Replacing Premolars with Wisdom Teeth – Autotransplantation by a GDP! – PDP193

Clinician Development Tool: https://protrusive.co.uk/cdt Did you know, there’s a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right?  You already know about it. You most likely studied it already at Dental School and just haven’t given it much thought in a clinical scenario. Meet Dr Lukas Huber who will remind us of the power of Autotransplantation for such cases, which in turn can massively help our patients who have missing or hopeless teeth, all while keeping laboratory costs down and success rates up. https://youtu.be/CjUdDsuCWQA Watch PDP193 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:10 Clinician Development Tool03:34 Introduction - Dr Lukas Huber07:40 Autotransplantation Procedure12:45 Example Autotransplantation18:40 Step by Step Autotransplantation26:35 Placing the Donor Tooth30:15 Transplant Restorative Augmentation35:00 Learn more from Lukas I thought that Dr Lukas is an inspiration to all the general Dentists and am so grateful he is part of our Protrusive Community - thanks for sharing your entire protocol! Don't forget to claim CE Credits on Protrusive Guidance by completing the quiz. Check out Dr Lukas Huber’s Instagram! If you liked this episode, you will also like Atraumatic Extractions Click below for full episode transcript: Jaz's Introduction: You may already be familiar with an auto transplantation. Essentially, it's a scenario whereby, for example, you remove a pre molar from a patient, and on that same patient, you put that pre molar and you re implant that pre molar in to the central incisor socket. So for example, you've got a central incisor of poor prognosis, you remove that, and then you put this recently freshly extracted pre molar in to the central incisor. Jaz's Introduction:And essentially you let nature do its thing, you let it heal. And literally you've kind of given this patient the best implant there is. You've given them a human tooth, their own human tooth. Another common scenario is replacing a premolar, for example, an upper premolar, with an upper wisdom tooth that's potentially over rupted or non functional. That's another common indication. But all these things, we've all seen it in like an orthodontic lecture at dental school. And then it lives somewhere at the very far back of our minds. And it's not really an option that we discuss with our patients very much. Or when we're treating planning, we kind of have it in our blind spot. It's just not something that we see a lot of, which is why I'm very excited to welcome to you, Dr. Lukas Huber, a general dentist, ladies and gents, who has a few of these procedures up his sleeve and is happy to share the full protocol. Look, some of you will go away today and the stage of your career, where you're at, you will probably be able to offer this treatment to your patients. And you'll actually remember that, ah, yes, this is an option. And if I follow the steps, I can get a good result. In fact, Lukas very kindly shared all the evidence space that he uses in his decision making. So I will put that in the Protrusive Vault on Protrusive Guidance app. Now, for the rest of us mere mortals, who may not feel confident despite the full protocol being shared with you on the podcast today, most of us will be like, you know what? I'm actually just much more educated about this option now. I know what to say to a patient. I now know which kind of cases would be suitable for an auto transplantation and which ones are not suitable. And so now hopefully this option will not be living in the very back in the corners, deep dark areas of our mind somewhere. It's come a little bit more to the front of our minds. So we can actually consider this as a realistic and actually damn right cool option. Dental PearlHello, Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Every PDP episode, I give you a Protrusive Dental Pearl. And so today's pearl I'm sharing with you is a really cool tool that you can use online. It is amazing for that scenario, for that stage of your career, where you're just not sure what courses you should do next, or where should you start focusing? What are your weaknesses? Which disciplines or facets of dentistry Should you be focusing more time and energy on? It's a question I get all the time from the Protruserati, which is why when I discovered the clinician development tool, I was really impressed. This is really well curated by Ripe Global. And yes, it takes about five minutes, some deep thinking to answer this quiz. But I tell you the information and the detail that you get is the best I've seen from an online resource like this. It's a really clever tool that assesses your confidence in the different disciplines and is very mindful of what your goals are and what stage of career you're at. And