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mitigate the painful and disruptive<br />

blanching often associated with seating<br />

a final abutment through tissue<br />

that has been left to form around a<br />

stock healing abutment.<br />

Summary<br />

A prefabricated implant abutment is<br />

often viewed as the most immediate,<br />

least expensive option for restoring<br />

implant cases. But a patient-specific<br />

abutment that takes into consideration<br />

the unique anatomical qualities of<br />

the patient’s edentulous space will, in<br />

most situations, provide more reliable<br />

function and more natural esthetics,<br />

maximizing long-term health and performance.<br />

As technological advancements<br />

decrease the costs associated<br />

with the design and manufacture of<br />

digital custom solutions, clinician demand<br />

for traditional cast and stock<br />

abutments is rapidly waning in favor<br />

of CAD/CAM precision and efficiency.<br />

Available for most major implant systems,<br />

Inclusive Custom Abutments<br />

consistently deliver the high quality<br />

that clinicians expect. IM<br />

References<br />

1. Castillo de Oyagüe R, Sánchez-Jorge MI, Sánchez<br />

Turrión A, Monticelli F, Toledano M, Osorio R.<br />

Influence of CAM vs. CAD/CAM scanning methods<br />

and finish line of tooth preparation in the vertical<br />

misfit of zirconia bridge structures. Am J Dent. 2009<br />

Apr;22(2):79-83.<br />

2. Kerstein RB, Castellucci F, Osorio J. Ideal gingival<br />

form with computer-generated permanent healing<br />

abutments. Compend Contin Educ Dent. 2000 Oct;<br />

21(10):793-7, 800-1; quiz 802.<br />

3. Lewis SG, Llamas D, Avera S. The UCLA abutment:<br />

a four-year review. J Prosthet Dent. 1992 Apr;<br />

67(4):509-15. Review.<br />

4. Silva-Neto JP, Nobilo MA, Penatti MP, Simamoto PC<br />

Jr, Neves FD. Influence of methodologic aspects on<br />

the results of implant-abutment interface microleakage<br />

tests: a critical review of in vitro studies. Int J<br />

Oral Maxillofac Implants. 2012 Jul;27(4):793-800.<br />

5. Kano SC, Binon P, Bonfante G, Curtis DA. Effect<br />

of casting procedures on screw loosening in UCLAtype<br />

abutments. J Prosthodont. 2006 Mar-Apr;15(2):<br />

77-81.<br />

<strong>Dental</strong> Scanning Systems<br />

Laboratory<br />

3Shape <strong>Dental</strong> System<br />

(3Shape) 3<br />

<strong>Dental</strong>CAD<br />

(exocad America) 3<br />

DWOS<br />

(<strong>Dental</strong> Wings) 3<br />

DentSCAN<br />

(Delcam) 3<br />

Lava C.O.S.<br />

(3M ESPE) 3<br />

Optimet <strong>Dental</strong> CAD/CAM Scanner<br />

(Optical Metrology) 3<br />

Chairside<br />

iTero<br />

(Align Technology) 3<br />

CEREC<br />

(Sirona <strong>Dental</strong> Systems) 3<br />

Lava C.O.S.<br />

(3M ESPE) 3<br />

E4D Dentist<br />

(D4D Technologies) 3<br />

IOS FastScan<br />

(IOS Technologies) 3<br />

<strong>Dental</strong> Software<br />

3Shape <strong>Dental</strong> Designer (3Shape) 3<br />

<strong>Dental</strong>CAD (exocad America) 3<br />

DWOS (<strong>Dental</strong> Wings) 3<br />

DentCAD (Delcam) 3<br />

Figure 10: Digital scanning systems and design software formats supported by <strong>Glidewell</strong> Laboratories<br />

Figure 11a: Representation of the soft tissue architecture<br />

resulting from the use of a custom healing<br />

component featured with the Inclusive Tooth Replacement<br />

Solution<br />

Figure 11b: Representation of the final Inclusive<br />

Custom Abutment, easily seated in the anatomically<br />

contoured sulcus<br />

– Lab Sense: Inclusive Custom Abutments – 71

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