Views: 222 Author: Dream Publish Time: 2025-03-11 Origin: Site
Content Menu
● Introduction to Encode Healing Abutments
>> Key Features of Encode Healing Abutments
● Factors to Consider When Choosing an Encode Healing Abutment
>> 1. Restorative Platform Diameter
>> 4. Patient's Gingival Thickness
● Steps to Select the Right Encode Healing Abutment
● Benefits of Using Encode Healing Abutments
>> Clinical Case Study: Successful Use of Encode Healing Abutments
>> 1. Limited Availability of Certain Sizes
>> 2. Intraoral Scanning Challenges
>> 3. Aesthetic Considerations
● Advanced Techniques for Encode Healing Abutments
>> 1. Digital Workflow Integration
>> 3. Combination with Other Implant Systems
>> 1. What are the key features of Encode healing abutments?
>> 2. How do I determine the appropriate height of an Encode healing abutment?
>> 3. What are the benefits of using Encode healing abutments over traditional healing abutments?
>> 4. Can Encode healing abutments be used for both anterior and posterior teeth?
>> 5. How do I ensure proper seating of the Encode healing abutment on the implant?
Choosing the right healing abutment is crucial for the success of dental implant procedures. Among the various types of healing abutments available, Encode healing abutments have gained popularity due to their versatility and efficiency. In this article, we will explore how to select the appropriate Encode healing abutment for your dental implant needs.
Encode healing abutments are part of the Encode Emergence Impression System, designed by ZimVie (formerly part of Zimmer Biomet). These abutments serve as a 3-in-1 solution, functioning as a healing abutment, impression coping, and scan body. This multi-functional design simplifies the dental restoration process by eliminating the need for additional components, thus preserving tissue and reducing procedural steps.
- Natural Emergence Profiles: Encode abutments are designed with gradual emergence profiles to mimic natural tissue healing, ensuring aesthetic outcomes post-surgery.
- Code Scheme: The unique coding on the occlusal surface allows for intraoral scanning or traditional impressioning without needing to remove the abutment, saving time and preserving tissue.
- Pink Matte Appearance: The abutment's color closely matches the gingiva, providing aesthetic results and reducing glare during intraoral scans.
- Available Heights and Diameters: Encode abutments come in various heights (3, 5, and 7 mm) and emergence profile diameters, accommodating different implant placements and patient needs.
The diameter of the healing abutment should match the restorative platform of the implant to ensure compatibility and proper seating. Common diameters include 3.4, 4.1, 5.0, and 6.0 mm. Ensuring this compatibility is crucial to prevent any complications during the healing process.
The emergence profile should be selected based on the patient's anatomy and the desired aesthetic outcome. A natural emergence profile helps in achieving a more aesthetically pleasing restoration. For anterior teeth, where aesthetics are more critical, selecting the right emergence profile is essential to mimic the natural contours of the surrounding teeth.
The height of the abutment collar is critical for proper tissue healing and impressioning. It should extend at least 1 mm above the soft tissue, ideally 2 mm, to facilitate accurate impressions and scanning. This height also helps in maintaining the health of the peri-implant mucosa.
For patients with thick gingiva, taller abutments may be necessary to ensure sufficient exposure above the gums. Conversely, shorter abutments are recommended for patients with thin gingiva to avoid excessive pressure on the tissue. This consideration is vital to prevent complications such as gingival recession or overgrowth.
The depth at which the implant is placed affects the choice of abutment height. Deeper implants require longer abutments to ensure adequate support and tissue healing. Proper placement depth also influences the overall stability and longevity of the implant.
1. Assess Implant Placement: Evaluate the depth and position of the implant to determine the required abutment height.
2. Measure Gingival Thickness: Assess the patient's gingival thickness to choose between taller or shorter abutments.
3. Select Appropriate Diameter and Emergence Profile: Match the abutment diameter with the implant's restorative platform and choose an emergence profile that suits the patient's anatomy.
4. Consider Aesthetic Requirements: For anterior teeth, prioritize aesthetic outcomes by selecting abutments with gradual emergence profiles.
5. Use Intraoral Scanning: Utilize intraoral scanners to capture the coded occlusal surface of the Encode abutment for precise digital impressions. This step is crucial for creating accurate restorations that fit perfectly over the abutment.
- Simplified Workflow: Encode abutments eliminate the need for impression copings or scan bodies, streamlining the restoration process.
- Tissue Preservation: By reducing the number of abutment removals, Encode abutments help preserve peri-implant mucosa and maintain alveolar crestal bone.
- Aesthetic Outcomes: The pink matte appearance and natural emergence profiles contribute to more aesthetically pleasing restorations.
In a recent case study, a patient underwent dental implant placement in the anterior region. An Encode healing abutment was chosen for its aesthetic benefits and ease of use. Post-surgery, the patient experienced minimal discomfort, and the intraoral scan captured the abutment's code accurately, allowing for precise restoration fabrication. The final result was a highly aesthetic and functional restoration that met the patient's expectations.
In some cases, specific sizes of Encode healing abutments might not be readily available. Clinicians should plan ahead and order necessary components in advance to avoid delays in treatment.
Occasionally, intraoral scanning may be challenging due to limited access or patient discomfort. In such cases, traditional impression techniques can be used as an alternative. It is essential to have a backup plan to ensure that the treatment proceeds smoothly.
