Optimizing Primary and Secondary Stability for our Patients: How do we obtain predictable outcomes?Dental implants are a known and predictable treatment option for missing teeth, where today, thousands of patients desire this therapy. Although implant survival is extremely high, these favorable outcomes depend greatly on proper case selection, thorough diagnosis and treatment planning, and ideal execution. Patients present with increasing demands for immediate placement, early or immediate loading, and shorter overall treatment times. However, many of our patients have medical risk factors that may interfere with primary implant stability and osseointegration, and may not be candidates for immediate or early treatment protocols. How do we determine which patients can tolerate reduced treatment time without sacrificing predictability? How can we monitor the desirable transition from primary or mechanical stability to secondary or biologic stability? Can we set up algorithms and objective measurements to guarantee implant survival and long-term success?
This presentation will discuss evidence-based protocols to optimize primary and secondary stability to obtain predictable outcomes for healthy and medically compromised patients.
Learning Objectives
- This presentation will update the practicing clinician on medical risk factors and medications that may negatively affect primary stability and osseointegration.
- This presentation will discuss the relationship between primary/mechanical and secondary/biologic stability, and its clinical implications.
- This presentation will help clinicians improve their confidence and predictability with regards to implant placement and loading.
Release date: 2021-09-16 | Expiration date: 2024-09-16
47 Comments
Good evening
Should ISQ Value be greater than 70 for one stage process?
Hi
What is the protocol when an implant has a falling isq over several months
Thank u for your lovely lecture and answering the questions.
When can we use ostell and periotest?
Thank you very much from Mexico, Cuernavaca
Awesome Presentation
grt presentation . Dr Jatinder Singh
Thank you so much Dr.Aghaloo!
Could you elaborate more on placing implant in patients that have been taking bisphosphante for a Period of time but stopped couple years now?
Dra Dis you know properties of CBD ? Cannabidiol, Did you think that its can help in osteointegration and help pacients with bones problems and maybe avoid failures?
Thank you for sharing your valuable knowledge Dr. Aghaloo
do you insert dental implants in maxillary bone of patients with bisfosfonates treatement ?
Thanks dr
What are the sure contraindications for implants? ..thanks doctor
How many time do you expect ISQ can improve? 12 month maximum?
Muchas Gracias Dra.
Dr. Luis de los Santos
What is your opinion about the use of bone graft as a factor to improve stability. How would you judge the graft in these terms?
EXCELENT THANK YOU.
PLEASE HOW MUCH THE OSSTELL COST?
Is there much in the literature about implant stability in tissue engineered bone, that you know of?
Great presentation, as always Dr. Aghaloo. Thanks for for sharing your vast knowledge….
Thank you.
Thank you very much
Congrats Dra
Beautiful work
looks great. how is he today
Thank you for a great lecture. Dr. Meir Shamy
Great job
what would be the difference between one stage and two stage? what would make you take that decision and why? so do you think a low ISQ would osteointegrate better in a two stage protocol and why?
Perfect Dra
Dear Dr. Aghaloo,
thanks for the great presentation! One Question: if after non loaded healing for 3 months, does it make sense to wait any longer if the isq score is still low? Will it still increase over time?
for your 92yr old female patient; how long did it take between the 56 at placement reading vs next reading at 65? Great case BTW!
thanks for it’s very useful lecture
… longitudinal do you consider this a risk for the implant since we have to measure the ISQ many times?
Great presentation! My question is related to the longitudinal measurement of ISQ. There is some literature that suggest that there is less risk of infection and “crestal” bone resorption by limiting the times we manipulate the prosthetic components. If we have to measure ISQ values…
Can we use ISQ values for determining Perimplantitis and aid in Prognosis/treatment planing??
Dr. Aghaloo, how have you utilized ISQ values in treatment protocols for patients with medical risks like diabetes?
How could we interpret the fact of going from 82 after implant placement and a decrease to 76 after 4 months of isseointegration. 76 still a high level but there was a decreasing considering the first value during the placement…
If the M-D ISQ is 65 and B-L ISQ is 57 (secondary stability) can the implant be loaded ?
Thank you so much
Hi Dr. Aghaloo, do you communicate the ISQ values to your patients?
Dr Aghaloo, thank you for the great presentation. How would bone quality influence ISQ and IT?
1. What is the difference between Periotest and Ostell (RFA) for Implant stability, which is better?
2. Can RFA be used for tooth mobility measurements??, like the Periotest?
Agradecido por el esfuerzo en mantenernos informados. Saludos desde España. Dr Rogelio Álvarez Marín.
hola, gracias
Thanks dr
Thank you for joining us for the first webinar of the 2021 Osstell ISQ Online Symposium. If you have any questions for our speaker please write them in this chat box and they will be addressed at the end of the presentation.