Dr. Ryan on the topic of one vs two-stage surgery, you have mentioned 3 beneficial reasons of why two-stage surgery is far more superior than one-stage surgery. Another one I can think of, too is when after placing the implant, you feel like the bone around it is somewhat still soft, not dense enough to your liking, you can actually place some bone graft around the implant, pack, place the cover screw and suture to allow for a much better boney healing or osseointegration. These are especially seen in immediate implant surgeries. Thanks, Dr. Ryan for all that you do! Much appreciated by everyone!
Hi doc! I’m a little bit confuse now with a question from Bootcamp. This question say: What is the best type of bone for osseointegration of implants? - Type I - Type II - Type III - Type IV And the answer is TYPE II.
For bone quality regions, I normally remember them as an "inverse Z"; like you're drawing a Z letter on the side of your cheek but starting from the end to the beginning, and you get type 1 through 4.
Thank you Dr Ryan. I'm a final year dental student and I've been watching one of your videos every Single night. It has helped me drastically! Greetings from Iran!
Great video - really appreciated the level of detail you included here, with information - that others seem to skip over - all in a easily understood presentation.
thank you , You are my angel Doc . when I was in dental school back in my country I didn't learn almost anything of implantology , I've been struggling with it ... but this video has cleared up my doubts
Thank you so much! I have been receiving information that is usually bare or excessive. This video is just right. I wonder if you can put an elaborate video on the impression part. Thanks a lot!🙏
I had to have (oral) surgery on this past Monday to extract a root tip left behind by a previous dentist who also butchered my buckle plates. The dentist I ended up seeing on Monday had to rebuild my jaw, as the first dentist was rough. I may have an implant placed down the line.
Thank you Dr Ryan..this was a beautiful lecture as always. Enjoyed it so much. Was gonna ask about Axial loading been the most determinant factor for implant success. Saw an article on this recently but didn't fully understand it. Don't know if you can be able to. Thanks
Can you please make a video on facial fractures and local anaesthesia .. i have a exam in start of march. And i am unable to retain it or understand it properly
Hi again. How what would your answer be if I ask you this. What is the main reason for implant fail? 1. Surgical error 2. Doesn’t osseointegrate. 3. Lack of early loading. 4. Inadequate occlusal design Surgical is the reason and lack osseointegrate would be the result ? What I have seen with your prostho and operatoria videos. Most of the time the mistake is by the provider more than anything else. Please tell me if what I’m saying is wrong. Thanks a lot for your help.
thank u so much doc. i really appreciate ur efforts..i have been following ur videos, i would like to request a video for tooth preparation of different crowns and also cavity cutting for different filling materials. thank you.
Dear Dr. Ryan, After implant placement, an edentulous patient should? a. avoid wearing anything for 2 weeks b. immediately have healing abutments placed over the implants c. should wear an immediate denture to protect the implant site
Hi Dr. Ryan, thanks for another amazing video! I was wondering if you could expand a little on why a screw-retained implant crown is better restricted restorative space? Thank you!
Cement-retained implant crowns require a certain height on the abutment to provide adequate retention, whereas a screw-retained implant crown can get away with a shorter abutment since the screw provides all of the retention.
Hello Dr. Ryan, thank you so much for all the videos and your hard work!! Could you please tell me ehich option would you choose for this question: Surgical guide for the placement of implants provides each but one, which one is the EXCEPTION: A. Implant angulation B. Implant location C. Implant size D. Number of implants The reason i am asking, cause I thought it was C. Because the stent could show the width for the particular size of implant but not the length.. After your video it seems to be the answer D. Thank you in advance!!!
Hi there, I would select C if I had to choose an answer. From the video, you know that a fully-guiding surgical stent provides LAD (location, angulation, and depth) and it makes sense that the stent would have a number of holes equal to the number of implants you are placing. The reason is exactly as you stated, the hole would not reveal the length of the implant (which is part of its size) as that is something you would need to determine with 3D planning as part of Simplant or some other likewise software.
