Implant torque: what is recommended?

I primarily place Nobel Biocare implants, which have a recommended torque of 35Ncm for implant abutments. A previous dentist at our clinic that is no longer working here has placed thousands of implants with great success. I have read in his patient chart notes that he always torqued the abutment screw to 20Ncm for implant abutments before cementing his crowns,well under the recommended 35Ncm by Nobel Biocare. Would you know the reasoning behind this? All of the abutments and crowns that he has placed are doing well, and from the recall exams of his old patients, things have turned out great. Just wondering if I should start torquing Nobel Biocare abutments to 20Ncm or adhere to the recommended 35Ncm.

3 Comments on Implant torque: what is recommended?

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Dr. Swapnil Jadhav
2/9/2017
Hello Sir, I am no big Implantologist but i use osstem, adin, equinox on regular basis with implant insertion torque at 35 Ncm or more and Abutment torque 20-25 Ncm . Haven't faced any problems like Abutment loosening etc . If you try please let us know your take on this.
azad
2/15/2017
i am a professor of prosthodontics with vast experience of using biohorizon, strauman, nobel biocare implants. i shall recommend to follow the given protocol by manufacture as abutment loosening may be faced later, if not sooner. osteointegration must be verified before abutment fixation
joshua keren
2/16/2017
After more then 2000 Nobel implants my advise is do it by the protocol given by Nobel.

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