Understanding Implant-Abutment Attachments

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A patient asks us:
Can someone please give me a basic explanation of the various types of dental implant-abutment attachments?

Are they important in the success of a dental implant? Is there really a difference between the attachments produced by different companies? What is morse taper? Thanks for your help.

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4 Responses to “ Understanding Implant-Abutment Attachments ”

• Alejandro Berg October 17th, 2006

  
  

  Dear patient:
  It is really very simple…
  An implant is like a synthetic root that needs to be crowned. An abutment designed based on two restoring phylosophies 1 cemented on crown and 2 screwed on crown.
  So when you are getting a cemented crown tou need something to cement it on that is the abutment that acts like a post.
  When you are getting a screw reatined crown the abutment is an extension of the implant and it has a special female part so you can screw the crown to it.
  The quality of an abutment is vital for a correct restoration and a long life of it.
  Most abutments are good as long as they are made of machined titanium, alumina or ziconia, casted abutments not so much….
  Morse taper is a type of connection used by Straumann Implants and Stage-1 implants, between others it is a good conection system based on friction produced by two cones andfixed by a screw. It is lke when you get two glasses stuck together, it really works well.
  I hope that helped.
  Best of luck

• Anonymous October 18th, 2006

  
  

  I am going to have tooth six removed and have an immediate implant procedure. Is that a problem? Also, do I need to take antibiotics either before or after this procedure? If yes, why?

  Actually, the reason for the implant is that my tooth six had a very large post and after the crown was removed there was little tooth left. The dentist said he could put a crown with some special build-up but he couldn’t say how long it would last before it might fracture. Thus he recommends the implant. I have a flipper on teeth 4 and 5. I may also lose tooth 3 and would add that to the flipper.

  Do you think I should go with the implant or give the crown a chance? I’m a little afraid of implants after reading the questions and answers on this blog (it seems like a lot can go wrong with the abutement, bone loss etc.) Your thoughts and suggestions will be appreciated. Thank you.

• Anonymous October 18th, 2006

  
  

  The diagnosis should direct you with confidence towards one option or another. I would suggest a second opinion. The risk is that you have a non vital tooth #6, you will have irreversable bone loss which can only be properly addressed with an implant option.

• Stephen M LAWRENCE DMD October 19th, 2006

  
  

  From the sounds of it, your right side occlusion is going to be remade. Now, the beginning point should be an accurate facebow transfer and mounting, a canine with a very large post is prone to failure, especially if the premolars are missing and cannot be involved in discluding the remaining teeth…You need VERY careful placement of the implants and much attention to detail or a nightmare will ensue! Speaking from personal experience, not mine, but a patients…

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