blow my name's dr william so caskey i'm a general dentist with an office in canon's bird and the program is let's talk dentistry and my guest today is ed joseph ascii and ed is a specialist in dental implants not a dentist but a technical adviser and i thought it would be a great program to have had come and discuss some of the indications for dental implants and some of the procedures involved ed we're at goes back his family goes back a long way with me his dad and i played basketball in college up on opposite teams of course i mean not the same team but so it's a privilege to have  here today and i'm going to turn a program over to ed joseph osby and we're going to talk about some dental implants ed could you tell us first a little about your educational background and your how you got into  i've been representing implant manufacturers for a little over six years my educational background i went to penn state but as you know i'm a die hard pitts and i went to penn state where i majored in political science to play on the men's volleyball team at penn state where we were fortunate enough to win a national championship we beat u c l a back in one thousand nine hundred four and i kind of took the volleyball route for a while played a little professional volleyball in brazil and when i came back to the states side i  wanted to get into sales and i wanted to get into sales selling something that could make a difference in people's lives so here i am when plants of definitely done that many many years ago they were not as prevalent as they are today but the how you are implant is so special and absolutely if we can take a quick look at one of these power points here i'll just kind of zoom through these that's the company that i work for tulsa dental specialties it started as an endodontic company which kind of deals in the root canal root canal solutions for tooth problems if you will the implants were added they purchased  implant called in and close implants from a free a dent company and implants manufactured in germany and now the company as a whole you see the end of donnegan implant side we can treat the end adamic li compromised teeth as well as the missing teeth and that's kind where i specialize in the implants exclusively really fast on the on the implant implant background as you mentioned before implant have come a long way for their efficacy trying to gain primary stability in the bone as you see a picture of our implant right here the goal of implant dentistry  or rather large example of the dental implant now this is actually for elephants and and and whales but actually this for demonstration purposes only this is the surgeons so essentially this is the representation of what the implant actually is and it goes in to the bone and essentially on top of that is the abutment where the crown is placed so this is what we're talking about here to take over now absolutely well one of the big things with dental implants is getting a engineered piece of titanium if you will of these that titanium will integrate into bone as you mentioned thereby extremely biocompatible what we try and what every other implant company tries to make that  implant system which is what which is what i currently represent but in clinical use since one thousand nine hundred seven so there's a ton of clinical information to talk about this implant the big takeaway message here is with all the clinical studies that show individual cases coming out of statically statically pleasing rest assured that when this implant is in effect integrated into bone the aesthetic outcome ok do we have want to just continue with the next slide and move forward sure sure just real brief talk about the company itself the implants or manufacture mannheim germany with over twenty five years of clinical experience when we talk about implant dentistry we talk about what are we trying to achieve basically if you see this particular side right here this is kind of conventional approach if you if a patient is missing one tooth the conventional protarchus to prep i use the term grind down because i'm a little biased but you prep the two adjacent teeth and make a three and a bridge cement three you know bridge onto which to put a tooth in that the question people like myself and people like you and dentistry ask is why are we compromising this perfectly good tooth in this perfectly vital to to put a tooth right here why don't we just leave this tooth and leave this tooth implant a dental implant a piece of titanium into this area put a post on it and effectuate a crown and that's kind of the takeaway message that we're shooting for and in fact it is one of the least invasive in terms of  assessment on whether the bone is strong enough large enough and it's away from the dental architecture so that you can see for instance sinuses are nervous or arteries and then the procedure is basically under local anaesthetic not me and and then the you know all the different engineering is involved the the titanium implant is placed in to the bone and then what's called a healing cap is placed on it and a temporary is made so that somebody can have a tooth in there while the healing takes place how long is the healing usually had it's on a case by case basis but generally speaking about three to six months for the titanium to integrate into bound so that at that point in time after it's integrated the healing cap is taken off and a and implant abut is placed in to the titanium that is into the bone and then the crown is made on that correct and the crown is then inserted like any other crown and the centrally what's the longevity of these kinds of things well this particular implant they hold in your hand is a guarantee for life once we have an implant integrated into bow we like to say that the implant the titanium the stronger than the natural to through so so you're saying that this desist expressed and the literature proves that that these t that the implants are very very viable long term treatment for missing teeth and absolutely ok we're going to take a little break here now and we'll be back with ed joseph