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Practice English Speaking&Listening with: Dental Implants New Teeth Now Webinar - Dr. Harley Richards, January 2019

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(Emily) Good evening everybody and thank you for joining us here at new teeth now. We'll

shortly we will be talking with Dr. Richards. Good evening Dr. Richards. How

are you doing? (Dr. Richards) Good thank you. It's always fun to be with our our

British gal from overseas. (Emily) I'm not from Britain.

I'm from Kentucky. (Dr. Richards) Oh yeah right yeah. You know that other state you see a lot

of upstate patients don't me we did yep okay and some out of the country very

interesting and how would that procedure work because it's new teeth now which

means it's done in a day right how would you see a patient from out of state or

out the country well they come in to stay for a few days get some preliminary

work done some come for a vacation you know the tampa orlando areas and do

an extended vacation some have relatives here who don't see what we do and make a

phone call to their relative in alaska who comes down and stays with the

relatives while they have everything done and you know as you know a lot of

what we do is done and then after they've recovered for a day or two they

can go back home and then they're just healing for a few months and then you

know coming back and getting things wrapped up at a later date and it's a

very specialized procedure this isn't something that I would want to do just

because my teeth are crooked or because I don't like the way that they look is

it what I mean it's typically done for disaster situations somebody that's got

a mouthful of bad teeth or they had bad teeth and they lost their teeth due to

periodontal disease and they find themselves in dentures I saw a lady

today in her 30s and her teeth removed six months ago she just found herself

trapped in dentures and she can't stand it so we're gonna do the new teeth now

procedure for her what's the difference between a denture

and the new teeth nail procedure other than obviously it's not available you

know we have an example of a denture up here and we have examples of the the

bridge work that would go into someone's mouth after having the new teeth now

procedure on one hand you have this large chunk of plastic that is a denture

and on the other hand you have a small bridge made out of zirconia with

porcelain and so there's no comparison to the type of teeth that a person ends

up with after the new teeth now procedure so show me the denture again

that's got a large pallet that has to get so this would go into a person's

mouth and cover their palate it has teeth on it and it's plastic and it

stays in either with suction ideally or with Poligrip or some other brand of

denture adhesive yes sounds painful and the lower one's even worse that these

may be tolerable to some people but the lower ones are more of the trick to

where that's at least that's what they say I don't I don't have dentures right

and I don't believe you ever would with the procedures no no no definitely so is

it possible somebody could come in and just get the lower jaw done if their

upper denture is fine sure I am Luis yeah and not everyone would need to have

the entire upper handle overdone we do a lot of single uppers single

lowers yeah absolutely very interesting so let's get to know a little bit about

you we're gonna go to this slide now it states that you're board-certified oral

maxillofacial surgeon that is a mouthful what does that mean

well to become a Horrell and maxillofacial surgeon one first

graduates from dental school mm-hmm and then in my case I did a four-year

hospital based post dental school residency one year which was straight 12

months of anesthesia and three years doing mouth and jaw surgery nowadays

there are some 6-year programs out there where the person ends up with a medical

degree in addition to the dental degree so they're a DDS MD oral and

maxillofacial surgeon so there are beginning to be more and more of those

people around and then board certification as in any field just means

that you meet some certain level of knowledge that is established by your

parent organization does that tell a lot of tests a lot of typically a written

and an oral test certified right so you have to sit in front of a panel and I

really know your stuff right yeah it also says that you have 38 years of

dental experience how is that possible because I don't think you quite look 38

yeah see well I think you are born now actually this is my 39th year here in

Lakeland I mean when I finished my residency and that would have been June

of 1980 I came back here which is my hometown and started so I've been here

since July of 1980 so this is my 39th year here

Wow what changed Finnish dental school in 76 and then did a four-year of the

four-year resonates residency from 76 to 80 in Jacksonville and then came to

Lincoln and what sort of changes have you witnessed going that far back from a

denture and then being the innovator of new teeth now you know what kind of

changes are you adapting to and still going through well in in my career span

I've seen the entire evolution of dental implants Wow because when I first came

into practice we were doing blade implants we were doing ramus Raymond

plans we were doing stuff that was proprietary it wasn't precision it

wasn't titanium and then the brand mark stuff came into the country in 82 83 so

in my span from 80 up through now I've seen the entire evolution of dental

implant modern the modern era of dental implants and worked with it yeah yeah I

