Hello there,
Does it matter if you use Manufacture/Implant brand specific Twist drills/implant drills to make your osteotomy or you still place the implant with a densah universal bur kit or Mectron piezo implant prep tips/kit?
or
Does the implant you place cares what kinda drill made the osteotomy for its placement?
TIA
correct me if im wrong. but i think the manufacture drills are usually 0.9-0.3mm smaller diameter than the implant you will be placing. If its soft bone then the drill is ~1mm smaller diameter. if your drill dense bone then the drill is ~0.4mm smaller. As long as your familiar with your implant diameter, you can kind of estimate what drill size you should be using. If you have a weak torque, then bury the implant. if you have >35Ncm you can place a healing collar. I mostly use manufacture drill kits. i only use versah burs if im doing vertical sinus lift. I dont think implants care what drills used for osteotomy. but i noticed some drills are tapered while others are straight. which usually matches with the implant profile.
Few of my Alumni did respond similarly and they have recently switched to densah burs that are compatible with the implant(s) they are placing in their practices for versatility and also having the option of osseodensification at the tip of their hand ( same bur in Counter clock wise motion ).
The answer is no but if you are using what I consider to be the good stuff, meaning name brand implants from the big boys, then you will most likely wish that you used their overpriced drills when you realize the superior quality. I love Blue sky Bio but the quality of their drills compared to my Zimmer kits is like comparing a Wal-Mart end wrench to a good Snap-On… no comparison. At the end of the day Teng is right and implant dentistry is just glorified carpentry where screw goes in pilot hole and the size of the pilot hole will determine how tight the screw is inserted into the substrate. I have been doing carpentry work for a long time and I really appreciate good quality tools so for me it does matter.
sounds like the old adage, " you get what you pay for".
In reality a person could order a 2.2,.2.8. 3.4, and 3.8 series of twist drills from any manufacturer and place any implant they wish using only these drills. I charge in excess of $2000 for an implant so the least I can do is place a quality product utilizing quality tools so that the old adage can also apply to my patients. Not only do I get what I pay for but my patients do too and because of this I will replace any fixture I place for up to 5 years post restoration at no charge… I would not give this guarantee if I was routinely placing $99 fixtures with tools from Harbor Freight.
you use harbor freight, i use home depot. 
I like Home Depot… You should try Harbor Freight though if you are price conscious.
also i noticed versah burs loses it’s sharpness quite quickly. and versah burs are more expensive than implant burs so replacing them gets pricey. If you only place a few implants a month. maybe its not a big deal. but if you are placing 20-50 implants a month. you will need to replace burs quite often. if you use multiple systems, you will use manufacture kits anyway, bc the kit has all the corresponding drivers. just more convenient i think.
A premium brand implant drills come at an avg price of $140/drill that can be used upto 20 times. Densah costs the same $138 ish, Mectron piezo Implant tip isn’t cheap either. For me it did not make a sense why ( my alumni ) they would want to switch. I guess what ever floats your boat.
lol. versah burs just looks bigger, beefier and mightier. size does matter i guess.
Just use the cheap ones from Blue Sky Bio and you will know when to change them because they rust after 15-20 cycles
As per versah, Densah burs are currently made with titanium, not steel anymore.
I don’t know if that makes a difference,
That should cause them to go dull quicker since steel, unlike titanium, can be hardened to better maintain an edge. The likely outcome of switching to Titanium will be a lower quality product with a larger price tag. Most likely the manufacturer will try to pull some MSNBC inspired smoke and mirrors act but if titanium held an edge anywhere near that of hardened steel then it would dominate the cutlery market due to its strength and light weight. The fact is that titanium doesn’t hold an edge so the folks at Densah are not helping matters.
Many of the twist drills, even those sold by the large brand implants, are manufactured by a third party. So in many cases, other than jacked up prices, there is no difference whatsoever between the brand name twist drills and those you get from another company. They are literally the same exact thing in many cases. You just have to know your supplier and ask about the source. Of course, depending on what you charge for an implant, as Scotty mentions, it probably isn’t worth the hassle to switch around to find reputable suppliers if you are already dealing with the brands who ensure the quality.
I have never used a versah drill so I certainly can’t speak for or against them but aren’t they essentially non-cutting reverse fluted drills? If so then degree of sharpness would be of little value so perhaps a titanium version would be more durable long term since there is no need for them to hold a sharp edge like a true cutting instrument.
As per versah, you run the densah burs counter clock wise for osseodensification purposes ( non cutting motion due to negative rake angle) , if you run in clockwise it can be used for osteotomy to implant site preparation.
Dear fellow carpenter.
Being sad a genial surgeon makes the most difficult operation look easy, I never forget when I was cutting out carcinomas I was doing a mediocre tailoring
so your a tailor not a carpenter?
I did a terrible suturing in comparison with a tailors masterpiece, nonetheless I am nothing more handy than a carpenter when he drills holes. What makes difference that is the knowledge behind the work and not really the work, or tool, itself. When you are aware the consequences of your job it doesn’t really count how you reach it. You are free to perform an osteotomy by a nail clipper if you reach the torque you intended to have. On the other hand I have seen placements done with the right tools, an absolute mayhem and unable to load prosthetics.