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membrane or collagen plug occlusal to the graft. If there is a
fenestration or dehiscence in the plate, a barrier membrane
should be placed to prevent soft tissue in growth. I have
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brane works great in these cases. Because they can be left
exposed there is no need to obtain primary closure. You can
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ing down the socket to create a pocket on the mesial, distal
and apical bone. You then place the membrane into this
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tress suture from the buccal to lingual tissue. The membrane
is easily removed with cotton pliers at 4-6 weeks post op
without anesthesia. By not advancing the tissue you preserve
the vestibular depth and keratinized tissue, often eliminating
the need for a tissue graft. This also saves time, expense, and
the morbidity that comes with incising the tissue to release a
most minimally-invasive techniques and instrumentation for
atraumatic extractions and top implant designs for immediate
implantation.
Dr. Calvin Bessonet is committed to lifelong learning in the
-
tinuing dental education. He has been placing and restoring
implants for over 15 years. In 2010, he completed an advanced
hands on 400-hour implant and bone regeneration program
with the esteemed Dr. Hilt Tatum, one of the pioneers in the
surgical techniques used today. Dr. Bessonet is a member of the
American Dental Association, the American Academy of Implant
Dentistry, the American Dental Society of Anesthesiology,
and the International Congress of Oral Implantologists. He has
also achieved Fellowship in the Academy of General Dentistry
(FAGD) by completing 500 hours of various continuing education
and passing an extensive comprehensive exam.
Dr. Bob Lucero did his undergraduate work at Brigham Young
University and graduated with his dental degree at the University
of Michigan. Dr. Lucero opened a practice in Draper,
Utah in 1994 where he has been providing dental services to
the south valley for over 2 decades. He began placing implants
in 2004 and has received advanced training in periodontics,
sinus lifts, placing bone grafts and lasers. Dr. Lucero loves the
results and quality of life implants provide for his patients. He
is a member of the American Academy of Implant Dentistry,
Utah Dental Association, Utah Dental United, and the American
Dental Association. His second love is teaching. He was an
instructor for Discus Dental and trained dentists and endodon-
for several years.
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well as provide valuable insights as to patient selection and
management. I would suggest taking a beginner course to
learn the basics, followed by careful case selection. A CBCT is
absolutely critical for pre-placement planning, as it allows the
clinician to easily see bone height, width and critical structure
such as the IA nerve. It will also allow the clinician to plan
torque have also led to a greater ease in placing implants. A
recent article in Clinical Implant Dentistry concluded, “Primary
stability can be improved by using a tapered implant in a
slightly underprepared implant site. The use of high insertion
Marginal bone levels in the control and experimental groups
were similar both at the time of loading and 1 year later.”1 This
means that high primary stability, associated with high success
rates is very successful with higher than average torque values
making implant placement easy and predictable. I feel that
following these steps, the clinician can easily place a single
implant in under an hour without feeling rushed. Believe me, if
I can do it, YOU can do it!
Brady Frank DDS:
their institutes is truly advancing implant dentistry and the
profession. Teaming up with either of them is a great opportunity
for any dentist who enjoys implant dentistry with a desire
to help others learn. I call the model Over-The-Shoulder Mentorship
which I, personally, have done over the last 15 years.
In this situation you travel from your location to the location
of another dentist who is a couple steps behind you on their
implant journey.
You spend the day with the mentee dentist as they place
implant cases that they would prefer to have a more experi-
experience is similar to what they might experience going to
paying $10,000 or more for the course. The Over-The-Shoulder
Mentorship day is funded by the patient fees allowing for
the mentee to not only receive the CE, but actually earn income
in the process.
The more experienced mentor is able help another clinician
receive another stream of income outside of the clinical prac-
-
ring others in the placement of implants. The recommended
compensation to the mentor is between $10,000-$20,000 per
day, funded through patient fees.
Generally, the mentee still NETs over $10,000 for the day, as
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