Regain your smile – and your confidence Location, date Presenter name

Agenda Welcome and introduction Why you should not ignore missing or damaged teeth Treatment options Your personal treatment plan Questions and answers Conclusion and tour of facilities

Insert pictures or a short movie of yourself and your team here Welcome! Insert pictures or a short movie of yourself and your team here - Introduce yourself, your team and your practice - Thank participants for taking time from their day - Invite participants to stay to the end to meet members of the staff or patients one-to-one - Recommend asking questions throughout the seminar

Are some of these statements familiar to you? “I wish I could go out with my friends again.” “I want my dentures to be reliable in my mouth.” “Smiling and laughing without thinking about it would be great.” “Imagine if I could fully enjoy eating...” “I wish I could speak clearly.” Explain that some people feel uncomfortable with their situation and therefore might avoid certain things Mention that if some of the statements on this slide apply to the participants, they have come to the right place

Agenda Welcome and introduction Why you should not ignore missing or damaged teeth Treatment options Your personal treatment plan Questions and answers Conclusion and tour of facilities

Different reasons can cause tooth loss Abrasions Accidents Diseases Explain to the participants that tooth loss is not necessarily due to age Certain situations might cause tooth loss such as: Accidents, for example, sports-related injuries might result in the loss of one or more teeth Certain diseases might influence the health of teeth causing them to fall out Abrasions, like accidents, might cause the loss of one tooth or more

Tooth loss can have further effects on your… Physical health Esthetic appearance Self-esteem compromising your quality of life You can do something about it! Eating and drinking can be painful and you may have difficulty speaking, chewing or laughing freely Bone loss may change your facial appearance over time and make you look and feel older than you really are You may feel less self-confident or embarrassed and therefore want to avoid social contacts

Eat what you like and laugh out loud again PHYSICAL HEALTH Proper tooth reconstruction will help you to enjoy eating all types of food again Talk about what quality of life is for someone who has no dental disorders Eating without problems  even apples, meat, etc.

Don’t look older than you really are ESTHETIC APPEARANCE Implant-based treatment solutions can improve your esthetic appearance and your smile Click to start video Talk about what quality of life is for someone who has no dental disorders Full lips Facial structure The video shows how tooth loss can affect esthetic appearance

Find your desire to go out again SELF-ESTEEM Implant treatment can improve your ability to speak which can help you build your self-esteem giving you a stronger desire to socialize Talk about what quality of life is for someone who has no dental disorders Feeling confident Being able to smile

Regain your smile Source: Ronald E. Goldstein, DDS This 61-year old artist was so embarrassed by her teeth that she would usually cover her smile with her hand. Since the teeth were beyond repair, implant-retained dentures were selected as the treatment of choice. A more youthful and healthier-looking smile was designed with four implants in the lower arch, along with a removable upper denture. Now her friends tell her how amazing she looks, and her paintings have been rejuvenated as well. Source: Ronald E. Goldstein, DDS - Hint: Use photos of one of your own patients here and tell their story.

Agenda Welcome and introduction Why you should not ignore missing or damaged teeth Treatment options Your personal treatment plan Questions and answers Conclusion and tour of facilities

What are dental implants? An implant is a small metal anchor that is inserted into the jawbone to take the place of your missing tooth root After a minimally invasive surgery an artificial tooth is attached to the implant, enabling normal function and natural tooth appearance - To regain quality of life – dental implants are the solution Explain in a non-medical language what dental implants and their benefits are The implant is placed in the jaw bone, in the place of the missing tooth, using a minimally invasive surgical procedure A dental implant usually consists of the implant body, which is hidden in the bone, and an abutment which is screwed onto the top of the implant. Later the final restoration is placed on top of the abutment. Click to start video

Which advantages do dental implants bring? From a functional perspective they... look, feel and function like natural teeth help to save the natural adjacent teeth help to maintain jaw bone and gums facilitate more esthetic treatment options are a long-term tooth replacement option are scientifically proven Implant treatment offers additional restoration options and supports preservation of natural teeth as there is no need to cut down adjacent teeth for a traditional bridge treatment When compared to traditional dentures, implant treatment offers a variety of options to provide stable and well-fitting restorations Dental implants are a clinically well-proven alternative to traditional methods of tooth replacement and offer esthetic results Dental implants have been placed since 1965

Which advantages do dental implants bring? Implants can help you regain quality of life! laugh out loud again eat what you like be able to go out again look and feel your age “Thanks to my implants, I feel so much more confident. You are never too young to do something about it!” Manuel, 46 Implant treatment offers additional restoration options and supports preservation of natural teeth as there is no need to cut down adjacent teeth for a traditional bridge treatment When compared to traditional dentures, implant treatment offers a variety of options to provide stable and well-fitting restorations Dental implants are a clinically well-proven alternative to traditional methods of tooth replacement and offer esthetic results

