Smile Engineer

Smile Engineer Dr. Robert Stanley is the Smile Engineer®

05/15/2026

This should be taught in dental school.
But it isn’t.
Instead of relying on torque after placement,
Dr. Rob uses a simple pre-op rule:
👉 5 threads in native bone = high success
Backed by stats. Proven in real cases.
And changing how immediate implants are planned.
The Stanley Five Thread Guideline.

05/14/2026

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.

05/13/2026

Dentists have been using the wrong metric.
Insertion torque?
It’s basically a coin flip.
What actually predicts implant success:
👉 Thread engagement in bone.
Dr. Rob’s data showed cases from 5.9 to 70 Ncm… all stable.
That’s not a predictor.
5 threads in native bone?
Now THAT predicts outcomes.

05/12/2026

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
✔️

05/08/2026

Better labs shouldn’t mean worse surgery.
Guided implant placement creates consistency, accuracy, and predictability—before the lab ever touches the case.
This is a conversation every implant dentist needs to hear.

05/07/2026

“Looks good” isn’t the same as “done right.”
Freehand implant placement might still get restored… but at what cost?
Dr. Rob explains why relying on the lab to fix surgical mistakes is a slippery slope.

05/06/2026

Are dental labs unintentionally making dentists worse?
When great prosthetics can “rescue” bad implant placement, it creates a dangerous safety net.
Guided surgery removes the guesswork—and raises the standard.

05/05/2026

Dental labs are getting really, really good.
So good… they can fix poorly placed implants.
But here’s the problem—just because it can be restored doesn’t mean it should’ve been placed that way to begin with.
Dr. Rob breaks down why guided surgery matters more than ever.

05/01/2026

If you’ve watched our older content, you’ve seen this technique.
But here’s the reality: clinicians evolve.
Dr. Rob explains why Periacryl is no longer a routine part of his workflow—and what that says about growth in implant dentistry.

04/30/2026

Not every technique stands the test of time.
Periacryl once played a role in stabilizing grafts—but today, Dr. Rob has a different approach.
Watch as he breaks down the evolution of his protocol and what he’s doing instead.

04/29/2026

“Why did you stop doing that?”
It’s one of the most important questions in dentistry.
In this video, Dr. Rob explains why he moved away from using Periacryl for securing graft material—and what changed in his thinking.
Because better data + more experience = better outcomes.

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