We would love to share that with you, it truly was amazing. After viewing it, so many have said, not only was it entertaining but incredibly informative - ”it answered all my questions and even ones I didn’t think of”. “I’m only sorry I didn’t know sooner”...
Unfortunately the filming was copy-righted and not allowed for release but the good news is, that it is available for viewing at selected centers in the U.S. as well as in Yerushalayim, in English or in Hebrew. It can be viewed at no cost with no obligation by calling us, to arrange a time, convenient for you. If you have a current panoramic film you can arrange for a no cost consult, as well, if you’d like.
We’re happy to answer any questions you might have regarding “faster, easier, better implant dentistry” and you
may feel free to send (email) us such and/or a Digital Panoramic (not a CT) for our no-cost evaluation.
Follow this column for the discussion of the many important issues, that will allow you to make a more responsible decision.
Do not rush - do it responsibly !
Visit our website, e-mail us, give us a call !
There’s so much confusion !
Over the next weeks and months, we will address in this column, the many issues one should be aware of in choosing how and where to proceed with this wonderful development. What’s true and what’s not?
Why can implants today be faster, easier and better than ever before? Can and should bone grafts and “sinus lifts” be avoided?
Are C.T.’s really necessary, routinely? How cutting, stitching, pain and swelling can be avoided.
Why “teeth in an hour" IS a reality. Should “All on 4“ be avoided?
Why there are few age or health limitations.
Why months of removable teeth is usually no longer necessary, during the “healing” period .
How lasers have brought us to a whole new level.
We’ll be covering this and more. Feel free to send (e-mail) us any questions and/or an up-to-date Digital Panoramic (not a CT) for our no-cost evaluation. Visit our website!
Do not rush, be informed,
Do it responsibly!
BONE GRAFTING, surgically adding human, animal or other bone or bone-like materials and “SINUS LIFTING,” adding these to the sinuses, are performed to “better” enable the placement of DENTAL IMPLANTS. While these have become increasingly popular and “in fashion” we have found, after doing many, over many years ,that there is far less need today, for these MORE INVASIVE procedures. Bone grafting can be relatively complicated, COSTLY and PAINFUL, sometimes extending treatment time months or years. Thanks to LASERS and other modern technology we find ourselves doing these less than 10% of the time that we once “had" to. This helps make treatment FASTER, EASIER and BETTER than ever before.
In the future we will address the many issues one ought to be aware of in selecting: with whom, what, when and where, helping you to be more informed - to DO IT RESPONSIBLY. Next issue: CT SCANS - Is the COST and RADIATION necessary or justified?
Please feel free to forward to us your Digital Panoramic (not CT) and/or any question, for our opinion.
While it is true that the C.T provides valuable information, especially to doctors with less experience or who don’t use many types of implants, digital panoramics and the like are usually more than enough, at far less cost, time and radiation. Of course there are exceptions. It’s worthwhile and responsible to make sure before proceeding with a CT.
Today, Dental Implants are Faster, Easier and Better than ever before but one needs to be careful before proceeding - they’re wonderful when done RESPONSIBLY . In this column we will address the many issues one needs to be aware of in selecting - with whom ,what, when and where.
In our next issues we will discuss: Do we need to wait months and years to get “permanent" teeth? Are there age or health limitations? Must they cut and stitch? Is “All-on 4” a good idea? Is it better to have one doctor to do the placement and restoration of the implants or is it better to be divided amongst two or more doctors? These and other important issues. We’re happy to address your Digital Panoramic and/or any questions you might have
In experienced hands the answer is: usually NO.
LASERS, ’’Piezo” and other modern developments, similar to those used by Neurosurgeons and Plastic Surgeons, allow for a very “different” experience. Doctors using these “Medical Miracles”, used in so many branches of modern medicine, find the investment in these technologies, more than justified, in providing FASTER, more COMFORTABLE healing... and an overall GENTLER experience. After many years with both approaches ,this issue is not a question. Who would want to cut, stitch and swell when they can usually be “Done in an HOUR” and eat immediately - hot, cold, hard and soft, without any significant restrictions ?! These of course are FDA approved devices and absolutely safe.
