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Video Details
Digital Patient Specific Implant Abutment Options for Optimum Periodontal and Esthetic Results

Description:
The evolution of Implant Therapy is at the point of uncompromised clinical results when available technologies are appropriately applied. The restorative clinician working in concert with their laboratory can successfully achieve extraordinary results on a routine basis. The various abutment materials and design parameters will be illustrated by review of clinical / laboratory case studies. Restorative material options will be discussed with a focus on optimum long term clinical performance. New long term provisional technology will also be explored. Cementable and screw retained indications and contra-indications will be reviewed as well as approaches to “problem case” solutions.

Date Added:
7/30/2013

Author(s):

David R. Avery, CDT, AAS David R. Avery, CDT, AAS
David Avery, CDT, Director of Professional Services at Drake Precision Dental Laboratory in Charlotte, N.C. received his AS degree in dental laboratory technology from Durham ...
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Questions & Comments
Joseph Ardizzone dds - (9/8/2013 10:26 PM)

Great stuff and a few clinical pearls as well, thanks so much for sharing.

David Avery - (8/12/2013 4:39 PM)

Mario Marcone,
Thanks,
1. No stock component compares to customization with a provisional. The real advantage of the Ankylos system when the appropriate sulcus former is utilized is the creation of an "ovate" receptor site for the abutment and restoration. It is indeed a very nice average for the development of the soft tissue.
2. The fabrication of those types of screw retained provisionals is not yet part of the Atlantis portfolio. At this stage we scan with 3 Shapeand mill them from PMMA resin.
Regards, David

David Avery - (8/12/2013 4:31 PM)

R. Terry Councill,
Hi Terry,
In either location the idea is to creat the optimum abutment / restoration interface relavent to the implant position. Ideally the clinician communicates the tissue depth allowing reproducable modification of the cast to idealize the emergence. The more aggresssive the adjustment, the more passive the abutment should be.

David Avery - (8/12/2013 4:10 PM)

Layla Al Hamati,

Thank you very much

David Avery - (8/12/2013 4:10 PM)

Athanasios Ntounis669,
Unfortunately not.

David Avery - (8/12/2013 4:07 PM)

Dr. Salama,
Intra-0ral is ideal but limited to a few capture systems partnering with limited implant manufacturers. As open architecture becomes more commonplace this arena should benefit efficiency and accuracy like nothing before seen.
3 Shape benchtop scanners offer open architecture for the laboratory to partner with numerous production options.

Mario Marcone - (8/1/2013 1:29 PM)

Hello David, thank you for this nice presentation. Doing soft tissue contouring with a provisional becomes very customized to the particular case and the clinician has total control. Do you think that the Dentsply Ankylos healing abutments can do better or "as good as", or are they merely a very good time-saving "average" solution, as compared to custom contouring with provisionals, especially for the esthetic zone. And one more question, does the Atlantis technology have the potential to fabricate custom screw-retained provisionals, for example for a multi-unit prosthesis, with Soft-Tissue Adapt options for the provisional. Warmest Regards, Mario

R. Terry Councill - (7/31/2013 9:54 PM)

I have most always ordered the full anatomical dimension design without necessarily contouring the tissue with a provisional. How would you alter this consideration in the posterior region and again in the anterior region? Thank you. Excellent Priceless Pearl!

Layla Al Hamati - (7/31/2013 8:52 PM)

Great presentation. Thank you

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