Smile Engineer

Over the years, I've become increasingly convinced that implant design matters.

When we talk about crestal bone loss, we're really talking about biology, engineering, and the interface between the two. In this video, I take a deep dive into microgaps, implant platforms, and the science that drives long-term implant success.

▶️ Full video on YouTube now.

Why do some implants maintain bone levels better than others?

That's the question I tackle in this video as we explore crestal bone loss, implant platforms, and the role of the microgap. Understanding the biology behind these concepts can help us make better clinical decisions and create more predictable outcomes for our patients.

▶️ Full video on YouTube now.

Immediate implants can be amazing for patients—
Less time. Fewer surgeries. Better experience.
But only if they’re stable.
So how do you know before you start?
Dr. Rob’s answer:
Count the threads engaging bone.
It’s called the Five Thread Guideline—and it’s helping turn guesswork into predictable outcomes.

For years, implant stability has been judged by insertion torque.
But here’s the problem…
Torque is measured after placement.
Dr. Rob breaks down a better way:
👉 Count how many implant threads engage native bone.
✔️ 5 threads = high probability of success
✔️ 3 threads = proceed with caution
✔️