(Emily) Good evening everybody this is Emily with new teeth now. Thank you for joining
our webinar tonight we do appreciate you taking the time out to come and watch us.
So what are we going to be talking about today. (Dr. Kirkpatrick) We are going to be talking all
about implants and a lot about implants especially focusing more on the full
mouth replacement so when we can replace everything in the upper jaw everything
on the lower jaw or everything in both jaws. What's different from the new teeth
now procedure to other people that do this all on for procedure I think
there's a lot of differences between what we do and you know some of the
other some of our other competitors from you know the style of the teeth the
material that either made from having the procedure done totally under general
anesthesia so you're asleep it's comfortable you know we try to make it
as pain free as possible and the environment you know they get me they
see you they they get the small the small-town feel of this office versus a
corporate office because we get that question a lot why don't we have the
facilities like everywhere and that's because we have everything here in this
one building yes and that's that's that's a good point that's another huge
difference between us because we have everything here from the implant
coordinators to the lab that's in-house so the teeth are actually manufactured
here we have the surgeons here anesthesia teams here the surgeries done
here the restorative doctors are here so your teeth are actually made and the
whole team is here so if there's any question that you know our patients have
about you know what happens with you know if this tooth is turned or maude
natural tooth is dropped down we have the restorative doctor to look at it and
then you have the surgeon obviously I'm here to look at the CT and kind of help
come up with a treatment plan I hope you hear yeah that would be
dangerous if he wasn't because you don't want me doing the surgery well I don't
know you thinking that because you probably could do some of them how many
of these have you done let's just say each year alone
ever stole one of her restored doctors doctrine to follow who I work with a lot
on these cases he and I were talking about it a couple years ago and at that
time we had well over 500 we kind of stopped counting and around the 500 mark
so that's a lot yeah it is quite a modern procedure isn't it
it is a modern procedure it's something that we do I typically do these well I
mean as you know the patients come in that would need it done but it usually
ends up being somewhere three a week so three days a week we'll be doing one of
these procedures Wow today as I was thinking in this last year you must have
done several yes probably mean killed yes since the beginning of this year and
the numbers have gone up quite a bit so you've been practicing implants for a
long time your board certified but you also specialize in zygomatic implants
which is a specialized type of implant talk to me a little bit about that so
talk to you about two things the board certification yeah which I think I feel
is important we're all board certified and whether you guys choose to come here
or somewhere else make sure that whoever's treating you is board
certified because it's kind of the only way that we have that we as a specialty
gauge and hold people to certain standards of care it's a pretty rigorous
exam that we have to take and pass in order to become a board certified and we
have to keep up with it every 10 years you have to recertify so you can't it's
not I could just pass it and hey you know I'm board certified and you're done
you got a key to still keep up with all our content
doing education and all the new trends coming out to know what will work and
what will not work and you know make sure that you're up to the standard with
the zygomatic implants it's something that is not really routine in the United
States but it's something that is routine for us like today the two cases
I did all words automatic implants and what they are is yours aguma the name
comes from the zygoma is the cheekbone and the zygomatic implants obviously get
anchored into the cheekbone they're designed for people who do not have a
lot of bone in the back part of the upper jaw and that's and it's really
common so people have had dentures or severe periodontal disease and lost bone
or even you know like me when I've looked at my silence there my CT scan
just the sizes that have expanded you know environmental allergies can cause
that and stimulate that to happen or some people it just happens you know
it's the way they're born so you're telling me that anybody that's been told
they cannot have implants because they don't have the bone structure because
they don't have the bone if they did have implants they would have to have
excessive work done you are doing them yeah and the cool thing about the
sarcomas so for those patients who do not have a lot of bone you can totally
bypass grafting and the procedure to do the bone graft and the time to let the
bone graft heal does a Gomez replace that so and you can do it in one day it
doesn't just replace it as you know omitting the need for the procedure for
the bone graft and the six to nine months for the bone graft to heal but
you can do everything in one day which is it totally changes the game for the
patients and you said it's routine for you guys here at new teeth now but not
everybody is specialized in places I go mastic implants no it's seven it's not
at all in every residency program which I'm sure it will be some time because
the need for the procedure is real there's a lot of patients that do need
it and you know we see patients from all over the US we see patients from you
yeah you know from other countries that fly in to have this done because they'll
see one or they'll be researching and they'll come across our website on the
internet or maybe see a commercial over there vacationing here in Orlando and
they'll go back home and try to find someone to do it the closer doesn't home
and they can't because they they may advertise for it but when you really you