Mental Dental but I would determine the thickness of the implant. Right ? So if that option says thickness would you change your answer for numbers of holes? Thx again for these wonderful videos. I’m planning to take the test in a few mouths. Your videos are great for real.
@@mentaldental Hi Dr. Ryan, If you say the hole would not reveal the length of the implant, what does the D in LAD mean in that case? Thanks for such amazing videos.
Love all your videos! I was wondering whats the minimum # of implants needed to be placed for an implant retained complete upper and lower denture? Would it be 4 in the Maxilla and 2 in the Mand? Thank you!
In dental decks : smoking is not a contraindication for dental implant but it can increase the risk of failure What do you think dr . Rayan? It is mentioned twice or more in dental decks
Hi there! A contraindication by definition is a reason or scenario for not doing a particular treatment. In that sense, yes, I think that smoking is a relative contraindication for implant placement (depending on the patient’s pack-year history) because as you said it increases the risk of failure. If I had a patient who is a heavy smoker, I would absolutely have to disclose the risks associated with smoking and implant placement. However, I can also see the argument that smoking is not a contraindication (or I should say not an absolute contraindication) because just because a patient is a smoker doesn’t mean they cannot receive an implant. Hopefully that helps!
Mental Dental thank you doctor for replying on my comment.. I understood what did you mean .. for me I would say the same as you said that if I have a heavy smoker patient I would prefer not to go for implant due to high risk of failure ..
hi Doc. people say different things about your points for what is the best type for osseointegration ? here you said ant mandible but today on facebook i saw a person who said he checked with you and type 2 is the best for implant placement? could you please clarify?
Hi doc, thanks for the videos. I have a question about the screw retained implant crown. Since there is a hole in the middle for the screw, would it make the crown fragile even if we closed the hole with composite? Can we use it on the posterior teeth safely? Thank you for your time!
Great question! Theoretically, a hole in the middle of a crown would negatively impact its strength, but there are no high-level studies that I can find to prove that. There are many pros and cons between screw-retention and cement-retention, but this does not seem to be one of the significant ones.
Thank you so much Dr Ryan! I have question in this vedio you said for boards type 1 bone has high success for implant , but in bootcamp they said type 2 has best osseointegration for implant success. I totally understand the concept for both types that type 1 has good primary stability and dense cortical bone and type 2 has primary stability and high vascularity, but for boards what should we choose for best implant success. please reply thanks you
Could you please tell little bit more about the part where you talk about minimum space near mental foramen. In what direction related to mental foramen we need 5 mm space? What kind of radiograph could or should be used to do these measurements? Also in part where you talk about minimum 1 mm space near buccal, lingual, inferior cortical plate, do you actually mean outer surface of bone radiographically? Because cortical plate itself could be 1 or so mm thick.
Hi Dr. Ryan! Thank you so much for your helpful videos! They are amazing. I am interested in becoming a patron through Patreon, but I'm having difficulty finding the terms and conditions. Is there a way to opt out of membership in the future?
Hi there! You're very welcome, I'm glad you are finding them helpful! And yes, once you become a patron, you can opt out at any time you want to. You would just go to "my memberships" and then select the membership you want to opt out of.
Good question. There are definitely different age thresholds out there and I personally think that is too early. That is certainly as early as I would ever consider placing an implant for bone reasons, but due to continued eruption of teeth into your late teens, twenties, and beyond (albeit a small amount), a restored implant placed that early will eventually have esthetic and occlusal problems.
Mental Dental Thanks for your response! I personally agree with you a hundred percent, but I’m not sure what is acceptable by NBDE. I have came across a question like this and the given answer was proposing that we can place an implant for #8 for a 15 y/o boy! Hopefully I won’t get a controversial question!!
hello doctor. very nice and informative lecture. In dental deck it mentions that an acceptable rate of bone loss around an implant is 0.02 mm per year after the first year. in this lecture you mentioned 0.2 mm per year. So is iit 0.2 or 0.02 mm? Thanks in advance
Hi there! Thanks for the question. I believe what they have written (0.02mm) must be a typo, since that is such a nominal and arguably difficult to measure amount! Stick with what I said 😊
It depends if immunosuppression is for particular period like when taking immunosuppressants after organ transplant etc. Or if its life long that means having defect in body's natural immune response. Like in AIDS.
