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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

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