By Scott D. Ganz, DMD
Prosthetics & Implant Dentistry
Clinicians from all over the world participated to Osstell Scientific Symposium at EAO Congress 2018 in Vienna, on October 11th.
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.
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).
I was curious about the correlation between immediate insertion torque (IT) and ISQ and wanted to study it in my practice. This is a study I conducted and it was published in IJPRD recently. The study protocol and findings are posted here for you to read and comment on.
Every day we do a lot of things based on our intuition. We make decisions based on our own or others experience.
We do not need science to help us in our daily life, and we don't have a clear indicator that shows us if our decision is the best.
Decisions based on practical experience is our way of life.
But when it comes to our profession as dentists, we do, or at least we should, evidence-based dentistry for...almost every treatment we perform.
As the title of this article says, I´m going to present a case about "progressive loading."
Yes, I know, progressive loading is supported by few clinical studies (Rotter 1996, Appleton 2005, Ghoveizi 2013), but -and here comes the interesting part- the rationale behind this concept makes sense from a clinical and biological point of view.