Full-Arch Restoration - Mission Possible
"Exploring the Full Arch Solution,” will address the key elements doctors should consider when determining whether a full arch solution will provide the patient with the best possible long-term outcome.
Listen to the Hybridge Podcast:
Episode 1 - Exploring The Full-Arch Solution
Watch the Hybridge Podcast Video: Episode 1 - Exploring The Full-Arch Solution
Randall: Full-arch hybrids are transforming restorative dentistry, and the Hybridge full-arch protocols are revolutionizing the way doctors perform full-arch cases. So with that in mind, I'm pleased to announce an exciting new podcast series exploring the world of dental restoration. The series is called Full-Arch Restoration Mission Possible. In order to ensure that you had several ways to access the series, based on your own preference and time, the series is also available in a video format and can be accessed at HybridgeNetwork.com. Thanks for joining us and welcome to Full Arch Restoration, Mission Possible.
Randall: Hello and welcome to Full-Arch Restoration Mission Possible. I’m Randal Simonetti, and over the next few months, this series will explore many of the aspects associated with full-arch restoration. We will consider the clinical, financial and reputation issues doctors and patients will face during this process. Guiding us on this journey will be two of the nation's most accomplished practitioners in the field of full-arch restoration. Dr. Frank and Dr. James LaMar. Joining me today is Dr. Frank LaMar. Dr. LaMar has been practicing restorative Dentistry for over 25 years and has completed over 1700 full-arch cases. He is the co-founder of Hybridge Dental Implants and the visionary behind the Hybridge and Hybridge XD protocols. Thank you for joining me today Dr. LaMar. It’s great to be here Randal. I’m looking forward to these conversations.
Randall: Dr. LaMar, when you meet with a patient and discuss a full-arch restoration, what are the factors that determine whether this would be the best option?
Dr. Frank: You know most of our patients come in uncertain whether or not Hybridge is the right option for them and some don't even know what Hybridge is. So as we evaluate them we usually start off by defining what their treatment of ejected are. In fact I'll say, you know if we were to be already finished with treatment, imagine what we would have had to accomplish for you to be happy that you did it.
Randal: So starting with kind of a picture of the final?
Dr. Frank: Yeah, and so they'll define two maybe three things that have to be accomplished, and then when we look at the clinical in the radiographic information that we’re evaluating, we try to determine how the dentition that they walk in with can go along with the objectives of treatment. We do what's called prognosis based treatment planning. We're used to doing that on individual teeth, but when we're looking at doing full mouth rehabilitation, you really have to look at it comprehensively as the whole mouth and so if you're the patient for example, and you present with you know mostly a full dentition, we're going to look at the teeth that are remaining and try to put the teeth into three different three different categories. We're going to look at putting teeth into either the hopeless category, the fair category, and the excellent category. And really because these the objectives for most of these patients is long-term success, teeth that don't fall into the excellent category regarding prognosis, generally are not going to be dependable and they're not going to get them long-term. So we bring him through this conversation of what's available to work with and we do this visually sometimes. We’ll have their panorex image on a screen and I can annotate on that and I can just one by one look at each of the teeth that exist and put them into one of three categories. It becomes very clear quickly how many good teeth are there and it's really eye-opening not only for the patient but for me. So as we treatment plan to decide whether a patient is appropriate for full-arch restoration the picture just kind of evolves as we're doing this prognosis evaluation and if there aren't a majority of teeth that have an excellent prognosis, generally speaking all good options start with no teeth. On the opposite, if a patient presents with the majority of teeth having an excellent long-term prognosis, defined as over 10 years, then the conversation kind of comes around to if the teeth are going to be there long term and are going to provide function, what is it that we have to change about the teeth to make the patient happy.
Randal: And is that often anesthetics discussion?
Dr. Frank: Usually it is, or it's a patient who has a general feeling that they have poor dental health but only because there's one two or three teeth that are really problematic they're walking around with a toothache or there's chronic pain or there may be something visual that they're looking at that makes them think that their teeth have a poor prognosis, when in fact eliminating those few problems leaves the majority of really good teeth health wise and so those conversations happen almost as much as the other conversation which is having to tell a patient, unfortunately, the teeth that they have are not going to bring them down the road to long-term success. Sometimes those are emotional conversations.
Randal: So it sounds like you really have to have excellent bedside manner when you talk to a patient about this because it's a fairly significant undertaking both financially and physically.
Dr. Frank: You know it's, emotional, and some patients will walk into the office being fully aware that their teeth are not good teeth. Sometimes they're not really aware, and females, in particular, tend to be much more emotional about the potential of losing their natural teeth. So when we're in consultation mode there's usually a box of Kleenex right next to where we're talking and I'm gauging how aware are they of their current situation. And we tread sometimes a little light as we start to introduce this idea that the majority of their teeth might not be worth working around.
Randal: Well it sounds like you take a very sensitive approach to this and it’s certainly required for this type of procedure. Well, thank you Dr. LaMar for your time this morning.
Dr. Frank: Thanks Randal. I think these conversations are important because as clinicians as we work with these patients all doctors bring something to the conversation relative to our experiences.
Randal: Absolutely and thank you for joining us today on Full-Arch Restoration Mission Possible
For more information, call (585) 319-5400 and we look forward to bringing you the next episode of Full-Arch Restoration Mission Possible.