how many implants

[alxspider]

How many implants should be placed by a resident to be considered adequate to be considered well trained? I have read that some omfs programs only place around 20-30 total per year (which I guess is shared between residents).

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[jkjake]

our program resident places over 150 implants.

 

[Sublimazing]

our program resident places over 150 implants.

What program is that?

 

[sed8nyank4u]

Competence will be different for each person. Some need to place 5 while another needs to place 50. There is no standard-which is a bit baffling.
Surgical placement of dental implants is technically easier than a class 2 prep. The technique and mechanics have greater room for deviation and room for error when compared with the tenths of mm restorative dentists are working with.
Programs do not generally advertise, openly disclose, or guarantee number of placements. What one can count on getting is the knowledge of when to hold 'em and when to fold 'em. Knowing why and when not to operate and to deal with complications is hopefully the knowledge cache and skill set where you will get a jump-start in residency. It is certainly critical and arguably more valuable than knowing how to drill a hole in the bone and put a screw into it. 🙂

After all that it comes down to comfort level. The more you can place the better. If you still feel shorted on implant experience after a residency there are a lot of hands on programs to fully immerse yourself in implantology. Here is one that I can highly recommend.
Www.Implantologycourses.com

Edit: @DaleDoback but there are others too. Liveimplanttraining.com
http://www.implantseminars.com/Livepatient.html
http://www.centerforard.com/courses/puerto-vallarta-hands-on-live-patient-implant-courses
http://gdia.com/courses/live_courses
http://www.handsonsurgery.org/programsandclasses.html
http://www.implantsinparadise.com/files/2012/11/22C829F5-ABD8-4F9B-AEB3-79E519F968791.pdf
https://implanteducation.net/live-patient-surgical-externship.html
http://handsonimplantinstitute.com/courses
http://www.islandimplant.com/courses-jamaica.html

Trust me the first is the best. 😉 I hope that is less of a commercial for you. 🙂

 

[DaleDoback]

Competence will be different for each person. Some need to place 5 while another needs to place 50. There is no standard-which is a bit baffling.
Surgical placement of dental implants is technically easier than a class 2 prep. The technique and mechanics have greater room for deviation and room for error when compared with the tenths of mm restorative dentists are working with.
Programs do not generally advertise, openly disclose, or guarantee number of placements. What one can count on getting is the knowledge of when to hold 'em and when to fold 'em. Knowing why and when not to operate and to deal with complications is hopefully the knowledge cache and skill set where you will get a jump-start in residency. It is certainly critical and arguably more valuable than knowing how to drill a hole in the bone and put a screw into it. 🙂

After all that it comes down to comfort level. The more you can place the better. If you still feel shorted on implant experience after a residency there are a lot of hands on programs to fully immerse yourself in implantology. Here is one that I can highly recommend.
Www.Implantologycourses.com

Funny, I usually fast forward through commercials.

 

[alxspider]

What is the average number placed by most residents? I am not talking about the exceptions, but more of the average residency programs?

 

[Sublimazing]

Is a program related to dental implants?

I want to say...a hard maybe

 

[ub4me]

What program is that?

Yeah what program is placing 150? Probably OMFS

 

[bigmgreen68]

Well I know in residency I placed over 60 implants as the surgeon which didn't include cases I assisted on. These comments about comparing implants to class 2 preps are amusing. If you think you are competent in placing implants after 5 implants that is scary. In implants treatment planning is 75% of the battle . You don't get that from 5 implants. Also if you can't manage the complications you probably shouldn't be doing the surgery

 

[bigmgreen68]

Oh and I was one of 4 chiefs so we probably average several hundred per year as a program

 

[CayleStanley]

I agree five and competent is scary. I went to the Johnny Wu implant course in November and he broke it into 4 steps:

Step 1: you cut a hole in the gum
Step 2: you cut a hole in that bone
Step 3: you put a screw in the bone
Step 4: count your money at your home


With those 4 complex steps you clearly need to place at least 150 a year for competence. proven. I ve seen these blocked off for four hour appts with complex dental photography intertwined with amazing soft tissue control.

 

[Quattro DMD]

You could do 150 easy slam-dunk implant cases or 50 hard/complex cases....which prepares you more for placing them in private practice? Follow-up is also a big deal as well. I've heard of several GPR programs that let the residents place 80+ implants in they PGY1 year alone.....and then they graduate and don't get to follow-up with the results......how many of those will fail within the first year.....how many will develop peri-implant mucositis/implantitis.

I saw a new grad on dental town that placed an implant in the #14 spot in conjunction with a osteotome sinus lift....2 months later the implant is floating in the sinus....she had been doing implants for 3 months....that was her 6th or 7th implant.....

 

[CayleStanley]

You could do 150 easy slam-dunk implant cases or 50 hard/complex cases....which prepares you more for placing them in private practice? Follow-up is also a big deal as well. I've heard of several GPR programs that let the residents place 80+ implants in they PGY1 year alone.....and then they graduate and don't get to follow-up with the results......how many of those will fail within the first year.....how many will develop peri-implant mucositis/implantitis.

I saw a new grad on dental town that placed an implant in the #14 spot in conjunction with a osteotome sinus lift....2 months later the implant is floating in the sinus....she had been doing implants for 3 months....that was her 6th or 7th implant.....

Not in the sinus??!?! Someone page ent stat!

 

[bigmgreen68]

Please refer to your nearby oms for removal!