mean currently in this practice dr. Kirkpatrick and I place over 3500

implants a year how many over 3500 years oh my goodness so you know we have a

vast you know vast experience and seeing what works what doesn't work and as

we'll talk about later various advanced techniques such as zygomatic well I was

actually just gonna touch on it so people right now that are in dentures

that have been told they can absolutely not have dental implants is there a way

that you can still provide them with the new teeth now procedure well if they

hear if you hear you don't have enough bug for dental

implants you need to come see us because you may be talking to a much less

experienced person who probably are and we do some special techniques

particularly in the upper jaw which is called zygomatic implants and they go up

into the cheekbone and they don't require bone grafting you can attach

teeth to zygomatic implants the same day we've done over a thousand of them

actually we do more zygomatic implants in this practice in Lakeland Florida

than any other practice in the United States and the reason I know that to be

a true to be true is that the people who make these iconic implants have told us

that mm-hmm told us that in Chicago last year at the

AOM s meeting so we do a lot of advanced techniques I saw a lady today that had

been to three different offices and had been turned away and when I assessed her

situation it was like a no-brainer so you have to understand out there in in

dental world that you could be dealing with a general dentist that took a

weekend course on placing implants and has minimal experience and knowledge or

you could be dealing with a more advanced practitioner who still doesn't

do advanced techniques and so as we talk more about what we do here I think

people will gain an appreciation for for what we do and how we're different

definitely and you said that Lakeland your hometown you've built this building

from the ground up basically and added facilities to it right to make it run as

smooth as it does well we recognized a few years back that when you're doing

complex implant cases involving maybe the upper jaw the lower jaw or both that

it's very difficult to proceed along the traditional

modeled and where the person comes to the surgeon and they have the surgery

and they get up out of their chair and they go to the restorative dentist who

makes the teeth and so then the restorative dentist and the surgeon

interface with a commercial dental laboratory so you have these three rates

like three-ring circus and you know there are these intersecting parts of

the rings and so that just doesn't work out that well in complex situations so a

few years back we began to assemble a team and to put together the model the

business model that we now have where we have the surgeons the restorative

dentist and the lab and the anesthesia team all under one roof so we're all

here 21:50 Vardhan boulevard in lakeland

florida the surgeon restorative Menace the lab and the anesthesia department so

we don't outsource anything and it's so one-stop-shop mm-hmm so a person can

come here and they get everything done and there's nothing outsourcing I love

that because doing some research there were other places that offer a similar

sort of thing called you know like teeth in a day all right

teeth now and I couldn't understand how somebody could you know go in that day

because there's there's a final set of teeth that patients are gonna get right

and and obviously through the checkup visits which they knew if they're out of

state they can come back for check-ups and I couldn't understand how they could

visit get teeth that day and then leave and never go back to that right then

because like I said a lot you'd be referring to flying from save Lakeland

Florida flying to Las Vegas Ryan having a procedure and then getting

on airplane and coming back home yeah what do you do if you have a problem

yeah you come see us you come to new teeth now in Lakeland where you live

expect us to take care of it that's what you do and how many of these

cases have you taken Kemosabe stand when you've seen a few but

you know the people that go to Costa Rica and all over you know we see those

people when they have problems so they don't want to go back down there but I

forgot what we were talking about but in any event that that certainly is a

problem but there are some other people who have tagged on to that name so if

you go on the internet and you search new teeth now there all sorts of things

might pop up that are supposedly new teeth now and so it's it's become quite

the quite the thing to go after I guess right but you've progressed it from

teeth you know we're the original name you the original there you go and you

always want to go with the original brand yeah so let us take a little look

at this model because it gives everybody a visualization and this is a fixed

upper hybrid so it's pretty much what you showed us with the you know there's

our Konya final cut right and and this is a bit of an older looking model

because there's only four implants now sometimes you could do six I typically

do six minimum okay they'll see the the term up there fixed fixed means it

doesn't come out okay upper is obvious it's your upper teeth hybrid if you know

people understand what a hybrid car is it runs partially on gasoline and

partially on electricity I didn't know that so it's a hybrid well you know but

a hybrid bridge is a type of bridge where the position of the implants and

the position of the teeth is disconnected if you're doing traditional

bridge work then the implants have to be placed site-specific so that the

