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Prof. Izchak Barzilay

DDS, Cert. Prostho., MS, FRCDC

Bio

Prof. Izchak Barzilay received his DDS from the University of Toronto in 1983, a Certificate in Prosthodontics from the Eastman Dental Center in Rochester, NY in 1986, and a MS from the University of Rochester in 1991.  He is currently CEO of the Build Your Smile Dental Foundation, Toronto, ON; Chair Emeritus – Board of Directors – Royal College of Dentists of Canada, Toronto, ON;  Head of the Division of Prosthodontics and Restorative Dentistry, Mt. Sinai Hospital, Toronto, Ont.; Adjunct  Assistant Professor of Dentistry, School of Medicine and Dentistry, University of Rochester, Rochester NY ; Professor, George Brown Polytechnic, Toronto, ON; Associate in Dentistry, University of Toronto, Toronto, ON.;  Past President of the Academy of Prosthodontics, San Diego, CA; Past President of the American Prosthodontic Society; Past – President of the Association of Prosthodontists of Canada: Past President – Ontario Study Club for Osseointegration. Toronto, ON; Past Chief Examiner in Prosthodontics – Royal College of Dentists of Canada; Publication reviewer for Journal of Esthetic and Restorative Dentistry and is in private practice limited to prosthodontics and implant dentistry in Toronto, Ont.

 

He has published on various topics including immediate implants, bonding plastics to various metals and other material and implant related topics.  He has been awarded the Tylman Award (American Academy of Crown and Bridge Prosthodontics), Prosthodontics Research Award (International Association for Dental Research), Buonocore Award (American Association for Dental Research Rochester Chapter), the Essay Award (American College of Prosthodontics), the International Journal of Oral and Maxillofacial Implants-Best Paper-1996, the A.B. Hord Master Teacher Award (University of Toronto),  Division of Prosthodontics 2007 Alumni Award (University of Rochester Eastman Dental Center) the Arbor Award (University of Toronto) 2019, Award of Merit (Canadian Dental Association) 2024, Private Practice Award (Amerian College of Prosthodontists) 2024, Distinguished Service Award (Royal College of Dentists of Canada) 2024. Dr. Barzilay holds fellowships in the Academy of Prosthodontics, Academy of Osseointegration, Royal College of Dental Surgeons of Canada, Pierre Fauchard Academy, Academy of Dentistry International and the International College of Dentists.

Abstract

Rethinking Implant Design Selection: Matching Design to Patient Anatomy

Too many clinicians choose implants based on brand familiarity rather than what the patient’s anatomy actually demands. This presentation challenges that habit and offers a systematic framework for matching implant design to individual clinical situations.

 

Twelve selection criteria are examined which include implant length, width, and shape relative to available bone,  thread design, surface configuration, prosthetic connection type, immediate versus delayed placement, guided surgery and grafting considerations;, retrievability, bite force generation, and cost. Each factor is evaluated not in isolation, but as part of an integrated decision-making process rooted in the patient’s unique anatomical presentation.

 

Particular focus is given to angled and co-axis implant systems, which offer solutions for challenging anatomic sites  often eliminating the need for extensive grafting. The benefits of platform switching, hybrid surface configurations and wide-diameter implants are also explored through clinical examples.

 

The presentation proposes a practical decision-making philosophy: fit the implant to the anatomy rather than forcing the anatomy to fit the implant. Key principles include favoring retrievable screw-retained restorations over cemented solutions, using high-torque fixation protocols, selecting implants with proven surface treatments and high material strength, and designing for long-term recallability.

 

Drawing on over four decades of clinical prosthodontic experience, this lecture demonstrates that thoughtful implant selection grounded in design principles rather than convention produces more predictable outcomes and fewer complications. The goal is to shift the conversation from “which brand” to “which design, and why.”

 

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