Compatible abutment for Anthogyr’s Anthofit implant?

I would be real careful with this perhaps the implant was placed in this fashion without consideration of rebuilding the ridge, is is failing? If you jump in and try to fix this you may get burned. Personally I would not touch it, you don't have much recourse here.

Well a CT scan is great to document, but just because you want to save this implant doesn't mean you should. Doctors often use non FDA approved things off label my point is if the implant is the wrong size, too narrow and too deep there is not much that can be done with a new abutment. Best of luck with this.

The patient should consider traveling to where they received treatment. Less headaches this way.

Please post your final result to end the story. We all like a happy ending!;)

CRS, I am a prosthodontist with more than 20 years of experience, and the case was referred to me by an oral surgeon whose practice’s main focus is in implant dentistry. The oral surgeon in turn received the case from one of his local general dentists. Prior to sending me the patient, the oral surgeon thoroughly evaluated the condition of the implant and determined the implant to be stable. The oral surgeon wanted me to merely remove the existing abutment and crown and connect a proper size abutment and send the case back to the general dentist for a proper crown fabrication. With all due respect, should I have told the oral surgeon that the implant should be removed because this dentist called “CRS” on internet told me to do so? Should I tell the oral surgeon that I trust the diagnosis made by “CRS” which was purely based on a single PA, which by the way shows no indication of active bone loss such as saucerization, more than him who already examined the patient in person? (Clinically, the soft tissue also looks healthy and there is no exudate upon palpation and probing.) We are replacing the abutment and crown as a preventive measure. I sincerely hope you can see how absurd and ridiculous this proposition sounds. May be it’s because I am not as smart as you are, CRS, but I always refrain from making a decision to take an implant out merely based on a PA alone without seeing the patient in person first when there are no signs of trouble. I also try my best to keep my opinion to myself when I don’t have all the facts in front of me. But it’s just me. I will submit an x-ray and a photo when I deliver the abutment, and it will be up to the editor of this forum whether they will get posted or not. I appreciate your comments though.

The abutments are sold in France. Best idea is to fly to France, you can write the trip off as a business expense!

In the past a patient came to me with unknown implants in her upper cuspid areas around which the bone had receded and periodontist's treatment had stabilized the receded tissue at a level exposing the implant body. I referred to a local prosthodontist who eventually just prepped the implant bodies as though they were tooth roots and placed PFM crowns. That was about 9 years ago and she still looks pretty good with no detectible problems. As to how "recommended" this treatment may be, or under what exact circumstance it could be considered advisable, I cannot say. However, the long term result appears to be superior than had the doctors removed, grafted and replaced these implants.

To my knowledge the internal connection of anthogyr is not compatible with other major systems (and vice versa!!!) Anthogyr retaining screws are hexed and incompatible with tools other than anthogyr, however I used the old 3i tapered hex screw driver without problem. Note that second generation retaining screws have both an internal hex and are slotted so a flat screwdriver such as the "old" nobelpharma flat screwdriver does the job. Abutment platforms are available in 1 to 3 mm height and 5.1 to 5.8 wide for the 4mm implant Retaining screw has threads identical to first generation intralock, nobelpharma, 3I

The Implant shown in the X-ry is not their Anthofit range but older than that. It was called SCREW OI Implant.It is a parallel implant whereas Anthofit is a tapered implant The unique feature of this range was that the abutment was same for their 3.5, 4 or 5 mm diameter implants. the crest module of 4 and 5 mm implants is back tapered to receive the same abutment as 3.5 mm implant.The crest module of Anthofit range is 3.5 for 3.5 , 4 for 4 mm and 5 for 5 mm dia implants. So the abutment for your Implant even though it is 4 mm in diameter will be that for 3.5 mm in the Anthofit range. Better still if you get a castable abutment ( Ref OI M35CO SD ) , you will be able to cast the abutment to the exact Gingival height and length you want. I have been using Only Anthogyr implants for good 10 years from 1998 to 2008 and have used thousand of these. now since these are not available in India I have switched to other systems. You can see some of my cases in the blog section of my website www.jalandhardentist.com and click on the link Dental Implants on the home page , you will see all my old cases of Anthogyr implants. For current cases you can visit my Blog section.