position of the implant is very precisely lined up with the tooth when

you're doing hybrid bridge work that's not the case so you can put six implants

and not a single one of those implants has to be lined up directly with a tooth

because the teeth are disconnected the implants the positions on and so

these work well in situations where there is bone loss where you could not

do traditional crown and bridge work okay that makes sense so a person comes

in they've been wearing a denture for 30 years they don't have a lot of bone it

would be virtually impossible to put a series of implants into their jawbone

and then hook conventional fixed crown and bridge work to it because they've

had loss of the bone and loss of tissue but with this procedure but the hybrid

can replace the missing tissue with fake porcelain gum tissue and the teeth can

then be the normal size shape and length and there aren't even big gaps between

the gums and the teeth because you're filling an end with fake porcelain gum

tissue so and it works out well we had a question come in and they were asking

about the cleaning all the teeth since they don't come in or out of your mouth

how would you take care of them and maintain them the same way that you

would take care and maintain a bridge that is glued on to your natural teeth

okay a lot of people have their own natural teeth they have a bridge the

dentist takes the bridge it fills it with cement

puts it on the prepared teeth you cannot take that bridge out it may be three

teeth long it may be fourteenth long it may be twelve teeth long it's a bridge

it's just like this and so how do they clean it they clean it with a Waterpik

with these little interproximal brushes they clean it with a toothbrush all of

those same cleaning methods are used on the implant bridge there's only one

difference the bridge on your teeth you can develop tooth decay if you don't

clean under it around it mm-hmm and if you don't clean under around these your

tissue may become inflamed but the implants do not develop tooth decay so

these are actually less sensitive to cleaning in that respect than a tooth

supported conventional fixed bridge I sort of want these the more you're

talking about them because my crown what this means

yeah but these are fake I mean these you know these aren't as good I'll say this

these are not as good as your natural teeth if you have okay pretty good right

now they look good but if you have your own that inmates like an artificial leg

right I mean it's artificial okay they're good this is the state of the

art right now around the world this is about as good as it gets

compared to natural teeth but you're better off with your natural teeth but

if you have neglected your natural teeth mm-hmm and all of your teeth are rotten

and they cannot be fixed even if you wanted to have them fixed if they were

so far gone if your teeth are so far gone that you would do anything to keep

your teeth but you can't this is as good as it gets or if you're sick and tired

of dentures this is as good as it is I love that you mention wrap because you

have one of your patients I only I don't even remember her or look at a picture

and her before she's not even really smiling that was her smile right and and

her after is incredible now she had similar situation going on I think she

only did one jaw actually I think we did the lower yeah yep and she had similar

situation going on wouldn't smile teeth were decayed they needed to be you know

removed and you gave her back her smile how rewarding is that to do that on a

daily basis because you are doing this day in day out right right well it's

very rewarding you can take a person and you know they're hurting

they have infection in there which then you know circulates around

their entire body mm-hmm affects their general overall health and you can make

them disease-free and give them something to smile about whereas before

they don't want to smile and so we see a complete transformation of not everyone

but we did with this gal and you can look at her before her hair or clothing

or makeup just everything she had a much more positive self-image and you know I

don't want to make a big deal out of that but it is quite true that you know

if you have a bad looking situation I mean when you're talking to somebody in

your up close let's face it your teeth or a big deal

you know like periodontal breath and your you know as close as you and I are

I mean you can literally smell it and so you know when that's gone I mean that's

a huge deal nine people who don't have that don't really understand and what

what a huge deal that is what so you know we're able to help people with that

everyday and you know I mean it's it's kind of neat and then to see some of

them really undergo a transformation it is pretty cool I think it's important

that we touch on it just because there are so many people out there that are

suffering that don't smile in pictures there are you know avoiding family

events and situations because of their teeth so something like this could

really really reach out to them when I just think Oh amazing what you do I mean

I've talked to young guys in their 30s and 40s mmm and they've told me they

said you know I go to a night club and start chatting with some gal and I kind

of get up within a couple of feet and he said I can actually see it in their face

yeah you know they smell my breath and I mean it's over right it's just rushing

it's got me you know to you know that goes both ways with women as well so

yeah that's a big deal I remember when I was answering phones I had one gentleman

