Florida Dental Implants New Teeth Now Webinar – Dr. Harley Richards, 2018

Florida Dental Implants New Teeth Now Webinar – Dr. Harley Richards, 2018

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(Emily) Thank you for joining us here at new teeth now where shortly we will be talking with no other than Dr. Richards
our very one and only who does this very special new teeth now procedure. So if
you have been interested in replacing all of your teeth, you’re tired of your
dentures, you have a lot of failing or decaying bad dental work going on, you
need to come in and you need to see this guy. How are you doing this evening? (Dr. Richards) I’m very well. (Emily) So talk to me and us a little bit about what new teeth now is. (Dr. Richards) Well Emily as you know and the viewers this is a procedure where we bring a person in in the morning. You have to
understand first of all there’s pre-planning. So we’re gonna
assume that all of the pre-planning is done. So a person would come into the
office in the morning, have a little interview with the
anesthetist, be put to sleep and then I would do my thing which would involve
various techniques depending on whether the person has teeth or no teeth.
Depending on whether the person has good bone or very little bone, we do various
techniques. We don’t just do implants. We do traditional implants. We place a lot
of Tilted implants. We do zygomatic implants. We can do subperiosteal
implants. We do all sorts of different techniques but so whatever we’re going
to do we do which involves taking impressions and getting all of the
records to the labs so that the same day teeth their new teeth that they’re going
to get that same day are fabricated. And then while the person is awakening from
the anesthesia the teeth are being fabricated in the lab and then we put
those teeth into their mouth afternoon. So it’s a one-day thing where
they come in around 7:00 and leave around 4:00 totally transformed. (Emily) All done
in just a single day. (Dr. Richards) Right all in a single day. (Emily) so you were talking a little bit about how before the actual surgery day they would have had preliminary work
and that would involve what a consultation? (Dr. Richards) That, that would involve
seeing me okay and reviewing their CT scan looking at a person’s medical
history. Determining whether they need to have a medical clearance from their
physician or cardiologist or pulmonologist or endocrinologist or
whatever ologists they have and then they would see our restorative dentist,
dr. Dibbs who you guys will meet later in this broadcast. We have a short video
of dr. Dibbs and so they have the opportunity to chat with the surgeon
chat with the restorative dentist so that we can get the preoperative records
and get everything taken care of beforehand that needs to be so that we
can proceed and do everything in one day. (Emily) And their teeth would be ready for
surgery, I’m assuming. (Dr. Richards) Correct. So the surgical guides and all of that sort of thing are
ready for the day of the procedure. (Emily) That’s brilliant because we have so many
people that call in and tell us how you know they’ve never heard of teeth in a
day it’s a long process. So let’s jump to a little bit about you. You are actually
modest about this and you don’t talk about it very much but why is it so
important to be board-certified. (Dr. Richards) Well any doctor in any specialty may be
board-certified and that’s just shows that that person has attained a level of
knowledge based upon a standard which has been established by their colleagues
who are also in that field. So that’s what I think. (Emily) That’s amazing. And you’ve
got over 35 years of dental experience. How’s that possible you’re not even
older than 35. You’ve been doing it since you were born! (Dr. Richards) Actually I started in Lakeland in July
nineteen eighty so I’ve been here 37 years and I grew up here as you know. So
I’ve been around Lakeland my entire life and finished dental school though in
1976. And what a lot of the viewers may not understand the difference between a
general dentist and a board-certified oral and maxillofacial surgeon. So after
dental school I completed what they call a fellowship year in general anesthesia
at my Duval Medical Center which is now shanz Jacksonville. So I spent a year in
operating room doing nothing but putting people to sleep and doing spinals and
you know various other things sort of functioning like a nurse anesthetist
under the guiding hand of an anesthesiologist at first and then later
sort of transitioning out a little bit you know less supervision and less
supervision and after completing that year then I did another three years of
medical rotations and you know the remainder of the residency in oral and
maxillofacial surgery at the same hospital so but most all oral surgeons
do at least four years after dental school and nowadays a lot of the
programs are six years after dental school and the person ends up with a
medical degree in addition to a dental degree so there are a few more of those
types of oral and maxillofacial surgeons around
well those more and more of the programs have gone six years so there’s a big
difference when you’re as a consumer you’re out there hunting for someone to
do you know your jaw surgery you’d rather go to a qualified oral and
maxillofacial surgeon than you would a general dentist who’s taken weekend
courses on how to place implants so you have to be careful about that
and you’re also the innovator of new teeth now
so you and dr. muscle started this practice
correct correct and what made you go from the traditional long full procedure
to what you guys are capable of doing now well when I look back over the years
and we have muster and I have been doing these for 25 years at least and we’ve
done teeth in a day teeth in three days teeth in a week and I think what we are
