Re: Orphaned baby tooth has abcess - would like some advice

From: NOYB (noyb_at_noyb.com)
Date: 02/28/05 

Date: Mon, 28 Feb 2005 12:59:49 GMT

"StovePipe" <StovesNewAddy@sympatico.DOTnet> wrote in message
news:1gsnnim.1ddw4ci1ob1g2oN%StovesNewAddy@sympatico.DOTnet...
> W_B <no_one@nowhere.net> wrote:
>
>> On Sun, 27 Feb 2005 14:12:27 -0500, "NOYB" <NOYB@NOYB.COM> wrote:
>>
>> >
>> >"StovePipe" <StovesNewAddy@sympatico.DOTnet> wrote in message
>> >news:1gsm4fo.xbnt0t1oalbavN%StovesNewAddy@sympatico.DOTnet...
>> >>Try to get one where the crown is screwed on as opposed to
>> >> cemented.
>> >
>> >Why?
>> >
>> Because.
>>
> The Local Implant Guy says he always tries to place the implant so that
> the abutment can be cemented to facilitate both insertion of the crown
> and removal, should the need arise.

Maybe I read your first suggestion wrong. Do you favor cementable or
screw-retained implant prostheses?

> This means angling the implant to
> the labial up front.

If you angle a screw-retained implant towards the labial in the anterior
region, you'll have a screw hole coming out the facial. This is an
indication for a cementable crown and abutment. An indication for a
screw-retained crown is where the gingiva cuff is so deep that you'd never
be able to get all of the cement out of the sulcus.

>According to him, that the referring generalist
> should have to slog through the reduction of a titanium oxide abuttment
> is nothing but unnecessary bull***,

I never do this. I let the lab do it for me.

>and such and endeavor favors nobody
> but the surgeon. EVERY subsequent phase of the prostho process is more
> $$$ needlessly. All your profit is eaten up by the lab.

It takes less than 30 minutes to snap an implant impression...and another
20-30 to deliver it. The lab bill is a little bit more ($100-200 or so),
but you more than make up for it on the time savings.

>
> Seeing as how he is a generalist speciallizing in implants (and so he
> has seen the whole process many times), I'd think he knows what is
> about. He also knows Branemark personally. So, take this as food for
> thought.

I really like Branemark's new Replace Select, but if I'm concerned about
placement/alignment, I avoid the Easy Abutment and have the lab fabricate a
custom abutment.

ITI's system is nice in the posterior region, but the surgeon's don't like
it as much because they have to be extremely precise with the depth of
placement (crown margin is on the implant, not the abutment).

Calcitek/Sulzer/Centerpulse/Zimmer is the one I learned on. Good system,
but a couple of more steps than the other two. And I seem to see bone loss
to the first or second thread...but then it stops.

I've only restored 3i and Biohorizons one time each.

Quantcast