Implant parts and components Flashcards
What are the different types of implant design?
- one piece, two piece
- tissue level, bone level
- external hex, internal hex
- platform switch, non-platform switch
What is a driver?
Used to tighten or loosen implant parts and screws
What is a cover screw/closure screw/closure cap?
- Screwed into the implant at the time of initial placement. Prevents bone, soft tissue and debrisfrom getting into the implant fixture during healing.
- Used when 2 stage approach is desired. Will becovered by soft tissue during implant osseointegration phase.
What is a healing abutment?
- Screws into the implant to facilitate tissue healing.
- Placed after implant is uncovered at 2nd stage surgery or directly when single stage approach chosen.
What is the impression coping?
- Part used for making an implant impression.
- Screwed directly into the implant or placed over an abutment previously screwed into the implant.
What is a closed tray technique versus an open tray technique?
What is an Implant Analog/Replica?
- Exact replica of an implant fixture.
- Used to replicate the implant’s position in the patient’s mouth and needed to fabricate the implant prosthesis.
What is an Abutment Analog/Replica?
- Replica of an abutment.
- Used for prosthesis fabrication at the abutment level.
What is a Temporary Abutment?
- Part that supports/retains an interim prosthesis.
- Screwed into the implant
What is a Prosthetic Abutment?
- Part that supports/retains a definitive prosthesis.
- Screwed into the implant.
What are the characteristics of a cemented crown?
- requires two-piece assembly
- advantages: looks like a natural tooth, more cosmetic flexibility
- disadvantages: cement can cause inflammation and bone loss, removal options are limited
What are the characteristics of screw-retained crown?
- requires one-piece assembly
- advantages: easy access to the screw, no cement required
- disadvantages: crown may chip near access hole, cosmetic appearance may not be as ideal
What is a Torque Wrench?
- Used in combination with an implant driver to tighten the prosthetic screw to a pre-determined force measured in Newton-centimeters (Ncm).
- Every implant system will require a different torqueing force indicated by the manufacturer.
Torqueing of the screw is performed using both
hands:
- one hand holds the driver in place
- other hand performs the torqueing by activating the wrench’s lever up to the required value
Torqueing values for definitive implant screws and components at time of final delivery:
Nobel Biocare:
Straumann:
Astra Tech:
Nobel Biocare: 35 Ncm
Straumann: 35 Ncm
Astra Tech: 25 Ncm