Implant Failure and Stock Implant Abutments
Our implant specialist, Ben Collins, has recently returned from the ICOI meeting that was held in Orlando, Florida with an insight on the lastest in the world of implants. Many of the leaders in implant dentistry presented including Drs. Carl Misch, Michael Pikos, Maurice Salama, and many others. Cement in the sulcus continues to be a leading factor in the causes of implant failure. Failure occurs due to the bacterial build-up surrounding the implant area. Over time, inflammation and infection can occur when left untreated. A common situation leading to this is the use of stock abutments in deep sub-gingival areas where a custom abutment should be the standard choice. In general, preset margins from stock abutments used in deep sub-gingival situations make cleaning of cement difficult to nearly impossible. In areas requiring tissue customization and displacement, there was a virtual agreement in recommending customized abutments. In the same consensus with customized abutments, there was growing awareness of material recommendation from zirconia to a much stronger material due to the rise of zirconia abutment fractures. With customized abutment software, from companies like Nobel-Biocare and Zimmer, zirconia is no longer technically prohibited in posterior situations as it was in the past . Here at Bay View Dental Lab, we switched away from zirconia abutments several years ago, except by specific request on anterior cases. We continue to experience exceptional results with the CAD/CAM titanium gold hue abutments from Altlantis. This combines the best of both worlds with the strength of titanium with gold plating for beautiful esthetics. Our Atlantis gold hue abutment with e.max crown continues to be our best selling implant restoration. Ben is available for questions about any of these important topics or updates from the meeting. Feel free to call Ben or Lars at 757-583-1787.