Read More - Tatum Surgical

Volume 6, Issue 1
March, 2013
4500 140th Avenue North, Suite 112
Clearwater, Florida 33762
www.tatumsurgical.com
Phone: 888-360-5550
Fax: 727-531-6005
[email protected]
The Tatum Times
Inside this issue:
Tatum Institute “Atlanta”
2
“Simplified Approach to the
Edentulous Maxilla”
Dr. James Gibney
3-4
Oral SteriClean™ sanitizers
5
Welcome Nicole Wardstrom
Users of the Month
6
6
April Special
Buy 9 Tatum Implants
of your choice and receive
the 10th Implant
FREE!
"Feeling gratitude and not expressing it is like wrapping a
present and not giving it."
~ William Ward
We would like to THANK our wonderful mentors for
giving your Tatum Knowledge so freely to the ones
that ask! Our appreciation goes out to this group for
their continued support and assistance on our journey.
Additionally, we would like to acknowledge Dick
Borgner, Bernee Dunson, Ramon Parez, Joe Pedroza,
and David Resnick for their involvement and effort at
the Advanced Dental Implant Institute in San Juan,
Puerto Rico and the Tatum Institute Atlanta. They
have graciously offered their knowledge by teaching
the implant community that desires to learn more.
Tatum One-Piece
Implant Special!
Package #1 includes 10 Tatum One-Piece Implants of your
choice, and a Tatum Surgical Implant Kit for placing 3.0 and
3.5mm Tatum One-Piece Implants. The cost is $1000.00
Package #2 includes 20 Tatum One-Piece Implants of your
choice, and a Tatum Surgical Implant Kit for placing 3.0 5.0mm Tatum One-Piece Implants. All for only $2000.00
Please Call: 1 (888) 360-5550
*Special Includes One-Piece C&B and
Ball Attachment Implants
(Includes Housing and O-Rings)
and One-Piece Implant Kits
The Tatum Times
Page 2
www. tatuminstituteusa..com
The Tatum Times
Volume 6, Issue 1
A Simplified Approach to the Edentulous Maxilla
By: Dr. James Gibney
Utilizing a combination of sinus grafting, bone
expansion and conventional dental implants, a
technique is described for the implant supported
fixed restoration of the fully edentulous maxilla
in patients with the combination of a Division A,
B, or C-w premaxilla and SA- 3 or SA-4 maxillary sinuses.
Dr. James Gibney
Figure 1 Pre-operative condition 9-08-00
Sinus Graft Surgery
The patient is prepared for surgery using surgical aseptic technique. An IV is established and appropriate sedative drugs are
administered. Local anesthetic is administered to achieve anesthesia for the surgical procedure. A palatally oriented crestal
incision is made with mesial and distal release incisions. A full thickness flap is elevated to expose the lateral wall of the
maxilla. Using a #8 surgical round bur with copious irrigation, an oval shaped window is created in the lateral wall of the
maxilla without penetrating the sinus lining. This window is gently fractured inward and the sinus lining meticulously elevated
off the inferior, lateral, medial, anterior and posterior walls of the maxillary sinus without tearing. A collatape dressing is placed
in the superior aspect of the site and the site is grafted with irradiated cancellous bone plus 500 mg of amoxicillin (unless
penicillin allergic). Primary closure is obtained with 4-0 vicryl sutures. The procedure is repeated on the opposite side.
Implant Surgery – Anterior Maxilla
Bone expansion is used to place four “D” implants in the positions of teeth positions 6, 8,
9 and 11. Osteotomy sites for four implants are created using a series of specially designed
instruments. Implant site preparation is initiated by the use of mallet to drive a #15
scalpel blade, penetrating the soft tissue and bone in the desired implant locations. These
incisions are expanded by tapping a channel former to the full length of the planned
implant. The osteotomy sites are finished using a series of progressively larger socket
formers to form receptor sites that match the size and shape of the proposed implants. The
coronal threads of each implant are covered with a mixture of osteogen and blood and the
Figure 2 Bone Expansion Instruments
implants are inserted. Sutures are rarely required. The existing full upper denture is
modified to avoid contact with the implants for the four month integration period.
Implant Surgery – Posterior Maxilla
After a four month healing period, additional implants are placed into the grafted
posterior maxilla using the same bone expansion technique. These implants are placed
in the positions of teeth 3, 5, 12 and 14. At this time it is also possible to load the four
anterior implants. Appropriate abutment posts are cemented with resiment cement and
prepared with diamond burs under copious irrigation. An eight unit acrylic provisional
restoration is fabricated with single cantilever pontics in the positions of 5 and 12.
***When space allows additional implants may be placed. In this case an
additional implant was placed in the position of tooth #4 at a later appointment.
