Changes in Dental Implant Protocol
After attending a multi-day advance dental implant and bone grafting course in Miami including a cadaver workshop, I bring you the latest tidbits in the field. (By the way, the cadavers donated to science were not the formaldehyde embalmed type from medical/dental school days; they were the “freshly deceased” type who passed less than thirty days prior and were put on ice only to be defrosted the night before our course. We only got the heads, but were told that after the course, the heads would be returned to their respective bodes for burial. I hope there are no mix ups; no one should lose their head over this.)
These points are straight from research conducted by the speaker who is the head of the perio-implantology residency program at University of Florida:
- Bovine (cow bone) bone grafts tend to inhibit BGR (Bone Graft Regeneration). Freeze dried human cadaver bone grafts are 100% safe and more successful
- Peridex (Chlorohexidine) rinses following implants or bone graft surgery actually inhibit fibroblast cells; the needed cells to form collagen and bone. It is better to use Listerine as a rinse.
- All patients with implants or a history of periodontal disease (pockets, gingivitis, previous deep scaling procedures, etc.) MUST be “seen and cleaned” by the hygienist every THREE months, not four to six. Research shows that the bacteria re-populates to a destructive level after three months after your last cleaning. This results in pocket formation and bone loss around natural teeth and implants.
- To reduce the failure rate of upper back implants (maxillary posteriors), patients should consider sinus lift surgery performed in the mouth by the dentist who is placing the implants. This allows us to place longer implants which will have a higher success rate.
- ALL extracted teeth must have a bone graft placed, even if you are not intending to have an implant. 1: you may in the future, and 2: It prevents your cheeks and lips from caving in creating a gaunt older facial expression.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry with an emphasis on implants, porcelain veneers, and complex crown and bridge treatment. He is on staff at JFK Medical Center and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.