I'm a 4th year dental student and have been working with/trying to master all these great techniques you've shared. It's the future and you feel like a mentor without having met you. Thanks for the videos and keep them coming.
Great video!! I have never noticed that bulge feature. We can always choose to create a new group in the "erase and fill" tool to, sometimes this help when we do it in more tooths!
Thanks for your great videos. Question: When i do the virtual extraction and use the scale and bulge sliders, i can't go deeper than a rather flat surface. It does not have the same result as yours. Any suggestions? Many thanks
Hard to say, but my gut says that you didn't try enough combinations of the 2 sliders. I can always get it to work, but the numbers are different with every case. If you make a video and share it somewhere, I can take a look. But I'm pretty certain that you just need to move both sliders more. I don't believe either are totally to the left, BTW.
@@bgrutterdds thanks for thw quick reply. You're right. If i put both to the left it doesn't work. If i change with one more to the rigjt and the other more to the left it does the job great. Thanks a lot!
Depends on my plan. And the case. Most likely same time, but that will digitally blunt the papillae. Then, the guide will physically when it's seated. So, depends on how important it is that I not harm the papillae in any way.
@@bgrutterdds I'm not a patient but interested in root analog implants like the ones done in Austria. I was wondering whether this tool can digitally extract a tooth from a 3D scan where the root is also seen. That way a cad model can be made and sent to a zirconia mill machine like a Cerec
CEREC would not be able to, as it would require a 5-axis mill. Also, the zirconia needs to be treated in a manner so as to ensure the surface is both sterile and hydrophilic. Lastly, I believe Root Analog implants to be a disaster in general. Rarely are we extracting teeth without boneless. And if there's ever need to remove the implant, it will be far more catastrophic to the patient than tooth or traditional implant removal. I believe these implants might be appropriate in about 5-10% of implant cases and likely will not solve a problem that needs solving.
@@bgrutterdds thank you for replying. Not being a dentist I'm guessing extracting a root analog implant would be catastrophic because it's fused to the jaw bone? Versus, I'm assuming, "unscrewing" the regular implants?
@@MiroBG359 No, it's actually less likely to integrate than a traditional titanium implant. But the problem is that it is not cylindrical, so removing it requires a lot more bone removal to get around the non-cylindrical shape. Especially on multi-rotative teeth like molars. Imagine you tried to remove a basketball hoop from concrete. You could drill a small trough in the concrete around the pole and then remove it. Now imagine that hole was curved in multiple directions and got wider in various directions. Imagine how much concrete you would have to remove to dislodge it.
We watch every time we need to exo a tooth! Amazing. Thanks from New Zealand
I'm a 4th year dental student and have been working with/trying to master all these great techniques you've shared. It's the future and you feel like a mentor without having met you. Thanks for the videos and keep them coming.
Thanks for saying so. That means a lot to me!
Great video Baron - can’t wait to try it out!
Happy to help! If it does help, it'll be Baron-1 : Bill-352... But hey, it's a start 😉
Great video!! I have never noticed that bulge feature. We can always choose to create a new group in the "erase and fill" tool to, sometimes this help when we do it in more tooths!
Yep. You can make multiple adjacent pontic sites. VERY cool!
thank you so much for this movie it is exactly what I need :)
Thanks for your great videos. Question: When i do the virtual extraction and use the scale and bulge sliders, i can't go deeper than a rather flat surface. It does not have the same result as yours. Any suggestions? Many thanks
Hard to say, but my gut says that you didn't try enough combinations of the 2 sliders. I can always get it to work, but the numbers are different with every case. If you make a video and share it somewhere, I can take a look. But I'm pretty certain that you just need to move both sliders more. I don't believe either are totally to the left, BTW.
@@bgrutterdds thanks for thw quick reply. You're right. If i put both to the left it doesn't work. If i change with one more to the rigjt and the other more to the left it does the job great. Thanks a lot!
Hi Baron I am from Brazil, nice vídeo. Do you have a IDB in Mashmixer?
IDB?
If you had to extract to consecutive teeth would you do them at the same time or individually?
Depends on my plan. And the case. Most likely same time, but that will digitally blunt the papillae. Then, the guide will physically when it's seated. So, depends on how important it is that I not harm the papillae in any way.
Thanks Baron I find that when I select two teeth the selection turns purple and doesnt let me do anything. that's why I normally do it individually
Yeah, the magenta is because the selection parameter is not smooth and flowing. Can't have any jagged edges. It doesn't know how to reconcile.
How did you de-select the area?
Hold the Ctrl button while selecting.
can you do this with a 3D scan?
CBCT/DICOM of a patient won't capture soft tissue. If that's what you mean.
@@bgrutterdds I'm not a patient but interested in root analog implants like the ones done in Austria. I was wondering whether this tool can digitally extract a tooth from a 3D scan where the root is also seen. That way a cad model can be made and sent to a zirconia mill machine like a Cerec
CEREC would not be able to, as it would require a 5-axis mill. Also, the zirconia needs to be treated in a manner so as to ensure the surface is both sterile and hydrophilic. Lastly, I believe Root Analog implants to be a disaster in general. Rarely are we extracting teeth without boneless. And if there's ever need to remove the implant, it will be far more catastrophic to the patient than tooth or traditional implant removal. I believe these implants might be appropriate in about 5-10% of implant cases and likely will not solve a problem that needs solving.
@@bgrutterdds thank you for replying. Not being a dentist I'm guessing extracting a root analog implant would be catastrophic because it's fused to the jaw bone? Versus, I'm assuming, "unscrewing" the regular implants?
@@MiroBG359 No, it's actually less likely to integrate than a traditional titanium implant. But the problem is that it is not cylindrical, so removing it requires a lot more bone removal to get around the non-cylindrical shape. Especially on multi-rotative teeth like molars. Imagine you tried to remove a basketball hoop from concrete. You could drill a small trough in the concrete around the pole and then remove it. Now imagine that hole was curved in multiple directions and got wider in various directions. Imagine how much concrete you would have to remove to dislodge it.
Thanks!
what's the creepy noise in the background? sounds like a goat being tortured :D
That's my medically fragile daughter and her ventilator 😉
@@bgrutterdds there goes my tact, in this case I'm sending good karma to the little soldier!