Today Dental Implants are Faster, Easier and Better than ever before but one needs to be careful before proceeding - they’re wonderful when done RESPONSIBLY . In this column we will address the many issues one needs to be aware of in selecting - with whom, what, when and where.
In our next issues: Is there a “Best Implant“ ? Do I “have to" wear Removable Dentures during the healing stage? Am I best treated by one doctor or split amongst two or more? And more...
Send us your Digital Panoramic (not CT) and or question for our opinion.
Based on Albert Einstein’s work (1917), lasers were introduced to our profession in the 1960’s by a fellow named Stern (no relation), so we’re quite familiar, by now, with what they can do and their safety (these are, of course, FDA-approved devices). As with computers, what was once the size of a building, is now “pocket-size”.
Dentistry has been a “late bloomer” in this field, so 15-20 years ago, we went instead to neurosurgery, orthopedic surgery, ophthalmology... to learn what lasers could be used for, responsibly. We summarized some of our findings in October, 2002 - “ The ‘Light’ Side of Dentistry ”, available on our website. Elaving used lasers daily, for over 15 years, we can comfortably say, it has made dental implants faster, easier, and better, almost completely eliminating, cutting, stitching, pain and swelling. Sterilizing, minimizing bleeding and stimulating bone for faster, better healing.
We, could never “live" without it. Patients finding it much more pleasant, doctors, sorry only not having invested in it sooner.
Send us your questions and/or digital panoramic (not CT) for our opinion. Visit our website.
Do it responsibly - Do it well!
Next issue: “Teeth in an hour", fact or fancy ?
Thanks to modern* technology (lasers ! “piezo”, digital computers ...) a lot of experience and an enormous inventory and set-up, not only “can” it be done but it has been done, by us, “daily”, for over 15 years now.
We’re not talking “same day”, after many visits of treatments, C.T.’s and endless measurements ... and not 10-12 hours or more in the chair, but one visit, one hour for a full jaw of extractions, implants, posts and “teeth” (non-removable), that you can usually, eat with, right away, hot, cold, hard, soft ... whatever, without any limitations. These are “teeth”, of a material, best for ideal healing, (commonly used in hip surgeries), with usually no further treatments for 3-4 months. Then, usually without anesthetics, impressions are taken for the more permanent “teeth”, usually made in porcelain. These measurements usually take (less than an hour). You then get to be fully involved in designing their shape, form, color, etc. over the next visits , until you’re happy. Areas with 2-4 implants, usually take a total of about 20-30 minutes and single implants, about 5-10.
We avoid C.T. scans, bone-grafting, “sinus lifts”; avoiding cutting, stitching, swelling etc...
Truly “magic”, a modern “miracle”, thanks to tremendous “Siyata Dishmaya".
More on Siyata Dishmaya, in our next column, BE”H.
Siyata Dishmaya !
Having done many tens thousands of “teeth” on dental implants, overthepast30years, I can comfortably say, that Siyata Dishmaya (help from above) is what one needs more than anything else. It’s not a game. Implants are great when done responsibly.
Sure you need the “best” doctor, with the best “malach” (angel), with the most experience, inventory, technology etc.... Every field has “experts”, given a special gift by the RBSH”0 (G-D). But even the “best doctor” needs Siyata Dishmaya, for it to work out, in the best possible way. Sometimes we say, seriously enough, “it feels like the malachim are so packed in the room that it’s hard to move our hands during the procedure !”
We used to have many “theories” on how to raise children; we now have children, grandchildren and no theories. “There’s no experience likeexperience”. Along with guidance not only from the field’s experts, it’s the guidance and Brachos (Blessings) of the Gedolim, that direct every step and move, towards success.
This is not the type of thing you do every day. Do it Right, Do it Responsibly !
Send us your questions; your digital panoramic x-ray (not C.T.) and we’ll be happy to answer. Give us a call!
Next issue: Should I get an implant the same day as the extraction and teeth are done, or is it “better” to wait 4-6 months, or more between stages ?
