to replace their teeth, they can still

manage to continue chewing function.

However, remaining 80% of patients do not have alternative to receive dental

bridge. Hence they are left out with an option of using only Dental implants to

receive �xed teeth.

Very few clinicians focus on these 80% of patient population as most of the

times such cases are di�cult & challenging which may require bone build up

procedure but changing concepts in implantology can overcome your di�culty

& greatly revolutionize your dental practice.

Bone build up & Sinus Lift procedure takes 6 – 9 months of time to deliver �xed

teeth to the patient. It also requires multiple surgical appointments to complete

treatment. Majority of paying class patient have less time, few of them are

apprehensive thus simply refuses complex treatment plan. This severity is

further ampli�ed if the jaw bone is atrophied and associated with severe bone

de�ciency. Nevertheless, many patient refuses treatment because of the need

for multiple surgical appointments required for bone build up procedure. The

other reason for avoiding implants is huge amount of time required to receive

�xed teeth.. Treatment period of 6-9 months is sometime annoying for patients

who decide to undergo treatment.

In severe atrophied bone cases, even if some patient decides to undergoes

treatment, they are simply rejected by ,many dentist due to the reason that

‘there is no sufficient bone to receive implants’ or they are given more

compromised option of Implant supported removable overdenture or just mere

removable dentures. Removable denture does not significantly improve quality

of life of these patients compared to fixed teeth. No patient will like to die with his

teeth in a glass of water.

However, if treatment provider can successfully satisfy remaining 80% of patient

population, Cost profit to clinician is enormous. Changing focus can make way

difference in clinical practice.

Factor to be respected to convert cases who are willing to have fixed

implant teeth but refuse treatment due to time, complex bone

grafting, etc..

Ø Time –if we can reduce treatment time from 2-9 months to 1-3 days,

conversion ratio will be high.

Ø Avoid bone grafting whenever possible – if we use available residual

bone and avoid hassles of bone grafting, sinus lift surgery without

compromising end results, conversion will be high.

Ø Minimally invasive surgery- Flapless surgery can be helpful to reduce

fear and apprehension of patient.

Ø Improvise Operator skills and technique to manage no bone cases.

Ø Ideal Implant system supporting the real science of bone and not the

market influenced implant and bone graft industry. The science of

Cortical- Basal implants can help to achieve immediate Functional

Loading result in shortest duration without any requirement for bone

augmentation. Moreover, the procedure can be accomplished with

flapless surgical approach. It utilizes basal bone of the jaw which is always

present even in most deficient Jaw bone cases Due to single piece

nature and its polished surface, problems of abutment screw loosening

and peri –implantitis can be eradicated completely.

Conventional way of doing implant treatment is not the only way to achieve

implant supported fixed teeth. Changing concept in dental implantology to

Cortical- basal fixation can greatly revolutionize dental implant practice by

delivering patient desired results. It can save 98% of patient treatment time by

avoiding long term treatment plan. Also, the total fees is received in 3- 5 days

whereas with conventional delayed loading implants it is split over 2- 9 months

period of time in multiple installments.

If we understand patients do not come to us for bone, they come to us for

Teeth, and accordingly perform the treatment, they will be definitely attracted

to your practice.

Immediate Loading is effective and successful way of delivering fixed implant

teeth in limited time period. It avoids risky bone augmentation procedure and

multiple surgical appointments. This really attracts patient for the implant

treatment. It also provides clinicians to achieve higher profit in shorter duration.

Although the learning curve to master this science is not as easy but one need

to receive proper training to give desirable results even in most atrophied jaw

bone situation.

It’s just a matter of changing focus to Improve Dental Implant Practice to Next

Level!

In subsequent articles, you will be updated about the details of management

of cases with immediate functional loading cortical basal implant in 3

days.