doing now I don’t think I know what we’re doing now is a consistently better
end product than what we have done in the past
and what we are doing now this one-day procedure where a person comes in and we
put them in a set of teeth in one day in that eight hour time period and then we
oversee the healing and during that time there’s going to be swelling and then
shrinkage and then when we make the final teeth after everything has healed
the teeth may be closely adapted to the tissue because the tissue will have
totally settled in that four or five months of healing and there are some
other doctors around the country who still like to go to the teeth and a day
or two days and the problem with that is you’re limited to typically plastic
teeth because of the manufacturing process and the teeth are adapted to
tissue that has just been recently operated on so that tissue has to swell
and then shrink so the teeth aren’t optimally adapted to the tissue and the
person doesn’t have the opportunity to wear a set of teeth sort of test drive
the teeth to see if they like the teeth that they’ve selected whereas with what
we are doing a person is going to get same day set of teeth that they’re going
to wear while their implants are healing and then they have the opportunity when
their final teeth are made to select something a little bit different if they
don’t like what they have and it also gives them a fixed reference point from
which to make changes so right it’s it’s a very good what we’re doing now works
really well I mean you can’t make every person happy every time you nobody
there’s nobody job okay nobody can do that
we have to understand that from the get-go but what we are doing now I think
is consistent and most everyone is happy oh definitely and I think our reviews
reflect that yeah big time you know anybody can do as much research as they
possibly can and you will find amazing reviews we do these live webinars as a
public service yep because most dentists don’t believe that we can do what we do
know okay we’re here every day in our consult that the person is shocked that
they’ve been told this cannot be done I don’t I’ve been told I don’t have enough
bone to have this done but it just can’t be done in our colleagues who are
dentists to primarily general dentists don’t believe this can be done and I can
remember maybe 15 years ago when we really made a commitment I mean a a
really solid commitment to take our business model in this direction that a
couple of local general dentist invited me out to dinner one night and they just
like blasted me because that you can’t do this and you can’t do that and you’re
misleading people that you can do this that and the other yeah and what’s
interesting is now if you look at any of the big meetings the the AOM s dental
implant conference that we just attended and she
the first week of December it’s all about teeth in a day all about local
doctor I’ll throw out the name of dr. Pecos huge meeting up in Orlando
back in November all about this subject why and so now here it is 15-20 years
later and things finally caught up with us dr. Sklar and Miami I mean you look
on the internet everywhere you look the big dogs are all doing this and they
want you to come pay so they can teach you how to do it and they still don’t
have the same setup that you’ve created no nobody has the nose has it balanced
right and they haven’t been doing it as long no no wait even even the big dogs
right the big dogs send people appear yeah you’ve treated a lot of those cases
I give out for that because they call in and I’ve had to schedule them in with
you because of that so much talking of the previous business model I just want
to take a look at this slide really quickly that’s a traditional kind of
idea of what what we do what new teeth now is so all the teeth are removed four
implants are placed here what’s the difference between what you do and this
picture a very a very similar concept I usually place six implants in the upper
but the I think the fixed upper hybrid fixed means it does not come in and out
its fixed into place to me the hybrid is a situation where the position of the
implants and the position of the teeth is disconnected okay when you’re doing
traditional implant dentistry where there’s gonna be caps on it on the
implants the implant has to be placed very site-specific so you’re talking
about a single tooth if I needed one tooth or even a bridge or even a full
arch of crown and bridge yeah dental implants the implants have to be
placed in a very specific spot and that is where the tooth is going to be right
because that’s the area you’re missing right when we’re doing this type of work
where we’re doing a full arch where the person is missing a lot of bone the
implant can’t necessarily be placed where the tooth is going to be and so
the implants are placed independent of where the individual teeth are going to
be and so if you look at that illustration and there’s four implants
but there’s 12 teeth or you could have five implants and 12 teeth right he’d
have six implants and 12 teeth but those six implants do not have to be site
specific to exactly where a tooth is it’s not an implant pattu so it’s a
hybrid mm-hmm it’s an implant supported bridge but it’s not your typical crown
and bridge work on dental implants okay I’m glad that you spoke about that
because we get a lot of questions about single implant so yeah why can’t you do
single implants in a day but that makes perfect sense yeah a lot of these people
that come in that they’ve been wearing dentures for a long time they don’t have
enough bone to put the implant where it needs to go and then the tooth would be
like really long because they’re missing bone and they’re also missing tissue and
so it just wouldn’t look good as a traditional crowning bridge go implant
situation you know these teeth these examples that we have up here a lot of
