Everyday Oral Surgery Podcast
Have you ever been talking with other surgeons about the way they do things in their practice and you heard something that helped you out? This podcast is meant to give you an insight into the way other surgeons do things and think about things. Sometimes small changes can make a big difference in your daily routine.
Today on Everyday Oral Surgery, Dr. Alex Nguyen, an oral and maxillofacial surgeon practicing in Texas and Arizona, joins us to talk about advanced remote anchorage techniques for complex implant cases. He walks us through the use of zygomatic, pterygoid, and transnasal implants as alternatives to traditional bone grafting in patients with severe maxillary atrophy. Dr. Nguyen shares his prosthetically driven approach, explaining how strategic implant placement can reduce mechanical leverage and support better long-term outcomes. He also highlights the importance of a thorough patient assessment, including factors such as age, bone quality, and lifestyle, when deciding between full-arch reconstruction and more conservative options. We wrap up with practical insights on managing complications and why hands-on clinical training is essential for mastering these techniques.
Key Points From This Episode:
- Dr. Nguyen shares a brief history of his training and current practice setup.
- Today’s topic of conversation: remote anchorage and the reasons to consider pterygoid, transnasal, and zygomatic implants.
- He unpacks the PATZi protocol.
- Patient fit: he outlines his algorithm for determining whether a patient is suited for anchorage implants or grafting.
- Assessing and determining patient bone density with CT scans.
- Walking patients through the remote anchorage implant process and potential complications.
- How his approach to zygomatic implants differs from other techniques.
- Why Dr. Nguyen believes learning how to do a pterygoid is key.
- Which is more difficult to restore: pterygoids or zygomatics, and why.
- His recommendation for practitioners seeking to advance their skills in pterygoid placement.
- Where to find out more about Dr. Nguyen and his work.
Links Mentioned in Today’s Episode:
Alexander N. Nguyen, DDS on Instagram — https://www.instagram.com/alexnguyenomfs/
Surprise Oral & Implant Surgery — https://www.surpriseazoralsurgery.com/
Alexander N. Nguyen, DDS Office Phone — 623-584-3098
Alexander N. Nguyen, DDS, Office Fax — 623-584-1153
Surprise Oral and Implant Surgery — https://surpriseazoralsurgery.com/
Surprise Oral and Implant Surgery Address — 15276 W. Brookside Lane, Suite 141
Surprise, AZ 85374
Carle Foundation Hospital — https://carle.org/locations/carle-foundation-hospital
‘A Systematic Approach to Restoring Full Arch Length with Maxillary Fixed Implant Reconstruction: The PATZi Protocol’ — https://pubmed.ncbi.nlm.nih.gov/37847841/
From Indication to Execution: Zygomatic Implants with Dr. Waldemar Polido — https://audio.buzzsprout.com/vxv4iw38nc73d76tjztf94bpbkm3?response-content-disposition=inline
Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/
Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayor