Posted April 9, 2019
I know a lot of people that really like ‘Screw-mentable” restorations. I just feel like a moron saying “Screw-mentable.” But in a nutshell, in implants we have cemented restorations, with the drawback of having to clean up cement sub gingival. On the flip side with have screw retained crowns, no cement, but if we have convergent implants we can have a bear of a time seating these. What I have found too with screw retained, is that if a contact is tight, I adjust, then adjust, then boom! I am open!! Then there is the issue with Ti-bases. They are short, and don’t provide much support. Well TruAbutment has a great solution to this!! Patient scanned in CEREC with TSV Scan posts for two Legacy 2 Implants. Lack of attached tissue so I lateralized a band from the lingual and just left unsutured to granulate in.
http://www.Digitalenamel.tvAbout a month post exposing. You can see that nice big band of attached tissue. TruAbutment milled the abutments and Emax crowns. If you want to mill crowns yourself you can, but you need to drill a hole, they can send the RST. Crowns were cemented INTRAORALLY and, I thought, cement pretty well cleaned up. TruAbutment anodize the ti bases gold.
Look at all the cement left over!!!!!! Man, this was eye opening! Cleaned up the rest and torqued down to 30 Ncm. No issues with contacts and we get the benefit of a screw retained crown. If you don’t want to cement in the mouth, lets say you have really parallel implants, they can cement for you.
Want to learn more about Milling Centers, Tru Abutment, and 3D printing? Come to the next 3D Printing Party in Vegas July 19/20!!!
https://www.eventbrite.com/e/dental-3d-printing-party-las-vegas-tickets-54627261610
