Attaining the Maximum Torque of the Abutment: What do you recommend?

Last Updated: May 11, 2012

I have a question concerning when to attain the final and maximum torque of the abutment screw. Â Some speakers teach that you should just torque down the abutment screw to final torque values at the time of abutment placement. Â I have also heard that you can wait a few weeks and bring the patient back and achieve an even higher torque value then because the implant abutment assembly may shift slightly since the machined fittings and surfaces are not completely accurate. Â What do you recommend? Â If the implant is not completely osseointegrated at the time of abutment placement, should you torque it down until the abutment is stable and then bring the patient back to torque to the final value?

6 Comments on Attaining the Maximum Torque of the Abutment: What do you recommend?

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naser

05/14/2012

torque the abutment to 35ncm

Bob Schneider

05/15/2012

Speakers all have their own opinion. Your best advice is to follow the mfg recommendations. All major systems are designed to handle specific torque values depending on their abutment/implant interface design. You can always bend the rules but is that the best thing for your patient in the long run?

alharissy

05/15/2012

every company have ideal torque which suitable with their design

Jay West

05/15/2012

Years ago Misch recommended that we torque them at 35n then wait 5 min and torque again.

Dr. Omar Olalde

05/15/2012

If the implant is not completely osseointegrated, you should not torque the abutment, wait the period for osseointegration. Besides why yo want to do that? Unless you are doing an immediate loading, then you torque the abutment, but at the time of the surgery. Read carefull the torque you should use on each implant, depending on the company and model. Torque and then do it again after 5 min.

Dr Dawie Schlebusch

05/22/2012

1. Do not torque a non-integrated implant. Wait for integration or remove if failed. 2. ALWAYS use manufacturer guides for torque and re-torque. 3. Seriously consider changing to a cone type interface implant such as Nobel Active, MIS C1, Bicon or Ankylos. Screws are no longer a problem then and torque values are low. There is a learning curve but the results are worth it.

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