@@mentaldental Branemark now known as Nobel/Bio. Paid around $15,000 back then because, my insurance wouldn't cover. The original non-removable partial cracked and had to pay for another one and they worked with the original abutments. My implants are okay but, now the abutments had to be replaced. I say they were discontinued but, Nobel says "they're hard to come by". So I had to pay another $5440.00. At least you can find used car parts!!!!
Excellent question! They often will not set off a metal detector because titanium doesn't create a good magnetic field, they are insulated by surrounding bone, and they are relatively small. If a metal detector or screener was put to its most sensitive setting, it could certainly detect a dental implant, but that would create a lot of unnecessary alarms.
There was NO abutment put on my implants. I had 4 on upper and surgeon says my dentist would put on the abutment. Wait again for that to heal. now I will be cut open again to place those.....smh LONG process getting implants, so think twice people
I guess he mentioned in the video why you didn't get abutments because maxillary bone won't provide great primary stability, so to ensure your implants fuse with the bone properly they had to cover them. Can I ask how much did each implant cost you in total?
@@sammyswank1158 Abutments are put in as soon as the implant heals to the bone graft. for the 4 implants and surgery, was $13, 588 Still have more cost from dentist with getting the teeth made and abutments. Above was only for the surgeon
Thanks for watching! For more high yield dental content, subscribe to Mental Dental today: th-cam.com/users/mentaldental
Dr. Ryan on the topic of one vs two-stage surgery, you have mentioned 3 beneficial reasons of why two-stage surgery is far more superior than one-stage surgery. Another one I can think of, too is when after placing the implant, you feel like the bone around it is somewhat still soft, not dense enough to your liking, you can actually place some bone graft around the implant, pack, place the cover screw and suture to allow for a much better boney healing or osseointegration. These are especially seen in immediate implant surgeries. Thanks, Dr. Ryan for all that you do! Much appreciated by everyone!
Hi doc! I’m a little bit confuse now with a question from Bootcamp. This question say:
What is the best type of bone for osseointegration of implants?
- Type I
- Type II
- Type III
- Type IV
And the answer is TYPE II.
For bone quality regions, I normally remember them as an "inverse Z"; like you're drawing a Z letter on the side of your cheek but starting from the end to the beginning, and you get type 1 through 4.
One of the best lectures on Implants... Can't thank you enough!!!
Thank you Dr Ryan.
I'm a final year dental student and I've been watching one of your videos every Single night. It has helped me drastically!
Greetings from Iran!
I'm so glad they are helping you! 😁
Great video - really appreciated the level of detail you included here, with information - that others seem to skip over - all in a easily understood presentation.
thank you , You are my angel Doc . when I was in dental school back in my country I didn't learn almost anything of implantology , I've been struggling with it ... but this video has cleared up my doubts
When a random youtube video explains a lecture better than your college instructors
What??? Such bad lectures?
This left me with more questions than answers.
Thanks for doing this I can't thank you enough I am going to do the INBDE in a few weeks Thanks from Nicaragua
such a wonderful video. Best dental implant presentation I have seen so far
Thank you very much 😊
Thank you so much for this interesting video! you made it very east for me to understand implants !God Bless you
You’re welcome, I’m so glad to hear that! God bless you 😊
Thank you, Doc!
This video helped me revise my implant lecture nicely.
I could recall the questions I attempted wrong in my practice test.
Great work!
Thank you so much for your super well understood lectures! every time I need to revise the overall knowledge, your channel helps me a lot!
I’m so happy to hear that! You are welcome to this channel whenever you need to revise! 😊
You are a great teacher! You make yourself well understood!
