Disclaimer: even if the article sucks, scroll down all the way to the end, because the video is fucking awesome!

There are some colleagues who get a limited quantity of implant cases in their practice, and they’re unable to guess why.

Having few patients asking for implants, their revenues suffer as well and the economic condition of their practices gets worse and worse.

It becomes difficult to cover the expenses of your private practice, to put some money aside for yourself in order to live comfortably, to pay taxes and, above all, to make all those new investments which are mandatory to survive in the present tough and competitive market.

These colleagues try to give themselves an explanation about this difficult situation and seek for the help of consultants and management gurus, who try to teach them TO PLAY NOT TO LOSE. Pretty much the same as a football team looking for a tie, which is enough not to drop a division: They lock themselves in defence, try to keep their sheet clean and simulate fouls.

I really hate this kind of behaviour, which leads to a passive life out of fear of a final defeat.

I have to admit I am quite ignorant as regards football, but thinking about the world’s best teams, i.e. Barcelona, it’s easy to realise that as soon as they enter the pitch they have the only goal to win and they go on busting their asses – and kicking others’ -all the way to the end, even if they have already secured a good advantage.

And that’s the very reason why they are among the best teams in the world, isn’t it?

Such an introduction only to get to the point…

If you have  few juicy implant cases in your practice, please:

DON’T GO AND LEARN DENTAL MANAGEMENT,

DON’T GO AND READ MARKETING,

DON’T STUDY “DENTAL ACCOUNTING”,

BUT GET DOWN TO FUCKING SURGERY!

Some time ago I went to a lecture of an Italian management guru and I was really shocked when he said:

“The most important thing of all in running your company is to have a good profit and loss account, and, within it, the main thing is to know the EBITDA!”

😳

My answer is:

“Listen to me! The most important thing in running your company is to bring in customers willing to spend money… then we can start to think about the fucking EBITDA!”

And I’m really sorry, but the reason why they have few implant rehabilitations in their dental practices

Ain’t the crisis

Ain’t the location

Ain’t the low-cost competitors

Ain’t the local laws of their country

The reason why colleagues perform few implants in their dental practices is that surgery isn’t advised convincingly enough, especially in advanced cases that, trust me, are rather frequent.

If you don’t treat advanced cases because you play locked in defence and you handle the other cases in an unconvincing way, people who want to rehabilitate themselves will seek for other, more confident, practitioners. You will get few cases. And, above all, difficult patients, who are often the most enthusiastic ones, will advertise other dentists and not you!

This is the reason why you must learn how to master implant surgery and why you have to be very confident both in the surgical and in the prosthetic management. The latter has to flow quickly and smoothly, so as to lead to excellent results.

Today I want to give you as a gift 8 minutes of 4k video taken from my full arch rehabilitation course. The original Italian comments have been subtitled in English. In this video I want to show you how to manage a very demanding situation.

If you’re not really into surgery, forget about it: “Do or do not, there is no try!”

But if you are keen on surgery, then learn how to solve any kind of case!!

This will give you a huge advantage in the dental market.

Then, once advanced surgery has become a piece of cake for you, you are free to start to calculate the EBITDA!😁

In this video you will see the isolation and protection of the mental nerve, in this extremely atrophic case with a very superficial mental foramen laying in the middle of the ridge:

main problems are:

• The necessity to save all the available keratinized tissue splitting it half to the lingual and half to the buccal side
• The difficulty to approach a floating ridge which doesn’t allow us to know where our blade will fall
• The position of the foramen in the middle of the ridge
• The superficial attachment of the mentalis and mylohyoid muscles

Ah, I was about to forget. The patient had her fixed teeth the same day with no paresthesia.

And remember! If you are really keen on oral and implant surgery, take a look at my online course on advanced soft tissue management. I guess you’ll love it!!

Federico