Easy Abutment
Dr. A. asks:
I am considering the use of the Nobel Biocare Easy Abutments for the restoration of an edentulous maxilla. How many Easy Abutments will I need and where are the best sites for placing the dental implant fixtures? The final restoration will be a cement-retained fixed partial denture.
Has anybody attempted this kind of restoration and what complications did you encounter? The one concern I have is if my surgeon does not line up all the Easy Abutments perfectly, I will have a problem with draw. What kind of surgical guide stent should I use?
OsseoNews.com Editor’s Note: Nobel Biocare markets the Easy Abutment and Snappy Abutment for use with the Replace Select Implant Fixtures. These are stock abutments used for cement retained fixed partial dentures. When properly aligned, both abutments require no preparation or modification. They are torqued into place and indexed in an impression. The Easy Abutment is 5.5mm high and the Snappy is 4.0mm, excluding collar length.
7 Comments on Easy Abutment
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N. H.
2/6/2007
Why not use the abutments from attachments international as in this link :
attachments.com/implantcatalogpdf/sterioss/select/select_ti_posts.pdf
Much cheaper and just as good! Why pay for the flashy names, packaging and marketing.
N.
Dr.R. Mosery
2/6/2007
Lots of planning has to go into this case.Based on the questions you're asking, you may be better served by taking some serious continuing ed before you attempt to restore the case mentioned.Once the surgeon places the fixtures,the trouble is only going to start for you.YOU have to have the insight as to where you want and need the implants to be.YOU have to do your workup of the case and see if you have the space you need and adequate bone to get the fixtures where you want them and have a favorable outcome.Nobel Biocare is a fine company but they're going to blow it with the continued dumbing down of implant dentistry.Giving you the impression that EASY abutments placed all over a full arch is proof.It's only Easy if you plan it and pull it through.
Dr. P
2/6/2007
I agree both that this case requires signifcant planning and based on the questions you are asking more CE is necessary to properly plan the case. Easy abutments are almost never used in the anterior due to angulation and emergence...you'll never make around the arch. I use a lot EZ and Snappy abutments in the posterior. You need to decide on either a restoration that is multiple bridges or a framework supported/hybrid style restoration. Good luck...remember you are the quarterback. CJP
Dr. K. Shaw
2/7/2007
In the max. you will not get them to line up due to the ant. you will need to use angled abutments. YOU will need to work up the case denture wax up if hybride or wax-up for fixed. You and your sugion will went to get a CT to know were the bone is and if it fits with Your Wax-up.YOU need to know what the end point is before You start. The easy or snapy is not a good option here.
satish joshi
2/7/2007
If you are not sure about numbers,and locations of implants for full arch "MAXILLARY" (ESTHETICS) CASE,do not think EASY ABUTMENTS will be easy on you.
It will be lot easier to get more training and be easy on patients.
At NYU we do use easy abutments for single, posterior units for under grad. cases to make restoration process easier for under grad students.
Jerry Niznick
2/10/2007
I am considering the use of the Nobel Biocare Easy Abutments for the restoration of an edentulous maxilla.
Niznick's Comments: The use of the straight abutments with premachined horizontal margins and snap-on transfers are best used in the non-esthetic regions like the lower posterior. The straight or angled abutments with contoured margins, used with conventional impressions are better suited for the esthetic zone with appropriate preparation that would render the snap-on feature useless anyway.
Dr. Bill Woods
7/28/2007
I have to agree with the previous posts about CE. You cant be asking these questions and have any experience, even a little. Check out the AAID Maxicourse in Atlanta or new York, Misch or Loma Linda. They will take a year but you will have an entirely diferrent set of questions you will be asking with an appropriate background. Before I took the Maxicourse, I didnt even know what to ask. I had been restoring mostly single implants from the OMFS and perios fot 15 years. I didnt know what I didnt know. I didnt buy a surgical kit until I was through with the course. Best CE I ever took. Do your time with a good literature based university program. I emailed Dr.Dennis Flanagan(seasoned and published implantologist) some pics of mine a few years ago about a patient who had lost a tooth at age 16. (the periodontist had taken the tooth out without my knowledge, no graft, no mention of an implant at the time!). I asked Dr Flanagan a few questions. I wanted to place an implant in the anterior maxilla #8. He asked me how many I had done there? She had 3mm of B/L bone left. Good thing. I wasnt ready for that potential nightmare I might have been a part of. The parents opted for a Maryland bridge anyway due to $$$. Everyone was pleased. I havent seen them since the senior portrait. Do the CE, youll be much more confident and knowledgeable. Bill
