Some People Say That Indexing

try Loeb type implant there’s only three

ways that implant is going to go and

some people say that indexing only

really matters if you’re using stock or

ankle the buck using a custom abutment

you really don’t have to worry about how

things are turn when the last few points

I want to sort of emphasize the

difference between tri lobes and other

conical connections one thing that’s

interesting is that if you look at a

wood screw a wood screw has just one

helix going about the wood screw and if

you look at through physics if you turn

ellipse through 360 degrees the wood

screw will travel ethically the distance

between the threads of the screw so if

my threads are a millimeter or a part

and I am worried about being close to an

ER and I turn my implant 360 degrees I

know that will turn or that will travel

one millimeter in LAN direct if I have

to travel about one point two

conical connections one thing that’s

interesting is that if you look at a

wood screw a wood screw has just one

helix going about the wood screw and if

you look at through physics if you turn

ellipse through 360 degrees the wood

screw will travel ethically the distance

between the threads of the screw so if

my threads are a millimeter or a part

and I am worried about being close to an

ER and I turn my implant 360 degrees I

know that will turn or that will travel

one millimeter in LAN direct if I have

to travel about one point two

f a problem and

so now we’re going to have to upright

those implants and to do so we use

angled screw receiving above the distal

implants have any gaging connectors the

anterior implants do not so those

engaging connectors we are limited by

indexing and if we don’t turn our

implants correct

and we try to correct for that we have a

problem my argument is it a hex is

better whether that hex is a external or

a 45-degree lead in bevel or a conical

is a hex just gives you a little bit

more wiggle room if you don’t index it

perfectly on a side note about economics

if you’re looking at implant direct

implants and cost the cost between an

internal hex implant and a conical

connection are really not a difference

it was about 10 bucks so if you’re

asking me I’d rather spend 10 bucks to

have less micro movement if you want to

go with a mount free design there’s also

a ten dollar actually it looks like a

five dollar difference between those two

all right so I am done with my

presentation we’re going to open up the

questions here in a little bit but if

you ever want to get a hold of me the

easiest way is to find me on Facebook or

by me on digital enamel comm where I

post most of my stuff or if you want to

send me an email

August DDS at gmail.com but I respond

much quicker to instant messaging so let

me go ahead and pull up the panel and

let’s take a look at some of these

questions does the larger conical

connection weaken the caller good

question that’s something that is kind

of worried me to be honest with you I

know that all these different implant

companies have done studies about that

but that would be a concern I would have

I don’t know the answer to that and

that’s something that really kind of

fits in my head between the trilobal

implant and moving to something that’s

thicker another question here is what

are your options for an implant if you

have flowering of a trial of implant

well you’re kind of Sol as we like to

say I had one that flowered and I was

able I was placing it and I floured it

and I was able to grab ahold of the

rippling water

sides with a hemostat and unscrew it

but what if let’s say you have a tri

lobe implant and in function it flowers

there is the implant removal tool that

implant direct cells where you can

actually screw into the implant itself

and back it out if you do just for fun

if you go my digital enamel and you look

up an article that I did I did an

article about how I used and I know this

sounds crazy guys in a lecture surge and

I know this sounds kind of wacky but

just follow me there are some

researchers I don’t research paper of

others some guys in Italy that had a

really interesting study so we don’t use

electro surge normally around implants

right and why is that because if we

touch the implant the implant is going

to heat up and bone is going to necrosis

so what these researchers will did is

they looked at numbing of the patient if

you have a broken implant and you want

to get it out touching the implant for

about 20 seconds with an electric surge

coming back a week later and it came

right out the alternate would be to use

a trepan and hog out around the implant

itself which can be quite destructive

they did mention that you don’t they had

a voltage amount an amount of time you

don’t want to touch the implant too too

much but obviously broken implants or

something that we have to have Dennis

them all over dad broke off an implant

on number 19 and broke it off all the

way past the internal connection so

there’s nothing to grab ahold of it so

we’re going to try this technique I used

to want to work great of others it says

there is a greater amount of bone

necrosis around it so you do want to use

it at your own risk

okay with putting

nice foreign on the screw help I’ve

heard people use that and that certainly

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