Rethinking implantosteotomy preparation: material science, biomechanics, and the crown down concept
Independent peer feature by Dr. Gregori M. Kurtzman in the DGZI's international implantology journal (published by OEMUS MEDIA AG, Germany, and distributed across Europe, MENA, and Asia). Kurtzman argues that implant osteotomy preparation has remained fundamentally unchanged for five decades despite advances in implant design, surface technology, and guided surgery, and positions the Crown Down concept as a response to progressive drill wear, reduced cutting efficiency, multiple drilling steps, and increased frictional heat generation in conventional sequential stainless-steel drilling.
Author: Dr. Gregori M. Kurtzman, DDS


