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The House that Jack Built<br />
Inspired by that first experience, Dr. Jack Hahn went<br />
on to develop implant techniques and devices known<br />
for their simple yet ingenious designs that are used<br />
around the world today.<br />
1977 Miter blade-form implants<br />
1979 Titanodont root-form implants<br />
1986 Steri-Oss root-form and blade implants<br />
1997<br />
NobelReplace ® Tapered implant<br />
(Nobel Biocare)<br />
I didn’t sleep the<br />
night before.<br />
Evolution in Immediate Function<br />
purchase the implant kit, which consisted of 12 one-piece<br />
blades, 700 XXL burs, depth gauge, mallet, pliers, and seating<br />
instrument. A channel was prepared, and the implants<br />
were malleted into place using the seating instruments. As<br />
the implants were one piece with an abutment portion,<br />
one or two of the anterior abutment teeth were prepared,<br />
and an immediate provisional restoration was placed for<br />
immediate function. Three to six weeks post-insertion,<br />
impressions were taken for the final restoration: basically,<br />
a fixed bridge.<br />
Two months after completing the course, my first potential<br />
implant patient was sitting in my office for a consultation.<br />
She was bilaterally edentulous from the second premolars<br />
in the posterior mandible back. Her partial denture was<br />
wrapped in Kleenex in her purse. She said: “I can’t wear<br />
this thing, and I hate it. I want something permanent.”<br />
I told her that I had just taken an implant course, that<br />
she would be my first patient, and that I didn’t know if<br />
the things I demonstrated to her on my model would last<br />
10 minutes or 10 years. But she had good height and width<br />
of bone, so it seemed to me to be an ideal case. I told her<br />
we could do one side first, see how it went, and do the<br />
other side a month later. I also told her that because it was<br />
my first implant, I wouldn’t charge her for the implant, only<br />
the fixed bridge. She said, “Let’s do it.”<br />
In March of that same year, we scheduled Irma from 1:30<br />
p.m. to 5 p.m. I didn’t sleep the night before. I kept going<br />
over in my mind the incision, reflection of the soft tissue,<br />
implant groove preparation, implant placement, suturing,<br />
and fabrication of the provisional restoration.<br />
– My First Implant: Dr. Jack Hahn – 13