Thank you so much! 😊
Beautifully explained. Thank You
Thank you so much! I have been receiving information that is usually bare or excessive. This video is just right. I wonder if you can put an elaborate video on the impression part. Thanks a lot!🙏
Thank you Dr Ryan! Very Useful as usual 🙏💯
A wonderful explanation as usual. Thank you a tons dr. Ryan!
Thank you Dr.Ryan!❤️
I would modify cleft palate as an un-repaired cleft palate for a relative contraindication to implants.
I agree, I think that's a nice revision!
I had to have (oral) surgery on this past Monday to extract a root tip left behind by a previous dentist who also butchered my buckle plates. The dentist I ended up seeing on Monday had to rebuild my jaw, as the first dentist was rough. I may have an implant placed down the line.
I'm gratefull for dis information.I was worried/not knowing how to deal with dis problem
Thanks Dr. I just Inplant last week. It was painful.
Thank you, your lectures are really helpful.😊
Thank you Dr Ryan..this was a beautiful lecture as always. Enjoyed it so much. Was gonna ask about Axial loading been the most determinant factor for implant success. Saw an article on this recently but didn't fully understand it. Don't know if you can be able to. Thanks
Tnx a lot Ryan . You are an amazing teacher!!!
So nice of you, thank you!
Can you please make a video on facial fractures and local anaesthesia .. i have a exam in start of march. And i am unable to retain it or understand it properly
Hi again. How what would your answer be if I ask you this.
What is the main reason for implant fail?
1. Surgical error
2. Doesn’t osseointegrate.
3. Lack of early loading.
4. Inadequate occlusal design
Surgical is the reason and lack osseointegrate would be the result ? What I have seen with your prostho and operatoria videos. Most of the time the mistake is by the provider more than anything else. Please tell me if what I’m saying is wrong. Thanks a lot for your help.
thank u so much doc. i really appreciate ur efforts..i have been following ur videos, i would like to request a video for tooth preparation of different crowns and also cavity cutting for different filling materials. thank you.
Another great video! Thanks
Thank you a lot for your videos. They are very helpful :D
Dear Dr. Ryan,
After implant placement, an edentulous patient should?
a. avoid wearing anything for 2 weeks
b. immediately have healing abutments placed over the implants
c. should wear an immediate denture to protect the implant site
A
Hi Dr. Ryan, thanks for another amazing video! I was wondering if you could expand a little on why a screw-retained implant crown is better restricted restorative space? Thank you!
Cement-retained implant crowns require a certain height on the abutment to provide adequate retention, whereas a screw-retained implant crown can get away with a shorter abutment since the screw provides all of the retention.
Hello Dr. Ryan, thank you so much for all the videos and your hard work!! Could you please tell me ehich option would you choose for this question:
Surgical guide for the placement of implants provides each but one, which one is the EXCEPTION:
A. Implant angulation
B. Implant location
C. Implant size
D. Number of implants
The reason i am asking, cause I thought it was C. Because the stent could show the width for the particular size of implant but not the length.. After your video it seems to be the answer D. Thank you in advance!!!
Hi there, I would select C if I had to choose an answer. From the video, you know that a fully-guiding surgical stent provides LAD (location, angulation, and depth) and it makes sense that the stent would have a number of holes equal to the number of implants you are placing. The reason is exactly as you stated, the hole would not reveal the length of the implant (which is part of its size) as that is something you would need to determine with 3D planning as part of Simplant or some other likewise software.
Thank you Dr. Ryan!!
Mental Dental but I would determine the thickness of the implant. Right ? So if that option says thickness would you change your answer for numbers of holes? Thx again for these wonderful videos. I’m planning to take the test in a few mouths. Your videos are great for real.
@@mentaldental Hi Dr. Ryan, If you say the hole would not reveal the length of the implant, what does the D in LAD mean in that case? Thanks for such amazing videos.
Very well explained 👏 Thank you
You’re welcome! 😊
Excellent video sir
Dr Ryan.Thank u so much for helping us.How much time time does it take for the gingival fibres to form around an implant?
