{"id":417,"date":"2015-08-09T17:19:37","date_gmt":"2015-08-09T22:19:37","guid":{"rendered":"http:\/\/caringdentists.com\/blog\/?p=417"},"modified":"2016-08-01T16:54:49","modified_gmt":"2016-08-01T21:54:49","slug":"importance-of-taking-a-radiograph-to-verify-accurate-interface-of-the-custom-abutment-to-implant","status":"publish","type":"post","link":"https:\/\/www.caringdentists.com\/blog\/importance-of-taking-a-radiograph-to-verify-accurate-interface-of-the-custom-abutment-to-implant\/","title":{"rendered":"Importance of taking a radiograph to verify accurate interface of the custom abutment to implant."},"content":{"rendered":"<p>In this case report\u00a0Dr. Gentry demonstrates the importance of taking a radiograph when seating the custom abutment and crown before final torquing of the gold implant interface connecting screw.<\/p>\n<figure id=\"attachment_418\" aria-describedby=\"caption-attachment-418\" style=\"width: 168px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-418 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-168x300.png\" alt=\"unnamed\" width=\"168\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-168x300.png 168w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed.png 359w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><figcaption id=\"caption-attachment-418\" class=\"wp-caption-text\">Implant<\/figcaption><\/figure>\n<figure id=\"attachment_419\" aria-describedby=\"caption-attachment-419\" style=\"width: 168px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-419 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-1-168x300.png\" alt=\"unnamed-1\" width=\"168\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-1-168x300.png 168w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-1.png 359w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><figcaption id=\"caption-attachment-419\" class=\"wp-caption-text\">Custom abutment and crown placed with gold screw tightened to finger pressure.<\/figcaption><\/figure>\n<figure id=\"attachment_422\" aria-describedby=\"caption-attachment-422\" style=\"width: 197px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-422 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-9-197x300.jpg\" alt=\"unnamed-9\" width=\"197\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-9-197x300.jpg 197w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-9.jpg 625w\" sizes=\"auto, (max-width: 197px) 100vw, 197px\" \/><\/a><figcaption id=\"caption-attachment-422\" class=\"wp-caption-text\">Upper radiograph shows improper interface-note the gap present at the interface. Lower radiograph shows perfect fit, taken after adjusting the contact and re-positioning the crown\/abutment on the implant.<\/figcaption><\/figure>\n<figure id=\"attachment_423\" aria-describedby=\"caption-attachment-423\" style=\"width: 177px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-423 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-10-177x300.jpg\" alt=\"unnamed-10\" width=\"177\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-10-177x300.jpg 177w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-10-603x1024.jpg 603w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-10.jpg 674w\" sizes=\"auto, (max-width: 177px) 100vw, 177px\" \/><\/a><figcaption id=\"caption-attachment-423\" class=\"wp-caption-text\">Gold screw used to attach crown and abutment to implant.<\/figcaption><\/figure>\n<figure id=\"attachment_420\" aria-describedby=\"caption-attachment-420\" style=\"width: 168px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-420 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-2-168x300.png\" alt=\"unnamed-2\" width=\"168\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-2-168x300.png 168w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-2.png 359w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><figcaption id=\"caption-attachment-420\" class=\"wp-caption-text\">Now the gold screw can be tightened to 20 Newtons per centimeter squared with the torque wrench.<\/figcaption><\/figure>\n<figure id=\"attachment_421\" aria-describedby=\"caption-attachment-421\" style=\"width: 168px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-3.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-421 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-3-168x300.png\" alt=\"unnamed-3\" width=\"168\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-3-168x300.png 168w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/unnamed-3.png 359w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><figcaption id=\"caption-attachment-421\" class=\"wp-caption-text\">Screw hole filled in with composite filling material.<\/figcaption><\/figure>\n<p>Here&#8217;s an example from a case I was doing with a dental student involving the 2 upper front teeth. In the first x-ray the impression copings were not fully seated. I re-positioned the copings and another x-ray was taken to confirm proper alignment. You cannot tell without an x-ray since this is below the gum-line.<\/p>\n<figure id=\"attachment_1230\" aria-describedby=\"caption-attachment-1230\" style=\"width: 169px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1230 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating1-169x300.jpg\" alt=\"implantseating1\" width=\"169\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating1-169x300.jpg 169w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating1-576x1024.jpg 576w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating1.jpg 750w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><\/a><figcaption id=\"caption-attachment-1230\" class=\"wp-caption-text\">x-ray verification showing implant copings not fully seated<\/figcaption><\/figure>\n<figure id=\"attachment_1231\" aria-describedby=\"caption-attachment-1231\" style=\"width: 169px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1231 size-medium\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating2-169x300.jpg\" alt=\"implantseating2\" width=\"169\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating2-169x300.jpg 169w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating2-576x1024.jpg 576w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/implantseating2.jpg 750w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><\/a><figcaption id=\"caption-attachment-1231\" class=\"wp-caption-text\">After re-positioning, perfect seating<\/figcaption><\/figure>\n<p>Here&#8217;s an example of another implant check x-ray to verify proper seating.<\/p>\n<p><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1471\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray-169x300.jpg\" alt=\"coping xray\" width=\"169\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray-169x300.jpg 169w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray-576x1024.jpg 576w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray.jpg 750w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><\/a><a href=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1472\" src=\"http:\/\/caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray2-169x300.jpg\" alt=\"coping xray2\" width=\"169\" height=\"300\" srcset=\"https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray2-169x300.jpg 169w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray2-576x1024.jpg 576w, https:\/\/www.caringdentists.com\/blog\/wp-content\/uploads\/2015\/08\/coping-xray2.jpg 750w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In this case report\u00a0Dr. Gentry demonstrates the importance of taking a radiograph when seating the custom abutment and crown before final torquing of the gold implant interface connecting screw. Here&#8217;s an example from a case I was doing with a dental student involving the 2 upper front teeth. In the first x-ray the impression copings &hellip; <a href=\"https:\/\/www.caringdentists.com\/blog\/importance-of-taking-a-radiograph-to-verify-accurate-interface-of-the-custom-abutment-to-implant\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Importance of taking a radiograph to verify accurate interface of the custom abutment to implant.<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[11,43,30,21,9,10,12,15,17,26,16],"class_list":["post-417","post","type-post","status-publish","format-standard","hentry","category-dental-implants","tag-arlington","tag-crown","tag-dental","tag-dental-implant","tag-dental-implants","tag-dentist","tag-dr-gentry","tag-northern-virginia","tag-philip-gentry","tag-smile","tag-virginia"],"_links":{"self":[{"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/posts\/417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/comments?post=417"}],"version-history":[{"count":6,"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/posts\/417\/revisions"}],"predecessor-version":[{"id":1473,"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/posts\/417\/revisions\/1473"}],"wp:attachment":[{"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/media?parent=417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/categories?post=417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.caringdentists.com\/blog\/wp-json\/wp\/v2\/tags?post=417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}