You're drilling TOO SLOW when placing implants!
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- Опубліковано 29 гру 2022
- Gotta go fast! Or do you? Does drilling speed actually matter when placing implants? Of course! Faster drills mean not only more efficient implant placements (which are better for both you and your patients), but they also mean you aren't sitting there spinning a drill bit in your patient's socket. Once you get your drill fully seated in the guide and bottoming out, you're done!
Many dentists who are accustomed to freehanding implants have some difficulty in speeding up their drilling once they start using guided systems. This can be for many reasons. First, when you don't use a guide, it's tough to get the drill started where you want it. Once you get a solid purchase point, you don't want to let it go, so you end up taking your time to ensure you stay on target. Secondly, when freehanding implants, you have no direct constraint on implant depth. You're guessing and hoping you don't hit vital structures. Not so with a guide. With fully guided systems, as long as you've properly planned your case, you can simply insert your drill and your guide will ensure you never contact any vital structures-depth is constrained!
In this video, we'll talk about why many dentists drill for implants too slowly and steps you can take to speed up your drilling.
Check out the full Stanley Institute continuum at stanleyinstitute.com.
Amazing video, you are talking about experiences that encounter on a daily basis but only a fraction of the population can follow. I love that I can relate. When I started doing guided I was so afraid of trusting the guide and giving up the control. It took me a while to get used to it. I've never heard anyone actually vocalize it.
Thank you for your kind words. As Dentists, we often work alone, that is why when you hear a colleague present, and every day fact of life, there’s a sense of validation, because it is real. Thanks for watching and stay tuned for more “real” reels😅
Sir how to prevent wobbling of drill when larger size drills are used
If you are using freehand there are little options. With guided you will have a small amount of play built into the guide which is called clearance. It is necessary so the drills can fit into the guide. My unpublished research showed my error was 200 micros or less. This is good enough for almost any case. One trick is to reduce the speed of your bigger diameter drills. For example. Our 6mm diameter drill speed is only 1000rpm.
What if i put 4 diameter in 10 mm length and implant stop on motor half inside and half out … i should drill to length 11 mm …. Some drs say that… wat is the trik in drilling more 1-1.5 down length .. why implant sit ? Why not sit with same 10 mm
If I get too much resistance during the insertion of my implants prior to reaching the prescribed depth what I do is, I use the dental implant as a bone tap. The way I do it is I insert the implant one turn, then back it out half of one turn, and then repeat, until I reach the desire depth. I am not fond of over preparing the osteotomy by drilling deeper because typically that’s where the vital structures live.
@@Stanleyinstitute you are talented sir … i really appreciate … sometimes also i go perfect to the 4/5 of implant inside amazing only 2-3 mm remaining i chexk torque by motor is 35 when it stop .. then i continue by wrench i found torque less sometimes 20 or less .. thats make me crazy i didn’t find a logic reason why this happen to me
@@drshadykhalifa4839cuz u having torque by crestal bone , hard one , like first 1 2mm making the body of implant stop here , after u going deeper , you losing torque because neck of implant , abit smaller than body , and like 90% of implant positioned in softer d3 /d4 bone
@@drshadykhalifa4839 i think when 35Ncm you are in cortical bone at the alveolar ridge, when you use torque wrench 2-3mm, the implant comes into trabecular bone and torque will be 20Ncm or less... I think that because i have many cases like that...