We speak with Dr. Pav Khaira, a total implant nerd, who shares 4 of his top tips for maximising osseointegration:
Biological ageing: discover the time-sensitive nature of implant bioreactivity and its impact on integration (and how to improve the bio-reactivity of your implants)
Mastering the osteotomy: fine-tune your skills in shaping the osteotomy based on bone quality and type
Disinfection: explore disinfection techniques of the osteotomy
Systemic factors: optimise early-stage healing and understand long-term immunological balance
Don’t miss an upcoming exclusive live event on “Superosseointegration” on 15th and 16th September 2023 in London hosted by @Dr.Pav.Khaira – www.academyofimplantexcellence.com
https://youtu.be/fBfnxubdgpc
Check out PDP155 on YouTube
Maximise the osseointegration of your implants and uncover the intricate relationship between the skeletal system and the immune system (known as osteoimmunology) and its impact on implant success.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:19 The Protrusive Dental Pearl03:11 Dr. Pavandeep Khaira04:29 What is osseointegration?05:04 Osteoimmunology07:39 Early-stage failure09:52 Success and survival rates12:33 Biological ageing15:45 Decarbonisation for Implants21:18 Bone density24:10 Overheating the bone27:16 Disinfecting the osteotomy29:21 Systemic factors33:03 Superosseointegration36:58 Outro
If you enjoyed this episode, you will love Why Should You Avoid Flapless Implants? – GF015
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Click below for full episode transcript:
Jaz's Introduction: We know that implants are a great way to restore an edentulous area. It is not a replacement for a tooth, because teeth are still the best, but the next best thing for a missing space at least, are IMPLANTS. Now, implants can get very complicated, different stages, surgical, restorative, but the very initial stages is all to do with ossteointegration, which is essentially, in a crude way to describe it, would be the fusing of the implant to a patient's bone.
Jaz's Introduction:Or as I like to call it, how long it takes for the implant to cook, so it's ready to accept load. Today on the show, I've got Dr. Pav Khaira on again, he's our resident implant expert and a titanium nerd, and he's going to cover four techniques he uses, and most of these are very quick to act on, very simple, and something that you can apply straight away.
One of them does involve you to buy some extra kit, but the reasoning is really solid, and it's something I hadn't heard of before, so it's four ways to BOSST your OSSEOINTEGRATION. That's the success rate overall, and the quality of your osseointegration itself. Like Pav taught me in this episode that most implants, when they're placed, about 56% of the implant is covered by bone, or rather 56% of the implant is actually directly contacting bone.
And with his techniques, he's getting that much higher, which he believes results in a longer lasting, more successful implant. So he calls this all super osseointegration.
Protrusive Dental PearlNow before we join Pav to reveal those four ways, I've got your Protrusive Dental Pearl. Now please bear with me because I do have an ulcer on the inner side of my upper lip. It's a little bit painful, but the show must go on. And my son is home today because of school holidays. So I'm hoping he doesn't barge in and have to record this all over again, but let's go, let's do our Protrusive Dental Pearl, which is not an implants one. I don't do implants myself, but I can tell you is about COMPOSITE BONDING.
Here's a tip I picked up when it comes to anterior composite bonding. You need to evaluate what percentage of your appointment are you going to actually devote to the placement of your composite and what perc...
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