Awesome Company

that and decrease with the amount of

micro movement so as an aside people

often ask me hey implant direct is an

awesome company they have 16 18

different types of implants not so cool

and then other nipples say hey wait a

minute there is 16 or 18 different

implants out there why should I choose

one or the other well I have evolved

from utilizing a trial of implant to

utilizing an internal hex implant to now

using a conical connection type implant

and so there’s certain aspects of the

implant that I personally use the

interactive that I really like I like

the taper of the implant it has very

aggressive threads I like the concept of

micro threads as we approach the crustal

bone these micro threads get smaller and

smaller exerting less force on cortical

bone we know that medullary bone has a

much greater blood supply and is less

prone to bone loss versus cortical bone

which has less vascularity so I don’t

want to over torque that area one other

cool thing about the interactive is the

way that this little snappy portion

attaches to the abutment that portion is

captured within the implant or within

the impression as we take an impression

and we’re able then to place our

analogues with a metal-on-metal

connection as stated before the having

that conical connection coupled with a

very nice platform switch it really kind

of decreases the amount of micro

movement and bone loss that we have the

micro threads as we approach the

cortical portion of the bone is

described for are also a beneficial to

decrease people often I’m asked to what

are some other factors in the factor in

to my choice of using an implant or not

using an implant and you really have to

ask yourself how do you restore are you

a custom above unscrewed screw tain type

of girl or guy or do you like just using

a stock abutment and you know gluing

stuff on and just being done with it

some people feel very comfortable

placing their implant and placing the

abutment and managing the tissue under

will rather just have their specialist

go ahead and put an abutment on and give

you some sort of a snappy cap or some

sort of easy way of taking an impression

one concept that’s near and dear to my

heart is guiding a plan surgery and I’ll

discuss a little bit the difference

between fully guided and freehand

placement of implants after utilizing

the surgical guide and there’s certainly

implants that cater more to that one

thing I do like about the implants that

I currently place or all-in-one

packaging I remember back in the day

when I started placing implants I didn’t

know what to order and as a result I

forgot to order

healing about men’s above and screws

impression copings so I do like the fact

that we have various types of packaging

that allow me to have all those things

in one and it really the only thing I

have to purchase lab analogs if I do a

one

and out to a lab just a quick talk about

fix your mouth I use implants um that if

I’m not doing guided implant surgery

have mounts on them and fix your mounts

that are available and implant direct

have different sort of ways we have

fixed amounts like the purple one you

see in the far left whose only job is

really to take the implant into the

mouth and serve as a clothes tray

impression coping

we have fixture mounts which can be

utilized to retro-fitted enter into a

temporary hybrid like this this is a

replant amount that you see next to the

purple one or a legacy to mount is very

similar these screw tame mounts could

also be utilized in Sandberg’s

the gold above it that you see is

utilized with a legacy type implant I

think this one actually is a sort of a

replant one which serves as both a pro

parable abutment as well as a closed

train mount and it’s finally on your

right we do see what you would expect

from a conical connection type implant

or the legacy forward type implant which

has a nice platform you can use mounted

or unmounted implants on the images to

the left you can see what a fixture

mount looks like image on your right is

a Mel free design just a matter of

personal preference if I had my way

every implant I would place but have a

fixed amount and the reason why is we

engage the mount with our hex tools

place it into the osteotomy and if max

tool is not seated all the way or maybe

we’re a little heavy-handed and if we

damage the mount the mount can be

removed and the implant can be engaged

internally it placed the rest of the way

on the image on the right hand side with

that implant if I happen to not seat my

x2

or over torque it will have an issue

with possibly bending the internal

connection and causing flowering we

talked about the common connections what

are some of the advantages of a internal

hex implant in this case here is a

legacy implant well we sort of have a

conical connection already so we have a

45 degree lead in bevel that does

provide a degree of stability laterally

when the patient chews I talked a little

bit before about the bolstering effect

or the wedging effect in a conical

connection of the abutment going into

the internal connection and the

resistance you may have from the bone or

the lateral walls of the implant I know

about you guys but when I’m placing an

abutment really I’m doing it blind I

mean I can’t see that platform it’s

covered in gingiva less I’m laying a

flap of looking at it directly if I’ve

used a healing abutment I’m really

trying to look through the gingiva when

I have a internal connection type

implant like the legacy and I grab ahold

of the abutment and it sees I can really

feel that it’s a really nice feeling to

know that my abutment is it down all the

way if I’m using a tri lobe you really

feel it it really feels nice and locked

down and if by some chance you’ve

trapped gingiva between the abutment or

trap gingiva into the internal

connection it got this kind of squishy

feeling I don’t know what the proper

term is but it doesn’t feel like metal

on metal it doesn’t feel like a down all

the way one drawback of a conical

connection is there’s resistance when

you see the above it because of that

sort of wedging effect and sometimes I

don’t trust it and so sometimes I feel

like maybe my bumps knocked down all the

way and so I have to take a lot more

graphs of conical connection type

implants to verify seeing than I do with

internal head size impacts within the

implant direct product line we do have

different of types of the legacy line of

implants legacy to line and legacy for

or what I want to talk about if you are

a true retained a custom abutment type

of dentist I would guide you towards the

legacy to lengthy to comes with a mount

that can become a cylinder or a screw

routine temporary or a retrofitted

denture is less expensive than its

counterpart which the legacy for Lexie

for has the exact same implant body the

implant bodies are the same between the

two however it has a very nice stock

above it so if you say look I’m just

going to be doing maybe zirconia or pfm

or gold crowns just want to glue it on

and be done with it

the legacy for is got a very nice

platform shift repairable abutment and

you’re good to go so if you know you’re

going to be in custom and you’re not

going to be using the abutment you can

save a few bucks going with a legacy two

versus the legacy four

however if you feel comfortable with

just cementing on your restorations go

for lengthy board set a reaction plan as

a side note that I like about the

internal hex type implant that I use the

legacy line is that there’s so many

really nice of sizes and I got to tell

you I missed that and so I’m trying to

be exclusive to the interactive implant

but there’s really only four implants

within the line of that so there is a

303 set of it and I think a 4 3 and a 5

o in the interactive line in the legacy

line we’ve got a gazillion different

left we have the 3.2 the 3 7 the 4 to

the 4 7 5 to

five seven and seven I got to tell you

my two favorite ones in the line are the

4.7 which I really like to use in

immediate premolars and the 303 point –

I’m sorry which I use in all lower

anterior teeth and laterals one of the

big things that made me change from the

legacy to the interactive really didn’t

have anything to do with the connection

I know I had enough people telling me

look you gotta go with conical

connection it’s better but really what

got me to switch is the amount of work I

do with chairside CAD cam and the fact

that most care side CAD cam whether a

p40 see rack three shades are based on

the standard Zimmer internal hex sizes

which is a 3.5 platform a 4.5 platform

in a 5.7 platform that really cooled 3.2

millimeter implant that I love and

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