Zygoma implant multi-unit abutment: solve this puzzle?

Last Updated: Aug 31, 2018

This patient is in her late 60s. She had 2 Zygoma implants and 2 normal implants placed in the upper jaw many years ago. I believe the implants to be Branemark, although her old record does not state any manufacturer, only sizes and NP (narrow platform ?) and 3mm for the abutments. Her left zygoma abutment was loose for a long while, and when I first removed the denture, she swallowed the abutment. I tried ordering Branemark multi-unit zygoma 3mm straight abutment, but it does not come in a narrow platform. I have fitted a Branemark 2mm narrow platform multi-unit abutment using the screw from zygoma implant, but as you can see in the OPG, it is not ideal. Where can I get a zygoma 3mm multi-unit abutment on a narrow platform? My local Nobel rep was not able to help. Any other thoughts on this case? Any help in solving this puzzle would be greatly appreciated.

10 Comments on Zygoma implant multi-unit abutment: solve this puzzle?

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mmccastlain

08/31/2018

Branemark never had a narrow platform zygoma, all of them have been regular platform. There is a specific multiunit abutment for the branemark zygoma so make sure you ordered that one, not the one for the branemark platform. They do have straight multi-unit abutments for zygoma that are 3mm high. I would call technical support at Nobel, they are usually very helpful.

Diana Dumitriu

08/31/2018

Hello It must be a different zygoma system, not Branemark. It is definitely a narrow platform.

Pedro

08/31/2018

Nobel does nit have a narrow zygoma. Check 2 other companies: Southern implants SouthAfrica or Conexao from Brazil.

John Halpern, DDS

08/31/2018

Check Straumann. Also run it past Biomet since they used to be 3i Implant Innovations and did many clones.

Diana Dumitriu

09/01/2018

This is an european make as the patient recalls it was fitted by a surgeon from the northern Europe as part of a clinical demonstration in London in 1999. The old record does not say what make , only someone added later "contact Nobel " so I assumed it was one that Nobel sold . I wonder if Straumann is a narrow platform as I looked at their website and there is no specification.

Raul R Mena

09/01/2018

Check with Dr. Ramsey Amin he is an expert on Zygomatic Implants

Andrew Dawood

09/01/2018

These are Nobelbiocare zygomatic implants and there never has been an NP version. You require the zygoma (TiUnite) abutment version which has a shorter abutment screw. Should be straightforward. Best of luck

Diana Dumitriu

09/01/2018

https://store.nobelbiocare.com/uk/en/abutments/multi-unit-abutment-nobelreplace-np-3-mm Do you mean the above abutment?

Diana Dumitriu

09/01/2018

Do you mean these abutments? https://store.nobelbiocare.com/uk/en/abutments/multi-unit-abutment-nobelreplace-np-3-mm

Frank

09/02/2018

This juste shows That we should all give our patients Ã certificate of what was used in their mouth when we finish Ã case. Implants make and mod el, abutment size and height, screw, and all parts Numbers. To be kept in their safe! Do Much easier

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