Author Bryan McLelland

EP016: Good to Great, Cement Leads to Implant Failure, Peri Implantitis Treatment Guidelines

Interesting Case ButtonJack Canfield supplies a juicy quote about FEAR to start this episode.  We then break into the last paper in the ITI consensus group and discuss Peri implantitis Treatment Guidelines.  We continue on our book review of Good to Great by Jim Collins.  Pay systems are discussed in the context of attaining the best out of people.  Being rigorous but not ruthless is important and minimize churn.  Details on how to know if you have the correct person are highlighted.  The interesting case goes over a long term implant failure secondary to cement retention.

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EP015: Good to Great, Loading Protocols for Dental Implants, Implant Complications, Cleft Bone Grafting with BMP

Interesting Case ButtonIn this episode, we begin a new book review which will be the best to date.  Jim Collins and his book Good to Great will be discussed in the upcoming episodes starting with this one.  We’ll also discussed implant complications and management of those complications.  The interesting case will be a cleft lip and palate patient that has an alveolar bone graft using bone morphogenic protein.  Pictures during the surgery will show the size of the defect, the anatomy of the defect and filling of the defect.  This show will not disappoint!

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EP014: Implant Loading Protocols, 80/20 Sales and Marketing Finale and CO2 Laser Frenectomy

Interesting Case ButtonIn this episode we finish our review of 80/20 Sales and Marketing by Perry Marshall.  In addition we go over the ITI Consensus Statements on implant loading protocols and review a case of ankoglossia.  This tongue tied patient had the frenulum released using a CO2 laser in the office.  You will find a video showing the procedure in real-time with a giggling 11 year old!

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EP013: Emergencies and Protocols in the Dental Office Part 5

Most days in the dental office are pretty routine with drill and fill but every now and then the emergency demons come out to play.  This is episode one of this five part series on emergencies that can and will happen in your office and how to plan ahead so that you can effectively deal with these situations as a team.  I recommend that you have all of your team members watch and listen to these five episodes and when on boarding ANY new team member have them watch the series at www.dentistbraincandy.com

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EP012: Emergencies and Protocols in the Dental Office Part 4

Most days in the dental office are pretty routine with drill and fill but every now and then the emergency demons come out to play.  This is episode one of this five part series on emergencies that can and will happen in your office and how to plan ahead so that you can effectively deal with these situations as a team.  I recommend that you have all of your team members watch and listen to these five episodes and when on boarding ANY new team member have them watch the series at www.dentistbraincandy.com

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EP011: Emergencies and Protocols in the Dental Office Part 3

Most days in the dental office are pretty routine with drill and fill but every now and then the emergency demons come out to play.  This is episode one of this five part series on emergencies that can and willhappen in your office and how to plan ahead so that you can effectively deal with these situations as a team.  I recommend that you have all of your team members watch and listen to these five episodes and when on boarding ANY new team member have them watch the series at www.dentistbraincandy.com

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EP010: Emergencies and Protocols in the Dental Office Part 2

Most days in the dental office are pretty routine with drill and fill but every now and then the emergency demons come out to play.  This is episode one of this five part series on emergencies that can and willhappen in your office and how to plan ahead so that you can effectively deal with these situations as a team.  I recommend that you have all of your team members watch and listen to these five episodes and when on boarding ANY new team member have them watch the series at www.dentistbraincandy.com

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EP009: Emergencies and Protocols in the Dental Office Part 1

Most days in the dental office are pretty routine with drill and fill but every now and then the emergency demons come out to play.  This is episode one of this five part series on emergencies that can and willhappen in your office and how to plan ahead so that you can effectively deal with these situations as a team.  I recommend that you have all of your team members watch and listen to these five episodes and when on boarding ANY new team member have them watch the series at www.dentistbraincandy.com

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EP008: Omni Grip Screws & Special Guest

Interesting Case ButtonIn this episode Dr McLelland and Nick Grishin with Golden Dental Lab in Spokane will be discussing a cool new product called the Omni Grip screw by Nobel Biocare which will allow for angulation corrections up to 25 degrees.  This is useful in the Esthetic Zone but also in the posterior where interarch space is an issue.

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EP007: Thrive rather than just survive, 80/20 Sales and Marketing, Esthetics and Dental Implants and Missing front teeth are replaced with Implants concluding with a beautiful smile.

Interesting Case ButtonQuote of the Day

Maya Angelou born in 1928

My mission in life is not only to survive but to thrive and do so with some passion, compassion, some humor and some style.

More than 50 honorary degrees

80/20 Sales and Marketing by Perry Marshall

Chapter 20

Getting famous by polarizing your market

  1. Not interested
  2. Mildly interested
  3. Interest
  4. Interested Now
  5. Extremely interested
  6. Fascinated and Transfixed
  7. Insanely Obsessed and Addicted

Chapter 21

8020 Market research in an afternoon

Glenn Livingston

PhD in Advertising

  1. Decide what one key work you want to advertise and use on Google Adwords

www.perrmarshall.com/google Free online course

 

Look on You Tube and search the word, Blog search on www.technortai.com for the keyword/phrase and search the comments and then google alerts and find the most emotional and engaged comments and the language they use.

 

Send out survey’s with 3 questions:

  1. What is your single most important question about ______ (insert keyword here)
  2. Why would it make a difference in your life to solve this problem
  3. How difficult has it been to find answers to the above question?

Analyze the longest and most emotional results and analyze to discover the problem and language to use in marketing.

ITI Consensus Statement

Group #3

Optimizing Esthetic Outcomes in Implant Dentistry

Restorative Procedures affect esthetic outcomes

Limited RCT and data accuracy about this topic

Simple, Advanced, Complex ranking system allows you to rank the complexity and difficulty of implant cases.

Prevention is key because sometime it is impossible to improve the esthetics after the implant is in place.

1mm or greater of midfacial recession 25% over time with implant placement 9-41% range

Thin facial bone or a lack there of, facial placement of the implant and thin biotype all lead to recession.

A small number of studies suggest that there may be no recession with immediate placement.

Esthetic results can occur with immediate, early or late implant placement but each has it’s own challenges

Immediate implants require a clinician with a high degree of skill.  

Correct implant placement with 2mm of bone between the facial surface of the implant and the facial soft tissue.  If this cannot be met then early placement is preferred.

Use ridge preservation and soft tissue grafting may be required.  There are no consensus on what procedures are best or preferred.

A team approach is recommended, diagnose the problem, set appropriate patient expectations and smile line.  Look at the restoration contour and implant position.

Grafting and salvage of unaesthetic implants is unpredictable.

Platform switching can be helpful to improve esthetics.

Immediate loading is only recommended in the esthetic zone and limited.

Avoid over contoured restorative materials and abutments.  Use esthetic abutments in the esthetic zone!

Case Presentation

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Screw retained temporary restorations are used during uncovering to hold the palatal roll forward for 10-12 weeks to maximize facial soft tissue esthetics and volume.

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