Patient wants to replace a Core-Vent implant crown #9: Next Steps?

I have a patient that had a core-vent dental implant done in 1989 on #9. The patient would like to have the crown replaced and some other cosmetic work done in the anterior region. I have no prior experience in Core-vent Implant system and do not know what would be the next step and where to order the parts for a new impression. Can you please give me some advice?

5 Comments on Patient wants to replace a Core-Vent implant crown #9: Next Steps?

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Dr. J. D.
4/30/2012
Check with Attachments International, Inc. at 650 340-1426.
Richard Hughes, DDS, FAAI
5/1/2012
It most likely has an internal hex. Check with Implant Direct.
Hector Norero
5/1/2012
Implant direct have all products for that corevent
Carlos Boudet, DDS
5/1/2012
It would help a lot if you could put a picture of the implant for us to see. Without a picture, all I can tell you is that corevent implants had several internal connections, including one that was not threaded, but was cemented instead. The only company that carries the prosthetic parts for the old corevent implants is Zimmer dental. You also have not told us whether the implant crown is cemented or screw retained. If the crown is cemented, your best bet is to take an alginate of it prior to removing it, and then remove it by cutting a groove across the middle of it, prying the halves apart with a small screwdriver to break the cement bond and make it easy to remove. Then reprepare the abutment and take an abutment level impression for the new crown. Then use the preop alginate to fabricate a temporary crown. You can also take an implant level impression, but that would require you to have identified the implant previously in order to have the impression coping ready, and also you would need to remove the existing abutment. For the easy fix, if possible, go with the abutment level impression.
dr bob
5/2/2012
I agree with Carlos an abutment impression is the way to go especially, and if it is a cemented abutment it is the only way to go. Handle it just like a regular crown prep and impression. All should go well.

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