Primary stability vs. Secondary Stability in Osseointegration of dental implants скачать в хорошем качестве

Primary stability vs. Secondary Stability in Osseointegration of dental implants

I see many of my students make this mistake early in their careers: overloading the bone during implant placement. To truly understand this, we need to understand the biology of osseointegration. There is a very famous chart that shows primary stability vs. secondary stability (or biologic stability) over time. Remember that dental implants are only held by primary stability for the first 4-6 weeks until secondary stability starts to kick in. All of the areas where you first had primary stability will actually die which is why you see an overall dip in overall stability around 4-6 weeks. If we overload the bone, it will behave unpredictably which can use severe dieback and implant failure. When implant companies say that their implant can withstand up to 70 or 100 ncm, that is true, but the bone can't withstand that during the healing phase. To overcome this complication, make sure to balance your primary stability with your bone compression by using the correct drilling sequence and tapping burs. For more info, go to: www.drkylestanley.com @drkylestanley