We found out this “truth” by doing many thousands, both ways. We achieved faster, easier, better healing when the implant goes in immediately, at the time of extraction, minimizing the need for separate bone and gum grafts. That placing “teeth” (non removable) immediately, on the implants, minutes (not hours, days or months) later has been a more convenient approach and a far more positive experience for the patient and doctor.
According to “Wolf’s law”, very respected in orthopedics, bone that is stimulated properly, heals better. Unstimulated bone atrophies (disappears!).
Since we don’t usually cut or stitch, the “blood supply” is kept intact, for better, more comfortable healing. Doing so in minutes, respects the cells of the bones and gums “above and beyond” conven¬tional implant surgery.
Isn’t it more wonderful to be able to smile, eat and function right away rather than “shlepping” it out, over “endless” months?
You may be a candidate for such an approach. Send us your questions and/or updated panoramic (not C.T.) for our opin-ion.
See back columns on our website.
Next issue: “All on 4”- is it a good idea ?
There is so much this world that doesn’t make sense, sometimes it’s a miracle we don’t get more hurt.
If you were driving a truck with dynamite would you rather be on 4 wheels or eight ?! Implants are not teeth, the implants are foundations that the new “teeth” sit on. In 100% of many tens of consecutive cases that came to us, diagnosed for “all on 4” (12-14 teeth on 4 implants), we were able to place 6 to 8 or more implants. This not only gives a much stronger foundation, but security and “insurance” for the future. Most cases (with adequate foundation), can potentially last a lifetime, but if one fails on four, it’s basically “all on none”, if one or two “go” on 6-8 implants, then we’re usually very much “still in the game”. In our experience, after 6-8 years, parts fatigue and can break, especially if the foundation is too weak. We strongly recommend “more is better”(within reason, and the “cost” need not be more). “Skimping” on the number of implants has turned out to be a mistake.
We’re happy to address any questions or to review your digital panoramic (not C.T.) x-ray.
Next issue: What is an implant ? Is there a “best implant” ?
Firstly, dental implants are not new, they have been around at least since the early 1900’s. What is new is what we’ve learnt along the way so that they can be done more predictably and responsibly.
The “implant” replaces the natural tooth-root, below the gums. The crown (usually porcelain) replaces the “tooth” portion above, and the post, (the neck) connects the two.
The implant is usually in the “titanium” family, a natural element in nature, that basically does nothing. When titanium is exposed to air, it naturally, “miraculously”, forms a surface (titanium oxide) that is microscopically identical to bone. The bone is so comfortable with it, that it (the bone), fuses with the titanium, stronger than bone does to a tooth, so dental implants are not like an “organ” transplant. We prefer implant-post systems today with no screws, no parts, and no gaps (between parts)... minimizing/eliminating loosing, breakage and biologic-gap contamination, with time, too common, with “standard" systems used. These are faster, easier, and we’ve found them to provide better, short and long term results.
It does require more experience and larger inventories but this is more than worth it. There is no one “best” implant and we’ll discuss that more in a future column. Implants are wonderful, done responsibly. Being informed and up to date can help you know better what to look for and where. We’re happy to answer your questions and/ or evaluate your digital panoramic x-ray, feel free to send them to us.
See our previous columns on our website.
The arrangement of 2 or more doctors treating one patient, more popular in the U.S., is very much not as popular around the world.
Ultimately if one person is properly trained and experienced in all stages, one person assuming responsibility, there are less “miscommunications”, and treatment is more efficient. This is especially true today, as one stage implants (implant-post with a “tooth”) become, once again more popular than waiting months between stages (see our previous columns on this), usually fewer visits and more cost efficient.
Bridge or implant? A bridge, “bridges” an empty space by placing crowns (“caps”) on adjacent teeth. If the two teeth next to an empty space could benefit from such “crowns”, then a missing tooth can be replaced “for about the same cost” without an implant. If two or more teeth are missing or the adjacent teeth are relatively healthy then it’s quite a pity to grind down and harm healthy teeth, the tooth can be replaced with an implant.
