Clinical Questions

Most recent news relating to dental implants.

Tilting Root Form Implants: Long-Term Survival?

Yet many leading practitioners are recommending that root form implants be tilted to avoid nerves, sinus, etc. the physics dictate this produces a situation where the implant fixture is more prone to fracture because the off-axial loading applies stress to areas of the implant fixture that were not designed to receive this kind of stressing.

Narrow or Regular Platform Implant?

I am really not sure about this because sometimes the radiograph looks like there is adequate bone and then after I reflect the flap I see that the buccal cortical plate is very thin or dehisced. When this happens I usually go to a 3.5mm implant fixture to makes sure that I have enough bone volume.

Abutment Level Impressions vs. Implant Level Impressions?

I plan to make final impressions at the abutment level and then insert the permanent bridges. In the past I made implant level impressions and then inserted the permanent abutments and bridges at the same time. Anything wrong with making abutment level impressions like I am planning?