laski we're talking about dental implants my name is dr bill so koski will be back in a minute can water bottles these forms of aid cost more to ship than you think caster nations provide immediate and effective relief to those who needed without the shipping cost if we all do our part together we can provide help across the world to learn more check out the i b i down org america or because i want to change people's lives organization dedicated to helping people just like you get smart about the money log on to smart about money dot org today start taking control of your financial life  and what their application is now of course the ultimate goal is to to restore the dentition so people he their have a pleasant smile and or function so they can chew their food properly because  the self explanatory why we need to do that so go ahead tell us about some of the applications karyn and show us some of the models here ok this particular model we're looking at is a pretty good representation of what a dental implant is as you can see and here you have natural teeth with natural roots these roots are held on with the periodontal ligament can we get this on the this particular thing on the on the camera model cement it on we're still not addressing the area of the dental this area so what we as a company and you as a clinician try to achieve is a i'm sorry is a dental implant placed in the fight another application for a dental implant would be somebody that has a dancer oftentimes you see people with dentures they have to take them out every single night they clean them in social situations maybe they laugh and they cover their mouth their diet is affected by the retention value in their denture but keep in mind we have a dental is ridge and we have a denture just sitting on top you know some people put some kind of  adhesive that kind of keep it in their dental implant as an application for over dentures is a tremendous asset to the patient it changes a patient's quality of life we're still doing the same thing with the titanium we're surgically implanting to titanium post into the patient and instead of creating a post with a crown on top we're creating a post that has a locator function on it and basically what this is adored ten of mechanism that inside the denture you'll see bands so this patient will simply every night or every morning when they wake up take their denture out snap it into their snap it into their mouth and it snaps in the place what this does is this changes the patients social situations the patients not afraid to kind of worry about their dentures falling out it also changes their changes their diet a lot of older people in the nutritional value that they get i can eat that because of my teeth with this locator system with implant all and had no numbers of implants and all the teeth were put back in look like feel like and behave like normal teeth just with implants absolutely and they've held up well they ca with a baseball bat right something one thing to keep in mind with these implants is is if if there's nothing stimulating this bone i e there's not to fruit in there stimulating the bone the bones going to die the bones going to resort for somebody that has no teeth and is totally a dental is that ridge over time is going to melt away well what happens is the ridge melts away this piece of acrylic denture doesn't change at all so now a sudden they have sore spots in there they have a rub and their discomfort what we're doing here is we're stimulating the bone by putting two posts and adventurous still residing arresting on the ridge but obviously that there are ten to value and then inside of these inside of these dentures there's different colors abandon each color represent a different type of our level of retention so patients oftentimes that come into your office leave with two dental implants or four dental implants come back in two or three years and say they're not really snappin in that well and all you do is pop out two bands put two more bands and then they're back out the door one of the great applications of dental implants also or people can eliminate the need for partial dentures partial dancer's you have one of these on your screen here it's like the wires and the plastic contraption and this thing on the bottom left there on your screen and the dental implant can go in there you can throw that thing away sure it's like you never ever lost a tooth like your you were before any and any dental problems so it's a great application for getting rid of partials and in this particular application one possibly two dental implants to replace these two teeth and maybe two or three on this side depending on how much room you have in order to put the titanium in one of the slides go through the some of the slides here and with your so we talk about what we what we were mentioning before is a replacement obviously this is a natural tooth this is the tooth as the two through this is the bone the tissue when that particular two through and tooth itself is no longer there all we're doing is replacing that with a permanent piece of titanium input and we're implanting this piece of titanium this titanium is going to integrate to this bone and become one the next step of the process is we're going to put a post or a support mechanism on top of that for the crown and then the crown will be cemented on so we look at this final picture right here we have our tooth root we have our post and we have our finished crown see of these procedures is very very good yeah each implant company each product out there has certain types of claims that they can make as per f d a guidelines the ultimate goal though is your that income for one of those pieces of titanium to be inserted they came for a tooth and they want to make sure the tooth is is statically pleasing they don't want to smile and say what's what's going on with your tooth what's that piece of metal that i see showing so that's some of the things that we're looking for we're looking for from our product and the clinicians like yourself and the patients like the present to you in need