Exploring the BIG QUESTIONS about Implant Dentistry
Welcome to my new feature, Exploring the BIG QUESTIONS about Implant Dentistry.
Dentists appear to have arrived at many different answers to the BIG Questions. What is the reason for that? Are their patients or the oral conditions so different? Are their experiences so different? Are they reading different research articles with different conclusions? Are these conclusions based on the merits of the research presented, or is the reader being misled by the bias of the author(s)? Are the authors biased in favour of the implant industry that supports them? Do we understand the root causes of the risk factors of treatment complications? Do we even have the language necessary to discuss those root causes? Do you have some effective means of mitigating them?
I would like to address the questions that interest you. Perhaps, we can talk about whether you think misfit implant parts and subgingival cement should continue to be the standard of care? If you are using the screw-in technique perhaps you can tell us how you are optimizing the fit of parts? Do you think optimizing the fit of parts is important? Do you think it can be done?
If you are treating your patients with All-on-X type prosthetics, perhaps you can tell us how you are providing access to care, or why you do not segment the final prosthesis to reduce the consequences of implant failure?
If you are cementing your prostheses, tell us how you are preventing subgingival cement and open, overhanging, and overextended margins. Tell us how accurately you can control the position of your margins relative to the adjacent gingiva.
You may feel that the screw-in technique is superior to the cement-in technique for the installation of implant-retained prosthetics, because of all the problems related to intra-oral cementation. How are you managing intra-oral cementation of prosthetics onto natural teeth? How are you managing those margins that follow caries below the gingiva?
Do you know what the root causes of misfit parts, poor margins, and residual subgingival cement are? Tell me about that. How do you manage those problems?
Hint: Go to www.ReverseMargin.com and challenge my thoughts about these important issues. My articles are presented for free download and open for your perusal and questions. Perhaps I can suggest an overview of my thoughts in a Toronto Implant Academy (TIA) video “The Chamfer Margin Showdown; Bringing a New Standard of Care to Town”. (1 our 30 minutes) It is also available for viewing on my website.
I look forward to our many great discussions about making dental treatment better for dentists and their patients.
Emil LA Svoboda PhD, DDS
Read Dr. Emil Svoboda’s Column in Spectrum Implants Magazine |www.Spectrum-Implants.com