Welcome to our clinic.

It is close into the time

that you'll be placing your first implant.

So, today we're going to review the clinical side.

We're going to be talking about the major setup,

the basic principles of straightforward implant surgery,

and how to make everything more efficient and effective.

And, implant surgery is no different

to any other type of dentoalveolar surgery.

However, because we use biomaterials,

that being the implant itself

or sometimes augmentation material,

we have to be even more precise and strict

in our sterility protocols and in our procedures.

So, our major guidance

is the principle of being minimally invasive.

That means that you try to get the optimal healing outcomes

with disturbing the tissues as little as possible.

And during the surgical videos,

you will see quite a lot of techniques

of trying to minimize the trauma.

But, in principle, as a surgeon,

you should think like a burglar.

You're breaking into somebody's body

and you're not supposed to be there.

So, what are the principles of a burglar?

Be very quiet,

complete your task as quickly as possible,

and leave no traces behind.

And I think this is very similar

to what the surgeon will be thinking of.

In being quiet, it means being minimally invasive.

That means respect the tissues,

open as little as you need

to get access where you want to operate,

and also try to make the trauma as little as possible.

For that, you will find a lot of help

if you use microsurgical instruments,

instruments that are designed to be held with a pencil grip

between your thumb and your index finger

and that can give you

very, very precise control of your movements.

And you will also benefit from using surgical loupes.

Magnification will make your work much more delicate,

and will help you take advantage

of the fine microsurgery instruments.

Also, by using loupes, you can help yourself

always maintain a correct posture of,

and that will be, from an ergonomic point of view,

very important.

Other than loupes, you will benefit

from having your own head-mounted illumination,

an LED light or any other source of strong light,

which comes between your loupes

and helps you illuminate

exactly the area that you're looking.

It is not always enough

with your surgical light from the top of the unit.

Now, second principle,

and that is to be as quick as possible.

And we know from many studies

that the longer a surgery takes,

then the more complications we face,

and the more likely we are to have troubled healing,

to have more pain,

and more swelling of the patient.

So it is important to make your surgeries quite quick.

And that will not happen

by moving your fingers in quick or magical ways.

This only happens by streamlining your procedures.

That means you always sit at the right spot,

you access your instruments very easily,

and you don't have to spend time moving back and forth

changing instruments or changing positions.

And, of course,

that you use only the instruments that you need.

You don't clutter your tray

with instruments that might be fancy,

but very, very rarely being used.

So, if I would go through a little bit,

the basic setup here.

First thing is to define your space

and the space of your assistant.

So, if you're right-handed,

you will be sitting at the right of your patient.

And your assistant will be on the left side.

Now, define very clearly the margins of your space

so you don't really enter each other's space

and create some troubles.

If we see there's a clock,

your space will be

between 8 o'clock and 12 o'clock position.

And your assistant will be

between 12 o'clock and 3 o'clock.

And if you stick to this side,

you will be much more easy to cooperate

and to calibrate yourself with your assistant.

Second important thing

is to put your tray with the surgical instruments

in very easy access to you.

Ideally, it should be on your right side,

and in a position where you can access all the instruments

with just a simple movement of your right hand

and turning your head.

Not really big movements, not turning your back,

not turning around, not moving too far.

Put your surgical instruments

in the order you expect them to be used.

And then access them easily

by turning your head and turning your hand there.

Then, also the same for your assistant.

He or she will also need a tray at your right side,

with some essential instruments

to make your life easier during the surgery.

So, try to minimize any move and any type of search.

And, the less instruments you have,

the quicker it will be

for you to actually access them and use them.

Try to use them in the right sequence,

and minimize the number of the instruments on the tray.

And you will find very quickly,

that your surgeries will be much more efficient

and much quicker.

Now, finally, you have to leave no traces behind.

And that means that you have to achieve

a very good wound closure, without much tension,

with fine sutures,

and with as optimal positions for healing as possible.

And in the clinical videos,

we'll see quite a few examples

of how techniques and instruments

can help us close completely, efficiently,

and with minimal potential for complications.

牙种植手术的准备工作：基本配置

口腔种植学（Implant Dentistry）

Meet the Instructors

牙种植手术的准备工作：基本配置

口腔种植学 （Implant Dentistry）

Meet the Instructors

口腔种植学（Implant Dentistry）