Articles / Research

Making the Screw-in Prosthesis Installation System Safer

 

Emil LA Svoboda, DDS, PhD, FAAID, DABOI/ID
Presented at the AAID Southern District Meeting “Generating Implant Longevity: Engineering Excellence” and annotated for web viewing.

Making the Screw-in Prosthesis Installation System Safer

 

 

Emil LA Svoboda, DDS, PhD, FAAID, DABOI/ID
Presented at the AAID Southern District Meeting “Generating Implant Longevity: Engineering Excellence” and annotated for web viewing.

 

 

 

Abstract: There is a growing concern regarding the mechanical and biological failure of dental implants and their attached prosthetics.

Identifying the root causes of treatment complications is essential to mitigating their harmful effects. The root causes of treatment complications are primarily mechanical and, fortunately, under the control of dentists. Dr. Svoboda proposes that implant manufacturers and sellers should provide dentists with relevant technical information regarding the fit-tolerances of their implants and connecting parts so dentists have some rational means of purchasing the best products for their patients. Manufacturers must also provide dentists with installation instructions that include their inherent risk factors for complications and that their CAD/CAM-related products give dentists more control over efficiently customizable features that can make treatment safer for patients. Unfortunately, current features embed legacy prosthetic designs that are known to expose patients to several known risk factors for peri-implant disease and treatment failure. The author demonstrates how following two rules can make legacy installation systems safer and how the Reverse Margin System can also make treatment more straightforward for the dentist.

  • Abstract: Overly grandiose and poorly substantiated titles risk the take-away message that Dental Implants don’t work, as the “casual” reader may not investigate beyond the title and critically analyze the full publication. Such a conclusion could prevent dentists from considering dental implants as part of many viable treatment options that could benefit their patients. On the other hand, one may argue that this message may reduce the overly aggressive removal of natural teeth and bone in favor of replacement with Dental Implants. The purpose of this submission is to review the featured publications by Froum and Guarnieri et al. with the...

I welcome all your questions and comments. I hope this “Implant Essentials: The BIG Questions” segment of this journal will help guide you to a better understanding of your craft, so you can do the best possible job for your patients. Besides, it would probably give you more pleasure basking in the glory of success, rather than trying to manage disappointed patients with complications…..