that would call in and hang up the phone I can't see him yeah and he would call

in and koala whistle we literally got you know familiar with the number that

kept coming up and one day he plucked up the courage and he spoke and he just

came up with everything and we booked him in yeah and I think he even still

comes in for check-ups now I drove up from the office and couldn't get the

nerve to come in yes so he drove up to the office drove around went back home

right it just shouldn't set up another time to come in and I came in actually

came in and talked and once he got to know us and we got to know him and

everything I think we did his upper jaw and he he's a nice guy

no he's so appreciative of it and it's just it meant so much and it literally

changed his life so you are doing more than just giving people back smile

you're giving them back their life he's the one who wanted to make a video of

how to clean the teeth yeah and he was using knitting yarn like you wish

exactly he thread that under the teeth and I mean to tell you what he had it

down yeah so this is a picture of the zygomatic implant that you were talking

about I love your story about how you learnt how to place these right so just

give us a recap for people that are new at the webinar so pretty new thing

yeah back about oh five oh four oh five somewhere along in there I had a patient

that had no bone in the upper jaw and at that point I was doing

traditionally with what we call a sinus lift and I went in and I lifted up both

sinuses and put bone under the membrane and we sat back said no bone so we let

it heal about ten months I went in to put the implants in and the artificial

bone that I had put in was just sitting there like I had put it in yesterday

nothing had happened no way nobody was just projecting it

well when rejecting it it's just that she had so little of her own bone and

poor blood supply that it just never really got off the mark so I took all of

that out cleaned it out suctioned it out used a different material let it heal

again same thing so we were faced with a situation where she had had three areas

where I put implants into her own bone and those three solidified and so we

made her a regular denture just like this one we were looking at earlier it

had some light trailer hitch balls in it so she could snap it in and out and it

was better than what she had so about that time Nobel bono care had a meeting

in Las Vegas two thousand six or seven and there was a guy there named in

petrosyan who's a big zygomatic implant guy and he was doing a talk on grafting

versus non grafting solution for the person who has no bone in their upper

jaw as I said hey as for me I'm going there so I went there and heard dr. Bert

Rosen's presentation and I went to the Nobel people I said I got to learn how

to do these you know find me a place to go I guess so I can go you know scrub in

with a surgeon who does these so I can learn how to do so then I was introduced

to Leslie David who is a gal oral surgeon in Mississauga Toronto

Canada went to Canada stayed there a couple days she placed three zygomatic

implants and I assisted her and I came back home and I think two days later I

put my first ones in in the lady that was failing I think I did it actually in

the latest failing and that was either the fall of O six or seven I can't

remember mm-hmm and so you know it's just all history from there and in those

11 years or 12 years however long it's been there have been a lot of

modifications and we've done so many zygomatic implants now that you know we

really have that particular treatment modality down and then it works really

well and it heals the same way the recoveries of these these are these are

rock solid pillars of implants and they require no bone grafting you can hook T

to them the same day mm-hm and so they enable us to place a posterior implant

into a person who has a really large sinus and no bone or very little bone

and give them teeth the same day do the new teeth nail procedure I'm going

psycho manic implants and there are not many other doctors that are up to date

with this even still now they're hard there aren't many that have our

experience level you know but they're growing as you know dr. Kirkpatrick

thought hey use automatic course in Chicago last well December 17 I think it

was and I went up and helped him with that and we got a lot of good feedback

from that and you know there are more and more people

gaining interest in that but there just aren't a lot of people who have the

experience level that we have here or the doctor petrosyan out and Seattle has

they're just you know we got in real early on the curve you guys in the

originals yeah we got in early yeah the originals we should just change the name

new teeth now original yeah I like it so this is a great slide I mean he implants

versus the traditional ones whole mini implants well we don't do a lot of mini

implants because they do not allow us to accomplish what our signature prosthetic

is which is a fixed non removable same day appliance I which is which is you

know leading up to a zirconia screw retained

Ridge and many implants do not allow us to do that they're small they don't have

attachments there are different parts of pieces they just don't accomplish the

job you know they're typically placed by a lesser experienced

dentist and they're typically used to support a denture that's removable

typically they're not typically for fixed bridge work and I think not not to

say they can't be used for that or haven't been that's not typically their

application right and I know that you've had a lot of cases with failed mini

implants but you've had to then go in and remove so it seems like a good idea

at the time until a few years down the line and they're not kind of working the

same way that traditionals do so if you've been told you know many implants

as an alternative I would come in and have a second opinion if you've been

told anything by anyone to come in and have a second opinion with dr. Richards

and his team which we'll take a quick look here this is a bit of an older

picture but we have are they saying that team the viewers they've got dr.

