My recent Interview with Impladent

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    Please read on:–

    Please read on:–

    Please give us a brief background about yourself.
    I completed my BDS from Nair Hospital &Dental College,
    Bombay with the Best Student of the year award in 1964. I
    am a Fellow at the International College of Dentists, Fellow &
    Diplomat at the International Congress of Oral Implantologists
    (ICOI), Fellow & Diplomat at the Indian Society of Oral
    Implantologists ( ISOI) and Faculty at the International
    Seminars for Oral Implantology, Bremen, Germany.
    I have special interest in fixed prosthetics, Aesthetic Dentistry &
    Implant. I introduced Implant modality in the practice in 1989
    after extensive training in the field with internationally acclaimed
    leading teachers in the world.
    I was responsible for helping to start the West Suburban Dental
    Association, Indian Society of Oral Implantologists, framing
    implant curriculum for Dental Council of India, framing
    requirements for Dental Office standardisation, for IDA
    Mumbai Branch and starting Practice Management Committee
    for IDA head office.
    From June ’11, I practice clinically only for complicated cases
    along with Career Counseling. I also continue sharing by the way
    of presentations on Practice Management, Planning associate/
    partner in practice & Oral Hygiene.
    When did you first know you wanted to work with dental
    implants?
    It was early 80’s, after getting labeled “GOOD WORKER”, I
    started getting more complicated / difficult cases & that time
    I realised I could not help patients, the ones that were partially
    edentulous with missing posterior teeth, poor lower ridges,
    severe gagging response to removable prosthesis and patients
    not very comfortable with the idea of removable Prosthesis –
    all typical indications for implants. Being an associate member
    of Indian Prosthodontic Society, I was exposed to the idea
    of Implants being used to solve such cases. I had to check if
    holding only BDS allows me to legally practice implants. To this
    end I contacted the Chairman of ICOI, Dr. Kenneth Judy –
    who gave me a positive response. I got in touch with Noble
    Biocare in 1985 & they gave me information of a course in June
    1987 along with Asia Pacific Implants Conference at Singapore.
    I not only booked myself but took a group of 12 to 14 Dental
    Surgeons with me & we all took a number of training courses
    of different systems as well. This was followed by some more
    trips in November same year, Novmeber 1988, March 1989,
    April 1990 & many more.
    You are widely recognised as one of the first few
    practitioners in India to incorporate Implants into your
    dental practice. In those times, when patient awareness was
    almost nonexistent, what made you foray into implants?
    Part of this is discussed in the previous question. The other
    interesting aspect was that I took this decision at the highest
    peak of my practice – getting more challenging cases, which
    could be solved by implants only. But with no awareness,
    many failed cases reported world over – as it was a developing
    science, it was an uphill task, a loss making proposition – but my
    intentions were to first and foremost help my patient’s problem,
    add an element of thrill / spice into overbooked routine practice
    and always enjoy facing challenges in my life.
    Being in active practice since over 30 years now, what
    significant changes have you seen in Implant Dentistry in
    India over these years?
    I have seen significant changes as follows:
    a. Increased awareness
    b. Availability of so many training options here in India as
    against our trips abroad – both financially expensive & more
    time consuming.

    c. Availability of so many Implants – including accessories locally
    against the earlier limited options and limited stocks for sizes.
    d. Availability of trained laboratory support – which we had to
    teach / push the labs.
    e. Changed economic scenario.
    f. Changed Imaging / X ray techniques – OPG to CT Scans &
    CBCT – with Surgical Guides giving directions, diameters &
    lengths.
    g. Most of the Implants are root form, threaded design –
    practically similar as against so many types like blades,
    subperiosteal, screws & root forms.
    h. All the Implants have internal connections to Prosthetic
    heads – as against quite a few having external connectors.
    i. Media coverage
    j. Being taught at some Dental Institutions – the 1st being
    Graffelmann Department of implantology at SDM, Dharwad
    in 1994.
    What avoidable implant complications have you seen most
    often in your practice?
    I have commonly noted the following complications:
    a. Lack of preplanning – there is a saying that “one should have
    clear idea of final prostheses before starting the case.”
    b. Avoid preparing of surgical stent.
    c. Selection an improper candidate – one not likely to follow all
    instructions, give sufficient commitment to hygiene, regular
    follow ups.
    d. Missing out on strict surgical protocol to prevent infections.
    e. Not planning 6 handed protocols – operator, associate trained

    in Implant on other side & a revolving assistant. A hint &
    altered saying by me to my students “While hunting a deer be
    prepared for a lion”
    When speaking with recent graduates, who have had
    varying degrees of exposure to implants in their training,
    we are often asked what courses they should take to learn
    to get into implant surgery. What are the parameters they
    should be using to evaluate a potential course?
    a. Science based training courses covering more on basics rather
    than company sponsored / conducted courses.
    b. Conducted by someone in active Implant practice – not just
    a teacher.
    c. Course giving an option of treating a patient at various stages.
    May spread over 8 to 12 months.
    d. Participant is strongly recommended to study basic
    implantology.
    e. Do not stop at just one training – take as many as you can –
    every teacher has few extra tips to teach.
    What is the most interesting new technology in the implant
    world?
    a. Surgical guide stent fabricated with help of CBCT, and
    b. Physiodispensors with controlled speed, torque, etc.
    Please give some tips to general dentists wishing to
    incorporate Implants in their practice.
    a. Study basic Implantology
    b. Select the right training course & take it.
    c. Have computer software / brochures to educate & motivate
    the patients.
    d. Be on side of an active practitioner for a couple of cases to
    assist – if you cannot manage an opportunity, call an implant
    surgeon / take your patient to his office to get such opportunity.

    e. Train a junior / associate along with circulating assistant to
    assist while taking above steps – they could be along with
    you.
    f. Before treating your 1st patient, make sure you are thoroughly
    prepared.
    g. Take up simple cases to start with independently.
    h. Achieve a mental rehearsal before treating the patient.
    i. Maintain & archive all records – pre & post — study casts,
    OPG, Intra Oral X rays, etc.
    Getting personal, please give a brief on your family.
    I am married and my wife, Kusum is an artist. She has had the
    privilege to hold exhibitions of her art work at Taj Art Gallery
    twice & once at Jehangir Art Gallery – apart from many others
    at smaller galleries.
    My son, 46, works as a recruiter in USA. He is married to a
    software professional and they have a 14 year old daughter.
    My Daughter, 41, is a double graduate in Nutrition and has a
    fitness studio in Andheri, Mumbai. She is married to a famous
    Animator and they have a 10 year old son.
    Your favourite hobbies other than Dentistry.
    My hobbies include music, movies, drama, photography,
    swimming, gyming, socialising & outings – have travelled
    extensively.
    Your favourite holiday destination.
    After travelling extensively, now will think of Mahabaleshwar /
    Lonavala – Khandala.

     

     

    #17891
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    Dearr readers,

    Pls also see the interview with Dr. Harshad Adhiya which I had conducted here:

    https://discussdentistry.com/content/interview-dr-harshad-adhiya

    Copy the link and paste it in ur browser.

    Regards,

    Dr. Veerendra Darakh

     

     

     

     

    For one to one consultations on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

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