THE DENTAL IMPLANT DISASTER

The OPEN REDUcTION Oral Surgery w/Dr. Tom Bolten

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DENTAL IMPLANTS are by far the BEST way to REPLACE MISSING TEETH, but things can go wrong. CHECK OUT the WORKUP and TREATMENT of an IMPLANT CASE that spiraled out of control, resulting in multiple surgeries and over a year and a half of treatment! WATCH @OpenReductionOralSurgery for EVERYTHING ORAL and MAXILLOFACIAL SURGERY with BOARD CERTIFIED OMS, DR. TOM BOLTEN! #oralsurgery #oralsurgeon #dentaleducation #dental #dentalstudenteducation #drbolten #maxillofacialsurgeon #maxillofacialsurgery #medicaleducation #medicalstudent #implantdentistry #implantodontia #implants #implantedentario #implantesdentários #implantdentistchennai #implant

Опубликовано:

23 ноя 2022

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Комментарии : 32

@user-cr1se1ke5e Год назад

Wow.... Simple implant case can go wrong this much. However the lady is lucky to be taken care by you. Very interesting case and excellent presentations. Thank you for sharing great case with us.

@OpenReductionOralSurgery Год назад

Thanks for the comment and thank you for watching! This was a really bad case, but thankfully she is doing well now!

@McChrister Месяц назад

What were these strings on the left and on the right of her bottom jaw? You🫵🏼 Doctor Bolten are truly the best Oral Surgeon out there! I am so glad all the problems with her teeth worked out for her in the long run! Thanks to your professional work! God Bless you and all your patients….🙏🏼🍀👋🏼🇨🇦 Btw, thanks for sharing this video. I am having 3 implants placed next week. 2 molars in my upper jaw and one in my lower jaw right below the other implants. I will make sure to ask the Surgeon not to make them too long! LoL….😳😂 Oh yeah, and like you mentioned before in another video to be gentle on the soft tissue!🫶🏼

@Da34Box Год назад

God bless this lady

@OpenReductionOralSurgery Год назад

She definitely went through a lot, but always managed to keep a good attitude, amazing! Thanks for watching!

@DailyMeditation365 Год назад

Great case presentation, I'm a new subscriber and am looking forward to learning a lot from your videos.

@OpenReductionOralSurgery Год назад

Thank you for subscribing! Hope you have a chance to check out the other videos, lots of good cases, and more on the way!

@ARBlack-cc9tu 10 месяцев назад

So is this pretty common Cause I was thinking about getting some implants. Cause I don't have no upper or lower on the right side and also on my Left side not so much question Where are you located at the office

@OpenReductionOralSurgery 10 месяцев назад

This is a very uncommon scenario. The vast majority of implants have no complications and patients are very happy. This is an extreme example, which is why it is a good teaching case. I practice outside of Detroit, MI. Thanks for watching!

@Sc4lpel 4 месяца назад

great video, greetings from australia

@sariatallah3942 Год назад

I wonder though did the pt ever sue the dr for malpractice? Poor doc murphy's law scenario

@OpenReductionOralSurgery Год назад

Unfortunately I can't speak about any litigation as a result of this case. It is a very sad scenario and I felt terrible for this patient, but thankfully at the end of treatment she was happy with the result

@dr.p.augustagiftslinramya8027 Год назад

What would be the cause of osteomyelitis in this patient?

@OpenReductionOralSurgery Год назад

Hi doc, thanks for the question! The osteomyelitis was a direct result of the implants and their associated infection. She is a reasonably healthy individual given her age and is not immunocompromised. This is not the first case I've seen where infected implants resulted in osteomyelitis, it can happen unfortunately.

@aliradfar8157 9 месяцев назад

The wires in the ramus I think there are for orthognatic surgery for ivro done way in the past and maybe if the patient done orthognatic in the past the vascularity of mandible maybe compromise due to striping of master during ivro

@Dr.BDINAKARREDDY 6 месяцев назад

4:14 doc was the same antibiotic continued orally after iv antibiotics or u changed the antibiotic?

@OpenReductionOralSurgery 6 месяцев назад

Thanks for the question! The antibiotic was changed after the IV infusions were done to oral Amoxicillin, which she was on for months. This portion of her care was managed by infectious disease specialists. Thanks for watching

@dr.sudarsansenmaxillofacial 9 месяцев назад

Great case.

@nealrosenberg7519 Год назад

Any consideration of nerve lateralization?

@OpenReductionOralSurgery Год назад

Definitely a good thought! I did consider it, but there was a large vertical defect I wanted to correct for ideal implant placement. There would have been enough bone if I had lateralized the nerve, but the implants would have been too low in the arch and very difficult to restore . The crowns would have been excessively tall and a nightmare to maintain hygienically

@ttepecik Год назад

Nerve lateralization would not be my first option here. Khoury method augmentation may be, or hip graft as we see here. Actually i have never performed nerve lateralization, but I may have to in future. So what is your nerve lateralization protocol?

@kerryowen-holmes3719 Год назад

I hope the initial dentist found out about this malpractice 😡Thanks for sorting this out

@OpenReductionOralSurgery Год назад

I did keep the first dentist informed throughout her treatment, so he knew what was going on. Thanks for the comment and thanks for watching!

@keithratcliff7896 Год назад

Maybe the initial dentist did their best but made a mistake in planning or execution of the case. Perhaps all were unlucky despite protocols being followed. There was no radiograph in this video showing the depth of the prior implant placements from which we could judge that they were placed too deep and risking nerve damage. These complications are uncommon but known risks of such a procedure for which patients are normally consented.

@OpenReductionOralSurgery Год назад

@@keithratcliff7896 All great points...we can follow every protocol and adhere to the highest standard of care and still have complications. Obviously I wasn't at the original surgery, so I have no idea how it went or what the circumstances were. Thanks for watching!

@keithratcliff7896 Год назад

I've seen those little loops at the angle of the mandible before... what are they from? A non resorbable suture or metal tie? And why on both sides if she had osteomyelitis only on the left? Is it totally unrelated?

@keithratcliff7896 Год назад

Third molar extractions I assume... but what are those loops for?

@OpenReductionOralSurgery Год назад

Great question! The loops are from previous orthognathic surgery. We use plates and screws now to stabilize bone segments, but back in the day they used stainless steel wires to reduce fractures and hold bone segments in position. This surgery was done decades ago and the wires are unrelated to the osteomyelitis, just a coincidence. Thanks for watching!