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Video Details
Minimally Invasive Anterior Implant Therapy with Immediate Provisionalization

Description:
In this surgical technique video, Dr. Jose Manuel Abarca describes, in great detail, the minimally invasive technique for extraction and implant replacement of a central incisor. Specific recommendations are given for the utilization of a very atraumatic root extraction system. In addition, a how-to for grafting the gap between the implant and socket wall is demonstrated along with methods of determining implant stability.

Date Added:
4/25/2012

Author(s):

Jose Manuel Abarca, DDS Jose Manuel Abarca, DDS
Dr. José Manuel Abarca received his DDS degree from Universidad de La Frontera in Temuco, Chile in 1998. Later he obtained his Diploma in Implant Dentistry from Loma L...
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Questions & Comments
carlos cardenas - (10/31/2013 1:01 PM)

Estimado Dr.Abarca , el concepto perfecto , su opinion acerca del medidor de la estabilidad,coloco bone graft y no vi la colocacion de la membrana , en caso que no colocara en estetico temporary crown que tipo de membrana recomienda? Agradezco a DentalxP , este continum education , es una actitud encomiable y una oportunidad para todos exponer su criterio. Gracias Dr. Abarca por su trabajo , por lo facil que lo efectuo.

dario luis-ravelo rodriguez - (5/27/2012 3:08 AM)

Jose Abarca,gracias por contestar,estoy con usted en la utilidad clínica ( sobre todo porque actualmente no tenemos otra cosa en el mercado),lo que intento transmitir es que después de unos años usandolo me da la sensación de que el osstell mas que medir la verdadera estabilidad,lo que nos dice es si tenemos hueso alrededor del implante y cuanto mas mas valor nos dará ( ojo,hablo cuando tomamos los valores meses después de la colocación, el valor que nos da durante la cirugía siempre es fiable porque porque acabamos de insertar el implante y tenemos una fijación mecánica no biológica) quiere decir mas grosor,pero no es fiable para valorar la fijación biológica y de ahí esos errores que comentaba en el email anterior,de hecho hay algunos artículos publicados donde se empieza a criticar el uso del osstell en artículos científicos como prueba respetable para citar como metodología científica,hecho el cual desacreditaría muchos artículos en los que se ha utilizado para confirmar resultados.Gracias por su amabilidad y simplemente quería saber si alguien tiene las mismas sensaciones que yo..........para finalizar cosas que hacen que piense así ......implantes colocados hace 3 años con expansión de cresta en incisivos inferiores,es decir quedando tablas muy delgadas tanto en vestibular como en lingual..........valor osstell 3 meses después 52.........torque de 35nw.....sin problemas......y hasta la fecha funcionando con éxito ,es decir cuando se hace la medición en implantes diferidos creo que el valor que nos da es si hay tablas alrededor y cuanto mas ancha mas valor,GRACIAS

jose abarca - (5/24/2012 6:29 PM)

Darío Luis, es cierto que existen algunas lecturas anómalas, como marcar 0 y resistir al torque de inserción de 35Ncm2, pero las atribuyo usualmente a tejido blando interpuesto, smart peg re esterilizados, etc... Lo que Ud. me relata sin embargo es exactamente lo contrario, un falso negativo, lo que me hará buscar información al respecto de la baja sensibilidad del test, sin embargo es una ayuda clínica a mi parecer muy tranquilizadora en la gran mayoría de los casos

jose abarca - (5/24/2012 6:11 PM)

Gracias Susana

jose abarca - (5/24/2012 6:10 PM)

Arturo PRGF es un tema por si sólo. Inicialmente y por muchos años trabajé con la Smart Prep 2, aparentemente con excelente éxito clínico, sin embargo para usarla, estarás de acuerdo conmigo que nos salimos del concepto minimamente invasivo al ser necesario el despliegue de colgajos. es una buena y válida opción. saludos!

jose abarca - (5/24/2012 6:08 PM)

Dear Rod, This is a question with either a very simple answer (i.e. keep in the green zone or comfort zone, as described by many authors and very well described and presented in the ITI treatment guide) or a very complex one, saying "depends" on biotype, implant surface, implant type, implant neck surface, laserlock, platform type, etc... I will definately stay with the simple first answer.

jose abarca - (5/24/2012 6:02 PM)

Thanks James, it is a very good way to describe the "predictability trinity"

jose abarca - (5/24/2012 6:01 PM)

Dear Ronni, Sorry for taking so long for the reply. I am glad you found this useful and I am looking forward to see your results. Remember that it is imperative to have periostium available.

dario luis-ravelo rodriguez - (5/20/2012 5:42 AM)

ante todo,gracias por el video y mi pregunta va dirigida hacia la verdadera utilidad del osstell,es innegable que en la colocacion quirúrgica es una buena referencia,pero que me dice de la fiabilidad del valor osstell a los meses,por ejemplo en implantes diferidos,llevo 4 años usando osstell y he tenido algunas sorpresas desagradables,por ejemplo meses después de la colocación del implante,darnos un valor osstell 69 y a la hora de apretar el abutment a 35nw,moverse el implante;y no es un hecho aislado durante estos años a ocurrido un par de veces ( incluso con valores de ISQ 70 y en MANDIBULA!!!!!!)...........¿ es el osstell otro fraude de la industria?

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