these teeth will have some fake gum because that has to replace what the
person is missing but that’s not noticeable in their mouth depending on
whether they have a high lip line when they smile it may not yeah but to be
honest with you even when I trained up at the front desk before I started
taking phone calls and you know doing what we do now I would see people and I
would recognize them the change in people after this
procedure is immense truly so you know the ladies would come in it and their
makeup in the hand I’m like I recognize you you know I don’t know why I
recognized you and then they like don’t you remember I came in and it was you
know few weeks ago and they’re only in their temporary teeth with the acrylic
gum and they’ll just look you have to understand that if a person comes in
with let’s just say they have periodontal disease everywhere oh and
you literally if you’re within a conversational distance if it was you
and me and I had really bad periodontal disease yeah you would smell it and they
know okay yeah and so you know people will use you know mouthwash and they’ll
suck on mints and they’ll do everything they can because they know and you take
out all of those diseased teeth and clean up all the diseased bone and give
them a nice looking set of teeth that are fixed in their mouth and you’re darn
right they change right I mean they come out of their shell big times because
they have confidence and they can get up close to somebody and talk and you know
it’s okay right so that’s a huge I mean that’s huge and the eyes and the teeth
are the biggest thing that somebody would notice aren’t they they’re the
first things that who are you intentionally only talking to somebody
let’s take a look at Bruce Ernie who is an incredible guy that you treated and
he was actually one of these people that that change for the better
right so let’s watch his testimonial I used to smile constantly every picture
that was ever taken me smile here to here now not so much
we’ve been married for a year and a half now together for two and a half years
sadly he doesn’t smile like he used to because he’s so self-conscious I started
losing more Ortiz and that’s when I went to see dr.
Richards and Florida dental implants after I had the surgery done and after
they put my new teeth in and they handed me our mirror the thing I’ll never
forget was looking in that mirror and seeing a full set of teeth perfect teeth
in my mouth I started to cry my wife I mean she loves me no doubt the
turnaround was the first time I kissed her passionately talk about a boost
my ego is through the roof it’s amazing new teeth now is the way to go I
wouldn’t I wouldn’t go with anybody else I wouldn’t wow what an incredible
transformation yes with Bruce yeah you really changed his life and you can
do that for anybody especially if you’re watching this webinar right now we
actually had a couple questions come in which is perfect we have a person that
has already booked a consult which is great
they’re coming in on Friday they’re a little bit concerned about the pain
level what would you tell them about well what not what I’ll tell you about
pain you won’t believe so it’s not straight I shouldn’t tell you but most
people are shocked at how little discomfort they have and you can get the
names of some former folks we’ve done procedures on or look at some of the
testimonials but that that’s a general concern that question is and most people
I would say have a low level of discomfort oh I think and I asked
everybody when they come back was it painful and they got I wouldn’t use that
word really I’d say you know I had some discomfort and I took some maybe one or
two of the prescription medications and then I got on Tylenol or Advil so it’s
just not a real pain producing procedure people always ask me that and actually I
have my own question why is it that one tooth being extracted is super painful
but you are correct people after this procedure don’t even sometimes don’t
even take your prescribed painkiller that’s correct yeah so what’s the
difference there is it because there’s not a socket or is it because like how
is how could you well I think when we put the teeth in it protects the tissue
to a certain degree and I think that’s it but not to mention the fact that we
handle the tissue carefully they’re given steroids to prevent
excessive swelling and antibiotics intravenously and all that sort of thing
I think it’s a combination of factors but it is general that there is very
little hi I can look you right in the eye and tell you I can’t remember a
person coming in and saying this was the most painful thing I’ve ever done if I’d
known it was gonna be this way I wouldn’t have done it I’ve never heard
them most of the time they say I wish I never yeah they do that’s what that was
why I was asking that question cause I thought it’s just so funny you know one
tooth can yeah put you in a lot of pain absolutely but everybody that has this
procedure does not complain about the paint
yes that’s furthest from my mind that is a true statement
no dad yeah yeah and we also have another person that is watching and they
have an upper denture and a few lower teeth left and they’re wondering if this
procedure is for that well absolutely that is a common scenario someone who’s
been wearing a full denture for a number of years that may have been wearing the
denture for 5 10 15 20 30 40 years maybe have a lower removable partial denture
on maybe six lower front teeth or something like that
Loui that would be a typical situation that a person would come in with
absolutely yeah and what would we recommend or what would you recommend in
that such obviously you’d have to evaluate them but would you say that
maybe a full mouth procedure or just an upper oh well we do not do full mount
procedures on everyone right how I’ll say that at the onset some people who
