Torquing Down Implant: How Much Force is Really Needed?

Last Updated March 10, 2008
Reviewed By:  Dr. David Levitt

Dr. P asks:
Our protocol for torquing down dental implant fixtures is to go to 30Ncm. Many of our cases require primary stabilization for immediate temporization. But I am wondering if torquing to this level can produce compression necrosis. Is it really necessary to apply this much torquing force to the implant? Can we use less torquing force if we do not require primary stability for immediate temporization? Have any of you experienced compression necrosis and if so, at what torque levels?


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