know call them up or go in for consult and you need to zygomatic implants they
they don't do it all right so then they end up coming to a place like this and
talking of all the out-of-country patients I urge everyone to check out
our website so it's quite new we've got like a new theme to it and everything it
looks great and we have the Travel section on this so we can actually help
you get here a lot of patients say well how do I get there you know what's the
situation and we've done it on several occasions and now we have a place for
you to visit and kind of investigate a little bit further
yeah the cool thing about where we're located you know people like where's the
Lakeland like it's almost perfectly situated right between Tampa and Orlando
so you've got the choice of either Airport there's a lot of you know nuts
hotels around our office so it's very easy to get to miss right off of
interstate 4 I'm right between the two major parks Busch Gardens Universal
circle Disney don't forget Mickey so you can have an entire transformation
talking of transformations if we've got any before-and-after pictures we do and
that's what we're going to is we're kind of get to the slides so you know we can
I mean I can sit and talk to you about what we do and how we do it and you know
how cool zygomatic implants are and what they can avoid but if we can show you
some pictures you can see you know and all these patients are patients
personally treated so they're not out of a book they're not borrowed
you know a website they're my patients and it's their before and afters and I
think to see the before and after it just tells the story and some of them
still come in to this day for check-ups it's so odd for me to see them cuz I'm
like ah I remember seeing you on the webinar we did your picture your before
and after and they look at me and they're like oh great can I see it and I
show them and that just like so happy that we use them mm-hmm
that's cool no no what all of our patients or most of our patients they
ask you know like other people on our commercials and they'll say hey you know
I've had all of this these problems in the past and you've changed that for me
like if I can I want to be on a commercial you use me in your dad like
you know what yet one of your webinars or seminars the look will go to the
slide show and so just so you know a little bit about me I'm from Kentucky
went to University of Kentucky for college and dentistry and then did my
residency my surgery at University of Florida in Jacksonville and like we
talked about earlier I am board certified which is very important a
little bit about implants they are recommended by the American Dental
Association which is their National Association as the best way to replace
implants or teeth and for those of you that do not know what an implant is
because there there is some confusion about what help what people think they
actually are it's not the tooth the implant is the silver structure here
that looks like a screw that goes down into the bone which is the yellow part
here here's obviously your gum tissue and
then you've got this shadow of a post here and that's the krail and that gets
cemented on so there's three parts the implant the post and the crown and with
traditional implants if you're replacing just like one tooth there's a time that
you got to let those implants heal or refused to the bone before you can put
the tooth on but what's really cool about the new teeth nail procedure is
you don't have to do that and we can put the teeth on the implant
the same day so the day that I take the teeth out put the implants in we can put
this bridge on and this is showing one of the bridges it's the lower jaw and
these back one's there's some you know they're not crooked they're supposed to
be tilted like that and that does a couple different things that makes the
bridge stronger and it avoids some certain anatomy in the lower jaw that we
are very careful about where we how close we get with implants but that's
how we do it and that allows us and this is shown an upper so it's nothing like a
denture this is a full bridge secured on implants that you can't take in and out
you know it's there's nothing covering the roof of the mouth there's no wings
that go up and underneath the gums or the lips or the cheeks so it's like
having it's as close as you can get to having your natural teeth back and
having fixed fake teeth so I just have one question and the reason I bring it
up is because I think somebody that's watching today I actually spoke to on
the phone okay what would you say to somebody that's missing six or seven
teeth in a run like a whole bridge of six or seven teeth and they're kind of
contemplating whether to do something like this or replace those teeth
individually but you know it totally that's a good question but it totally
depends on that patient because there's a lot of patients that I would see that
would be in that situation that this would be by far the best treatment and
then there's because the surrounding or the remaining teeth are not in the
greatest health from like a periodontal standpoint and that you know if you've
got periodontal e involved teeth then you your implants can be compromised if
you put them close to those teeth because that's an infection yeah so
periodontal disease is just a low-grade chronic infection that's always present
and it just is constantly melting away the bone
it is yes and it's something that once it gets to a certain point it's very
difficult to treat like it's almost impossible to fix it without taking the
teeth out the cool thing about this is if patients are in this situation you
know and we do we take it you can have the most severe case of periodontal
disease but the day I take those teeth out and clean out you know clean the gum
tissue the periodontal disease is cured that day completely gone gone have to
worry about deep cleanings it's gone resolved so but back to your point but
there may be some people that have six or seven teeth missing in one area and
have really good teeth surrounding it and that patient would not be a