Extensive experience can address your specific case best. Don’t be hasty, get a proper opinion or two ! We’d be happy to give you our opinion if you have a question and/or send a Digital Panoramic (not CT). See our previous articles on our website. Next week: “Shanrw Tova with Shenaim Tovos“
There is no one best implant and an experienced doctor will usually have many different types, on hand, prepared for endless “surprises” that no C.T. or the like can possibly forewarn. There is bone whose density is more marble like (very dense), others more like cherry wood (solid but a bit softer), some closer to compressed “sawdust” (even softer) and yet others closer to Styrofoam (very soft). Just as wood screws (of the U.S.) can’t possibly work as well in concrete walls (as in Israel - those who’ve tried, know!) neither can “one type” of implant work as well for everyone.
As the Rambam says - “We don’t know how it will be until it will be”. We don’t know how deep a puddle is until we step into it, regardless of suggested technological “substitutes” such as C.T. (see our previous columns).
There’s no substitute for a doctor with many years of experience and a proper inventory of sometimes over 100 different types, sizes and shapes of implants.
Removable Teeth (Dentures) ? Not only is the answer NO, but dentures are about the worst thing in the world for implants, doing more damage to implants than, possibly, any other factor and should be avoided at almost any cost ,if possible. Who, today, would want to sleep without teeth while their dentures are in a cup of water, overnight ?
This is not the type of thing you do every day - do it responsibly!
Feel free to send us your questions and /or Digital Panoramic (not CT) for our opinion
This is actually one of the most challenging questions today. On the one hand, even with all our “genius”, nothing comes close to our G-D given teeth (“tovim hashenayim min haechad”!)
On the other hand there’s no question that when “reconstruction” is necessary it is often much faster, easier, nicer, stronger and more economical to remove problematic teeth in the area being treated. It takes extensive experience to know when yes and when not, “Chacham Adif Menavie”(an experienced expert knows better than a prophet, says the Gemarah).
After following tens of thousands, both ways, over 20 - 30 years, we disagree with anyone who says “teeth are always better than implants and should be saved at all cost”. This is not true. It may sound kinder and more conservative to leave teeth but often we pay a severe price for this “down the line”. Today we look back with regrets, on many, for whom we left teeth that we should have removed. It turns out we were wrong. We were not doing them a favor.
Long term experience outweighs theories - Professor Silverman (Washington) said it so well, 40 years ago, (full quote on our site) and the Rambam a thousand years earlier in his Pirkei Moshe LeRephuah (25:69) - “I want to give you some very important advice ...with your regard to your trust in opinions and theories", He goes on to warn against “blanketly “ following “accepted practices” regardless of from who, how many or how many followers, even if from the greatest “Medical Scholars”. "For emotion will lead man to irresponsible deeds".
We agree - Do It Responsibly !
In our next column(s) - Can the “whole world“ be making a mistake ? The Rambam in Moreh Nevuchim (part 3) says - YES ! Weil address the issue in our field of Dental Implants.
Feel free to send us your questions and /or Digital Panoramic ( not CT) for our opinion
Our approach is not new at all and has existed tens of years amongst “geniuses” far bigger than myself, that the “new generation” doesn’t even know of. “The old becomes new, and the new becomes holy”. My professor used to say: “if everyone is thinking alike, someone is not thinking”. While the “new world” is attracted to the complex and the complicated, the “genius” of our approach is its simplicity. The dynamics and politics behind the development of this field are detailed in our “green letter”: “A Letter to My Patients - a Response to Your Questions” (available on our website). The Ramb”m in Moreh Nevuchim (part 3) says that certainly the “entire world” can be making a mistake and that’s why we’re called “Ivrim”. The entire world can be on one side and we on the other (“ever” means side).
No method can compete with our creator, but with our method one does usually reach their goal faster, easier and better than with “conventional” methods (still more common today in the U.S., but less so, around the world).
Advantages of our approach are detailed in our previous columns, available on our website. Our method does require a lot of experience, equipment and inventory but what it saves in pain and discomfort makes the investment well worth it. The responsible thing to do is to be as informed as possible regarding your alternatives and to hear from as many people as possible, who did the procedure, not yesterday but 10, 20 and 30 years ago. Everything new “works”; the question is, for how long. You heard it here!