Richards there and the reason that I wanted to show it as well is because you

work very closely with these girls these are the girls

that are answering your phone calls answering any questions if a patient has

it after surgery I mean they're there through the whole process right so these

are your familiar faces and I think that's great because I can't tell you

how many times up into a dentist office or a doctor's office and you get a

different face every single time right and it's sort of you know unnerving

because you're already nervous about going and then you see all these new

people and you're thinking oh I just explained this to you no this was not

new people now it's new teeth now let me get there you go not new people now new

teeth now so while we're talking about people this is our anesthesia department

and Jack Daniel Patrick Daniel Jack Patrick Daniel and Kim cherry or both

experienced certified registered nurse anesthetist so they're both like RNs who

have additional training in anesthesia and they administer our general

anesthesia and they do a great job you know we were talking about zygomatic

implants while ago let's just touch on this and if the viewers are seeing this

clearly you can see that on this left picture there are no traditional well

there is one in the middle but basically for zygomatic implants so if we see a

situation where there's no bone we up to this point we've been talking about and

shown x-rays of situations where there were traditional implants in the front

and to zygomatics in the back right but if someone has nubbin we're able to

place four zygomatic implants two on each side and then the middle picture is

to zygomatics on each side plus a couple of short ones in the middle and this one

is just pure for zygomatic implants and we do these procedures I think not one

depicts it really well because you can see how there's very little bony

they have no these people have no tween yeah numbness yeah really good

I'm talking back on Jack and Kim back on Jack these guys these guys very very

important because they've been with the company for a very long now yeah

with new teeth now being such a specialized procedure you're probably

going to want our sea geologist or a certified nurse anesthetist that knows

what they're doing right and it's familiar with this because anesthesia

obviously requires you know intubation right and when you're working in the

mouth that's God requires somebody that knows what they're doing and has

experienced this little procedure and I think it's great that these guys I mean

how long have they been with you quite a while yeah a long time you also have

another well Kim's friend is an anesthesiologist he rotates through

occasionally and there's one other actually two other nurse anesthetist to

come through that jacquard camera on vacation but again familiar with the

procedure which is great because it is specialized like you said many people

are and for the viewers what you have to understand is that when I'm doing one of

these for seizures I'm concentrating on what I did I it's not like removing a

tooth or some wisdom teeth where I do the IV sedation and I take out the teeth

okay these procedures are done under general anesthesia so there's a

breathing tube through the nose it goes down and then anesthesia is administered

through by way of inhalation it's a gas and so these folks are fully asleep and

I can concentrate on what I'm doing the anesthetist does the anesthesia mm-hmm

and so that works out really well I have been lucky enough to witness patients

waking up after the surgery and asking if it was really done because they felt

like they just went to sleep woke up and they said you know you've you mustn't

leave you got any pain you're right um it can be a four-hour

procedure it's lights on lights off is like that so there's no choking

there's no gagging no having to stop and take a break there's none of that

because you're under general anesthesia and I IV sedation for these big cases is

a disaster because you're taking a person and a lot of them are old and

their mouth is totally numb you're tilting them backwards and squirting

water in their mouths and if you've ever swallowed something down the wrong hole

you kind of know what that's like and so it's just it's just miserable and with

general anesthesia the airway is totally secured you're totally asleep you don't

have to worry about any of that you safest way to go

anesthesia taken care of that you were taking care of what you need to take

care that's right and then obviously the teeth that are being made have to be

taken care of by somebody that you know is looking at the color of the skin the

color of the eye is somebody in your lap and who do you work with

well that's dr. dibbs perfect and his only sight dr. dibbs is full time

on-site new teeth now and all dr. dibbs does is new teeth now procedures he

doesn't do work on natural teeth is the only dentist I know that doesn't work on

teeth and so he does implant supported teeth four days a week that's all he

does

there's four days because always around I never needed let's go ahead and watch

a short video with dr. dem let's do that 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 and the 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 that is a

