Re-evaluating Immediate Implant Therapy with Novel Implant Designs and Stability ParametersImmediate Tooth-Replacement Therapy (ITRT) has become a common and predictable treatment for hopeless anterior teeth. Patient selection is critical though. Careful medical and dental evaluation precedes treatment. Selecting sites where available bone palatal and apical to extractions is required for implant placement. Provisional restorations should remain out of occlusal contact with teeth in the opposing arch. And primary implant stability is critical for ITRT to be successful.
A new, inverted body-shift implant (INV) has been designed to meet biologic criteria for healing and achieving high levels of mechanical stability in immediate extraction sites.
The two primary criteria for evaluating implant stability are insertion torque value (ITV0 and implant stability quotient (ISQ). Each method measures different parameters of primary stability. ITV is a valuable measure of rotational stability, but can only be evaluated at time of placement. ISQ measures implant axial stability and can be repeatedly evaluated along the course of treatment. The objective of this webinar is to demonstrate how the two measures of stability can be implemented when performing ITRT and a clinical study evaluating whether a correlation exists between the two exists at time of implant placement (T1) and at follow-up time points (T2).
Learning objectives:
- When to consider immediate, non-functional, provisionalization
- When it is recommended to proceed to final restoration(s).
- Appreciate the importance of obtaining a baseline ISQ value and how to interpret sequential ISQ values.
- When comparing implant macro-design between traditional implants and a new, inverse body shape (IBS), correlations between ITV and ISQ may exist and the limitations of ITV when deciding when to complete restorative therapy.
Release date: 2021-12-08 | Expiration date: 2024-12-08
31 Comments
Thanks a lot
Thank you
Just love this implant. Great that the transfer hex can take such high torque, which wasn’t the case with previous co -axis implants. One can really turn the implant to the right position BUT at what torque would you say to rather reverse a bit and then go forward again?
Thank you 🙂
How predictable without connective graft to have good esthetic ,would you still immediate temp if patient hygiene poor,and what is the plan if things go south?
From What value of ISQ you consider to do immediate load on and anterior immediate implant? Is there a specific limit or dependes on what you felt from the bone during drilling
Thank you!
Thanks for the very informative webinar.
The Osstell pegs are one-time use, and some doctors have said you can just reuse it on the same patient. What is your protocol, and is there any difference in ISQ values between using a new peg every time vs reusing the peg?
Thank you
do you do mesial-distal ostell measurement also?
Love this, thank you for a great lecture 🙂
Great talk – thanks. May I ask what the bone type had to do with the stablity after 6 weeks? did this have an effect?
2) use ofVersa bur bone compaction – withthese novel implants — your findings? — thanks
Backing out this implant design might be challenging 🙂
How do you measure Insertion torque? motorized or ratchet ?
Do you communicate and explain the ISQ measurements to your patients?
If we did not graft at placement and we have a gap.
would we have any success using laser (diode)
at the site and graft say at the 4 month post placement period?
Hello Dr. Levin
With your technique using this novel implant, do you expect a difference in healing time if the patient has any risk attributes, e.g. heavy smoker or diabetes?
What do you do if you have a single implant, 2-stage, and at time of uncover you receive a low ISQ?
Thanks.. platform switch any application with this hybrid design
Boa tarde. Brasil.
Hi Dr. Levin
Very interesting about this new implant design.
What threshold of ISQ are you generally using for immediate loading on a single implant and
do you have different thresholds for depending on patient case and/or implant type and position?
Thank you Dr. Barry
Hello Dr. Levin! When do you consider an implant healed and ready for final restoration?
Thanks for your efforts.
Any screw loosening problems with this novel implant design?
which are your main parameters for making decision of loading and surgical protocols?
Do you need different connectors for different implant systems?
Do you always measure ISQ on all of your patients?
Does soft tissue contact with the SmartPeg have any impact on the ISQ measurement?
is it possible to do immediate implant if there is an abscess ?
Thank you for joining today’s webinar! If you have any questions for Dr. Levin please write them in this chat box and they will be addressed at the end of the presentation.