See our previous columns (on our website). Next column: How do I choose a doctor to do my implants?
Yes, dental implants are faster, easier and simpler
than ever before, when done responsibly, and can be complicated when not, as we’ve detailed in our past columns.
• Experience: Does he/she do 100 or more implants a month or 10 or less?
• Surgery: Can he/she usually do it without cutting and stitching?
• Time: Do you have to wait months to get your teeth or can you get teeth within an hour the same day? Do you have to wear removable temporary teeth (dentures)?
• C.T: Must you have the exposure and expense of a CAT SCAN?
• Bone Grafting: Can he/she do it without grafting animal or human bone?
• “Expertise”: Does he/she do general dentistry (a little of everything) or primarily implants?
• Efficiency: Are all phases of treatment done by one doctor or 2 or more ?
• Recognition: is he/she certified as a Diplomate or Fellow of the recognized implant “Specialty" groups such as the American Board of Oral Implantology (ABOI) or American Academy of Implant Dentistry (AAID).
• Lasers: Does your doctor use lasers as a member of the Academy of Laser Dentistry?
• References: Can you speak to people who have done the procedure a week, a month, a year, 10 and 20 years ago?
• Inventory: Does your doctor make use of the many “systems” available? Does he/she keep a large stock, ready for “changes in plan”, or does he/she use only one or two types for everyone?
• Quality - Does your doctor use only the very best materials and technicians or the “cheapest”?
Don’t be afraid to get a second opinion!
Do it responsibly and enjoy the benefits of this fascinating advancement!
I think we all know the honest answer to this one.
Would one look for the “cheapest” bypass heart surgery (G-d forbid)?!
Money is an issue for many if not most people, but we’re talking about an investment towards years of comfort, function and health. Is it worth taking a chance to cause irreversible damage?
It is not logical that one would not be compromising the level of care and service by “paying less”. The real question is what will it “cost” later, to pay less now? There’s always “first class”, “business class” and “economy” and not everyone can fly “business” or “first” but can we consider compromising on safety and security by flying a “fly by night” airline? Wouldn’t you think twice (or more) before flying such an airline?
It’s not the type of thing you do every day. Do it right. Do it responsibly. Too many people have paid severe prices for “cheaper”! It hurts our heart to re-do and undo attempts to “save” (incurring added costs and anguish). This applies, as well, to requests and attempts to place less than the ideal number of implants to try and “save money”. Did G-d skip “tooth roots” to save?! We must respect the medical and engineering “needs” along with financial concerns. We need to suggest following “His” design. We suggest to try as best as possible to “Walk in HIS Path”.
Look for experience, efficiency, long term success - (10 - 20 years or more), as outlined in our previous column(s). Get names of people who did it 5,10, and 20 or more years ago with that doctor.
People who have done it right are usually not sorry. Many who haven’t are sorry. Getting a second opinion is always a good idea. Very few remember 20 years later how much it “cost” unless it ended up “costing” much more than money! Spare yourself unnecessary aggravation.
is automatically a “specialist”. Oral surgeons do wonderful work in the field of surgery and periodontists amazing things in the area of “gums” but this alone does not make them certified Oral Implantologists. In fact most of those doing implantology in the world are general dentists with advanced training in Oral Implantology. The American Dental Association (and Israel Dental Association) have thus far refused to establish oral implantology as a separate specialty. (For the politics behind this see our “Green Letter” on our website).
For the is reason many years ago the American Board of Oral Implantology (ABOI) and American Academy of Implant Dentistry (AAID), for example, have established rigorous testing and boards to recognize those who have demonstrated advanced expertise and competence in this field. Oral Implantology requires advanced knowledge in surgery, prosthetics, gums, lasers, and more and a “responsible captain” to bring it all together.
People don’t “need” or want “implants”. They want to look good, feel good and be done with their dental needs as efficiently as possible. This requires advanced training, knowledge and experience to get the best possible short and long term results. Such training and experience does exist, and should be sought out, if one wishes to do it as right as possible.
Oral surgeons and periodontists usually do not make “teeth”. “Teeth” not implants are the desired goal. “Expertise” requires a command of the most advanced concepts and techniques to make “teeth” - as comfortable, functional and esthetic as possible.
