MIS Implants Presents an Important New Way of Thinking About Dental Implant Drilling Protocols at the EAO

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Nachum Samet, DMD. MIS Implants V.P of Research will be presenting “Drilling protocols - is there one that fits them all?” as part of the Satellite Industry Symposia featured at the upcoming 22nd Annual Scientific Congress of the EAO, in Dublin, Ireland, Oct. 17–19, 2013. Dr. Samet’s presentation aims to discuss different drilling protocols, and to suggest logical alterations to ensure high primary stability of dental implants in common clinical scenarios. The presentation will be given Friday Oct. 18, 16:45–18:45, at the Liffey Hall 2.

It is vital that drilling protocols are able to address other common implant placement scenarios beyond the classic full bone scenario.

Drilling protocols have changed little in the past few decades, mainly because dental implants were traditionally only placed into fully healed bone. However with more recent advancements in dental implantology, it is now a recognized fact that implants can be placed in many different clinical scenarios; partially healed bone (delayed placement) as well as into fresh sockets (immediate placement).

Therefore, it is vital that drilling protocols are able to address other common implant placement scenarios beyond the classic full bone scenario, including conditions such as posterior sockets or partial missing bone and anterior sockets. Since in all clinical conditions, the initial stability of the implant is the primary consideration, it is therefore critical to ensure that the drilling protocol supports the required end result; and not be portrayed as a single standard procedure.

Questioning the efficacy of current protocols necessitates reexamining the fundamental concepts behind them. The main objective of drilling is to create space in bone to ensure the stability of the placed implant. Stability can be achieved in different ways, depending on the condition of bone; utilizing either the full length of the implant or engaging just part of it.

For full bone conditions current drilling protocols make sense, and fulfill the desired objective. On the other hand, in sockets or where some of the bone is missing, initial stability is gained by utilizing the apical portion of the implant. In these cases, conventional drilling protocols may not achieve the desired objectives.

Revisiting drilling protocols also requires a better understanding of the difference between available drills. Unlike drilling procedures in regular dentistry, where sideways drilling is the norm, dental implantology drills are designed to cut downwards only and not sideways. Using implant drills to cut sideways may result in broken drills or widening of the apical portion of the osteotomy, which may compromise initial stability.

As part of our continued investment in technology as a precondition for growth and innovation, MIS Implants will be introducing a concept by which drilling should be divided into three basic clinical scenarios, and will propose guidelines for each. In addition, a new marking drill and data from the latest studies will suggest further changes in drilling protocols.

To hear Dr. Samet’s presentation: “Drilling protocols - is there one that fits them all?” please join MIS Implants Technologies Ltd. at the EAO Annual Scientific Congress in Dublin, Ireland October 17–19. Visit our Booth – # G10, and learn about the innovations, great design and excellent service that are built-in to every implant we make. We’re ready to make a big impact; taking part in both the Exhibition and the Satellite Symposia.

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Marie Orian
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