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  • Second stage

    Posted by Nav on February 6, 2024 at 2:53 pm

    Hi all,my healing abutment was not engaging, kept rotating on #14,no bone interference.Implant was stable .I tried 2 different sizes.Not sure why?

    Nav replied 10 months, 1 week ago 4 Members · 7 Replies
  • 7 Replies
  • Jedediah

    Administrator
    February 6, 2024 at 3:58 pm

    If the implant had sufficient stability for a healing above men which is typically 20 Newton centimeters and above, and an IQ of 60 or above then, either the healing above it was not the correct platform, or sometimes doctors can put it in the wrong path of insertion, and it doesn’t seem to thread. Most likely just a simple common mistake of one of those.

  • Ivan

    Administrator
    February 7, 2024 at 8:33 am

    Let’s examine some of the potential possibilities:

    1. The implant could have been non-integrated and spinning.
    2. The healing abutment could have been binding on bone.
    3. The healing abutment could have been the platform size.
    4. The healing abutment could have been the wrong design.
    5. The healing abutment could have been the correct size and design, but a different manufacturer that uses different width screw thread.
    6. The healing abutment was being inserted in the wrong way (wrong path)
    7. There was debris inside the implant that was preventing the healing abutment screw from going all the way in.
    8. The healing abutment thread was a damaged.

    As an implant doc, the task at hand is to go through all of these possibilities and rule them out one by one.

    Do you have any pictures of the parts that you used? Let me know the brand and the type! Happy to help!

  • Nav

    Member
    February 7, 2024 at 9:08 am

    Thank you for replying, brand was Hiossen,I tried 2 sizes 4*5 and 5*7

    • Ivan

      Administrator
      February 8, 2024 at 4:28 pm

      Hey man, here’s the hiossen catalog, let’s take a look at it together. Also, Thanks for chiming in @alankatende !

      1:53

      Hiossen Cover Screw Issue

      1:53

  • Alan

    Member
    February 8, 2024 at 8:18 am

    I started placing these implants 6 months ago. Make sure the healing abutment is the regular size (not mini), and make sure to remove any bone over the implant.

    • Nav

      Member
      February 8, 2024 at 8:48 am

      ????

  • Nav

    Member
    February 8, 2024 at 8:08 pm

    Thank you for the detailed video, makes sense.I will go back and check .Also lunch and learn seems like a good idea????.I am new to implant journey. Looking forward to learn more

    • This reply was modified 10 months, 1 week ago by  Nav.

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