Recent Articles

In this article, we will analyze the use of non-steroidal anti-inflammatory drugs that relieve pain during dental interventions. Moreover, the same drugs are used at the stage of preparation for surgical procedures, as well as to alleviate the condition of patients at the diagnostic stage. Despite the fact that pain performs the most important function,…

A dental services organization, or DSO, is a business model that provides comprehensive dental care to patients through a network of affiliated dentists or dental clinics. DSOs are like dental insurance companies in that they offer discounts on dental services to their members. However, unlike an insurance company, the DSO does not reimburse dentists for…

How long to wait after an implant is placed? Secondary stability is achieved when the living bone at the cellular level attaches to the implant surface. Usually 6-8 weeks is enough for this process, but in practice it often happens that the implant cannot be loaded after this time. Let’s see if more time is…

What is the main condition for successful osseointegration To heal the bone around the implant, as with any other bone injury, the bone fragments need to be placed in the correct position and fully immobilized. This is what casts are used for, and titanium structures are implanted for compound fractures. If this is not done,…

Delayed implantation In the last issue, we discussed four types of dental implant placement depending on the degree of soft tissue and bone healing, see the table below. Classification Description Period after tooth extraction Clinical situation during implant placement Type 1 Immediate implantation Immediately after tooth extraction No healing of bone and soft tissue Type…

Titanium alloys properties, differences pros and cons There is a worldwide conventional classification of titanium by group, see the table below. All of these types are medically acceptable and the osseointegration will be successful. The first four groups from Grade 1 to Grade 4 are considered pure titanium, while Grade 5 and Grade 23 are…

Basics of alveolar bone anatomy At the very beginning, it is worth agreeing the terminology because, unfortunately, even in serious publications you can find wording like: “the alveolar process of the lower jaw”. This is incorrect. On the lower jaw, the alveolar part is isolated, as well as on the upper jaw. The term “alveolar…

The main differences between implants In this context, there are only two classes of implants depending on how deeply they are planted relative to the bone ridge and soft gum tissue. There are many shapes, cylindrical, conical, aggressively and smoothly threaded, but these are all important for osseointegration. If you look from the point of…

Advantages of splinted implants on individual implants and abutments As proven by research and dentists’ experience, there is no difference between the techniques in the stage of engraftment and formation of the gums with healing caps. However, when ordering crowns for the restoration of the dentition, you need to make a decision whether to tie…

To begin with, we look at what else besides antibiotics affects the risk of complications associated with infection. We will not focus on aseptics and antiseptics. Since the importance of sterility of the tool and disinfection in the preparation of the operating field, as well as washing and treating the wound during and after the…

The length of the implant that is considered to be sufficient in everyday practice It is not that easy to define the sufficient length of the implant as there is a lot of empirical (unproven) experience in the field of dental prosthetics. This is when each dentist relies on his own practice and the results…

Varieties of dental implants shapes Unfortunately, there are many shapes and varieties of implants, as well as specifics of connecting them with abutments. Some shapes defy explanation, taking into consideration clinical indications or common sense. This is due to the desire of manufacturers to stand out and present their product as unique and innovative. In…

How often does the screw break? A complex bashing of the abutment screw when part of the screw remains in the implant shaft, although complex is quite rare. There are statistics about it that were announced at the ITI conciliation conference in 2004. A huge amount of work has been done to study all types…

Why soft-tissue integration is no less important than osteointegration   Let’s figure out why the stability and immobility of soft tissue around the implant are no less important than the stable fit of the implant in the alveolar crest. Before we go further, we will define what soft-tissue integration is. These are biological processes aimed…

Why It Is So Important to Take a Patient’s History before the Surgery Let’s start with the recommended literature, authored by Dr. Patton. This is a manual for assessing risks in patients’ conditions. We recommend that you have this book. Its format is not important. What is important, however, is that you always have it…

The gap between tooth and implant restoration – when and how often it happens Let’s analyze the clinical case from the above photos. When the implant was installed in 2013, the X-ray looked like this, see the left photo below. The patient was satisfied, but almost did not come to check-ups. Four years later, there…

What Implant Dimensions Are Considered to be short Over time, the definition of a short implant has changed. In the early ‘90s, short implants were considered to be those shorter than 10mm, then shorter than mm. Today, after the ITI Consensus Conference 2018 in Amsterdam, implants with a length of 6mm or less are considered…

How Thick the Bone around the Implant Should Be Obviously, for the implant to be securely fitted, it needs to be surrounded by a sufficient thickness of bone. What bone thickness should be considered to be sufficient? Not long ago, treatment guidelines and textbooks considered sufficient thickness of the bone to be 1-1.5 mm on…

Why should you stick to conservatism when choosing implants? The question may arise: why are the properties and characteristics of the dental implant system a secondary issue? The point is that it is very difficult to enter the business of selling systems for dental implantation. All the systems that are officially sold are of high…