Different treatment options are available for your specific situation single missing tooth several missing teeth all missing teeth A single missing tooth is the least costly procedure Costs for several missing teeth are dependent on the number of teeth being replaced and the type of restorative solution placed The most costly procedure is replacing all missing teeth Dependent on the necessary procedures such as tooth extraction Dependent on the type of restorative solution (fixed-removable or fixed solution)

Conventional or implant-based solution? single missing tooth Conventional or implant-based solution? Removable partial denture Tooth-supported fixed bridge Implant-supported crown Inconvenient denture plate and retention hooks Cutting possibly healthy adjacent teeth Look, feel and function like natural teeth A single missing tooth is the least costly procedure Removable partial denture Old fashioned Uncomfortable Does not prevent bone loss Tooth-supported fixed bridge Healthy adjacent teeth are prepared (cut down) for fixture Implant-supported crown Look, feel and function like natural teeth Adjacent teeth are not affected

How an implant-based restoration could look like single missing tooth How an implant-based restoration could look like BEFORE LABORATORY WORK AFTER -This patient lost two lateral incisors -The middle image shows the work done in the dental laboratory where two zirconia abutments and one of the final crowns is shown on the stone cast -The last image shows the end-result HINT: -Use this opportunity to explain the role of the dental laboratory -You can show images of one of your own cases here. This will help increase the confidence of the participants in your expertise. Source: Ronald E. Goldstein, DDS

Conventional or implant-based solution? several missing teeth Conventional or implant-based solution? Removable partial denture Tooth-supported fixed bridge Implant-supported fixed bridge Inconvenient denture plate and retention hooks Cutting possibly healthy adjacent teeth Look, feel and function like natural teeth -Costs for several missing teeth is dependent on the number of teeth being replaced and the type of restorative option -Removable partial denture Old fashioned option Uncomfortable Does not prevent further bone loss -Tooth-supported fixed bridge Healthy adjacent teeth are prepared (cut down) for fixture Does not prevent bone loss -Implant-supported fixed bridge Look, feel and function like natural teeth Helps prevent teeth from moving Ensures chewing function is restored Adjacent teeth are not affected

How an implant-based restoration could look like several missing teeth How an implant-based restoration could look like Implants healed in bone and gums High-strength ceramic bridge framework screwed on implants to check precision of fit Final full ceramic bridge placed (screwed) on implants You can show images of one of your own cases here. This will help increase the confidence of the participants in your expertise.

Conventional or implant-based solution? all missing teeth Conventional or implant-based solution? Conventional dentures Dental implants and prosthesis Restore 10% of the chewing function1 May accelerate the shrinkage of the jaw Need adhesives for comfort Feel foreign in the mouth Restore 60–80% of the chewing function1 Prevent further shrinkage of the jaw Need no extra fixation Feel like natural teeth Conventional dentures Restore 10% of the chewing function Provide support for the lip / cheek May accelerate the shrinkage of the jaw Sometimes cause long term and/or acute pain Sometimes a need for denture relining Add on adhesives for comfort Dental implants and prosthesis Restore 60–80% of the chewing function Provide better support for the lip / cheek Prevent further shrinkage of the jaw Pain free when restoration is in place Reduced or no need for denture relining No extra fixation needed 1Source: Andries van der Bilt et.al. Braz J Oral Sci. April/June 2002 Vol 1 – No.1

Various treatment options bring different levels of functionality all missing teeth Various treatment options bring different levels of functionality Implant Bridge Implant Bar Overdenture Implant Overdenture Conventional denture -Various treatment options for all missing teeth provide different levels of functionality and quality of life -An implant bridge offers an option which comes closest to natural teeth -Conventional denture Restore 10% of the chewing function Provide support for the lip / cheek May accelerate the shrinkage of the jaw Sometimes cause long term and/or acute pain Sometimes a need for denture relining Add on adhesives for comfort -Implant Overdenture Overdenture seated on attachments Removable solution Economic option Avoids denture adhesives Existing dentures may be used Are easily removed for cleaning and hygiene -Implant Bar Overdenture Removable option anchored on an implant bar Implant bar is permanently fixed to the jaw bone Prosthesis sits securely in the mouth providing better chewing and speaking function No adhesive needed -Implant Bridge A durable, dental prosthesis is permanently secured on implants Restore 60–80% of the chewing function Provide better support for the lip / cheek Prevent further shrinkage of the jaw Pain free when restoration is in place Reduced or no need for denture relining No extra fixation needed