are happy with a removable partial denture on the lower could stay with a
removable partial denture on the lower I will tell you that I’ve done that on
numerous occasions and by and large within a year or so they come back and
do on the lower what we did on the top because it’s worked out so well but sure
a person who has that question could have their
their upper done and keep the lower of course if the lower teeth are involved
with advanced periodontal disease or if there’s a lot of tooth decay than those
four teeth might not be working so it just needs to be United Way you’ve
probably been told you don’t have enough own you’ve probably been told this is
impossible I’m sitting here with dr. Richards who does this yeah how many did
you do today you did one today right you know day in day out but you know the
person’s health also is equally important because we do these procedures
under general anesthesia and the reason we do that is it’s easier for the person
having the procedure and it takes a procedure that say two hours for a
single jaw or three and a half to four hours for a double jaw and it turns it
into the snap of a finger so general anesthesia does yeah
and so the person’s health is equally important how much bone they have is
important but the person’s health is very important I had a procedure I was
gonna do this Friday that we’ve had to temporarily postpone while the
cardiologist gets things straightened out but it doesn’t mean that that person
can’t have this procedure now it doesn’t it doesn’t mean that it just means that
sometimes you have to get their health straightened out they for hunt
because we’re talking about outpatient general anesthesia and that’s
administered by one of our two nurse anesthetist and this is full-blown
general anesthesia with a breathing tube down and that sort of thing and so all
of this other stuff is nice that we do but we also have to protect your health
and not do anything that would be detrimental to your health in regard to
the anesthesia and I don’t think you can you have to understand this by and large
the age group of folks that we’re talking about here are 60s 70s 80s and
occasional in their 90’s and almost all of these
people have some sort of health problem they need to be evaluated and the
treatment coordinated with their personal physician or cardiologist or
whatever that’s quite common people with periodontal disease would have health
issues too / X well I mean I think there are some known
health heart-related problems correlated with that but I’m talking about just
other just general health problems whether it’s like cardiac or pulmonary
or you know blood sugar just whatever it is it needs to be blood pressure you
know it needs to be straight seven everybody needs to be on the same page
how do you feel about these dental offices that are doing this procedure
with just sedation well it’s very difficult to do these procedures with
just sedation because they’re long procedures they’re extremely involved
and you have a person who’s their entire mouth is numb you’re squirting water in
there to irrigate and it’s just we’ve done it that I’ve done it that way it’s
very long oh yeah it’s very stressful on everyone it’s very stressful on the
person and I mean you know we’re talking three and a half four hours here you
know for a single jaw one-and-a-half to two hours and it’s just very stressful
on everybody so when they’re asleep it’s very relaxing the person having the
procedure done is asleep and relaxed and the procedure just like light one out
and the light came on and it’s like if you’ve had a colonoscopy or something
like that or any other operation you went to sleep
you woke up it was done didn’t matter if it was thirty minutes or three hours you
never had a perception you didn’t have to worry about choking right you have to
worry about anything I know that’s what amazes me when people call in and they
say oh you know I was gonna go to this place and they’re just gonna sedate me
can you – ooh sedation I say no by doctors will not just Shu sedation
very difficult because it’s a good job right now when you’re you know dealing
with it with everything else well I think a lot of the time these other
facilities don’t use general anesthesia because they don’t have the facility or
the staff they’re not licensed once again you know oral and maxillofacial
surgeons are licensed to do anesthesia Brian and you we don’t do these
procedures and the anesthesia for these procedures ourselves because these
procedures require you know a lot of concentration and if we’re doing shorter
procedures like removal of a tooth or taking out wisdom teeth we are then we
give the anesthesia along with our staff that’s highly
trained to do that and do the procedure right those are short simple procedures
when you’re doing a long complicated procedure the operator cannot give the
anesthesia and do the procedure you just can’t do that and really do a good job
because there’s just so much going on so when we have a separate professional
person a nurse anesthetist or anesthesiologists giving the anesthesia
like it would be in a hospital or outpatient surgery center that’s
essentially what our office is it just takes the stress off of everyone and
today and the person has a much better experience and everyone can just focus
on the job they need to do no I mean your team is great too which I also love
about this office when you come in for your console everybody that you meet you
almost become like a family – people don’t we you know there are people that
I talked to from like two years ago they’ve had this procedure and they say
oh Emily how are you doing you know how’s your pregnancy going and it’s like
they’ve got to know me for two years and but I do think that it’s really
important everybody has their assigned job and he does have his own team which