candidate for this they would be one that I would encourage them to you know
let's just do maybe two or three implants and do an implant bridge to
replace the area and you know it so it makes a difference and even though you
know I make obviously I make a living doing this but I don't have anything
that's as good it's what you know God gave your natural teeth are there's
nothing in the world no one has anything that is as good as your natural teeth if
your natural teeth are in good shape if they're not this is the ticket I mean
it's the best treatment that you can get and I love that you're so honest about
that because there are so many patients that walk through these doors that have
been told that they need this and then they've seen you and they're relieved
because you've told them the truth and you said to them no there's a different
solution so the really important thing is to just book a consultation sit with
him for an hour and he's gonna give you his most honest opinion you're not going
to get the you know shipped around place to place or told one thing and then told
her know that he's going to be very honest with you oh yeah because I mean
at the end of the day I may have to go home and lay my head down you know and
feel good about going to sleep about what
at work and you know that's what I honestly believe and I would try to
treat well I'd try to treat every patient the
way that I would want to be treated so you know it used to be if you look at
the the picture we'll put it back up in a minute but the upper jaw is showing
four implants and the procedure if you google you're doing your homework you
know the procedure used to be called the all-on-four technique and those days are
gone you know I don't do the four implants everybody gets six implants on
the top because that's what I would want and that's what most of the current
literature is showing the six is better on the top four is fine and the lower
jaw so you are already ahead of the game we're people are still sat doing four
implants and you guys are just pushing through
we are labs ahead of the game well you always have been I mean that's I knew
that's from the minute I got hired here so we do have one more question in they
want to somebody wants to know the link between infections and cardiovascular
problems and the connection between the gums and you know that's it you know
that's a great question and we talked about it during all of my webinars and
seminars but what the link is is that chronic low-grade infection the longer
it's there and if you think about it relates I've got a slide coming up but
it's just the bacteria that's causing the infection is constantly you rotate
circulating through the your blood vessels and it eventually does work its
way through the heart so it can lead to you know cardiovascular disease
increases your risk of having a stroke and it's so severe and there's such a
big relationship between the two that I do a lot of facial trauma at Lakeland
Regional and which is our level two trauma center here and the MA it's a
busy Hospital but what we will get called from the cardiothoracic surgeons
you know when it's emitted think about it from it will you call from the heart
surgeons that are planning to do like a valve replacement on it on whether
patients and they will not do the procedure if the patient has periodontal
disease Wow so it could be yours you're talking about like
a potentially life-saving surgery that they will not do until we clear them
from an oral health periodontal standpoint so that's I mean that's a
pretty big relationship now once the teeth are removed you said
that the periodontal has gone so people can get this procedure where they get
the teeth extracted and then get dentures currently sure but do you see a
lot of people that have done that I'm wish that they'd just skip that
whole step and come straight to this all the time you know what the most common
thing that I hear is you know it may be just fear of the procedure it may be
financial where you know just not wanting to spend the money to do like
the implants so that I can either just take them out we'll do other dentures
I'll be fine you know like my mom had dentures my grandmother had dentures
like I'll be okay and then they realize they hate their dentures right and
they'll come back in three five seven years later to do this and it's just
it's the same comment I don't know why didn't do this five years ago you know
I've wasted all this time where I could have been enjoying and not really
fussing with my denture you know setting it on my nightstand at night losing it
and my dog ate it you know there's just all these things that come along with a
denture that you know food getting caught underneath it and it hurts to
chew on the food so they got to get excused herself from dinner go the
bathroom rinse it out with these you know you treat them like natural teeth
brings me to another question that we had and somebody was asking what's the
comparison of the dental implants compared to natural teeth and I think
we've got a model over there I don't know if you
we do so you know my answer to that is that it's always different you know if
you've got great natural teeth this doesn't compare you know it does change
it's thicker you know it's one piece it's a bridge
so you're still brushing false under underneath but if you don't have the
best natural teeth then this is my mean it's an awesome appliance because it's
one bit just like to say I have natural teeth and I wouldn't mind trading out
for this because with the root canals and crowns and everything else that goes
along with natural teeth I wouldn't mind doing a procedure like this just to kind
of be done with it obviously I know it's in the future yes it's not something
that I'm ruling out at this point you know and I'm not either what it is is
the very strong material what we use for your final set of teeth is zirconia so
literally our lab upstairs takes a puck good so it's a puck of zirconia like
this that's called a puck because it looks like a hockey puck but it's they
