Hey doc. But what's the answer? Is there no max torque? Are we not still worried about pressure necrosis? Fracture of the implant or instruments? Does it depend on if the torque is created at the cortical bone level or lower? Does it depend on the implant design? Does it matter if you use a cortical bone relief drill? I'm now placing neodent and they recommend only up to 65Ncm. I used to place biohorizons and their kit doesn't even have a torque wrench with which to measure.
Doctor, why are everybody so obsessed with primary stability? I had spinners, no primary stability at all, so I did submucosal healing and they healed perfectly. Im not talking about immediate implants now
I do the same thing! If I have a spinner but it is surrounded with bone I leave it! The only axis that doesn’t have stability is the rotation around the implant. All the other five dimensions of motion have stability! And, after all you have a beautiful autogenous graft around the threads!
This all just gets at the elephant in the room, which is that so much of what we “know” in dentistry is anecdotal and “feels right”. We have to do better…
@@marionharris5952 Don’t take it as a personal attack. Notice I said “we”… I’m always learning and improving in my practice and especially in my implant surgery journey. I don’t believe anyone is intentionally trying to do worse, but I do maintain there are some who are rather deluded about things they “know” to be true that simply aren’t so.
Sir i have question… I didnt find an answer to what happen with me I insert the implant by motor in 35ncm so 3/4 of implant go with motor then i continue with wrench down i find torque less than 20ncm
It is possible to start with higher torques and end with lower torques, if during the insertion process, the implant threads engage compact bone, which resist the apical movement of the implant, which in effect turns your implant into an auger and strips the bone in between the threads. The worst case scenario is the implant turns into a spinner.