a lot of offices you go in and you meet from everything your time another thing
that makes you stand out we touched on it a little bit is the bone loss that
people experience and they’ve been told no there is no way that you can have
implants let’s take a look at this slide yeah you know this is something that
we’ve talked about on numerous occasions about non-traditional implant therapy
and one of the big things is our use of saigo Matic implants and be on the
screen where that big fat arrow is that long implant is what’s called a
zygomatic implant and these are used in the upper jaw exclusively and they’re
used in the posterior typically and they are used when the sinus is low or well
anterior and there’s no bone in the mid region or the posterior region of the
upper jaw and so the alternative to a zygomatic implant is sinus bone grafting
and I’ve done sinus bone grafting for 37 years and sinus bone grafting can take
one of these procedures and stretch it out to 20 months where you do the sinus
bone graft then you’ve let that heal and you place the implants and you let that
heal and then you make the teeth or you can go to a zygomatic implant where you
place the zygomatic implant and you put the teeth on the zygomatic implant the
same day and there’s no bone grafting and in our practice we’ve been doing
psycho Matic implants for over 10 years we’ve probably done a thousand psycho
Matic implants we’ve done more zygomatic implants than any other practice in the
United States and they told us in Chicago that we’ve done more zygomatic
implants than anybody in the world which I can’t hardly believe but and so anyway zygomatic implants I just
saw got a day you need zygomatic implants I mean it’s like an everyday
thing cycle mini implants are just nothing anymore they are routine part of
our armamentarium in non-traditional implant therapy how long have they been
around because not the mid-eighties how did you get into them well I had a
patient back in oh oh oh three that I did sinus graphs on twice and they just
failed to form bone and I had heard about zygomatic implants so I went to a
meeting in Las Vegas where there were was a German guy talking about zygomatic
implants and so then I got hooked up with a lady
oral surgeon in Toronto Canada by the name of Leslie David and I went up to
her office and she placed three zygomatic implants and I got to assist
her and then I came home and started doing myself what and that was in oh six
oh seven and they’ve been successful well they’ve been a very good intent
they work really well I cannot overemphasize how well they work what
about the healing with zygomatics vessel like any other implant exactly the same
so if I had slag on my skin plant so my friend had traditionals
would you be able to tell just looking us no I could not tell by looking at you
the teeth the teeth that attach to the zygomatic implants are the same okay
this is a an illustration focus on zygomatic implants and the eye I saw
lady today who has the situation in the upper left hand corner where there’s two
zygomatic implants on each side plus one traditional implant in the middle that’s
just another variation of the same theme so to speak the middle one is to
zygomatic implants on each side with two traditionals in the middle the one on
the right is more typical because typically when we’re doing four
zygomatic implants there is no bone in the middle so we’re going from just
traditional zygomatic implants to now like I said oh yeah four zygomatic
implants so now you are really limiting the number of people who do quad
zygomatic implants right you know so around there not that many people that
do them and we do them routinely a lot I’ll catch it up today yeah and it’s
just sort of a situation where we got in sort of early on the zygomatic implant
curve by hook or by crook and they have become a workhorse
implant in our practice because somehow people are finding us people who you
know today there’s the internet everybody is hunting around they’re
doing their research they’re going for consoles the people that we’re seeing
now are much more educated about what we do and by the time they come to see us
they look at me and they say I already know all about you what you do they
think and I just want you to look at my scan and tell me the you know am I gonna
need zygomatic implants I mean that’s kind of a typical kind of thing so yep
yeah psycho manic implants are definitely a workhorse all right and
then we’ve got your team right here which I was talking about a little bit
earlier and and I just I love that because like I was saying these are the
girls that you’re gonna meet you got Denise Tabitha and Ashley they’re all
still here they are I know right how do you keep them so long that’s got me a
trick all right and then over here this is our anesthesia team right and they’ve
been with you a really long time – nice of them I came a little bit
longer than Jack and when we a few years back when we transitioned from IV
sedation to general anesthesia we went with you know with Kim was our first
nurse anesthetist and then the workload became such that she brought Jack on
board so now we have the two of them and again we have a third one that fills in
– yes right yep and also dr. Kirkpatrick anesthesiologist fills in occasionally
as well I get a lot of questions and some people are very against this whole
are they see RNA or are the anesthesiologist and but the way that
man stood before his Kim for example that was just shown on the screen
she’s actually performed intubation on a patient that one of the I won’t mention
names but the Lakeland anesthesiologist couldn’t perform yeah and he said you
know this is a really hard case I can imitate them and he sent them to Kim –
the innovator and she did it in one shot yeah the CRNAs do a great job if you
look at a hospital setting typically the anesthesiologists would
