Improper Implant Design

Out of the plethora of implant systems available it is the responsibility of the clinician to select the most suitable. In comparison of the straight cylinder or tapered- the use of tapered is advisable in narrow mesiodistal spaces available to allow for safe distance between the adjacent roots, the tapered design allows for self tapping nature and bone compaction while the straight cylinder offers more surface area. The selection between a press fit design system versus a threaded system is also critical in clinical situations. In poor quality bone like the posterior maxilla the use of osteotomes to prepare the site and using a press fit system can promote bone compaction and achieve expansion if desired thus improving the prognosis of the treatment