Clinicians from all over the world participated to Osstell Scientific Symposium at EAO Congress 2018 in Vienna, on October 11th.
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?
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) and resonance frequency analysis (RFA). Implant stability quotient or ISQ is a value used to determine stability via RFA.
Modern age of dental specialties is facing difficulties in treating patients who have been mistreated. Although “Primum non nocere” (“First do not harm”) should be the first goal of every medical doctor, nowadays we are used to see more and more often patients who present with iatrogenic effects or complications following a medical or dental treatment.
Iatrogenic conditions do not necessarily result from medical errors, such as mistakes made during surgery, but sometimes they can occur also as a consequence of correct treatments, such as a supportive therapy in periodontics or bone regeneration in implantology, which maybe were not performed with a sophisticated and modern approach: what could have been considered as a good result in the past, today it could be defined as a failure, especially in terms of aesthetics and long-term stability of peri-implant tissues.
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.