Good day!
I hope everybody’s doing well!
This is T-Bone and we are back for another edition of #AskT-Bone on the T-Bone Speaks Podcast.
Today we’ve been submitted… I don’t know if it’s a question but it is kind of, there is no questions marks in it.
Tarun, I’ve been following you, your post on CEREC doctors for years, especially regarding your comments on implant related cases. I attended a mini residency for implants at the Medical College of Georgia in 2012 and completed Dr. Garg Implant Continuum Masters Grafting Course and live patient experience in the Dominican Republic last year. Now I have purchase an orthopod CBCT, and I just performed my first guided case last week using a CEREC CBCT derived OPTIGUIDE. Today I place around 50 to 75 implants mostly with analog guides. I would like to continue to build on my implant education both in guided placement and free hand grafting abilities. Could you make some recommendations on where I should go from here for more training?
Thanks
James.
James,
Thank you so much for submitting this question and I have failed to be completely honest with you in my business. I would like to have thought that I was the ideal resource for Sirona 3D CBCT training. We have an entire Training Center dedicated to that. We have a couple of different training programs specific for that. Obviously we have much more than that as well but let me talk about, selfishly, what we can offer you.
So I would say that our first class for you would be our Ultimate 3D program, and that is where we focus on the three visit implant from start to finish without impressions, totally digital, totally controlled in the office. And that is where we learned to ideally plan, use surgical guides to place, learn to mill our surgical guide in the office, and then learn to fabricate a screw-retained restoration, and we learn a workflow that allows us to do this in three visits with about an hour to hour and a half of your time.
A second step is probably a sleep apnea program, a 3D sleep. And that’s what we teach you to use your orthophos SL AI to start doing airway segmentation to create awareness, to do home sleep testing with a physician reading service, to provide diagnosis to use medical billing to get paid for this, and then to provide digital plans therapy to have your appliances fabricated.
And then I would say for you beyond that would be our 3D dental course, where we teach you how to digitally fabricated full arch fix hybrid therapies, and that is from diagnosis and using third-party services to visually plan and produce a bone foundation guide to have a milled provisional prosthetic and then how to take your patient from the prosthesis to a final restoration.
So, specific to CEREC and CBCT on implant learning, I would say we have three wonderful courses for you that are fantastic. Now in terms of free hand and grafting capabilities I think Arun does a good job with that, I mean I think he has some advanced programs and Dr. Garg has some advanced programs, he has some cadaver courses. I would say that, you know learning more grafting would be fantastic and I believe there’s some nice cadaver programs from John Russo out there, Arun has that, I believe he’s doing grafting in the Dominican Republic as well now. So there are a lot of choices there. So hopefully that helps with you.
So I want to encourage you and congratulate you on taking something from nothing to so many now. You’ve dedicated yourself to the education, you’ve dedicated yourself to the technology, to make that happen and that is very much commended because too many of our colleagues are stuck, and they’re not doing anything different. So just a couple of other thoughts on this before I let you guys go is there are multiple types of guides that you have available: we have an analog workflow, which is using the classic guide technique where you have a bite plate attached either to the patient’s teeth or attached to a scanning appliance which could be a partial, or a fully identical case; a scan denture and then that creates an analog workflow. And then the digital workflow we have the optic guide which is the most accurate guide, which is provided with a certificate of accuracy. We have the digital guide, which is a printed guide, a printed from your CEREC and Sirona 3D CBCT data. Unfortunately does not come with an accuracy guarantee, but we know that they are accurate. And then we also have the ability to milled our guides with the CEREC guide too in office, and that is also a very accurate guide as well. It’s a guide osteotomy with hand placement. There are some tips and tricks to kind of do semi-guided placement with the CEREC guide too. So hopefully you are aware of all those options and those go from cost of the most expensive to the least expensive, your CEREC guide too, which represents 80% of our single unit cases now, it cost you about $56 to $65, some on that ballpark to have that mailed per a single site. So, learning to graft I would also encourage you to learn about PRF blood drawing and spinning to produce I-PRF and A-PRF to use growth factors from the patient’s blood to enhance your bone grafting results, to enhance your healing of soft tissue, there so many options there as well. So I would encourage you to look at that as well.
So, James I hopefully provided you some good options there and if there’s anything else we can do for you please don’t hesitate to reach out to us: www.tbonespeaks.com.
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