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Sample #1

Have any of you started using one-piece dental implant/abutments where there is no dental implant-abutment interface? The design feature here is to eliminate the junction between the dental implant and the abutment since this connection has a microgap which may become a breeding ground for bacteria. Dental implant placement into the appropriate site and desired angulation are critical since the only way to modify the abutment portion is with a diamond bur. What has been your experience with this new dental implant design?

Sample #2

I have started to make my temporary crowns directly on the temporary abutment cylinder, especially for immediate loading dental implant cases. This is essentially the same technique as the ´shrink-on´ temporary crown technique used on natural teeth. The advantage is that it eliminates the need for taking the temporary crown on and off and eliminates the need for cement retention. I block out the temporary abutment screw channel with wax so when the dental implant patient returns I just cut through the acrylic to the wax and unscrew the temporary abutment and crown. However, I am having two problems when this technique in dental implant cases. One problem is that the acrylic gets hot when it sets and dental implant patients´ have complained of a burning sensation. The other problem is being careful when I trim the acrylic with a finishing bur (7901) not to lacerate the gingival or grind the dental implant. Anybody have any recommendations for an acrylic that does not get too hot when it sets? How to trim the temporary crown?

Sample Patient Question

Armando asks us: Is it possible to use mini dental implants to attach a 3 tooth bridge? I had a bridge in that place with 2 regular dental implants that only lasted 5 years at which time one of the dental implants came loose. I did not want to go throught the experience and do dental implants again, but I would consider mini dental implants if it was feasible. Thanks for any advice.