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    A blog about dental implant treatment, implant stability and assessing osseointegration.

    We believe in evidence-based, educational and pedagogic content.

    How to Determine the Degree of Osseointegration Before Final Restoration

    [fa icon="calendar'] Nov 14, 2018 8:28:00 AM / by Osstell posted in implant stability, primary stability, secondary stability, healing time, isq, osseointegration, rfa

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    Have you ever placed an implant in an augmented bone site and added another few months of healing time just to be on the safe side?

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    The Importance of Implant Stability in Successful Dental Implant Therapy

    [fa icon="calendar'] Sep 16, 2018 5:23:00 PM / by Osstell posted in isq, osseointegration, implant stability, primary stability, secondary stability

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    It has long been recognized in the dental implant literature that implant stability is a critical factor in predictable treatment outcomes. Both primary stability (mechanical stability) and stability prior to provisionalization or restoration of the implant should be considered in the individual treatment plan. The secondary (aka biological stability) will indicate the level of osseointegration when compared to the initial primary stability (mechanical stability) at placement of the implant. There are other factors, of course, to be considered but there is little disagreement in the literature that implant stability is key.

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    Primary and Secondary Stability: What is Important and What Don’t We Know

    [fa icon="calendar'] Jul 3, 2018 2:25:05 PM / by Barry P. Levin, DMD posted in implant stability, secondary stability, primary stability, insertion torque, isq, healing time, osseointegration, Immediate Implant Insertion Torque

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    Physiologic healing after implant placement varies from patient to patient and site to site. Surgeons must find balance between mechanical stability and avoiding excessive trauma to alveolar bone, especially the cortical bone found at the alveolar crest. The two measures of quantifying primary stability are insertion torque volume (ITV) resonance frequency (RFA). Implant stability quotient or ISQ is a value used to determine stability via RFA.

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    Why secondary stability is crucial for successful implant treatments.

    [fa icon="calendar'] Apr 5, 2018 9:52:00 AM / by Osstell posted in implant stability, osseointegration, secondary stability, immediate loading, primary stability, isq, rfa

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    Primary and secondary stability is a much discussed topic. Which one should a clinician aim for to achieve successful implant treatments? We met with Dr. Stephen Jacobs after his lecture at the AO Annual Meeting about primary and secondary implant stability to clarify things. 

     

    Could you explain the difference between primary and secondary stability?

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    How to reveal the secret that only bone and implant knows

    [fa icon="calendar'] Mar 27, 2018 9:30:35 AM / by Vladimir Kokovic, DDS, MSc, PhD posted in case report, osseointegration, rfa, implant healing, implant stability, primary stability, secondary stability, loading protocol, immediate loading, implant loading, bone-to-implant reaction, healing abutment, grafting, healing time

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    During the twenty-two years of my clinical and scientific work with dental implants I have been a witness to huge development in the implant dentistry. Changes to implants' macro and micro design, surfaces, and surgical and prosthetic procedures that expand today's treatment with dental implants. But for me, the most impressive improvement was an implementation of resonance frequency analysis (RFA) from scientific to clinical work in implant dentistry.

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    How I determine loading protocol and timing of restoration

    [fa icon="calendar'] Mar 5, 2018 10:17:16 AM / by Dr. Rachel Schallhorn posted in implant planning, immediate loading, implant loading, loading protocol, osseointegration, isq

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    Measuring ISQ has become a critical component in my implant treatment, as it provides objective information about the stability of the implants I place. Based upon the initial implant stability or ISQ value, I determine the loading protocol and timing of restoration (immediate, early, delayed).

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    How to Confidently Reduce Treatment Time? [With Case Report]

    [fa icon="calendar'] Feb 9, 2018 8:36:56 AM / by Charles D. Schlesinger posted in rfa, isq, insertion torque, primary stability, immediate loading, healing abutment, loading protocol, case report, osseointegration

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    I have been placing dental implants since 1998 and as most of you, I have seen many advances in the field of dentistry that make implant dentistry safer and more predictable. The biggest boon to treatment absolutely has to be the advent of CBCT technology. This has made the surgical phase of treatment more predictable and safer for the patient.

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