Understanding implant stability in immediate therapy: The role of RFA in highlighting the dynamic process of osseointegrationThis presentation will focus on understanding the difference between insertion torque and ISQ values, providing insight into the behaviour of bone under the conditions of both primary and secondary stability especially in the treatment realm of immediate restoration and/or loading.
This presentation will focus on understanding the true nature of torque, the misleading use of its value by the industry and its negative influence on bone and how bone heals as it shifts from primary mechanical to secondary biological stability. The presentation will establish a threshold value for torque above which only bone damage occurs, without providing any enhancement of primary stability as demonstrated by a lack of correlation with lateral stiffness of an implant in bone, as measured by resonance frequency analysis. Clarity will be provided as to how ISQ values can offer a far greater insight into the dynamic shift from primary mechanical stability to secondary biological stability thereby providing the clinician with an opportunity to customize the treatment journey. The presentation will highlight the interpretive value of longitudinal ISQ readings and how the OsstellConnect platform can be used as means to record these values providing an inference as to the dynamic process of osseointegration in a way that insertion torque fails, being a single measure and a one-time-only metric. Boundary ISQ values and ISQ trends will be proposed to allow the clinician to know when an implant can be loaded on an immediate basis and/or when an implant can be definitively restored.
Release date: 2025-10-17 | Expiration date: 2028-10-17 | AGD CODES: 690
11 Comments
Thank you for your excellent presentation. Please tell me the optimal torque for the peg.
What are the current limitations of RFA technology that you hope future developments will address?
Thank you for the great lecture!
Thank you, very insightful
Great lecture. Thanks you!
As we extract a lower molar and we place an implant in the bifurcation, we place bone graft on the mesial and distal root, how long will take for the implant to Osseo integrate between the grafted bone and the natural bone that supports the implant ?
Are there any correlations between ISQ trends and peri-implantitis risk or early marginal bone loss?
Do you adjust your ISQ thresholds based on the type of implant surface or system being used?
How does soft tissue thickness or implant angulation affect the reliability of ISQ values, and how can we adjust for that?
Sir, as per ur research reasoning on the PS, same holds true in immediate placement & immediate loading
Thank you for joining our Implants Symposium! This session is presented by Dr. Michael R. Norton. If you have any questions for our expert about today’s presentation, please write them in this chat box and they will be addressed during the Q&A.