A cautious surgeon is worth two! In all our procedures we must take great care. Certainly, within the scope of Implantodontia is no different. Planning will give us the likely paths that we can follow with greater security. However, we need to be ready for any deviation that may appear. Sometimes the implant does not lock as we wish, or a bone wall collapses during bedding.
But do not worry! Below you will be able to check 10 tips that will guarantee the good progress of the case when something goes out of the script. Make sure your dentist use high quality hygiene products,
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1. Computed tomography for implant planning
Today it is unacceptable to plan implants with the panoramic supported on the window of the clinic. You will install a screw into the patient’s bone for the rest of his life. Plan everything down to the smallest detail, always request a computerized tomography for implant planning, avoid surprises on the day of surgery and cover well for it.
2. Have all material in double and sterile
Yes, gentlemen. Two motors, two against angles, two surgical kits, two surgical boxes. We know that to install implants, it is necessary to follow a sequence of strawberries. What if, by chance, one of them gets out of your hand and falls to the ground? What if the contra angle brakes or the engine crashes in the middle of the procedure? Have everything sterilized, cute.
There’s no point in having it in the drawer if you can not use it. Implantology demands a heavy initial investment and gradually you are acquiring more materials. Having spare fuses and plug adapters are also helpful for those dentists who operate out of your office. Having two engines may seem exaggerated, but if anything goes wrong in the middle of the surgery, you will have to abort, close and tag your patient for another day. Surely he will not be pleased.
3. Lubricate and care for your contra-angles as if they were jewels
Well-kept and good-looking contra-angle lasts a lifetime. Teach your helper to disassemble and lubricate exactly as the manufacturer orders, those who demand such care. Also, read the equipment manual carefully. Do not drop on the floor and do not flush directly into the socket.
4. Always have plan B and plan C in your planning
However detailed our planning, we have to have the flexibility to change it if the surgical region is different from what we saw on the CT scan; It happens. Always have 2 or 3 options of implant lengths and widths.
5. Choose implant companies that are compliant with deadlines
There is nothing worse than getting behind an implant company that does not deliver parts on time, that does not have a decent trading policy and does not know how to build customer loyalty. After all, the patient does not want to know if the part that goes over his implant is missing. That way, it is very important that you choose a partner company . But beware of those who are super willing to sell surgical and prosthetic kits and then leave you on hand when you need prosthetic solutions.
6. Informed consent form
Rehabilitations with dental implants have numerous variables and patients should be informed about intercurrences and limits of the treatments. In summary, have an Informed Consent Form signed by all patients. Make long initial inquiries to take the time to explain all the details, present your plan and what can go wrong. Provide written information to your patients with pre and post operative guidance.
7. Do not operate alone
An oral health assistant is essential at the time of implant surgery. The dentist needs to see the operative field, implant implants millimeter to millimeter, see bony crest in the middle of saliva, blood and serum. In addition, the person’s vision on the opposite side of his or her helps to correct the parallelism and find the best three-dimensional positioning of the implant.
8. Operate with time to spare
Well-designed surgeries are usually round and even quick. However, if there is any intercurrence, it is good that there is time to deal with it calmly. With time it is possible to set up the whole field and the surgical table, review the planning and do everything without haste. Of course, there is still time to talk to the patient in the postoperative to calm him down and guide him.
9. Have the prosthetic laboratory as an ally
Like it or not, implant is a prosthesis with a surgery in the middle. This makes the denture laboratory a big responsible for its success as well. Go visit the laboratory, meet the technicians and see how they work.
Be clear in your communication and submit the components you want to use. Avoid labs that use “like” or pirate backyard work. If anything happens to the tooth on the implant, the responsibility is always the dental surgeon.
10. Do not invent, do not get into the anxiety of some patients
Sometimes we feel like trying a miraculous solution that is left out of all literature. We want to help, give patients teeth fixed. However, implants are not always indicated. Sometimes, in the best of intentions, we get in trouble. It is also not prudent to advance implant-based implants – “I have to travel,” “I have a party,” “I need this tooth for the month.” Respect biology for not having unpleasant surprises.