come around for the induction of anesthesia and then leave and so they
really the anesthesia is being delivered by the nurse anesthetist right and
that’s pretty much the way it is around the country and so the anesthesiologist
may be supervising there may be some limit I don’t even know but in this case
we supervise them right yeah because of our you know experience with anesthesia
and I don’t know the answer to this question it may be that in the state of
Florida I know Gina who you mentioned has a PhD in nursing so she is a
doctorate of Nursing and a fully trained anesthetist so she’s
sort of a doctor right you know and they do a great job and if you look around
the United States who delivers anesthesia
it’s the CRNAs that do the workload of delivering anesthesia around this
country well on top of that this type of procedure is like you’ve already
explained first of all not many people do it people aren’t familiar with
zygomatics and then they’re super not familiar with the quad zygomatics and
these two or three people do this daily with you guys and have been doing it for
very many years and it’s surely because you’re working in the mouth so they’re
not intubating through the mouth they’re intimating yeah the breathing
too goes through the nose and down yeah right so that you just like different if
most nurse anesthetists and even anesthesiologist depending on where they
did their training if an anesthesiologist trained at a university
center where there was a oral and maxillofacial surgery residency program
and they did a lot of nasal intubation and they would have a lot of experience
in that but if they didn’t then even the anesthesiologist don’t but you know
that’s just a small part of delivering anesthesia I mean that’s just the
breathing tube I mean there’s the management of any complications which
may come up and you know these people are all capable of that but the main
thing is to avoid any of that and so we get medical clearance azan everybody everybody that has a doctor if I see a
25 year old 35 year old person 45 year old person they’re taking no medication
they have no history of anything no heart disease no lung disease they’re
not a smoker they don’t have blood sugar problems they don’t have blood pressure
problems totally healthy they don’t need a medical
clearance right I do need some basic laboratory tests and they need a
cardiogram but you know we’re very careful you know with our elderly
population because we don’t want to do anything to harm anyone what’s the
oldest patient that you’ve had over a hundred Wow
wasn’t a general anesthetic patient uh but I didn’t place a single implant on
somebody a hundred okay yeah well about four new teeth no up in the late
eighties really yeah but you know there are people in their late 80s and then
there are people in their late 80s correct and I saw a fella today that I’m
gonna do a procedure on and he’s 81 with this guy you would never guess it by
looking at it right and I saw a gentleman yesterday who’s 81 and he’s
about wore out so it’s not necessarily just the age it’s really the help right
so that’s why it’s important to get in sit with you yeah so we talked about the
anesthesia team that’s dr. dibbs and dr. dibbs is a restorative dentist who
specializes and this type of work uh-huh dr. dibbs hardly ever works on a
tooth doctor dead pretty much solely restores implants Sam period what you
did was you created a building that can accommodate the anesthesia putting
people to sleep and creating the teeth so you made a lab well the our business
model in this building is such that we have the surgeons mm-hmm the restorative
dentist we have our own in-house lab as you know and then we have the anesthesia
department right and so all of the players that are necessary to do this
are here and if you do as much of this as we do
we may take care of 300 350 people a year and some of them have both of the
arches probably the majority of them have both the upper and the lower done
and a few people have just one arch and so when you’re doing that much of this
you’ve got to have your marbles all piled up in one place I mean you got to
have your act together and the only way you can really do this and get your act
together is to have everybody in one building so that everybody is on the
same page right and sometimes the restorative dentist will need some help
from the surgeon sometimes the surgeon needs help from the restorative dentist
of the lab and I needed that this morning and I had both the restorative
dentist and the laboratory technician in the operating room with me helping me
work out a couple of things and so in a traditional private practice setting
that is impossible right because a lot of the time they have to say there’s a
different offbeat yeah yeah create set fair and we didn’t mention
but the final teeth are made of zirconia which again you guys have gone above and
beyond and employ people that work with zirconia right and let’s take a quick
look at the short video that we’ve got about the lab so that can kind of
explain everything then we’ll talk about the visor yeah sure one of the things
that really sets Florida dental implants apart from other offices that are doing
full mouth implant reconstruction having my own laboratory here on site this is
invaluable not only in terms of having the control over the quality of the
product that we’re making but the ability to if I’ve got a
question with the patient about can we make this change is this going to be
feasible I can go across the hall get one of my lab technicians and all of my
lab technicians have been doing this for many many years bring them across the
hall and they can talk to the patient themselves so there so we eliminate the
need for me to try to interpret the patient’s concerns and questions and
needs in a phone call or in a note they can speak directly to the patient it was