For patients with high aesthetic demands, additional considerations such as custom emergence profiles or temporary restorations may be necessary to achieve optimal results. Temporary restorations can help in evaluating the aesthetic outcome before finalizing the permanent restoration.
Encode abutments are fully compatible with digital workflows, allowing for seamless integration with CAD/CAM systems. This integration enables precise fabrication of restorations based on digital impressions, enhancing accuracy and reducing chair time.
For complex cases, Encode abutments can be customized to meet specific patient needs. This may involve modifying the emergence profile or using specialized materials to improve aesthetics or functionality.
Encode healing abutments can be used in conjunction with other implant systems, providing flexibility in treatment planning. This versatility allows clinicians to choose the best components for each patient's unique situation.
Choosing the right Encode healing abutment involves careful consideration of several factors, including the patient's anatomy, implant placement, and aesthetic requirements. By understanding these factors and leveraging the unique features of Encode abutments, clinicians can optimize the dental restoration process, ensuring both functional and aesthetic success.
Encode healing abutments are designed with natural emergence profiles, a unique code scheme for intraoral scanning, and a pink matte appearance for aesthetics. They come in various heights and diameters to accommodate different implant placements.
The height should extend at least 1 mm above the soft tissue, ideally 2 mm, to facilitate proper impressioning and scanning. The choice also depends on the depth of implant placement and gingival thickness.
Encode abutments simplify the restoration process by eliminating the need for additional components, preserve tissue by reducing abutment removals, and provide aesthetic outcomes due to their natural emergence profiles.
Yes, Encode healing abutments can be used for both anterior and posterior teeth. However, for anterior teeth, aesthetic considerations may require customized or specific emergence profiles.
Ensure the hex connection is properly engaged with the implant, and use a radiograph to verify full seating. Bone profiling may be necessary for deeper implant placements.
[1] https://www.dentalmastermed.com/how-to-choose-healing-abutment/
[2] https://www.wleoms.com/files/2015/11/9B629742-7A41-441B-A71A-C483B95ACEBB.pdf
[3] https://www.zimvie.com/content/dam/zimvie-corporate/en/dental/literature/zvinst0005/zvinst0005_encode_emergence_surgical_manual_final.pdf
[4] https://www.youtube.com/watch?v=71OhS5hoX_g
[5] https://www.zimvie.com/content/dam/zimvie-corporate/en/dental/literature/zv0108/zv0108_encode_emergence_sell_sheet_final.pdf
[6] https://www.zimvie.com/encode
[7] https://www.zimvie.asia/content/dam/zimvie-corporate/en/dental/literature/zvinst0006/zvinst0006_encode_emergence_restorative_procedure_final_secured.pdf
[8] https://gardalilab.files.wordpress.com/2014/03/encode-recommendations.pdf
[9]https://www.implacom.nl/assets/admin/plugins/kcfinder/upload/files/Producten%20prothetiek/ZB1217_REV%20A_EMEA%20Encode%20Converter%20workflow%20LED%20presentation_final_ZIMMERLEGACY(1).pdf
[10] https://pmc.ncbi.nlm.nih.gov/articles/PMC11635071/
[11] https://eservices.zimviedental.com/product/tsv-encode-emergence-healing-abutments-57-mmd75-mmp-30mmh/01t5f000003zYC6AAM
[12] https://www.zimvie.com/content/dam/zimvie-corporate/en/dental/literature/zv1175/zv1175_encode_emergence_ref_sheet_final_secured.pdf
[13]https://www.implacom.nl/assets/admin/plugins/kcfinder/upload/files/Producten%20Encode/ZVINST0006_REV_B_Encode_%20Emergence_Restorative_Procedure_%20Implacom_logo.pdf
[14] https://www.youtube.com/watch?v=pgw2Q0XWC24
[15] https://eservices.zimviedental.com/product/certain-bellatek-encode-healing-abutment-41mmd-x-6mmp-x-6mmh/01t5f000003zVzbAAE
[16] https://dentallabnetwork.com/forums/threads/3i-encode-system.8403/
[17] https://www.globaldentalsolutions.com/wp-content/uploads/2024/03/Emergence-Map-New-Encode.pdf
[18] https://stage-www.zimvie.eu/content/dam/zimvie-corporate/en/products/manuals/zbinst0025_rev_b_tsv_bellatek_encode_surgical_technical_guide_final_secured.pdf
[19] https://stage-www.zimvie.asia/content/dam/zimvie-corporate/en/products/manuals/zbinst0026_rev_b_tsv_bellatek_encode_abutmnts_lab_manual_final_secured.pdf
[20] https://dentallabnetwork.com/forums/threads/encode-type-scannable-healing-abutments.35001/
[21] https://stage-www.zimvie.eu/en/dental/digital-solutions/tsv-bellatek-encode-impression-system-international.html
[22] https://www.youtube.com/watch?v=YHPRMFtoWe4
[23] https://www.zimvie.com.au/en/dental/digital-solutions/encode--impression-system.html
[24] https://www.medicalexpo.com/prod/zimmer-dental/product-74636-1095233.html
[25] https://etd.ohiolink.edu/acprod/odb_etd/ws/send_file/send?accession=osu1306772544&disposition=inline
