Implants placed during OMFS residency

[slapa]

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Those who are in OMS residnecy, please post how many implants on avarage do you place during residency. Thanks a lot!

 

[drhobie7]

It'd also be interesting to know about frequency of bone grafting (be it for implants or some other recon procedure): Ant and post ICBG, tibia, calvarium, symphysis, ramus. I feel this is one of the unique qualities OMS brings to the table in implant therapy. Oral and maxillofacial surgeons are experts at harvesting autogenous bone and utilizing it (as well as alloplastic, xenoplastic, and ceramics) for reconstructive surgery. It's a weekly surgery at many OMS programs. Many implant patients won't be ready to drop the fixture in. They will need site augmentation. Bio-Oss is fine in the sinus, but not so effective in other applications.

 

[LSU-Cowboy]

i'm interested to see how many others are placing at other programs

 

[Concepcion10]

bump

 

[live]

great thread. Please respond if you're a current resident and also maybe do a little bit about how you place most of them (singles, complex cases, good mixture, do you work with pros dept at all, etc.) And, for the people doing >150 will you say where you're training at?

 

[mike3kgt]

It'd also be interesting to know about frequency of bone grafting (be it for implants or some other recon procedure): Ant and post ICBG, tibia, calvarium, symphysis, ramus. I feel this is one of the unique qualities OMS brings to the table in implant therapy. Oral and maxillofacial surgeons are experts at harvesting autogenous bone and utilizing it (as well as alloplastic, xenoplastic, and ceramics) for reconstructive surgery. It's a weekly surgery at many OMS programs. Many implant patients won't be ready to drop the fixture in. They will need site augmentation. Bio-Oss is fine in the sinus, but not so effective in other applications.

Pros is going away from requesting exotic and extensive bone grafting unless for facial/prosthetic major reconstruction cases. Now ramus, chin, or other intra-oral sites can be very rewarding.

Yeah yeah yeah, I get your potential "why is a prosth guy telling us how to do our surgery..." Well, we're not. But you have to understand that when our very demanding and particular patients have concerns about treatment, they come to us. I have a difficult time letting them feel good about an Iliac graft and all the potential morbidity for a couple dental implants. I've had about 50-60 implants placed for me by other residents at my school and no cases required extra-oral grafting.

I love working with an OS... they just know how to get the impossible done and really well (so long as I give them what they need... i.e. a good guide). Find a good comprehensive program that covers everything (including Iliac grafting, implants and recon) and don't get caught up in one aspect treatment.

 

[drhobie7]

Pros is going away from requesting exotic and extensive bone grafting unless for facial/prosthetic major reconstruction cases. Now ramus, chin, or other intra-oral sites can be very rewarding.

Yeah yeah yeah, I get your potential "why is a prosth guy telling us how to do our surgery..." Well, we're not. But you have to understand that when our very demanding and particular patients have concerns about treatment, they come to us. I have a difficult time letting them feel good about an Iliac graft and all the potential morbidity for a couple dental implants. I've had about 50-60 implants placed for me by other residents at my school and no cases required extra-oral grafting.

I love working with an OS... they just know how to get the impossible done and really well (so long as I give them what they need... i.e. a good guide). Find a good comprehensive program that covers everything (including Iliac grafting, implants and recon) and don't get caught up in one aspect treatment.

Very true. Extraoral grafting is primarily the realm of academics. Unfortunatley, that's true for a lot of the surgery done in residency, but it's what we residents like chatting about and comparing cases. I recently saw a presentation by a private practice OMS who does a lot of pterygoid and zygoma implants rather than sinus augmentations. It was pretty cool. He had a great success rate (97% over >1000 implants, over >5 yrs).

 

[drhobie7]

At UCLA we work closely with pros. It's a great relationship.