CL
IMPLANTS
Innovations in implant design and technology have been so profound in recent years
that a small group of my peers in private group practice began working directly with
and procedures to stay ahead of the implant technology curve. What was uncovered
has vastly changed all of our practices for the better. This 4 part series will outline and
expose what was found in our research and include the clinical application within our
practices.
point, the protocol provided for an osteotomy that was nearly the same diameter as the
This protocol oftentimes produced what some clinicians call a “spinner” wherein
the threading has stripped within the osteotomy. Over the last twenty years, recom-
increased and both immediate and slightly delayed loading have become the standard.
condensers to special drills functioning in reverse. The trend has been incorporating
This also creates an enhanced clinical effect when these auxiliary tools are used. Here
is an illustration demonstrating this concept:
A recent article titled,
, in the 1 comparing the traditional
no difference related to success and osseointegration. The article concluded, “since a
of the implants placed in these sites and was comparable to the conventional drilling
sequence, our initial hypothesis that no difference in implant osseointegration occurs
by reducing the number of drills for bone site preparation relative to the conventional
drilling sequence was accepted. The results of this study strongly suggest that the os-
irrigation will always be necessary to avoid the deleterious effect of temperature eleva-
design have opened up numerous opportunities for clinicians. One such opportunity
is for a clinician to use certain advanced engineered implants to be used with their existing
surgical drilling kit. Because much of the work is performed by the implant itself
(ofter only requiring drilling down 75% of the osteotomy site), these modern implant
systems will accommodate utilization of a wide variety of drilling systems. This saves
the clinician time and money as these osseocondensing, self-tapping and self-drilling
types of implants can be integrated directly into the existing suite of implant systems
without having to purchase yet another surgical implant drilling kit. This 100% compatibility
feature allows clinicians to add advanced implant systems to their arsenal
without the high cost and redundancy of adding a new surgical drilling kit.
1Gabriela Giro, Nick Tovar, Charles Marin, et al., “The Effect of Simplifying Dental Implant Drilling Sequence on Osseointegration:
An Experimental Study in Dogs,” International Journal of Biomaterials, vol. 2013, Article ID 230310, 6
pages, 2013. https://doi.org/10.1155/2013/230310.
56 TPDMAG.COM | SPRING 2019
/230310
/TPDMAG.COM