powerful ending I absolutely love that picture

that before and after yeah it's very rare that you get patients smile in

their before picture right Donna did give you a smile right reluctantly

obviously she don't want anyone seen her teeth and now she's like your biggest

fan right she's on us on the Facebook page

all the time and my doctor dibs obviously talking about his you know

work environment and how everything just kind of enhances the overall experience

and then he's in charge of a team of people that are advanced and familiar

with his arconi I mean I know so many who that don't even know what a

sarcomere is yeah and you've got you know you've taken the time to hire

people that know what they're doing with this material and how to use the

machines there's a good good team in the lab I think the overall system is

absolutely great so since we looked a little bit about Donna and how much it

impacted her life I do want to look at a testimonial from one of our patients

here at new teeth now and David he had an incredible experience and I think

it's something that a lot of people might need to hear so let's go ahead and

watch that video I feel like when I walk into a room I liven up my consultations

with other dentists was that bone grafting was going to have to be

performed and that would make a very long and detailed ordeal their

experience on the new teeth now was fabulous the fact that I could walk out

that same day have dinner that same night just overwhelming well after my

new teeth procedure I feel that I've been given a new life I'm very confident

in myself I wish I had had the new teeth done much earlier in my life it would

have eliminated a lot of pain and anguish that I experienced it was a

vestment that I went to again I can walk into a room I feel confident I could

smile with the greatest I can laugh everybody I don't not have to hide my

mouth I can eat anything there is I can eat an apple of corn on the cob the

toughest date would I do it again in a heartbeat it just goes to show how much

something like this really does impact people mm-hmm

you know he said that he lights up a room when he walks in right and just

that feeling so he's been in the dark all this time and then this one surgery

has changed his whole outlook and he feels you know he's not invisible

anymore everyone can see him yes I just you know

if anybody's feeling that way if anybody needs a console I really really urge you

to book in with you know dr. Richards I think you must be a psychologist that's

how he portrayed himself in our videos so Jim no that was that was very nice

and very genuine yeah that was such you know and you must feel great I mean I

can't imagine B oh I feel great being part of just the new teeth map team yeah

but being able to provide that yeah you know created what you've done and give

people that bag he said he'd do it over again and a heartbeat yes and here's a

quick picture of a before and after and I believe that the same age it is that

am I correct well this is a picture of a zirconia bridge on the top and then

acrylic bridge on the bottom and so the acrylic material is what we provide for

the first set of teeth and a person would end up wearing this for six or

seven maybe eight months not particularly something made out of that

material yeah and then they would be transitioned to the zirconia porcelain

material now some practices don't provide zirconia some practices provide

an acrylic prosthesis for the final product and so these are both about five

years old sorry just interrupt they do provide a

different material for your final teeth but it's an upcharge I think that a very

important question to ask when you're calling around again

because obviously that sound one question right now is how much is it and

we are going to go over prices shortly but people do need to ask what is the

final product and what's it made of and is it included in my price because

you're making an investment yeah you know the acrylics where and they are

porous they will absorb stains and odors they're hard to clean and the teeth sort

of look dead whereas you're having light reflection off of these and they look

more natural and this is a glazed porcelain surface so it's not porous and

it's easy to clean and it doesn't absorb stains and odors and it's handcrafted in