mill a computer actually scans everything's digital scans it and mills
out your bridge perfectly and what this what our lab technicians do is they take
this and make it into this and to know if you can zoom into these but you know
the when people ask me about these the cosmetics of them I mean they're going
to look as good as you want them to as as Hollywood white and perfect as you
want to we can add as much detail and characteristics to them that you want
you know I've had I had a consult recently where you know the guy he had
you know he's had gold his front six teeth were gold he had gold caps on him
and that was important to him because that that was him and that's he didn't
want to change his appearance and have just perfectly white teeth so we talked
him we can make gold front teeth I mean it's literally they're they're all
custom so we make them look literally whatever you want them to look like I
don't even think the model does it as much justice as when you see the
patients with them in the mouth I have literally seen patients walk
through these doors and I've recognized them because they've changed so much
it's impacted their life in so many different ways that they've changed
their hair or they've changed their makeup and I haven't noticed what you
know who they were at first and then I've realized oh wait yeah you have the
dental implants but you have no idea that yeah and what people also don't
really pay attention to with teeth in general is you know your your eyes are
usually the first thing that people like look at mm-hmm which we'll get into a
little bit later when we talk about some cosmetic stuff yeah but your teeth teeth
are next you know because when you're speaking with someone and I've been
watching you sit here listening to me talk you're looking at Mel I'm kind of
get a little self-conscious about the pet but you know that's what people do
and you know the teeth when you can put the teeth in the right position which we
can with implants and make people who have like a really narrow arch you widen
it out it mean it really does change the overall appearance of the person and
you're gonna say I'm gonna get to some of these slides and then the other cool
thing that I think Jason just told me that someone was asking about
maintenance that is a very good thing about these because you treat them like
your natural teeth you brush them with a toothbrush toothpaste you know a couple
times the day and just like I do with my natural teeth you want to floss them
like I'm supposed to do good but no the my to go twos that I recommend every
you do with these Sonicare toothbrush whether you have your natural teeth or
you have these implant to get a Sonicare toothbrush and get a Waterpik that's the
two best things you can ever do to take care of your teeth whether they're my
implants or your natural teeth I need to say and then you do go we recommend
anything that's you can't take out and wash under it you know in a sink with
soap and water like a denture you go get professionally cleaned by dentist every
you know six eight months you got to take care of them what would the cost of
that be just once a year just whatever a routine cleaner just like a routine
cleaning yeah I'd say the average is probably around a hundred dollars so
it's a lesser than dental insurance when you think about it it's not your
insurance you're tempting me I kind of want to have this procedure pay for the
cleanings and have that done every six months because anything you put in your
mouth that you can't take out the way your body's designed and your spit
glands the salary glands empty in certain spots and where they empty you
will collect plaque and calculus that's just the way it happens so if you can't
take it out it's something you can't brush off you need a dentist to clean
that for you so you do have to take care of them you know it's not an end-all
where now you get these implants in you never brush your teeth again you have to
take care of them but it's very easy and it's actually easier than it is with
your natural teeth you see people that go a few years without doing anything
they don't need yeah yes it does to the best of us but we don't judge you know
just come in we take care of you say all right so your first visit is obviously
you call Emily and she could schedule you to come in for a consult where we
get a cat scan and it's listed on there's a knock at and that gives me
pretty much all the information I need about what you look like on the inside I
know how much bone you have and where your best bone is
and then from looking in your mouth and looking at the cat scan which we look at
together we develop a treatment plan and figure out how we're going to do what we
need to do so before and after and you know these are my favorite yes
these you know I can't tell you except just to show you so this guy
you can look he's got the little black spot on his gum that's a draining
infection so you know missing teeth cavities just a lot of stuff going on
but he came in and I took out all of his teeth top and bottom put in implants and
the God walked out like that so this is one week after and when he came in for
his first post-op visit with me but that's just an incredible difference you
know it's something that you can just look at the picture and I can tell you
that it really does change patients it really does change your life because
he's an all white and not final picture he's like I know my teeth of this white
and he asked for them that white oh yeah no he wanted them as white as we could
go and you know and that was that's him you know he had a great personality
before we did anything to him really outgoing but now you know he comes in
when he went when he used to come in for his post-op appointments he had come
into theater and he would talk to everybody smile look look at my teeth on
me let me tell you what I had done here yeah and he would and he was so proud of
him because it you know it changed what really is day to day routine mmm you
know this lady had a car wreck when she was younger
knocked out broke like all the front teeth on her upper jaw then they decayed