Look for a doctor, so trained, and recognized. Save yourself unnecessary aggravation. You need Siyata D’Shmaya to find the right doctor. Knowing what to look for helps!
See our previous columns on our website.
Dental implants change people’s lives. Each case is a creation. Behind every implant is a person, a person often in dire need of returning lost comfort, function, health or esthetics. A person who doesn’t feel “whole” about themselves, “falling apart”, desperate to restore a quality of life slowly lost, usually during years, too occupied with life, to take care of themselves. Sometimes I hear “I lost a tooth with each child born” and I ask them “and which child would you give back for a tooth”? (Even if it were true). We can only look forward, what was was - “it is what it is”. We need to focus on “the present” - the gift of today and the “miracle” of today’s science and medicine that allows, with Siyata D’Shmaya, to so efficiently restore the long lost health and peace of mind. To look good, feel good and be done with one’s necessary care. What is it we can do, “must do”... to restore a quality of life?
People can be helped today faster and easier than ever before. People who do it are usually sorry they didn’t do it sooner. This is fascinating. ..a gift from G-d to be able to so help others. This is exciting for us and we celebrate the gift of every person and every day we can so change people’s lives! We are forever indebted to HKB”H and our thousands of patients throughout the world who have given and give us the opportunity and “zechus” to continue with our “Meleches Hakodesh” (holy work)! You can see our past 20 columns, answering people’s most common questions, and much more.
Please feel free to send us your digital panoramic (not C.T.) and/or any question for our opinion.
Modern technology together with 35 years of personal experience allows us to do things we never dreamed of, faster, easier and better than ever before. What used to take 17 months, 4 times a week, 4 hours a visit now takes us some 17 minutes, usually without cutting and stitching, without unnecessary C.T. radiation and cost, “bone grafting”, swelling, etc still so widely popular.
Today it’s done same day - same hour! Thanks to laser technology there’s usually no cutting or stitching, almost no bleeding, faster, better and more sterile treatment and healing (see our previous column on lasers). Piezosurgery - (a form of advanced ultrasonics) allows removing teeth faster and easier, without destroying the gum and bones, so precious for implants, unlike with “traditional extractions”.
In fact, teeth biologically are the same natural material as bone. With much thanks to Professor Binderman in Israel (a world leader in bone research some 40 years now), in the rare case that we do need bone, we on site, convert the patient’s own teeth into “bone grafting” material instead of using donor bone from another person, cow, horse or pig, still so commonly done! This has been amazing for us and very exciting.
We continue to be as excited as ever, and more about being able to help you faster, easier and better than ever before.
Why not do it responsibly? Why not do it “right”? See our previous 20 columns on our website.
Next column: Summary of our past 20 articles.
Over the past 20 weeks we have covered the most
common questions people ask. Get a copy from us or from ourwebsite.Visit us and see our most comprehensive DVD. Call, e-mail and or send a panoramic x-ray (not a CT) and we’re happy to answer any questions you might have.
1. Doing it Responsibly
2. What’s True and What’s Not ?
3. Bone Grafting and Sinus lifts - necessary?
4. C.T. scans-a must?
5. Do You Need to Cut and Stitch ?
6. Advantages of Lasers
7. Can You Have “Teeth in an Hour” ?
8. What You Need Most - Siyata Dishmaya !
9. Extraction, Implants and Teeth - Same Visit ?
10. Is “All On Four” a good Idea ?
11. What is a Dental Implant?
12. We can only say Thank You !
13. What’s Better a Bridge or an Implant ?
14. Is there a Best Implant? Are Dentures a must ?
15. Is It Better to Save Teeth or to Implant?
16. Is “Our Method” new?
17. How Does One Choose a Doctor Responsibly ?
18. Can I Get “a Bargain” - Implant cheaper ?
19. Who’s Really a Dental Implant Specialist ?
20. Where does your Passion come from ?
21. What’s New in Oral Implantology?
22. Answers to the Most Common Questions Asked We’ve come such a long way over the past 35 years; why not get the very best for yourself ?