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Abutment Selection

SAMSUNG MEDICAL CENTER 

DONGHWAN LEE D.D.S.

Donghwan Lee 

So many companies,

So many components….

Donghwan Lee 

Dentists need something to make restorations on,

which is the foundation over the implants.

Donghwan Lee 

Abutment Selection

Concepts of Abutments in Implant Dentistry

1. Implant fixture should be in the bone

2. Abutments need to pass through theconnective tissue & epithelium

3. Gold cylinders works for thesubstructure for crown portion of teeth

Donghwan Lee 

Structures of Implant Fixture and Restoration Components.

Donghwan Lee 

Factors to Select the Abutments

9 Restoration space

9 Tissue height

9 Divergence (angulation)

9 Single vs. Multiple

9 Screw retained vs. Cement retained

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Donghwan Lee 

Restoration Space

Minimum Restorative Space

3.5 + α mm 4.0(5.6) + α mm

Donghwan Lee 

Tissue Height

Standard Abutment > 3.0mm

Esthetic cone Abutment > 1.0mm

UCLA Abutment > 0.0mm

Donghwan Lee 

Single vs. Multiple

Anti-rotation features

Donghwan Lee 

Abutment Selection

Types of Abutments

9 Standard Abutment

9 UCLA Abutment

9 Conical Abutment

9 Pre-Angled Abutment

9 STA® Abutment

9 GingiHue ® Post

9 ZiReal Post

Donghwan Lee 

Types of Abutments

(screw retained)

9 UCLA Abutment

9 Standard Abutment

9 Conical Abutment

9 Pre-Angled Abutment

Donghwan Lee 

Types of Abutments

(cement retained)

9 UCLA Abutment

9 STA® Abutment

9 GingiHue ® Post

9 ZiReal Post

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Donghwan Lee 

9 UCLA abutment = Direct to the implant

9 Conical abutment = Single and Multipe + Tissue Height

9 Prefabricated abutment = Ceramic or Metal + Modification

Make Your Life Simple !

Donghwan Lee 

UCLA abutment

UCLA abutments

screw retained restorations

Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

UCLA Abutment

customized abutment

cement retained restorations

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Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Conical Abutment

1mm conical abutment

Hexed gold cylinder

Donghwan Lee 

Conical Abutment

Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Donghwan Lee 

Syn-Octa Abutment (ITI)

Same concept as conical (Esthetic cone) in external hex system

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Donghwan Lee Donghwan Lee  

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Donghwan Lee 

Preangled abutment

30 degree/2mm height angulated abutment

screw retained restorations

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Donghwan Lee Donghwan Lee  

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Donghwan Lee Donghwan Lee  

Donghwan Lee 

Prefabricated Abutment

GingiHue abutment

customized following gingival line

cemented retained restorations

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GingiHue® Post

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Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Prefabricated Abutment

Esthetic abutment = Ceramic abutment

customized following gingival line

cemented retained restorations

Donghwan Lee 

Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

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Donghwan Lee Donghwan Lee  

Donghwan Lee Donghwan Lee  

Alumina vs. Zirconia

Donghwan Lee 

9 UCLA abutment = Direct to the implant

9 Conical abutment = Single and Multipe + Tissue Height

9 Prefabricated abutment = Ceramic or Metal + Modification

Make Your Life Simple !

Donghwan Lee