Use these 3+ RULES to choose the RIGHT SIZE 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!

[@shalashdentalcenter133]

nice video, but with this one-half rule, most implants would need bone grafting to satisfy the 2B rule. That means more cost and morbidity for the patient. while this rule considers the MD width of the tooth it does not consider the BL width of the bone.

[@Stanleyinstitute]

Great observation! You’re absolutely right. The 1/2 rule is the starting point, and the implant diameter is then adjusted to meet the 2B rule. If both criteria result in a diameter that is mechanically insufficient, only then would grafting be necessary-minimizing the incidence and cost of unnecessary bone grafts.

[@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

[@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.

[@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?

[@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.

[@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!