Use these 3+ RULES to choose the RIGHT SIZE implant every time!

When you're placing a single implant or performing a full-arch or full-mouth surgery, how do you know what size implant to choose? Does it matter? Oh yeah, size matters here. When it comes to implants, both diameter and length are important, though for different reasons. It's vital that you follow the 1/2 Rule, 2B Rule, and length rules to ensure that you're placing the right size implant every time. Implant size is important so that your implant placement resists both axial and off-axis forces placed on the implant by the patient during mastication and other activities.
And the rescue implant? As T'Challa said, "we don't do that here." Rescue implants involve intentionally placing a sub-optimal implant, whether at first or as a failsafe measure. We don't plan to fail-use these rules to choose the right-sized implant every time!

[@amrahmed1205]

The combination of your love of engineering and dentistry makes your content amazing

[@Stanleyinstitute]

Thanks, doc! I certainly love sharing these videos as well!

[@JohnSmith-yw4yx]

Doc your videos are amazing. Thank you for taking the time in sharing your knowledge and making your videos so easy to understand! Its allowing all of us to become better dentists, which ultimately means better care for our pts.

[@Stanleyinstitute]

Thanks, Doc-so glad to see the community growing and the conversation about implants elevating constantly. Thanks so much for watching!

[@muralibommanna7789]

I have great respect for the efforts of the Doctor to place the video.
I hv five implants in the mandible and six at top with pfm dentures.
When i chew food i get a mild pain on one implant at mandible.All others are excellent.

[@Stanleyinstitute]

Thanks for sharing and sorry to hear about that pain! Have you gotten it checked out by an implant specialist?

[@cuppapimunyanyo2405]

Wow, such a good Video! Keep going!

[@Stanleyinstitute]

Thanks so much-very glad you're enjoying it!

[@rickdonkersgoed2167]

Such good stuff! 😍

[@Stanleyinstitute]

Thanks so much, Rick!

[@aaronlympanydesign163]

I want to see someone take a major league pitch with a Nerf bat now! ;) Very informative video as always and thanks for that color-coded reference chart.

[@Stanleyinstitute]

We'll talk to the Mets and see what we can work out!

[@artemkogut4709]

1:08 Thank you for your video doc. Can I ask you to share information where I can read more about 1/2 Rule? Thank you in advance.

[@Stanleyinstitute]

I teach it in my class but I have not published it yet. It will be in my book when it comes out too.

[@stanleybarton]

What do you use as a measurement if the tooth is already missing?

[@Stanleyinstitute]

In the virtual surgery you plan for an idea crown and free gingival margin. It is completely independent of the existing bone contours. Typically you use the adjacent teeth to determine ideal esthetics and function.

[@salival7246]

Maybe I missed it but where did the data for the charts of implant diameter (success rate x mm) and implant length (success rate x mm) come from?

[@Stanleyinstitute]

Hi Doc, great question! In the section where those charts pop up, I'm simply using an example scenario to demonstrate the principle of parametric and global maxima. They're simply example numbers!

[@salival7246]

Where would we get the data to determine which length is most successful in each position? Or is that unknown?

[@Stanleyinstitute]

@@salival7246 The short answer is it's not possible to get definitive data for every case and patient, as each case is unique and needs a custom solution. However, with the 2mm rule (choose an implant that's as long as possible without coming within 2mm of vital structures), it's not really necessary to have that data anyway!

[@salival7246]

Fantastic. Thanks for the clarity