so important to me to have everything under one roof there’s no waiting that
is the advantage of having the lab on-site and they are so proud of their
work that they come out to see the product these are not regular people
with regular jobs these are master artisans that create they truly are
artists and they’re creating beautiful smiles it’s like nothing I’ve ever
experienced and I don’t know of any other office that’s like this wow that
was amazing yes and none of that would have been
done if you available right that so you heard what dr. dibbs had to say about
that right who has that nobody that relationship no show me a little bit
about how so the first set teeth that people leave with are temporary that’s
correct they’re made out of plastic acrylics and
then and and but this is some in some offices this is the final product right
they in our office this is the first product that they wear while the
implants are healing the manufacturing process for this acrylic they can be
done in one day so that’s how we can provide someone with a nice provisional
restoration in one day mm-hmm but this you know this is this is the deal the
final thing and so this is their coming up this is the final bridge work so this
is the bridge that is screw retained to the implants it’s milled solid and it is
then some the like the pink gum colored porcelain is baked onto the zirconia and
the teeth are stained with a porcelain stain but this is a very substantial
restoration that is milled out of a solid block of zirconia and the
manufacturing process for this is one day to mill it one day to Center it in a
centering of them and then another day or day and a half for the technician to
put the porcelain on it so it’s about a three three and a half day process to
make this zero Konya prosthesis this bridge and you do not
get this until you are 100% happy with your first set of teeth we get a lot of
people that don’t go quite as white at the beginning do they and then at the
end they’re like you know what now I’ve just done this whole procedure I owe it
to myself I’m feeling more confident and they go whiter and you can change that
you can change color shape size right that’s what I allows you to do that
temporary vase well that and that is one of the main
reasons that we do things the way that we do because we know that if you do the
final teeth too early and the tissue changes then you end up maybe with some
gaps opening up or the person doesn’t like the way the teeth feel against
their lips or what-have-you and so if they go into the provisional
teeth and they wear those and then dr. dibbs has the opportunity to work
out all the little problems if there are any in the Provisionals now there was a
lady in here today and she said these things have really grown on me I like
everything about them maybe go one shade whiter but just duplicatable that’s all
I want you to do right let’s duplicate what I’ve got and maybe make them one
shade whiter and so in that case going from the acrylics to this is two
appointments with dr. dibbs Wow now conversely if someone said you know
I got lots of little complaints with these Provisionals we need to do this
and we need to do that then typically what dr. dibbs will do is make a new set
of Provisionals incorporating the changes that the person wants and then
once they’re happy with the Provisionals it’s easy to go to the zirconium but we
don’t want to expend the time and the energy to make this which takes three
and a half days to make it right put it into somebody’s mouth and they come back
in three weeks and they go I hate it no right now we need to work out all the
little problems in plastic and then go to Zurich Anya it’s amazing and what I
love is everything is all-inclusive yes we are wonderfully compact all of this
or you guys have managed to come up with just one solid set feet the anesthesia
right eath like you said as a matter somebody might need several appointments
before their final teeth another person might have just a few because they want
to duplicate what they’ve got but what happened is that as we started doing
more of this we started getting calls like a person in Tampa saw this on
television and she had a sister that lived in Alaska
she called her sister she goes you know you want to believe what these people
are doing over here you need to come down and have this done we’ve been
talking about this and so and we were having that same experience with other
states people coming from a long ways away oh okay yeah and so we could and
people want to know how much is it gonna cost I hand they’d say I understand you
can’t like naeli right down to the dollar but give me some idea so what we
did was we came up with a plan to just charge for the upper okay there’s a fee
to do your upper if you have no teeth if you have one tooth if you have 16 teeth
it’s the same price we’re just gonna do your upper and we did the same thing
with the lower whether you’re you have no teeth on the lower whether you have
six teeth on the lower doesn’t make any difference here’s how much it is to do
the lower and as Emily was saying that’s an all-inclusive fee that includes the
general anesthesia it includes my fee it includes dr. dibbs is restorative fee
for the final teeth so it’s an all include and it includes a couple of
years of maintenance checkup business yeah so and that made it real easy when
somebody from West Virginia calls and they want to come down and we can tell
them that’s how much it is most doctors charged by the number of implants that
they place I mean by the number of teeth that they take out and people come to us
and they say golly you know it’s gonna be like $65,000 oh yeah and we’re going
whoa and that’s without that final teeth yeah so anyway we came we had to come up
with something and that’s what we decided on and it just kind of it makes
it easy for the eight or ten people that answer the telephone they can talk to
