Looking for a way to help your dental patients who may be missing several teeth? Dr. Doug Smail from CDOCS shares a clinical tip that can do just that.
Video transcript
"Hi, it's Dr. Doug Smail from CDOCS, and today's tip of the day video is on barium classic guides.
"Now, as you can see in this example right here, this is a barium partial. It depends on what you get back from the lab, but they're also made up as barium Essex as well, or you need a barium full denture.
"So in this case, what we did here was, this was an old implant bridge. It was placed elsewhere that failed. We took out the pontic and the anterior implant, and then we did some GVR grafting to get that to reform. That's all ready to go, and now it's going to be just too big of an edentulous space, and there's difficulty doing the merge.
"We get the barium guide back from the lab, and you can see here it is fitting well on the 3D-printed model. So you check that fit, and then you want to take it and also try that in and check it in the patient's mouth. You want to make sure it doesn't rock, it's seated all the way, and it's stable.
"Now, once you have that out of the patient's mouth, you get the orthodontic resin ready, because we need to lute that to the SICAT plate. That's how SICAT can make the barium classic guide.
"Once you have that luted, I like to go ahead and just put it back on the model to let that set. Give it all the time it needs to set. It's going to take a few minutes, of course.
"Now, once it's set, you want to take that out, trim it up to anything that you need to, try it in the patient's mouth again, make sure it's not rocking. It's seated all the way and the patient's comfortable.
"Once the patient's comfortable and has it in, go right over to the machine and take your cone beam CT with that in the mouth. With this here in the mouth, you can see what we have, and we can do our planning for both #29 and #30. And once that's ready to go, you send the whole thing back to SICAT, and they'll take that plus the plan and make your SICAT guide.
"Thanks. I hope you enjoyed this video, and we'll see you on CDOCS."
