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CAD/CAM – international magazine of digital dentistry No. 4, 2017

| opinion implant procedures Teeth within an hour: A ticking time bomb Author: Dr Göran Urde, Sweden In my lecture at this year’s EAO meeting, attendees received an overview of over 50 years of working with implants and why we did it in certain ways back then and why we do it differently today. When I started placing implants, they were only for spe- cialists in oral surgery and prosthetics. Periodon- tists were not even allowed to listen to our lectures. One also had to be thoroughly trained if one wanted to purchase implants. Companies kept records of the clinician’s success rates and if he or she had a higher than normal failure rate, they showed him or her the door to fi gure out alone what had gone wrong. from less skilled peers. Later, everyone was allowed to take a course and to place implants. Often, these were just weekend courses after which the dentist was supposed to be a fully qualifi ed surgeon and prosthodontist and knew everything, including single- tooth restoration, full-arch rehabilitation of severely resorbed jaws with bone grafts and imme- diate loading concepts. It was totally absurd. To place implants, one needs to be well trained—learn to walk before one starts to run. To my delight, I see that more and more implant companies are abandoning weekend courses and instead offer- In some instances, the warranty did not even apply if the dentist was not very good. I wish we had a similar system today to save patients ing high-quality courses over a longer period. At- tendees have to treat patients under supervision and companies even offer mentor support, which means clinicians are receiving guidance in con- ducting their treatments. The best courses are of a 58 CAD/CAM 4 2017

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