the lab it's him well it's actually made in a virtual environment so it is sort

of a handcrafted virtually Wow yeah they hunt paint them they write to get the

right shape that part the addition of the porcelain is handcrafted by by a

technician yeah I just love that whole aspect because nobody's teeth are the

same I don't look good in your mouth your you know vice versa and our teeth

are uneven and have a little ripples in them so you can see the light

transmission whereas with the denture teeth it's very obvious mm-hmm what they

look like so let's take a look at Shauna and Debbie these are your two employed

coordinators another part of the team remember the team is the you've got the

surgeon the restorative dentist the anesthesia department you have the

laboratory professional people and then you've got the treatment coordinators so

it takes everybody to pull this off and that doesn't include all the other

people behind the Sun okay that doesn't included my team of people you know and

everybody else tag just you know just doing this presentation tonight you've

got ten Jason here I mean you know to put all of this together

it's a lot of work and effort well we want the word out there we want to be

able to change people's life Shawn and Debbie are just another part of the

puzzle and Shawn and Debbie have been with this practice for a long time they

both were surgical assistants and moved into this role and they are the two

people that if a person comes to the office for a consult then they will see

either Shana or Debbie Shawn outward what okay when and Shawn are Debbie will

be there their tour guide through the practice and that is the other reason I

wanted to show you that face so you're familiar with them just so that you can

get an idea of who you're gonna be with and who's going to coordinate your

treatment you're gonna sit with them in a room once you book a console and let's

take a look here this is a CT scan which I cannot believe you guys include for

the $50.00 prepay so when our patients want to come in and see you because

they're gonna have a lot more questions than what we've answered so far and when

they come in and they see you you include a CT scan right well we set up

for the initial visit about an hour and they come in and you know this she's

kind of set in on that but Debbie or Shawna will review their medical history

and take the CT scan and and Debbie and Shawna know enough about CT scans that

they sort of go over things with them a little bit and then they they will get

us and dr. Kirkpatrick and I will go in and then we go over things in detail I

always ask people you know how'd you get here tell me about your journey because

some people have an interesting journey right to find themselves here and so you

know listen to their story so to speak and review the scan because the scan is

going to show us the bone and it will show us what we are able to do

and what we are not able to do and then reviewing the patient's medical history

and this is something we don't talk about a lot but you know we're talking

general anesthesia and so if you're gonna have general anesthesia you need

to be reasonably healthy and most people in the age bracket that we're talking

about have a physician primary care doctor cardiologists pulmonary doctor

they have someone and they're on medication and so we get a medical

clearance for general anesthesia on an outpatient basis from their physician

and I don't lab work and EKGs and we do everything here that we do when we take

a person to the hospital it's the same standard an anesthesiologist at the

hospital would want to see before they would put a person to sleep in the

operating room for us at in the hospital and that's very important but I don't

want it to discourage anybody from coming for a consult because $50 is

completely worth it if they can get clearance so we do a comprehensive

review of all of that and we're able to tell a person at that first visit what

we can do for them right and tell them how much it cost and emily is gonna talk

about the money in a few minutes and the only thing I'm gonna say about that is

we are not traditional because we do not charge people by the number of implants

we place well by the hours that you put in we we do the job do your upper jaw we

do your lower jaw we'll do both Emily will go over the fee schedule we

do have one question I don't believe I answered it was the last one to come in

we found it covered everything else monks talking and but somebody was

asking about an underbite now if they are in need of the new teeth now

procedure that lender bite will be fixed correct

well the implants have to go where the jawbone is okay so if a person has sort

of a normal bite relationship then the implants will go into the jaws and the

teeth can be lined up in a normal relationship if someone has a bite where

their jaw is like way out and get my hands out where their lower jaw is not

in a normal diet relationship let's say their jaw is like sticking way out

well the jawbone is way out there so the implants would have to go way out there

and so we cannot fix that now we could do a surgery on their jaw to move the

jaw backwards and fix everything that way okay some people have a jaw bite

relationship where their jaw is back this way

we see that more often and what we have found is that they have been used to

living with their teeth in that where the top teeth are here and the bottom

teeth are sort of back mm-hmm and if you take a person like this and you move the

bottom teeth out into a normal by relationship a lot of times they just

can't stand it because they live their entire first 70 years with it back like

that and then you move them out into what we look at we go boy you got a

really nice bite and they go I hate it you know we need to go move it back to

where it was so we do that quite often and we don't try to correct every little

thing like that because sometimes that's just not with it

these awards well I think in answering their question is very honest I think

that that's what that person does need to come in for a consult

oh absolutely get an x-ray don't be you know discouraged that you you aren't

gonna get you right back because I've seen some under bites and over bites

transformed I mean this is not really an overbite or anything significant going

on here but we have and before and after I'm just looking at the before and after

that and her jaw looks a little like protruded down at the lower she's still

not us no yeah that's pretty much everyone I don't think we have very many

and I love us we know bruise real well yes local guy from the concent area if

you look up any of our other webinars he's got some of his testimonials also

so we look forward to hearing from you please please call with any questions or

any feedback that you have and and I hope that we are able to assist you in

your journey thank you dr. Richards thank you for

hosting this oh thank you for having me host it I appreciate you what would you

guys have a great evening and thank you for watching bye bye if you would like

to view more informational videos on new teeth now please click the subscribe

button here thanks for watching

The Description of Dental Implants New Teeth Now Webinar - Dr. Harley Richards, January 2019