How an implant-based restoration could look like all missing teeth How an implant-based restoration could look like BEFORE IMPLANTS AFTER A self-described dental phobic, this grandmother had let her teeth become discolored and loose. A caring professional team plus oral conscious sedation helped her overcome her fear of treatment during a six-hour implant surgery. She left surgery with an attractive removable bridge supported by six implants. The new self-confident attitude she gained from knowing how great she looked made the experience worthwhile. Source: Ronald E. Goldstein, DDS

Agenda Welcome and introduction Why you should not ignore missing or damaged teeth Treatment options Your personal treatment plan Questions and answers Conclusion and tour of facilities

What is the path to your personal treatment? Consultation Diagnostics and treatment planning Surgery Prosthetics Recall Explain the process of how you work -How much time will each step take? -How many appointments are needed? -Talk about your “state of the art” equipment -Talk about your staff and maybe introduce the people responsible for each step An idea is to offer a free consultation to people attending the seminar. You can mention this here.

Is an implant treatment right for you? Appointment Limitations for implant treatment might be present for... patients with medical preconditions like uncontrolled diabetes, clotting disorders, osteoporosis... pregnant women smokers Share your medical and dental history in your first appointment If sufficient bone is available, implant treatment can be provided to most patients as the surgical procedure involved is usually predictable and limited in scope There might be treatment limitations for: Patients with medical preconditions like e.g. uncontrolled diabetes, clotting disorders, pace-makers, radiation therapy, osteoporosis and medications like corticosteroids and biphosphonates Pregnant women Smokers

What is the optimal solution based on your situation and needs? Diagnostics Treatment planning We will prepare your personal treatment plan in detail to ensure the best possible result Cost calculations will be subject to your individual health care insurance and coverage situation Clinical examination & diagnostics Modern diagnostic procedures using high-tech three-dimensional radiographs will facilitate a more accurate diagnosis and treatment planning Computer-assisted treatment planning and surgery, individually planned for your clinical situation, will support minimal invasive treatment, as well as short treatment and healing times Treatment discussion and planning, including cost aspects We will prepare your treatment in detail to ensure the best possible result Cost calculations will be subject to your individual health care insurance and coverage situation HINT: An idea is to offer a free consultation to people attending the seminar. You can mention this here.

What you should know about the surgery Implant placement can usually be done under local anesthesia While implants heal into bone and gums you might be provided with a temporary restoration first The healing phase lasts on average about two months in the lower jaw and three months in the upper jaw What are the surgical steps? Medication to be taken before and after surgery Implant placement can usually be done under local anesthesia. (full anesthesia is an option in case of extreme fear) While implants heal into bone and gums, in most cases you will be provided with a temporary restoration Final restoration is created in a dental laboratory Placement of the final restoration in the dental practice Individual check-up and maintenance procedure (Second surgery (if needed): 30-60 minutes Immediate loading: 2 hours or more per implant) Source: Ronald E. Goldstein, DDS

The dental technician fabricates the crown in his/her laboratory Our team approach for best results The surgeon places the implant The restorative dentist is your first point of contact She/he places the crown The dental technician fabricates the crown in his/her laboratory The patient has a specialist treating them in every phase of the treatment If you perform both the surgical and restorative phases, mention this here.

Choose quality and experience Our team brings many years of experience and only works with high quality implants. Nobel Biocare provides high quality products and longtime experience to ensure the best possible treatment for you! Talk about your experience in implant dentistry Mention Nobel Biocare’s warranty program, high quality products and longtime experience

Your new teeth can last a lifetime with proper care Brush and floss your teeth during your daily oral hygiene routine See your dentist and dental hygienist on a regular basis as per your individual recall plan Recall Home care of new, implant-based restorations is not less important than cleaning natural teeth Maintain healthy gums and a clean, hygienic restoration with daily oral hygiene Your new teeth can last a lifetime with proper care See your dentist and dental hygienist on a regular basis as per your individual recall plan and hygiene plan established for your by the practice team

Others had their cases treated – with stunning results Patient testimonial Invite your testimonial giver to speak up or show a patient testimonial video - Invite one of your patients to talk about his/her experience or show a patient testimonial video

Agenda Welcome and introduction Why you should not ignore missing or damaged teeth Treatment options Your personal treatment plan Questions and answers Conclusion and tour of facilities

Questions? What patients are mostly concerned about… Is the procedure safe? Do I feel pain or discomfort from the treatment? Will I need to take medication? How much does it cost? Is the procedure safe? Do I feel pain or discomfort from the treatment? Will I need to take medication? How much does it cost? After the question round: conclusion and tour of facilities and schedule consultations

Agenda Welcome and introduction Why you should not ignore missing or damaged teeth Treatment options Your personal treatment plan Questions and answers Conclusion and tour of facilities

Thank you for your attention! “I got my first implants 23 years ago, and it was the best decision I have ever made!” Pat, 69