so we took him out implants in all on a day you know that is I mean don't even
look like the same person now tell me a little bit about her before cuz I
remember you telling me a story and you said that she wouldn't smile
oh yeah knows it will yeah if you look at that before picture I take it you'll
learn that I take a lot of pictures when you come to see me but you know I would
try to as a card give me a smile and she she wouldn't and I was like alright just
give me a smile she grin just a little bit and look I need to see your teeth
and she's like I don't know how to do that anymore and then that's where she
gave me so she's like I'll show you my teeth and that's her smile do you see
that a lot with a lot of patients that they're just secure and they don't even
want to show their teeth all the time and then after surgery they're like
different people patients will come in for their consults and even talking to
me they'll be kind of hesitant to yeah I mean this is what I do you know it'd be
like going to and this may be a crude like comparison maybe like going to your
OBGYN and not one to take your pants off you know I mean they have to look that's
what they do and it's like but I can't tell you how many patients I see for
consult and I'm like we look at the CT scan let me look in your mouth and
they're like you know they're covering their mouth and they really do not want
me to look right and it's like I see this all the time you know it doesn't
matter what you having about the obscene you won't have seen every no and it's
right so people are really self-conscious and if they're that way
with me who is the treating surgeon that's gonna
be taking care of them I mean you know when they're out to dinner or shopping
or you know just around friends they're always you know talking this way you
know eating with their hand over the mouth or just or not not going out to
eat avoiding you know going out with friends and we hear that all the time oh
that person you definitely need to schedule a consult just to come in and
sit with him one-on-one 100% so you know we kind of touched on this a little bit
about like why do patients you typically come in and do this I think the hardest
part about patients doing the procedure is making that first step to call them
make an appointment so if you are thinking about it you know research it
you go to our website but does call and come in because you're not you know
you're not signing a contract by coming into the consult you come into the
consult and listen to what we have to say and just never come back
but I promise you when you do come in you'll probably end up scheduling but
most people do it number one reason to restore their total body health
definitely you know improve your self-confidence and bring in a smile
makes it a lot easier to eat most of the patients that we do this on either have
trouble eating because they have dentures or their teeth hurt when they
eat or they're very sensitive you're asleep during the entire procedure so
that makes it you know for all you people just afraid of the dentist you
don't have to be because you're asleep under general anesthesia we have and two
different we have anesthesia teams that come in so you're totally asleep I can't
get much easier than that what is the pain level like on a
procedure like this well you would that one would think that it would be very
high in you know difficult to control but it's not and it's very very common
for patients to come back and there O'Donnell like dr. Patrick you gave me
twenty you know twenty or tabs or twenty percocets and yeah I took one and then I
just needed talent or evian and really need to the narcotics and that's you
know that's pretty much our typical response now there's some people that
need the twenty and there are some people that don't need any so it's but
most people need pain medicine the day of and that's it do you find a lot of
people are suffering so much already and are sensitive to hot and cold because of
their teeth yeah that once they have this procedure they're kind of relieved
absolutely anything yeah absolutely that you know the pain that they're having
just on a day-to-day basis the post surgical pain is not even done compared
to that right so it's you know it's pretty nice for a person is incredible
because like you said I think a lot of people do assume that it's gonna be way
worse than it's everybody that I speak to everybody that comes in
like Oh wish I didn't see no and I would too no one held what I do the the amount
of work and the time and the surgery that is involved you would think it
would be but patients have I'll give you an example if you had a set of twins
same shape with their teeth one patient has all their teeth out in the denture
one patient has all their teeth out and these made the person that gets this is
going to have way less pain the person that had the denture put in is probably
going to go through their entire pain prescription and probably need a refill
and that's just the way it is is that do you think it's probably from the denture
being pressured onto the gums and well I think that has something to do with it
and these are totally resting on implants and I think also the way that
we do it with the new teeth nail technique but making sure there's no
sharp edges on the bone the gums are completely closed you know everything's
tight there's no open wounds it just it makes it as easy as it can be for
recovery but you need to another question does that decrease the risk of
infection yes so what is the risk of just at this procedure very low the
implants across the board are somewhere around 96 to 98 percent successful so
you know for them to get infected it's very very rare and then what kind of
medical issues would affect this people from having this procedure like would
diabetes diabetes can but for the most part is know if it's a total if it's a
patient that totally out of control you know diabetes then yeah that can
impede the healing but we still do it and you're still a
candidate we would just work with you to get your blood sugar somewhat regulated
