What would you like to see?

[Huntsky]

I am curious to get your thoughts and ideas from you guys to what you would like to see from Implant Manufacturers.




Please take this thread seriously! Nothing silly please.

Abutments with a non roughened surface so plaque doesn't adhere after bone loss and tissue resorption

 

[aqdental]

I am curious to get your thoughts and ideas from you guys to what you would like to see from Implant Manufactures.

1 screw fits all (and driver).

 

[KentPWalton]

Abutments with a non roughened surface so plaque doesn't adhere after bone loss and tissue resorption

The collars of abutments should be high polished so that plaque will not adhere to the metal.

I'm not sure who supplies abutments, but everyone should be polishing the collar! Who cares

if it takes 5 mins, it's not about saving time, it's about the PATIENT. I think that there's a

disconnect sometimes between work and this is actually going into someone's mouth. What can I do to

make the best part possible to give the best results for the patient. It's not just work,

it's someone's bone, tissue, eating function.

 

[Huntsky]

1 screw fits all (and driver).

Could cause screw loosening if not fit properly to abutment design.

Could limit Angulated abutments.

1 screw and driver is nice thought but probably unpractical in the realistic design.

Dependent on too many factors. How do you for a screw properly designed for a 6.0 diameter into a 3.5 or better yet a true 3.0?

What about multi units?

 

[Huntsky]

Could cause screw loosening if not fit properly to abutment design.

Could limit Angulated abutments.

1 screw and driver is nice thought but probably unpractical in the realistic design.

Dependent on too many factors. How do you for a screw properly designed for a 6.0 diameter into a 3.5 or better yet a true 3.0?

What about multi units?

If everyone should polish abutments what does that say about laser lock?

 

[KentPWalton]

1 screw fits all (and driver).

That would be great in a perfect world, but the truth is, that there are a lot of dentists

out there that prescribe small implants. Small implants most of the time cannot be supported

by the normal sized screw hence the smaller screws. I agree, it would be awesome to be able

to reach that feat on small implant platforms.

 

[KentPWalton]

If everyone should polish abutments what does that say about laser lock?

Tissue and bone grow to Laser-Lok that's around it.

No worries about plaque getting past them. They're

polished before the laser lok is applied.

Check out Laser-Lok here on our website.

https://biohorizons.com/laserloktechnology.aspx

It's some really amazing technology!

 

[CoolHandLuke]

i'm confident that the 1 screw fits all could work with two changes and i'll write them here.

1. divide the screw into two standard sizes; one for all implants under 3mm, one for all over that size.

2. in order to account for the varying lengths and head sizes, the screw will be naturally longer, but would be shimmed into place and snugness via implant-specific collars on the screw shaft between the threads and the head. this collar would fit the internal size of the access hole, effectively strengthening the system.

its very do-able imo.

 

[rkm rdt]

only if there is one implant company,

 

[aqdental]

Could cause screw loosening if not fit properly to abutment design.

Could limit Angulated abutments.

1 screw and driver is nice thought but probably unpractical in the realistic design.

Dependent on too many factors. How do you for a screw properly designed for a 6.0 diameter into a 3.5 or better yet a true 3.0?

What about multi units?

Well, even reducing the number of drivers ( maybe 2) would be an achievement . For the screws, I'm sure something could be done ( standardise head diameter, design, length?.......anything to reduce inventory).

 

[KentPWalton]

Well, even reducing the number of drivers ( maybe 2) would be an achievement . For the screws, I'm sure something could be done ( standardise head diameter, design, length?.......anything to reduce inventory).

But now you're thinking about the Lab side of it and not from

a patient's perspective. There are so many options for implants

because every person's mouth is different and calls for different

types/shapes of prosthetics. Implant manufacturers would LOVE

to be able to simplify things, but that's just not reality when

everyone's mouth is different.

 

[aqdental]

But now you're thinking about the Lab side of it and not from

a patient's perspective. There are so many options for implants

because every person's mouth is different and calls for different

types/shapes of prosthetics. Implant manufacturers would LOVE

to be able to simplify things, but that's just not reality when

everyone's mouth is different.

I wasn't aware of the discussion being about patients perspective. Anyway, I do understand the reason behind having different platforms, sizes etc etc. but I believe that utilising at least a universal driver would not hurt anyone. Also some companies (ie: Neoss) have moved toward simplifying and reducing inventory.
Imagine going on holiday, getting a loose screw, finding a dentist and then hear:" we don't have a unitorx in stock, but we have a 1.2 hex, 1.2 square, unix rip, Neoss driver, slotted.............sorry we can't help you.
Less is best and right now I believe there is probably an overload of components. Think about the recent angled screw channels solutions: I'm aware of three companies offering that and guess : they all use a different driver. Don't know, maybe I'm just tired of switching drivers LOL.

 

[KentPWalton]

I wasn't aware of the discussion being about patients perspective. Anyway, I do understand the reason behind having different platforms, sizes etc etc. but I believe that utilising at least a universal driver would not hurt anyone. Also some companies (ie: Neoss) have moved toward simplifying and reducing inventory.
Imagine going on holiday, getting a loose screw, finding a dentist and then hear:" we don't have a unitorx in stock, but we have a 1.2 hex, 1.2 square, unix rip, Neoss driver, slotted.............sorry we can't help you.
Less is best and right now I believe there is probably an overload of components. Think about the recent angled screw channels solutions: I'm aware of three companies offering that and guess : they all use a different driver. Don't know, maybe I'm just tired of switching drivers LOL.

I know what you mean and completely understand. It's always better to KISS! Keep It Simple .

 

[JamiennBenet]

Before any procedures can begin, a person must consult with their dentist. During the initial consultation, the dentist, and often times a periodontist, will examine the area that needs the implant. Unlike dentures or bridges, dental implants are much more permanent. I have shared one PPT on Slideshare. http://www.slideshare.net/JamiennBenet/types-of-dental-implant-and-treatment-procedure

 

[TCBlab]

Abutments with a non roughened surface so plaque doesn't adhere after bone loss and tissue resorption

Looking for a screw retained full contour implant crown made without the titanium base? Why can places mill an implant abutment out of solid zirconia, but not a full contour crown for implants?

 

[KentPWalton]

Looking for a screw retained full contour implant crown made without the titanium base? Why can places mill an implant abutment out of solid zirconia, but not a full contour crown for implants?

Because they break...

And the platform that you've milled isn't FDA approved, Ti bases have

and FDA approval on them.

 

[Smithwick0208]

Looking for a screw retained full contour implant crown made without the titanium base? Why can places mill an implant abutment out of solid zirconia, but not a full contour crown for implants?

That was one of the worst ideas I've ever seen. I can't believe that process ever made it out of R&D!

 

[KentPWalton]

Just because the whole crown would be solid Zr doesn't mean that

the interface is going to be just as strong. The tolerances that were

established for the abutment interface is intended for Ti, not an

all porcelain. I wonder if any fatigue testing was done...

 

[CoolHandLuke]

i wonder how it would be improved - a full zirconia screw retained - to proof against breakage.

whether or not the zirconia is too brittle. well flexible zirconia then ?

 

[KentPWalton]

i wonder how it would be improved - a full zirconia screw retained - to proof against breakage.

whether or not the zirconia is too brittle. well flexible zirconia then ?

By using a Ti base.