Immediate Dental Implant Surgery - Dr Scott MacLean Front tooth

Summary

Highlights

• Dr. Scott MacLean expertly performs an immediate dental implant on an 80-year-old patient. 🎥
• The video highlights careful extraction techniques to preserve bone structure. 🏗️
• Precision in implant placement is crucial for ensuring long-term success. 🎯
• Dr. MacLean discusses the importance of bone grafting in maintaining aesthetics. 🌟
• Viewers learn about the multi-step process for placing temporary crowns. 👑

Key Takeaways

• Immediate dental implants can be performed successfully in elderly patients! 🦷
• Stability and aesthetic preservation are key goals in dental implant procedures. 💪
• Dr. MacLean focuses on precise techniques to ensure minimal trauma during surgery. 🤓
• Bone grafting is used to prevent bone shrinkage and improve cosmetic outcomes. 🚀
• Temporary crowns are used while waiting for the implant site to fully heal. ⏳

Overview

Immediate Dental Implant Surgery - Dr Scott MacLean Front tooth Transcription

• 00:00 - 00:30 hello this is dr. Scott McLean this is a YouTube video about implant dentistry for today's patient we have an 80 year old requires the replacement of an upper left central so we're gonna do this with immediate placement type of protocol patient did present with the town off and we actually cemented this back on as you can see me x-ray there's not a
• 00:30 - 01:00 lot to work with from the point we wanted to do in a traumatic extraction so using a Perry Tom want to stay away from the buccal bone it's okay trying to separate the tissue but stay away from the buccal bone with a pareo tom and get this actually down into the periodontal ligament space so you're able to get this root movement to get this though without any issues now it's very likely that the crown will come off during this
• 01:00 - 01:30 procedure because it's actually only glued on very lightly because of the you know the actual structure that's underneath there so once we get the crown off we want to make sure we're taking this root out without damaging that buffybot if the buccal balm is where we're gonna have to be some bone grafting later on until we need to kind of maintain this area for aesthetics and also for the success of this treatment so as you can see the root came out fairly easy once
• 01:30 - 02:00 the root is out it's our goal to assess the situation to see if we're able to do an immediate placement so we take the Perry Tom and actually feel the buccal plate and make sure it's intact because it wasn't intact that would usually abort this procedure and go to typical rich grafting and and keep everything but we do have a nice buckle plate here the goal is to place the implant in a position not where the tooth looks but actually into the palatal wall or into the lingual area where the bone is very
• 02:00 - 02:30 stable and this allows us to get into a screw retain position for implant placement we want it would rather be lingual than buckle in this position because of the stability of this bone and we could do closed so the facial plate if you try to put it where the teeth used to be so you have to notice the angle of the drill we're using a precision drill and we're going to actually angle it very much palatal and then rotate the hand as we're going in to make this go into that screw routine
• 02:30 - 03:00 position when using the precision drill we want to maintain our vision on the two roots that are adjacent because you want to stay parallel with these roots but also to hit this target up inside where we were going into the palatal wall so our next drill we're going to use is the two millimeter twist drill and we'll still follow this on an angle when we first start the osteotomy just so we can engage that palatal wall but it's very important to follow where that
• 03:00 - 03:30 precision drill has just made that first start of the osteotomy so we're following this in making it a little bigger and we're rotating as we go in so we're actually pushing the bone a little bit at the same time as cutting it to check our angulation it's important to place an x-ray guide pin and then we're able to see visual that were in a good position but also to take an x-ray it's always prudent to make sure we're in the right position mesial distal e so we're
• 03:30 - 04:00 going to placed a 3.5 millimeter narrow platform normal active and using a surgical driver which is the the choice of instruments here we're going to take the implant to the mouths carrying with the surgical driver the surgical driver is going to enable us to position this in that palatal position we actually start very very buccal and we want to do this on purpose so we start buccal so the threads are so aggressive and stable
• 04:00 - 04:30 that we're able to rotate this implant as we go in so as you're going into that osteotomy you rotate your hand backwards into that lingual position when you're preparing the bone for this type of procedure you need to actually under prepare a little bit because just about only the three millimeters or more of the implant is going to be in bone on the palatal wall so you have to have that ability to get back Seventeen's want to definitely be about
• 04:30 - 05:00 35 meters procedurally if you abort the procedure you put on a helium bottle éclairs five millimeters to help seal the socket there's also preserves of scintilla so we have this three point five millimeter implant in now it's important to make sure that you have this at the right level so you see the x-ray looking good I will either put the cover screw or give me the temporary button on prior to the UM Grafton is
• 05:00 - 05:30 what we're going to be doing is to buckle graft into the jump gap so we're gonna put some allograft up in this area so that we can help to preserve that buckle plate and keep that area and it aesthetically more pleasing so it's thought that by placing the bone graft in the jump gap then it prevents the shrinkage of the phone and keep that from being a little bit more apt to have some recession so here we're placing the allograft and then we're gonna take that
• 05:30 - 06:00 cover screw back out so that we're able to then put on our media temporary allotment this is a little bit more room to use the cover screw but you bought me pretty please you just don't want the bone graft going inside of the implant and the implant having a problem another buck later on so here we're taking the immediate temporary bottom and this is gonna be placed on and we're gonna tighten this abutment down to 35 Newtons or you can go somewhat under that as
• 06:00 - 06:30 well but ideally you want to be able to have that as brought more than stable and then we're going to come back and create the beautiful temporary crown once this is in position so here we are we're just checking the occlusion to make sure that there's not space because you can get a 3.0 millimeter immediate temporary abutment which is a little bit longer and then we're gonna torque this down so once we torque it down and we're able to
• 06:30 - 07:00 put on the white cap so you can see here's a picture of the implant with the abutment on top this is what you're looking at so we'll make our media tempered crown and then we'll be often getting this restored in about three to four months this is presentation [Music]