The " What implant is this?" Thread

[RileyS]

Got to work more on the screw retained convincing to the docs, still not wanting to do it. thanks john

 

[JohnWilson]

Got to work more on the screw retained convincing to the docs, still not wanting to do it. thanks john

Totally understand, if your servicing clients that only occasionally do implant restorations often times its a comfort factor for them.

There is so much scientific evidence that screw retained is far superior for the health of the fixture over cement retained as it correlates to perio-implantitis???.

Of course most of this is based upon cheap ass Dr.'s over the years wanting to use stock abutments with margins 5mm deep and not being able to clean things up properly.

Being a resource and not being apprehensive to make suggestions only strengthens relationships and allows your skill to be compensated for over the big box lab that will just follow the RX. Now before anyone gets their panties all bunched I am not saying I have the ability or the training to dictate restorative choices, what I can say I do routinly is is discuss options and the pros and cons associated with them.

Good luck on this case share what you end up doing.

 

[RileyS]

Ok. Here's the next. Never seen this before. Doc says its Nobel active. Just sent a stock abut from implant direct.
It just has that gold metal insert in the impression. WTH do I do?

 

[2thm8kr]

I think it is similar to a 'snappy' abutment. It is a closed tray impression coping. Snap the analog in and add your mask, Then pour it up.

 

[JohnWilson]

Looks like its a prefab abutment he used to take the impression with. If that's the case he also just had it sitting in place as the material flowed down and out funny.

 

[Jo Chen]

Unfortunately that is how implant direct has designed that system. You need the impression coping/abutment the dr used to take the impression. It is then supposed to be pushed back in to the impression engaging the metal piece captured in the impression

 

[RileyS]

Thanks guys. Forgot this. He sent thus old model to take analog from. I'm assuming it will snap into the impression?

 

[Jo Chen]

No that is just the analog. You need the abutmen as well. The whole assembly has three parts to it. The piece captured in the impression (leave that in place as is),the abutment and the analog

 

[RileyS]

ok i think i got it. put the abutment in analog then the screw access hole in abutment will engage into the impression.

 

[rkm rdt]

And to think some people actually wonder if an intra oral scan is more accurate than the picture above.
Love the pulls as much as the claw marks. ( not directed at you Riley)

 

[RileyS]

Yeah! Let's see your oral scanner do quality pulls!

 

[rkm rdt]

Yeah! Let's see your oral scanner do quality pulls!

The only way to do that in digital is with the morphing tool. You gave me a neat idea though.

 

[RileyS]

is nobel conical connection rp same as nobel active rp?

 

[Axis Dental Milling]

Yes and no, they use the same parts but to my knowledge they are different. The conical connection is a more tapered implant compared to the active solution. Check out the pic I am uploading.

 

[RileyS]

So ordering an active ti interface isn't going to work eh?

 

[Axis Dental Milling]

Yes you can order the active interface for a conical connection. They are the same interface same abutments same everything from a restorative stand point. The only difference between the two is the shape of the implant itself not the internal but the outside dimensions.

 

[RileyS]

Yes you can order the active interface for a conical connection. They are the same interface same abutments same everything from a restorative stand point. The only difference between the two is the shape of the implant itself not the internal but the outside dimensions.

Thank you

 

[JohnWilson]

Active and the conical connection INTERFACE is the same. Nobel "aquired" the right to this fixture after buying it not developing it.

 

[RileyS]

Ok. Doc sends Nobel case. Says its "Replace 4.3 conical connection".
Hmmm. Replace is tri-lobe and conical is hex right?
Here's his impression transfer. I should order a Nobel active model analog? 4.0?

 

[zero_zero]

Nobel active RP...