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Video Details
Immediate Molar Replacement Utilizing Narrow Diameter Implants - Allowing Implant Placement in Almost Any Situation - Part 2 of 2

Description:
Immediate molar placement has been widely reported in the literature with excellent results. All the studies insist that a wide diameter implants are essential as they are the only way to achieve primary stability and are the only implants that can handle the forces that molar regions produce. But there are a number of problems with wide diameter implants. This presentation will dispel all these myths as well as show how narrow diameter implants can not only handle the forces but also make immediate molar placement more predictable and possible in almost all scenarios.

Date Added:
1/14/2011

Author(s):

Howard Gluckman, BDS, MChD, PhD Howard Gluckman, BDS, MChD, PhD
Dr Gluckman completed his dental training at the university of Witwatersrand in Johannesburg in 1990. After spending a number of years in a general practice he complete...
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Online Videos / Surgery / Implant / Immediate Molar Replacement Utilizing Narrow Diameter Implants - Allowing Implant Placement in Almost Any Situation - Part 2 of 2




Questions & Comments
Rawi Barsoum - (1/16/2014 2:09 AM)

interesting presentation what about the dentium implants they have a similar connection to the ankylos ?thank you

george dirani - (11/17/2013 2:37 PM)

What size anterior sulcus former you find yourself using mostly whether for maxilla or mandible? I know the abutment have to be the same size as the sulcus former. Do you approximate or there is a rule you go by? thank you

Howard Gluckman - (11/8/2013 3:25 PM)

Hi George I need to clarify one thing. the only reason the Ankylos works here is because there is a morse taper connection. You cannot use narrow implants with short cone connections like Strauman or Nobel Biocare implants. It has to be a true morse taper like the ankylos. You also cannot use the internal or external hex Implants as the micro motion will lead to failure of the abutment implant interface. thanks for watching and your comments. keep them coming. regards Howard

Howard Gluckman - (11/8/2013 3:22 PM)

Hi Benjamin I am very familiar with the megagen implant system and use them extensively. I have used the EZ plus as well as the rescue which I think is a great implant. I mostly use th Anyridge now. The implant is definitely ideal for this kind of treatment in fact it has one thing better is that it works in conical root as well as in furcations as one can use the wider diameters of the anyridge which does not work well with Ankylos. You can use the 4mm for the immediate implant placement and also works well. The only negative is the drills are more aggressive and as a result you get more chatter and have to remove more bone but it does work well with the 4mm Anyridge and I have used it often. I hope this helps. regards Howard

george dirani - (11/6/2013 2:27 PM)

Great work Dr. Gluckmam. Implant companies say that narrow diameter implants are not recommended for the posterior region and you just proved them wrong. Very interesting.

Benjamin Saidel - (11/4/2013 6:22 PM)

Hi Howard fantastic results ! I also use EZPlus Internal by Megagen as noted by John Sullivant(8/4/2012). The narrowest in this system is a 3.3 mm implant then 4.0, 4.5 and 5 . It has an internal trip connection with platform switching. Do you know this implant system and is it suitable for immediate placement as you have described in your presentation? Are you aware of the rescue or any ridge implant by Megagen ? Benjy ( wits grad)

Howard Gluckman - (2/4/2013 4:51 PM)

@Jan-Stefaans Unfortunately you cannot use the bicon implant for this of therapy as you need to have an implant that has a thread not fins. the Bicon has to be tapped into place and one generally needs the threads to allow easy placement of the implant in the furcation bone. One may be able to use it in specific areas especially where you have a thick furcation. But as soon as you try to tap an implant in it will take the path of least resistance

Jan-Stefaans du Plessis - (10/16/2012 6:12 AM)

What about Bicon implants, would you use the as well in this cases?

Jan-Stefaans du Plessis - (10/16/2012 6:12 AM)

What about Bicon implants, would you use the as well in this cases?

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