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Implants
Making abutments non-engaging
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<blockquote data-quote="npdynamite" data-source="post: 342544" data-attributes="member: 11802"><p>I'm aware of DESS's parts, but they are extremely short. If you get say a 4 unit posterior bridge that will need to be milled out of a 20mm puck and that the patient will be functioning on you are going to want a taller part than that. In this case I would say custom Ti abutments and a cement retained bridge, this is going to be the better situation.</p><p></p><p>I have attended my share of lectures on the subject and I realize that there are upsides to it. My observation is that the people lecturing on screw retained do a really good job of getting doctors scared of cement clean up so instead of learning to be great at their job, they lean on products that allow them to not perfect their craft. Then when the lab calls and says that a screw retained case isn't ideal and we need to do custom abutments and cement retained they would rather do a restoration with compromises that the patient is going to be the one who has to deal with. Sorry, I'm slightly bitter about the screw retained trend, but that's because I believe that it is more rooted in lazy dentistry than people care to admit. Probably an unpopular opinion.</p></blockquote><p></p>
[QUOTE="npdynamite, post: 342544, member: 11802"] I'm aware of DESS's parts, but they are extremely short. If you get say a 4 unit posterior bridge that will need to be milled out of a 20mm puck and that the patient will be functioning on you are going to want a taller part than that. In this case I would say custom Ti abutments and a cement retained bridge, this is going to be the better situation. I have attended my share of lectures on the subject and I realize that there are upsides to it. My observation is that the people lecturing on screw retained do a really good job of getting doctors scared of cement clean up so instead of learning to be great at their job, they lean on products that allow them to not perfect their craft. Then when the lab calls and says that a screw retained case isn't ideal and we need to do custom abutments and cement retained they would rather do a restoration with compromises that the patient is going to be the one who has to deal with. Sorry, I'm slightly bitter about the screw retained trend, but that's because I believe that it is more rooted in lazy dentistry than people care to admit. Probably an unpopular opinion. [/QUOTE]
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Making abutments non-engaging
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