Straumann Implant BDG Loose

[Mike2]

Dr. sent a case back that we had made with bdg/bar variobases from straumann, said it rocked,etc. I had him take a new impression and made a whole new bdg., I cemented together on the model with variobases tightened into model. i adjusted inside of crowns to accomodate path of insertion on divergent implants. Now pt. say bdg moves and changes his bite? The dr. says screws are tight and doesn't know how it is moving? Any one have any words of wisdom? Thanks in advance!

 

[Brett Hansen CDT]

As the variobases conical shaped or do they look like the single crown variobases except they are non engaging in the implant?

The divergence of the implants shouldn't matter with non engaging abutments. You don't want to adjust the inside the crowns.

This sounds like one of the implants isn't oseointegrated anymore.

 

[HonestAbe]

This sounds like one of the implants isn't oseointegrated anymore.

If the screws are tight and it doesn't move on the model then the implants are the only thing left that can move right? That sounds... not fun for the patient. If the implant fails and the lab has made two bridges already for this thing, who normally eats the cost on that?

 

[CatamountRob]

If the screws are tight and it doesn't move on the model then the implants are the only thing left that can move right? That sounds... not fun for the patient. If the implant fails and the lab has made two bridges already for this thing, who normally eats the cost on that?

It wouldn’t be me.

 

[Car 54]

aka Galloping Gertie

 

[CatamountRob]

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[CatamountRob]

I’ve done crowns and at least one bridge on implants that spun when they tried to torque the screws. I billed them and no ones complained. it’s not my job to decide if the implant has integrated.

 

[Mike2]

Everything on X-ray looks good? I am remaking with custom abutments, as first ones were DESS Aurum bases. It was glued onto the abutments while screwed into the model. One more try, good customer and great patient with a lot of patience. Damn english makes that sound wierd or just me? Dr has a lot of patients also