of needed some help with their smile or looking for as well ok reason is the tissue care connection that we have with all the clinical data we've been compiling since one thousand nine hundred five we show this is kind of what you're looking for on radiograph that you're putting so these are this a person here with two front teeth you know there are two upper central insights or is that correct some reason have you know car wreck athletic injury when knocked out so you have two choices or partial denture that you take in and out of your mile or the bridge work that goes across the front of your mouth or these implants so right now we're talking about what you're seeing on the screen here is the going to go back that is the implant so that's the the top that's an x ray and it shows the implant embedded with a titanium implant embedded into the end of the bone cracked the bottom picture shows the crowns placed on top of that implant yeah and what we see is we see the implant at the time of placement placed with here the bone is above that why is that important it's important because when you lose bone your tissues follow so we're talking about teeth number eight nine and two teeth in the front if we block bone level here we've also lost tissue so when a patient smiles you're not seeing a pretty tooth you're seeing a pretty tooth and then right below you're seen some contraption and that's what we're trying to avoid  and no metal shine through a few case number two we talk about original and close crowns and number four and five these are the implant that were placed in the crowns that were seated nine years  post ops of the time of placement we have a picture like this and nine years later we're showing a picture like this of a pillow fight over the years even with losing number three you got to keep in mind in this picture right here number three to number three is there in this picture obviously it's gone we still maintain the level of the bone this is kind of what clinicians look for when they're choosing a product to put in their patients and this is what we're extremely proud of here is the placement of the two started to resort so we have a little bit of a buckle defect will go ahead and place dental implant into that site and place that sub craftily that's one of the nice features with our implants we can kind of hide this below the level of the bone place the implant to your post op you see the boehm level any time you see a piece of titanium with bone above it that's a good thing that's a good thing for your patients the soft tissue health and the pillow the bone height this is what the patients came for they didn't come for this they came for it to the final case obviously or missing a or missing a pretty important tooth when it comes to someone's smile replace the implant replace that sub second surgery we talk about is minimally invasive basically after that piece of titanium would integrate into the bone someone like yourself would put a post on it a provisional or a temporary tooth two months later or starting to sculpt that soft tissue very focused on this is beautiful right there you see the picture of the nice sockets warmed you have the temporary which is actually the final about that with the temporary on it three or post op we still have bone level above the titanium implant and the final result is what you see right there you see nice and nice to nice soft tissue contouring even gained a little bit of a pillow here but the good of statics in the maintenance of the bone and the pillow height even with a minimal bone present if you remember from the surgery place the implant below the crest of the bone that's what you're trying to achieve when you place an dental implants as use the vailable bone and we have some more slides  we can move forward with yeah actually this is from a dr william cohen and this is basically one of our implants versus one of the competitors and four years out with our particular implant we see the bone level above the level of the implant with a competitive implant we see the bone level losing ground and when the bone level of the ground the tissue follows and the patient smiles and you see metal and one year post loading and close which is the implant that  i represent versus one of the competitors you see a nice level of bone here and then you see bone resorting and that's what we like to avoid that we have  and we've talked about the need for them now as far as the long term what are the care like talk about the care dental implants are there any is any different to take care of those that it is a normal dentition how long do you expect these things to last yes and kind of cost wise i mean people are often wondering  know you see in dentistry dentistry is very preventive oriented and very holistic in that nature in fact i think it's way ahead of medicine that way and so this cost containment when you do a procedure and people take care of it it can last i've had people with for it's working caps that they take care of and it's done properly last decades for many decades so implants similarly and if you look at the cost over thirty forty you know fifty years it's it can be it's minimal yeah and then when you start to talk about the static value the functional value there probably is not a better value when it comes it may be some upfront cost but when you extrapolate that over the life and the function and what you're gaining and benefiting from prevention and dentistry because essentially what's happening when you do an implant you're preventing other teeth losses grinding down on some teeth like as you said your wrist you're keeping the functionality of the bone and this study and it's hard to put a value on chewing ability capability hard to put a value on the a static function but over time when things are  ok i see a science is wrap it up i want to thank you ed for coming and speaking about the tulsa then supply tulsa implant and there any questions please  contact me at seven two four seven four five zero one zero zero three be glad to answer any questions for you so thank you very much i appreciate