You're designing implants to FAIL and you don't even know it!

Are you designing and placing dental implants to fail? You might be setting your patients up for implant failures without even realizing it. There are dozens or even hundreds of factors that contribute to implant failures, but some of these are more important than others. Ultimately, dental implants are mechanical systems (though we place them into biological foundations). If your mechanical system isn't designed properly, then it will fail-and so will your implant! Look, we're dentists. Most of us didn't go to engineering school. Yet it's important to have an understanding of the forces acting on our implants and crowns so we can design systems that result in axial loads.
I'll be showing some other failures in the coming weeks, but in today's video, we'll walk through some implant failures and I'll explain how the design of these implants and crowns led to their ultimate failure.

[@painless4415]

So when you went from the "Snoopy" to the "Heart" shaped restoration on the 1st case, how did you manage the tissue in vivo?
One should not blame the lab for creating the Snoopy, although labs these days should stop production and reach out to the clinician, explain the situation and ask for guidance.
Honestly, I blame the surgeon and/or the restoring clinician by not creating the proper emergence profile to support the needed restoration.

[@Stanleyinstitute]

Great question. When placing the heart shaped solution it is often times necessary to make a crestal incision with a 15 blade. I don’t elevate the tissue. I just slowly screw the prosthesis down until it is seated. Almost never do we encounter a bone obstacle and if we did we use the bone profiler to create the necessary space. The snoopy is never a lab created problem. It is the result of a poor plan, poor execution, or a combination of both that leads to a less than ideal outcome.

[@painless4415]

@Stanleyinstitute That makes sense. I thought it might be how you handle those situations but I just wanted to ask. Thank you so much for your response!

[@Xbox12469]

Haha 😂 love your explanations!!! They do look like snoopy

[@Stanleyinstitute]

Yes they do

[@justinbingham6898]

Great stuff

[@Stanleyinstitute]

Thanks brother. I appreciate the feedback.