Figure 3 Immediate Post-op Posterior Implants
7-20-01
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The Tatum Times
www.tatumsurgical.com
Restorative
The maxillary posterior implants are allowed to integrate over a six month period. Appropriate abutment posts are cemented
with resiment cement and prepared using classic crown and bridge techniques. A full arch hydrocolloid impression is made
and the case mounted on a semi adjustable articulator. A six unit maxillary anterior fixed bridge and two three unit posterior
fixed bridges were fabricated and cemented with glass ionomer cement. Post op photos and radiographs were taken to
document the case.
Figure 4 Restored maxilla, occlusal view 3-17-02
Figure 7 Ten year Post op, Occlusal View 12-15-11
Figure 6 Post-operative Panorex 3-07-02
Figure 9 Ten Year Post op FMX 12-15-11
Ten Year Retrospective
This patient was seen for routine maintenance, at which time photos and a full mouth series of radiographs were taken to
document the case. A comparison of radiographs taken in 2002 with those taken in 2011 reveals no detectable bone loss.
Page 4
The Tatum Times
Volume 6, Issue 1
How Dirty is your Patient’s
Toothbrush?
Could you ever imagine using dirty silverware, dirty cups, dirty plates, or dirty bowls
without cleaning them before eating or drinking? Of course not! Why not clean your
toothbrush? Unlike most of the other things you put in your mouth every day, your
toothbrush has tightly packed bristles which form areas that hold on to moisture,
provide areas for germs, mold, bacteria, viruses and yeasts to grow and flourish which
can cause illnesses like flu, cold, and diarrhea and can be harmful to your health.
Scientific studies have shown that toothbrushes are an ideal breeding ground for harmful bacteria and germs.
Cold and flu viruses, even bacteria that cause gingivitis, travel from toothbrush to toothbrush when stored
closely together. This promotes re-infection and cross contamination of bacteria that is on the toothbrushes
which can affect your immune system and lead to harmful diseases. This especially happens when the fine bristles in your toothbrush make tiny incisions in your gums injecting harmful germs directly into your bloodstream.
Bacteria and harmful germs are introduced into your toothbrush in many ways. Some bacteria comes from your
own mouth, others are airborne, and a lot of bacteria is placed on your toothbrush from water droplets that are
launched form the toilet when you flush. Whichever way bacteria and harmful germs get into your toothbrush,
the germs are there to stay and can be harmful to your health. If left unchecked the bacteria will multiply, filling
your toothbrush with colony after colony of potentially disease causing germs. By the time you replace your
toothbrush there could be thousands, if not millions, of bacteria in your mouth every time you brush.
Oral SteriClean™ sanitizers use
the same UV technology found in
hospitals, medical and dental
offices, and high-end water
purification systems to kill the
germs where they live-in your
toothbrush. The UV rays penetrate
deep into your toothbrush where
you simply can’t reach when
running your toothbrush under the
tap, then safely and effectively
obliterate up to 99.9% of diseasecausing germs and potentially
harmful bacteria.
Oral SteriClean™ eliminates up
to 99.9% of germs including
strep, salmonella, e. coli,
listeria, staph, pseudomonas,
and even the H1N1 virus.
Travel Size
Family Size
Using Oral SteriClean™
sanitizers is simple. Oral
SteriClean™ automatically
sanitizes your toothbrush
every time you brush and
keeps it germ free!
Would you like to help your patients and staff at the same time?
If so, Contact: Teri Birney at
(727) 643-5980 or [email protected]
Page 5
Tatum Surgical expands into Canada!
We would like to welcome Nicole Wardstrom to the Tatum Surgical
team. The passion for dental implants was established during Nicole's
years as the coordinator / surgical assistant for the Canadian Dental
Implant Training Centre and the Vancouver AAID Maxicourse. Having
a great respect for education and the credentialing process, Nicole
was / is the first dental assistant in Canada to receive her Fellowship
with the Association of Dental Implant Auxiliary through the International Congress of Oral Implantologists. A dedicated volunteer Nicole
is the current President of the Certified Dental Assistants of BC and
lectures with the ICOI to support auxiliary education.
Moving forward with the evolution of her career, Nicole has started
her own dental supply company, Implant Evolution, and is the sole
Canadian distributor for Tatum Surgical implants and instruments.
With her passion for education burning bright, Nicole enjoys supporting AAID Maxicourse participants and surgical implant study clubs
across Canada and the USA.
Nicole can be reached at:
www.implantevolution.com
[email protected]
604-803-5495
Users of the Month
We are pleased to announce our
Users of the Month
for October, November, and
December 2012. For this
accomplishment, these clinicians
will receive four complimentary
implants of their choice.
October
Dr. Akash Lapsi
Laguna Hills, California
November
Dr. Vincent Liang
Milipitas, California
December
Dr. Frank Sung
Houston, Texas
Visit us at:
www.tatumsurgical.com
Tatum Surgical
will be at the
upcoming
AAID meeting
in Philadelphia.
Please stop
by our booth!
Page 6