somebody in Washington DC and say look that’s how much it is any out-of-state
patients actually we give them a full consult we even go as far as giving them
a free consultation when they’re out of state and that is for out-of-state
patients if you’re local we obviously want to bring you in because we have to
do a CT scan let’s take a look at this set of teeth because this is a really
good image just for people just take a quick look at right the bottom teeth are
they the same age both of these these these teeth are the same age Wow there’s
a major difference that major difference plastic on the bottom
zirconia on the top and you can definitely see the difference the
plastic will wear it will absorb stains and odors it’s hard to clean it whereas
the glazed porcelain Honda’s are coming in is more like a porcelain crown
it’s a glazed surface that doesn’t coders and stains don’t stick to it as
easy it’s easier to clean and of course you know getting your teeth cleaned
takes on a whole new meaning when you can unscrew this hybrid bridge and take
it out of the mouth and clean it outside the mouth so how would somebody keep
this all Konya clean a toothbrush a toothpaste and a Waterpik yeah yeah just
what I did Barry that’s awesome and then you would say like once a year maybe
every six liters one your check out I wanted to check up and just get them
completely blocks of clean I like to remove them check all the screws and
make sure everything’s tight and clean them up put them back in check the
occlusion that’s gotta be cheaper you know to do
that then what you pay for your dental insurance tempted to do it myself let’s
take a look at the implant coordinators and I like to bring these guys up
because they’re gonna be a big part of your journey we’ve got Shawna in the
blue and then Debbie both of these girls have assisted you in the actual surgical
room of me they both have surgical experience and
when you book a consultation you are going to be sat with one of these two
ladies and the doctor himself and you can kind of go over everything talk
about anything you you know any questions that you might have we
actually have a third coordinator in training we do I was gonna bring it up I
didn’t know if I was every meeting is a picture of her yeah we do
so Ashley and she was on your team she’s been with you a long time – right and
she is in training to also sit in and you know create these treatment plans
and really they’re just very knowledgeable because they’ve seen it
and they’ve witnessed it for themselves you can ask them any question that they
have they have more than 20 years each right of clinical surgical experience
yep so and I think actually is gonna be a major asset to that team I think it’s
just gonna boost new teeth now and then we have this is the CT so we’ll do a CT
scan when they come in for the consultation this is what they’re gonna
see when they come in for the console correct that’s right and you’re gonna go
through all of that what are these little pictures down at the bottom what
do they mean well a CT scan allows us to look at the jaws in different planes we
can look in an up and down plane we can look in a sideways plane we can look in
a front to back plane so what’s different is if you look at a
traditional x-ray it’s sort of like looking at a picture of your back yard
mm-hmm you really don’t have the ability to see the depth perception because it’s
a flat picture of a 3-dimensional object and this cat scan allows us to look at
cross-section on him and that’s what these little pictures
are at the bottom those are thin slices cross-sectional slices so that we can
see the sinus we can see the nerve and the lower jaw we can see the thickness
of the job and all of these things are helpful in assessing what we are able
and what we are not able to do now one of these scans I was told by somebody
while several people over the phone can cost in excess of $500 just for one of
your scans yeah once again new chief now come on in
and we just package it down we do which is amazing for people for a local if
you’re watching one of these webinars or come to one of our public seminars that
we do around the state then you can have a consult for fifty dollars which
includes the cat scanner and that is that’s correct
that is correct and that is also what we’re offering here on this webinar
tonight which that’s the deal literally you’re not gonna find that anywhere to
get an in-depth scan like that and sit one-on-one with a surgeon of dr.
Richards experience it’s you just if you suck through this webinar you need to
come in and see him is that simple because you wouldn’t have sat here for
this long if you didn’t need something like this and quick before and after I
just want to show these because I think that they’re amazing and this one’s
Sharla I believe and she’s not really smiling in the first picture and then
obviously well a lot of people don’t want to smile because they’re
embarrassed and then I only to Ione is she is so funny listen we can get you in
contact with either of these ladies we can get you in contact with any patient
that may not even be featured on our commercials but they’re just willing
because it changed their life so much to come in and vouch for us and take a look
at our reviews do your research but like I said if you sat through this webinar
you need to come in for a consultation with dr.
himself you know if you have a lot of questions he will definitely be
answering them so we’ve got actually actually watching the webinar and she’s
even you know smiling about it because she’s starting on consoles where he has
taken that time but listen everybody thank you so much for watching and I
hope you have a wonderful evening if you would like to view more informational
videos on new teeth now please click the subscribe button here thanks for

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