Dental Implant Surgery

There are two parts to dental implant placement:

1. The surgical part, where a root form is placed in the jaw. It is made out of titanium, because titanium is an exceptionally bio-compatible metal. Bone grows around this titanium root form, anchoring it to the jaw, analogous to the way the root of a tooth would be anchored.

2. The second part is restorative, where a tooth or teeth is placed on the implant.

The dental implant surgery needs to be carefully coordinated with the restorative aspect of your treatment, because the root forms need to be placed in the proper position. The problems that some people have with dental implants is that the surgeon didn’t know enough about the function of the case to be able to place them correctly, and the restorative dentist didn’t know enough about the surgery to be able to give complete instructions to the surgeon.

There are some dentists who do both parts: the surgery and the restorative part. This is a possible solution to the problem. However, both parts of the treatment are extremely specialized, and it is difficult for one practitioner to stay on top of all the issues to do both at a high level of expertise.

A photograph of the Chal-Hatcher Guide, for use with a particular case.

A photograph of the Chal-Hatcher Guide, for use with a particular case.

Dr. Chal likes to concentrate on those areas where he has the greatest expertise, which is the restorative part, and he relies on excellent communication with highly expert surgeons for the success of his cases. He has been working with the same surgeons for many years.

To make sure that there is no misunderstanding, he has developed the Chal-Hatcher Guide. Click on the link to see a more extensive write-up of this guide. Developed for each patient in collaboration with his dental radiologist and the oral surgeon for the case, it gives precise instructions for the surgery so that there is no room for error.

In developing this guide for a particular patient, Dr. Chal starts with the ideal placement of the teeth according to

the esthetic and functional needs of the patient. He then uses extremely detailed CT scans of the patient’s jaw to determine, in consultation with the surgeon, where to place each implant for the best final result. In the past, dentists would start with the placement of the implants as determined by the surgery and work around that to obtain a hopefully acceptable result.

Dr. Chal and his radiologist, Dr. David Hatcher, have subsequently been teaching the use of this Chal-Hatcher guide to international audiences of dentists and dental technicians.

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