Love all your videos! I was wondering whats the minimum # of implants needed to be placed for an implant retained complete upper and lower denture? Would it be 4 in the Maxilla and 2 in the Mand? Thank you!
Yes, that is exactly correct!
The contents are amazing！thank you so much❤
Glad you like my videos! ☺️
In dental decks : smoking is not a contraindication for dental implant but it can increase the risk of failure
What do you think dr . Rayan? It is mentioned twice or more in dental decks
Nesreen Ibrahim yes it is not
Hi there! A contraindication by definition is a reason or scenario for not doing a particular treatment. In that sense, yes, I think that smoking is a relative contraindication for implant placement (depending on the patient’s pack-year history) because as you said it increases the risk of failure. If I had a patient who is a heavy smoker, I would absolutely have to disclose the risks associated with smoking and implant placement. However, I can also see the argument that smoking is not a contraindication (or I should say not an absolute contraindication) because just because a patient is a smoker doesn’t mean they cannot receive an implant. Hopefully that helps!
Mental Dental thank you doctor for replying on my comment.. I understood what did you mean .. for me I would say the same as you said that if I have a heavy smoker patient I would prefer not to go for implant due to high risk of failure ..
Biologic width is now replaced by the term "supracrestal tissue attachment".
Is Lupus or autoimmune disorders a contraindication to implant therapy?
hi Doc. people say different things about your points for what is the best type for osseointegration ? here you said ant mandible but today on facebook i saw a person who said he checked with you and type 2 is the best for implant placement? could you please clarify?
Thank you so much! 👏🏼
You’re very welcome! 🙌🏼
I got marked down becaused I said biphosphonate is a contraindication for implant. I was told it was a risk factor, not a contraindication…
Thanks alot dr Ryan
Hi doc, thanks for the videos.
I have a question about the screw retained implant crown. Since there is a hole in the middle for the screw, would it make the crown fragile even if we closed the hole with composite? Can we use it on the posterior teeth safely?
Thank you for your time!
Great question! Theoretically, a hole in the middle of a crown would negatively impact its strength, but there are no high-level studies that I can find to prove that. There are many pros and cons between screw-retention and cement-retention, but this does not seem to be one of the significant ones.
It was just perfect thank you❤
thank you dr.ryan
Thank you so much Dr Ryan!
I have question in this vedio you said for boards type 1 bone has high success for implant , but in bootcamp they said type 2 has best osseointegration for implant success. I totally understand the concept for both types that type 1 has good primary stability and dense cortical bone and type 2 has primary stability and high vascularity, but for boards what should we choose for best implant success. please reply thanks you
best lecture
So grateful ..thank u
Preload of an implant is comparable to what force?
Tensile/Compressive/Torque
Thank you very much.nicely explained.
You’re very welcome! 😊
Could you please tell little bit more about the part where you talk about minimum space near mental foramen. In what direction related to mental foramen we need 5 mm space? What kind of radiograph could or should be used to do these measurements?
Also in part where you talk about minimum 1 mm space near buccal, lingual, inferior cortical plate, do you actually mean outer surface of bone radiographically? Because cortical plate itself could be 1 or so mm thick.
Cbct a diagnostic add by this help decide where which when why what type placement..
duh inferior
Thank you so muchhhhhh dr rayan
Very informative viedeo
Hi Dr. Ryan! Thank you so much for your helpful videos! They are amazing. I am interested in becoming a patron through Patreon, but I'm having difficulty finding the terms and conditions. Is there a way to opt out of membership in the future?
Hi there! You're very welcome, I'm glad you are finding them helpful! And yes, once you become a patron, you can opt out at any time you want to. You would just go to "my memberships" and then select the membership you want to opt out of.
Mental Dental Thank you so much!
Thanks...can u make video on platform switching coz now a days afk q comes on this
Any treatment plan lecture on implants for
thanks
thanks
alot alot alot of thanks
Gingival fibers running parallel with the implant cuff ,,, ? I need a visual ,, Am I correct in thinking fibers running lateral? -- or longitudinal? I
OK I went back and saw your visual. Makes sense THANK YOU!!
thank you so much!
thanks a lot
What about best osteointegration ? What is type of bone with best osteointegration ? Is it type 2?
can you explain more about implant?
Thanks you're awesome
Some sources indicate that we can place implants at the age of 15 years old for girls and 17 years old for boys. What is your feedback plz?
Good question. There are definitely different age thresholds out there and I personally think that is too early. That is certainly as early as I would ever consider placing an implant for bone reasons, but due to continued eruption of teeth into your late teens, twenties, and beyond (albeit a small amount), a restored implant placed that early will eventually have esthetic and occlusal problems.
Mental Dental Thanks for your response! I personally agree with you a hundred percent, but I’m not sure what is acceptable by NBDE. I have came across a question like this and the given answer was proposing that we can place an implant for #8 for a 15 y/o boy! Hopefully I won’t get a controversial question!!
Terminology changed from Bronj to mronj...medicine related
In two stage surgery ideally how much days healing abutment is kept for oral cavity for gingival contour? Plz answer
Usually 1-2 months.
hello doctor. very nice and informative lecture. In dental deck it mentions that an acceptable rate of bone loss around an implant is 0.02 mm per year after the first year. in this lecture you mentioned 0.2 mm per year. So is iit 0.2 or 0.02 mm? Thanks in advance
Hi there! Thanks for the question. I believe what they have written (0.02mm) must be a typo, since that is such a nominal and arguably difficult to measure amount! Stick with what I said 😊
Mental Dental thank you for your quick reply. Keep up the great work
Hello Dr Ryan , need to know if immunocompromised is relative contraindication also ?? If yes , so when we can put implant in immunocompromised ???
It depends if immunosuppression is for particular period like when taking immunosuppressants after organ transplant etc. Or if its life long that means having defect in body's natural immune response. Like in AIDS.
Thank you for this. I appreciate it.
Yeah, I had implants done in 1997 and now the parts have been discontinued!!!!!!
Wow! Do you know what type of implants you got?
@@mentaldental Branemark now known as Nobel/Bio. Paid around $15,000 back then because, my insurance wouldn't cover. The original non-removable partial cracked and had to pay for another one and they worked with the original abutments. My implants are okay but, now the abutments had to be replaced. I say they were discontinued but, Nobel says "they're hard to come by". So I had to pay another $5440.00. At least you can find used car parts!!!!
Hey Doc can u tell me biological width around implant
Ty sir
Thank u ❤️🙏
What is that giant dark area between the implant crown and the implant on the left image?! 0:30
That’s where the gum tissue is!
Can you make playlist for your videos
I already have playlists for all of the major topic areas!
Thank you
Sorry i didn't notice😅@@mentaldental
Is the dental implant can be detected with the metal detector??
Excellent question! They often will not set off a metal detector because titanium doesn't create a good magnetic field, they are insulated by surrounding bone, and they are relatively small. If a metal detector or screener was put to its most sensitive setting, it could certainly detect a dental implant, but that would create a lot of unnecessary alarms.
excellent
awesome
Can u make a video on CPR???
Great suggestion! I can make a video on this in the future.
ขอขอบคุณ
There was NO abutment put on my implants. I had 4 on upper and surgeon says my dentist would put on the abutment. Wait again for that to heal. now I will be cut open again to place those.....smh LONG process getting implants, so think twice people
I guess he mentioned in the video why you didn't get abutments because maxillary bone won't provide great primary stability, so to ensure your implants fuse with the bone properly they had to cover them. Can I ask how much did each implant cost you in total?
@@sammyswank1158 Abutments are put in as soon as the implant heals to the bone graft. for the 4 implants and surgery, was $13, 588
Still have more cost from dentist with getting the teeth made and abutments. Above was only for the surgeon
Siri put on the sound put on the sound Cheri put on the sound
👍👍👍👍👍🙏🙏
🌹🌹🌹🌹
Fidelis Care new Coverage...Again...Thanks NYPD