Trans-epithelial abutments

109 Rating(s).


Posted on By Bernardo Mira Correa In Implants

Hi everybody, would you consider a benefit using transepithilial abutments, as a strategy to prevent excessive mucosal barrier disruptions?1


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11 Comments

One abutment One Time!! Great concept especially when implant is placed in the correct position and angulation. regards Mo


Reply

Abutments are generally considered more a prosthodontic component.
If, as in these kind of abutments we´re using routinely, you make it more an implant component (rather than just a prosthodontic part), with certain nanoroughness characteristics, once you place your implant you will be able to manage epithelial & connective tissue attachments in a whole new way and a more effective one.


Reply

The goal is to avoid disrupting the mucosal barrier over and over, during the emergence profile management period and impressions.
If we plan to end up each case with enough vertical soft tissue thickness, we can immediately place our trans-epithelial abutment, and never touch it again, preserving the original CT attachment and the junctional epithelium.
The emergence profile can then be changed and improved, without compromising the Mucosal Barrier integrity.
Thank you very much for your input MO.


Reply

Love the concept. I feel need a wide selection of abutment choices to meet all of our needs. Warmest regards. Chuck


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Hi Chuck!
The beauty of it is that you can manage all cases with the same abutment, only the height is different in between them.
If in your provisional you fail to select the most adequate height, it´s easy to change.
And as you have a nano controlled surface roughness you will provide fibroblasts with the exact same "delicious" surface for them to bind to.


Reply

Hi Chuck!
The beauty of it is that you can manage all cases with the same abutment, only the height is different in between them.
If in your provisional you fail to select the most adequate height, it´s easy to change.
And as you have a nano controlled surface roughness you will provide fibroblasts with the exact same "delicious" surface for them to bind to.


Reply

Hi Chuck!! Thank you for your input in this post!
The ones i use are available from 1.5mm to 5mm hight, on the engaging version (for unitary implants), and from 0,5 mm to 5 mm hight at the non engaging version (for multiple splinted implants).
I find it very useful and versatile!
best regards my good friend!
Bernardo


Reply

Bernardo - what type of implant are you placing? Really looks nice, especially since your repositioning of the implant.
Thanks
Dr. Kraft


Reply

Hi Anthony! thank you for your participation on this post!
This implants' brand is BTI - Biotechnology Institute.
It's a Spanish brand. You can look at this page's banner, since they are also DentalXp supporters!
Best regards
Bernardo


Reply

Dear Bernardo,

Adherent mucosa-abutment interface inhibits epithelial downgrowth and disruption of this interface has a negative influence on the stability of peri-implant tissues. We don`t know if it is clinically relevant…But you are right, Bernardo, we are not here to perform average dentistry but to rise the bar.
It is so good that you always bring something to think about and inspire us to improve!

Best regards

Snjezana


Reply

Yes indeed dear Snjezana !!
We believe that every single detail matters!!
This is part of our concept:"Enhancing biology from the bone to the ceramic"!
Thank you so much for your so important input in this post!
:D
Bernardo


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Salvin
KLS Martin