Replacing Abutment: Can You Help to Identify this Implant?
Dr. C. asks:
Can you please help me to identify this implant? The implant fixture is well integrated and there are no signs or symptoms of pathosis. The abutment is loose and I plan to torque it down. I would like to use a new abutment screw for this. I will also replace the abutment and crown if I think this will work better in the long term. Either way, I need to determine which implant this is. I thought it might be a Straumann ITI, but the collar is at bone level. I thought it might also be a BioHorizon, but its shape looks slightly different. I appreciate your help in identifying this. Thanks.
20 Comments on Replacing Abutment: Can You Help to Identify this Implant?
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Gregori M. Kurtzman, DDS,
8/29/2011
Looks like it maybe a Zimmer or Implant Direct.
cpgunner
8/30/2011
That is a straumann 4.8 WN SP tapered effect
Luis Francisco Sugrañes
8/30/2011
This is like straumman post extraction, cono morse 4.8 mm in the neck.
B Sorel DMD MD
8/30/2011
Agree: Looks like a Straumann, 4.8-mm TE, wide neck (6.5-mm) / SP
CArl Miller
8/30/2011
I would not play a guessing game here although it does resemble a tapered Straumann implant. Remove the crown and abutment. Take impression of the internal connection and have your dental lab or even your implant rep help you identify it.
William J. Starck, DDS
8/30/2011
That looks like a Straumann. Is the crown screw retained? If that is the case, the abutment is probably a SynOcta abutment. You would do well to consider removing the SynOcta abutment and replacing it with a Straumann Solid abutment, or more than likely you'll be revisiting the loosened screw issue at some point. It's virtually unheard of for the solid abutments to loosen (I've only had it happen once in 15 years of placing Straumanns, and that was a restorative mistake (too much cement), not the abutment's fault).
If you go cementable, go easy on the cement, implant crowns require very little.
Joel Rivera
8/30/2011
The implant is by megagen, 6.00mm
Francois
8/30/2011
No doubt about it.
straumann TE WN.
Peter Krakowiak
8/30/2011
cpgunner got it right. Tapered effect straumann WNI 4.8mm. Gregori I think you need a few more letters behind your name...Beter luck guessing next time.
The tapered effect is a nice fixture when you have a shaky hand day and you are placing the tissue level line of Straumann. The only thing I see a problem with for DR.C is that the abutment for this is most likely a solid one piece abutment with no separete fixative abutment screw. You do not just drill down and tighten these. You may have to remove the entire abutment and replace it. It can be fun if the crown is hard cemenet well to teh abutment. You may have to cut it off to remove it. Good luck.
Adam Bast
8/30/2011
This is a Straumann TE Implant. Measure the platform. If it 4.8 mm it's a RN, if it's 6.5 mm then you need a WN part. Call your local rep they will help
you get the correct screw.
Vipul G Shukla
8/30/2011
I agree with all the above. Definitely looks like a Straumann Wide Neck Tapered Effect Tissue level implant, but someone took it all the way down to bone level (note where the bone crest begins). The crown on top looks like a UCLA-type one-piece crown with abutment built in, called the Synocta abutment. It can either be a gold cylinder cast with coping gold or a lost-wax technique with a plastic component to begin with. Either way, there is just ONE SCREW (prosthetic screw) that is used here, and needs to be torqued down really well to the recommended number, then covered with GP then composite on top. So, maybe the screw came loose, just replace the screw with a new one and put a cotton pellet and temp filling for four weeks. If it stays tight, remove the temp and replace with a GP+Composite resto.
To replace with a solid abutment and cementable crown is not my personal preference just because if the screw comes loose again (say the implant threads are damaged)then the cemented crown has to be destroyed to get to the problem again.
In other words, both dentist and patient are then screwed!
Good Luck screwing around!
Don Grgas
8/30/2011
ITI it is, however the right choice these days is to have a custom milled abt. weather be a Strauman Etkon design cad cam or Atlantis. The proper design will no doubt be beneficial also to properly support the porc. from future fractures/chipping at the marginal ridges as this screw retained restoration shows not to have much support [x-ray].
Juan collado dds
8/30/2011
I am giving this option to identify the implant:straumawn iti tapered effect wn 4.8, keystone dental lifecore genesis taper 5.5, thommen medical ag spi contact 5.0, implant direct legacy 2 ,5.7. These implants are the most similar and found in several implants system. The best thing to do send the radiographs to the company :whatimplantisthat.com, they identify the implant. I hope these help you.
Ian Braby
8/31/2011
I have to disagree with the majority - having worked for Straumann for some 15 years, I would suggest that whilst the shape may be similar to a Straumann implant, the thread pitch is not. I'm guessing a clone of some description. Where (in the world) was the implant placed? This may assist in identifying it!
stravis85
8/31/2011
Definitely Straumann, but once crown removed you will know as the Straumann driver should fit the abutment screw
Dr kenan
8/31/2011
It is like straumann implant bone level type you must to remove the cown and to see type of suprastructure because in rtg now you can't see next step is to take impression and consult with your labor wat is the best for this situation . Good luck !
dennis b. christensen
8/31/2011
Kære kollega
Der er med stor sansynlighed tale om et ScrewPlant implantat med en diameter på 4,7 mm fra Implant Direct.
Hilsen Dr.D.B. Christensen
Dr K
8/31/2011
I send these to Attachments International. The contact there is (or was Darwin). They stock replacement parts for most systems.
Baker vinci
9/2/2011
Peter, I'd like to buy a vowel and a few consanents. I may not deserve them ,not sure how to spell consonants. Anyway, that's funny , to me ! Bv
jung
11/1/2011
Straumann ITI ....Connection
CAD/CAD Custom abutment ..