your current income level and your projected income level. And how much time you spend in the clinic and how much time you would like to spend at the clinic. How much restorative you do and how much complex restorative you want to do. And all these really key factors which makes this tool just the best. I made a little short link for you so you can check it out. Go to protrusive.co.uk/cdt, that's clinician development tool. So that's /cdt, just three letters. I'll put it on YouTube, the show links and Protrusive Guidance. I'll put it everywhere. It is well worth doing. Even if you've got lots of experience behind you, you've got 15, 20 years experience behind you. It's nice to see what this tool suggests is the next step for you. Hope you found that useful and outro. Main Episode:Dr. Lukas Huber, welcome to the Protrusive Dental Podcast. I am in awe of the work you do. And I just, before we hit the record button, I asked you, are you a specialist? Are you a general dentist? And you said general dentist and I celebrated, right? I celebrated so hard, right? So please tell us about yourself. Where do you practice and tell us about your career so far? [Lukas]Okay, so my name is Lukas Huber, originally I'm from Upper Austria, like a really, really small village. I think we have more cows than we have people. I then went to Vienna to study dentistry there. And afterwards I worked in a quite big insurance company. I recently thought of it because of you the Protrusive app about like burnout in dentistry. And this was quite a crazy time. I had like 20, 25, 30 patients in six hours, then started to looking for something else, you know? [Jaz]So can I just say this? So this was like a public funded system or? [Lukas]Yes. Yes. So I had like, most of them were just pain patients. Yes. And I decided to look for something else and then got great job offer here in Konstanz. Never been to Konstanz before. I asked my partner, she said, I know you're crazy. We love Vienna. Why should we go then? We just tried. We said, okay, we will try it for six months. And if it's good, it's good. And it was crazy good. [Jaz]My geography is poor. How far is Konstanz from Vienna? Like how far is it? [Lukas]It's like 600 kilometers, so it's like a five hours car ride, which is quite a lot for an Austrian boy. [Jaz]Absolutely. And did you get headhunted, or like, how did you find this position? [Lukas]Facebook. It was crazy, yes. Yeah, we took a dog and we're really happy here. We are like in Southern Germany, like the Southern part. We are near a big lake called the Bodensee. So if any Protruserati is ever here in Konstanz, let me know. I am more than happy to show you around. [Jaz]Amazing. And then what have you done in the additional, like a master's degree? I see your work is like, it's exceptional. Tell us about what led you there. What are the sort of career development steps that you took? [Lukas]So we are a general practice here. We are four dentists and we cover like nearly everything in dentistry. So we do aligners, we do ortho, resto, we do surgery. We don't do like big stuff of surgery, like, I don't know, external sinus lift, for example. But we cover, I would say like 90 percent of dentistry and I really enjoy being there. So we are doing really high quality dentistry. My boss is really like letting me buy everything I want, everything I need. He's always like, if you are happy, I am. And that's just really, yeah, like a big chance for me to develop. I took a lot of courses in surgery because I'm really interested in this topic. Yes. And here I am. [Jaz]That's amazing. And I love how you have such a supportive principal who is happy to help you get the toys. It's not about the toys. I mean, it's about the toys, but it's also not about the toys. It's about the mindset, right? It's about the mindset, really, that I want to help support my associate, be the best they can be. And that kind of mindset goes a long way. Like, I do hear stories whereby associates buy things and they don't use them. And that's why some principals, they worry. But if you find the right person and it looks like you found the right team, but credit to you because a lot of people, if they got an offer that was almost too good to refuse, but it was 600 kilometers away. They would be like, you know what? It's not for me. I'll wait for something down the road. So, you took a massive action basically to make the create, to find the environment. [Lukas]Yeah. But I'm like exactly this person, and also my partner. So it was really, the deal was, okay, we do this for six months. We sub rented our apartment in Vienna, went here also into a sub rent and we were quite sure to leave again. But it was like fantastic. And here we are. [Jaz]And how long has it been now you're in Konstanz? [Lukas]Two years. [Jaz]Two years. Okay, good. Well,