before and we look at some other numbers too like your anyone see because that
gives us an idea about how you would heal and how long it would take the
implants to actually fuse to the bone but diabetes is not a contraindication
okay Oh any other medical issues that you
would say the only thing that I would say that I really really need to sit
down and talk to I mean we go extensively through your meds medical
history the only things that I would say that
would possibly limit or restrict somebody from having something like this
done would be some of the IV bisphosphonates those are they're a
really good drug for the people that need them but they can really stop or
impede the healing and it's not just the implants I mean it's just having a tooth
out or root canal I mean anything that you're doing something to the part of
the tooth underneath the bone or the bone it's that's a contraindication for
some of those people you said I need some because I know that we have some
people come in and it would be you know everything it's it's every treatment
plan is customized and curtailed to that specific patient so you know don't let
that scare you away I would still need to see you and want to talk to you about
your medical issues so even if you've got medical issues book the consult sit
with him one on one the console and I'll tie you a price of a consult just before
we even get there is your $60 you know fifty dollars is nothing we take over
the phone we bring you in we do a CT scanner that includes the CT scan yes it
does that does include the CT scan and you will sit with him one-on-one and he
will go into detail like he said extensive medical history you know and
make sure that you're ready and healthy to have a procedure like this done the
oral for the people who were asking about like you know heart disease and
this is due this is kind of the breakdown this is the rundown of how it
and what body parts it does affect more commonly but increase your risk heart
attack stroke you know diabetes osteoporosis the respiratory diseases
like COPD and asthma you know if you're inhaling you know the mouth is that
quote at the top of the screen it's the Gateway to an awesome creation and it
really is but it's the first thing that encounters the food you eat and the air
you breathe so when you're breathing in and you breathe in past a bunch of
severe periodontal disease and infections some of that gets sucked down
into your lungs I mean you just it's as simple as that and it stimulates you
know asthma to make it maybe you have a worst case of asthma or exacerbated like
your COPD symptoms digestive diseases you chew your food and a mouthful of
periodontal disease you're chewing it and bacteria and swallowing it so you
know it increases all those digestive diseases but the lowdown on it is just
the more your body's fighting this low-grade infection it reduces the
effectiveness of your immune system which can shorten your life expectancy
so periodontal disease is a real problem and this is kind of showing you about
what you know and this is actually not a bad case it's bad but it's nothing to it
like some people that we see but this needs to be taken care of this patient
needs dentures or implants and you know or just take their teeth out and have
gums you know there'd be a lot healthier than they would be keeping these in but
you know that's showing ya what it looks like the day of this is before the
patient was awake but that's taking the teeth out putting the implants and those
are impression pins that I've got on the the implants so these are the connectors
coming through the gum tissue that's directly attached to the implants and
then that's it that's what it looks like this is before this is immediately after
that's this is same day he came in this morning the morning like that left like
that and totally healthy mouth new teeth she's changed him
as a person even its smile it's like more real and what's cool about him and
we in that picture he can walk out in the office and go home and eat dinner
talk to me a little bit about that because we haven't spoken about that so
the teeth are done in a single day but the first set of teeth are temporary
they're not these are Konya teeth showing so the first set there's two
sets of teeth that's included with a procedure the teeth we put on our
temporary teeth and they're made of acrylic you wear those for six months
and there's a really good reasons that we do that a lot of places will go ahead
and put your final teeth on like the next day or the same day and then
they'll say alright yeah catch you later and you're dying but the problem with
that is your gums will shrink we know that your so when we put your here's
your gum level we put in those temporary teeth and it's butted up against the
gums your gums are going to shrink so you get a little space in between the
bridge and the gums you're gonna hate it as the patient I'm gonna love it
as your surgeon because it's easy for you to clean so well everything is
healing it's very easy for you to keep it super clean then once the implants
have healed which takes somewhere four to six months then we make the final
teeth out of surco mia and you know but when I say temporary and final the
temporary teeth still look really good our goal with the temporary teeth we
just see it oh yeah those are his temporaries alright but our goal is is
we want your temporary teeth to be what you want for your final fight so when
you do come back to me to have the final teeth fabricated you just say hey I love
them don't any changes duplicate them in their zirconia but the other cool thing
about that is if you do want it changes these are like your test drive set you
can change the color and you can search any size you can change the shape you
know there's a lot of things you can change about the teeth so you're not
stuck from day one with what you have you know so it's you walk test driving
for six months if you love them we duplicate them and making them better
materia if you want to change something about
them we can change it yeah and you don't get those final teeth until you're 100%
happy which is really cool and going back to when you said some places will
put the teeth in your mouth and then that's it they leave you like bye have a
good day what they then do is they call you and say would you like to upgrade to
the zirconia well there shouldn't be an additional fee we like to keep it all in
one so everything that we talk about hearing this webinar is all-inclusive
which is really nice and that is one thing that if you're shopping around
make sure you ask that because that is very common for us to hear we do a lot
of second opinions and I encourage second opinions if you come see me first
hey go see someone else and you know because we want you to be totally bought
into the system and 100% sure that you want this and you want me to do it and
and I'm very confident and comfortable that if you do go see someone else I'll
be doing your treatment and and I'm not being cocky by saying that I'm not
trying to come across that way but that's what we see and I know what we
offer and what we do and that's just the way there are too many places that are
very deceiving and a we're not named bashes so we're not gonna call them out
of course we're not no because we want to talk about how good we can do it not
how bad they can do it correct but it is important to do your research thoroughly
and make sure all of your questions are being answered and make sure that
everything is included and it's really not the other facilities fault it's just
that they don't have the lab on site like we have so they probably can't make
this our Konya all-inclusive whereas we have the lab and the technicians and the
surgeons that are able to do so so just like he said second opinions research
research research so if you wanna be truly healthy you gotta you know think
at least think about your mouth who's a candidate we've talked about this you
know no teeth are unhappy with your dentures mouth full of bad teeth severe
periodontal disease if you've ever been told that you don't have enough bone you
need to come see me I've never had a patient yet that did not have enough
bone to do this procedure and that's very important
before this lady is an example of that didn't it she didn't have enough bone
friend plans until she came to see us and then she had enough bone for
implants magically you know because of the documents we could offer that to her
and it really changed you know her outlook
I mean she's her self-confidence went up she loves her teeth this lady had a
denture teeth look good you know I mean you can't really tell she thought would
get bad because it's a denture she hated it so we put in implants went out in a
parking lot broke her denture she threw it away and
she before and after these are right when he came back and got his final
zirconia tea six months later I mean look at those though and that's what I'm
talking about about the appearance of the face in general you look at this and
then you look at him that's a big big difference shotgun was late you been
wearing a denture on the top a snap on dentures on the bottom she'd been told
several other surgeons that she was not a candidate for implants just get used
to her denture invest in some glue you know the denture adhesive and she hated
it she came in to see me she in her comment was I know there's nothing that
you can do but I wanted to just just want to come and see and we get home
saga Matic implants and that's her you know after full set of bread you know
implants mean just the way they look like to me that doesn't even look like
the same woman just because it's such a drastic change obviously is I mean who
Tala is but you know just oh yeah yeah much happier yes this lady you know came
in same same thing he had a lot of dental work in the past a lot of root
canals on crowns out of bridges all failing and she
an offer to denture young healthy lady this person does not need a denture so
she needed sangomas she came down she's the out-of-state flew in we did the
procedure and that's her I mean look at that that and these are showing I love
this x-ray because it shows you this is so your gum or your cheekbone is sitting
here here that's the zygomatic implant totally bypasses the sawdust but it
gives her that I mean if you look at this you can't tell it is Bend
someone that's got traditional implants or even a general dentist can't look in
your mouth and see that you've got psychobos they can on an x-ray because
they look funny but you know you treat them just like a regular implant so the
new teeth now total facial makeover just I want touch on this really quick
another part of my practice is facial cosmetics so we do everything from Botox
fillers you know lip womp procedures chin and cheek
implants brow lifts I would enhancement facelifts and neck lifts and rhinoplasty
switch our nose jobs but the reason that I want to just touch on this is because
a lot of our patients that that need like this they also have lost a lot of
volume from bone walls and that's something that you know you do this and
put in a couple cheek implants on a patients that that's on some patient
that has a lot of volume loss and it totally I mean it takes off 15-20 years
right just restoring that volume back to what it used to be and so that's what I
think also sets you know kind of sets me apart a little bit from other places is
with the training that I had that I was lucky enough to get at University of
Florida and Jacksonville you know the the attendings there were incredible so
we from the trauma to the cosmetics - you know these full mouth reconstruction
we literally got it - oh and then you throw on a cosmic even like this one
yeah before and after you know she came in
for implants she saw one of my little brochures that we did cosmetics here was
talk to me about that and she ended up doing a full mouth implant procedure and
a co2 laser resurfacing of her face of the skin and you know this she's all
these little fine lines and wrinkles and there's sunspots and the age spots and
you know just even droopy eyelids so we did that procedure co2 all the same day
all while she's asleep and this looks like her younger sister it does I mean
