Thomas Gill

Primary stability of dental implants is considered critical for successful osseointegration and survival in situations where immediate implant loading is desired. However, there is paucity of evidence to conclude whether primary stability is equally critical in implants placed with delayed loading protocols. In this presentation we ask; do we need primary stability for non-immediately loaded implants to osseointegrate? This question is explored through analysing the literature to determine the survival of non-immediately loaded implants placed without primary stability as defined by an ISQ<60. We then review the results of a pre-clinical model that compares a normal preparation protocol with an intentionally overprepared osteotomy preparation to assess osseointegration and bone maintenance. Finally, a clinical case is utilised to demonstrate a Type IIc placement in the anterior maxilla placed without primary stability.

Tom graduated with honours from his BDS qualification from King’s College London in 2017. He has completed master’s in Implantology, as well as a master’s in Clinical Research. Tom treats patients requiring complex and advanced restorative treatment including dental implants. Tom was appointed to a specialist training position in Restorative Dentistry, exploring the theory and practical procedures across a multidisciplinary specialty; these include prosthodontics, periodontology and endodontics. He also has a keen interest in research and has been funded to undertake a PhD in the field of Dental Implantology. This will include a clinical trial for which he was awarded a prestigious Large Clinical Grant from the ITI. The work Tom has completed has led to him presenting his research at various conferences, both in the UK and overseas, and has earned him numerous awards for his activities in clinical research.