it's just a big bitch that's not a facelift no that's just a laser
resurfacing Wow this is a facelift I'll run through some
of these facelift and what I do not do is I don't give patients like a plastic
look I don't want you to leave here and be eating at a restaurant and somebody
I'll come and we get what do you see that a facelift yeah let's get it like
she's been in a wind tunnel or you know hurricanes coming through which does
happen here but we don't want your face to be you know drawn straight tight back
so you know that's just a good natural improvement I mean you look at the
profile wow I don't know like she's had a lot of cosmetic surgery unless you saw
her before you know and then but you know totally rejuvenated her co2 laser
before and after chin implant 30-minute procedure all this is she's just
continually born this way but the chin implant I mean only that it's a huge
difference and then back to the implants they never you know they're never going
to need a root canal they're not going decay they're very easy to maintain we
talked about the maintenance and you know the new teeth now procedure the way
we do it here like that's just and if you look at her
her before and after and she's so and you know very well see how happy she is
she wants to tell everybody she offers her personal cellphone you know patience
considering it because she wants to talk to him about hey this is what I went
through this is what it felt like after this what it was like a week after this
is when I went back to work and you know she's just so happy with what happened
to her here and we love hearing those stories and and we get to the you know
we do get to know our patients because you know it's I'm not seeing you every
day but I'm we're getting to nutty over a six-month time period and you know
it's just we take pride in that because it's cool to get to know them on
a personal level I mean I think that starts right from the phone call I mean
as soon as you call in and you talk to me or grace or Shawna or Debbie or
Nicole I know I mean we want to try and get to know you as much as possible over
the phone before we even bring you in and you'll get that feeling as soon as
you call us so like I said making a consult making that phone call it's
super super important let's talk about everything being under one roof
yes let's do how we do the consult the impressions of surgery so the fact that
we've got the lab in-house is amazing yes it makes a bit it makes a big
difference because we did a show in Tampa the morning blend and now is one
thing that they were very impressed and hit on on this morning talk show and you
know it's it's very important for patients to know this and it's something
that that I think makes a huge difference because I feel like that we
have the best of the best in each category here so from like you you know
talking to people on the phone and working they're working through their
fears I know you do and and not everybody does but working through their
fears to answer their questions and get them to come in and you know to the
implant consult and the coordinator is making you feel very where it's not like
you're really self-conscious about being here or scared about being here or
embarrassed about being here and to you know the the restorative
doctors we have like you know with doctrine if I was just unbelievable in
what he does and in patients love them so typically our out-of-state patients
they'll come back to see him for their cleanings every you know every six
months they'll fly in or drive in to see them from out of town just because
they're comfortable with him to our lab technicians who are here in-house and
that's with the teeth being made here and the lab technicians here if there's
an issue or a patient has a question we don't have to call the lab in California
we don't have to send them out and have something done and wait on them to come
back wait on your teeth to be shipped back
usually the lab technician or the lab artist is what I call them can come out
look at you talk to you figure out what the problem is and correct it right
there on the spot you know and that's that to me is priceless to have that
here and then the final teeth are fabricated here so you know the quality
control checks are here you know so nothing leaves the lab until we're happy
with it so that's important the procedure is done in one day we talked
about the temporary teeth being acrylic and the final teeth being zirconia and
here are two of our implant coordinators Shawna and the blue shirt and Debbie in
the black blazer you'll either you'll meet with one of them two or possibly
even Emily if you come in for a consult and so you'll get to know you know
you'll get to know these people here that's doctrine to follow and that is a
terrible picture of me that is my surgical staff and you know you'll get
to know Corey Amanda and Charlene because it is a small it's a very big
office square footage-wise because we have everything here but it's a very
small office with and we want it to have that small office feel so you get to
know us on a personal level and patients call in and be like they'll ask for
Amanda hey I need to call and schedule for not my post-op appointment or
you know my evaluation so you'll get to know them so our anesthesia team Jack
Daniel and Kim cherry you know they both have years and years of experience
they're very good at what they do so they make it very comfortable and
provide safe anesthesia this is our entire team and this is the office that
we have in Lakeland so you know you can see that we do have about you know
40-something employees and that's what makes this place run it is you know we
call it the dream team and and for good reason because the way you can change
patients lives on a daily basis I mean it does make their dream come true thank
you for watching thank you guys for being on here Thanks
thanks bye if you would like to view more informational videos on new teeth
now please click the subscribe button here thanks for watching
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